8,473 research outputs found
Practice nurses and the facilitation of self-management in primary care
No full textAim: this paper is a report of a study to explore practice nurse involvement in facilitation of self-management for long-term conditions.Background: in the United Kingdom chronic disease services have shifted from secondary care to general practice and from general practitioners to practice nurses. A new United Kingdom General Practice contract requires adherence to chronic disease management protocols, and facilitating self-management is recognized as an important component. However, improving self-management is a relatively new focus and little is known about the ways in which nurses engage with patient self-management and how they view work with patients in chronic disease clinics.Method: semi-structured interviews with 25 practice nurses were carried out in 2004–2005. Interviews were audio-taped and transcribed verbatim. Analysis was informed by the ‘trajectory model’ and ‘personal construct’ theories.Findings: main themes in the early stages of work with patients were: categorization of patients, diagnosis, and patient education. First impressions appeared to determine expectations of self-management abilities, although these were amenable to change. Intermediate stages were ‘ways of working’ (breaking the task down, cognitive restructuring and addressing dissonance, modelling ‘good’ behaviour, encouragement, listening, involving carers and referral) and maintaining relationships with patients. However, in the longer-term nurses seemed to lack resources beyond personal experience and intuitive ways of working for encouraging effective self-care.Conclusion: the ways of working identified are unlikely to be sufficient to support patients’ self-management, pointing to a need for education to equip nurses with techniques to work effectively with patients dealing with longer-term effects of chronic illnes
Michael Rodriguez interviews author Tom Springer
No full textAuthor Tom Springer is interviewed about his writing career and his newest book "Looking for hickories". Springer talks about his career following after earning an Environmental Journalism degree from Michigan State University. He calls his genre "creative non-fiction" and explains how he weaves his memories into his books about life in rural and wild Michigan. Part of the Michigan State University Libraries' Michigan Writers Series. Springer is interviewed by Librarian Michael Rodriguez
Understanding the management of early-stage chronic kidney disease in primary care: a qualitative study
No full textBackground: Primary care is recognised to have an important role in the delivery of care for people with chronic kidney disease (CKD). However, there is evidence that CKD management is currently suboptimal, with a range of practitioner concerns about its management.Aim: To explore processes underpinning the implementation of CKD management in primary care. Design and setting: Qualitative study in general practices participating in a chronic kidney disease collaborative undertaken as part of the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester.Method: Semi-structured interviews were conducted with GPs and practice nurses (n=21). Normalisation Process Theory provided a framework for generation and analysis of the data. Results: A predominant theme was anxiety about the disclosure of early-stage CKD with patients. The tensions experienced related to identifying and discussing CKD in older people and patients with stage 3A, embedding early-stage CKD within vascular care, and the distribution of work within the practice team. Participants provided accounts of work undertaken to resolve the difficulties encountered, with efforts having tended to focus on reassuring patients. Analysis also highlighted how anxiety surrounding disclosure influenced, and was shaped by, the organisation of care for people with CKD and associated long-term conditions. Conclusion: Offering reassurance alone may be of limited benefit, and current management of early-stage CKD in primary caremaymiss opportunities to address susceptibility to kidney injury, improve self-management of vascular conditions, and improve themanagement of multimorbidity
Performing the archive: following in the footsteps
Full text linkUsing documentation of Mike Pearson's performance 'Bubbling Tom', Deirdre Heddon attempts to step into his shoes and re-perform it
CRE Author Tom Franklin
No full textCommon Reading Experience author and UM creative writing instructor Tom Franklin talks about his novel, Crooked Letter, Crooked Letter. Video by Mary Stanton.https://egrove.olemiss.edu/umvideo/1334/thumbnail.jp
Tom Kubancik
No full textTom is the Vice President of Advanced Programs at Applied Defense Solutions (ADS).
Tom’s entire career has been focused on advanced technology with over 30 years in Space Systems, High Performance Computing, and Microelectronics. With a background in Operations Management, Tom has enjoyed broad success when pioneering companies in rapidly evolving markets and shaping today’s high technology landscape.
Tom is a recognized international expert in Space Situational Awareness (SSA), participating in research, development, and deployment programs since the 1980’s. At Applied Defense Solutions (ADS), Tom has led the transition away from military-only SSA, establishing a broad portfolio of research and development, commercialization, and operational support programs. ADS is a recognized leader in civilian, commercial, and government space exploration, focusing on all phases from mission analysis, operations support, and space protection. Leading the ADS Advanced Programs’ team, Tom coordinates a highly talented group of technical experts working alongside program managers, operational experts, and capture professionals. Their focus is to create and develop opportunities for ADS to apply its innovations and expertise to the most challenging space systems development tasks. His team harnesses a company-wide passion for problem-solving by leveraging a world class research portfolio with exquisite analytical capabilities and deep operational experience. ADS has constructed the most interesting mission portfolio in the industry as Tom and his team love their role in defining the next generation of safe space operations.
Tom is an active participant in NATO Science and Technology panels and activities leading to better understanding of global approaches for effective coalition and collaborative SSA. Tom is a published author on global SSA and is a frequent speaker at domestic and international conferences.
Tom has a wealth of experience with leadership positions. He is a graduate of Bowling Green University. Tom and his family live in Boulder, Colorado.https://commons.erau.edu/stm-images/1097/thumbnail.jp
Tom Lawson
No full textTom Lawson is Professor of History and Pro Vice Chancellor for Arts, Design and Social Sciences at Northumbria University. He is the author and editor of several books including Debates on the Holocaust (2010) and most recently The Last Man: a British Genocide in Tasmania (2014).https://commons.erau.edu/genocide-bios/1044/thumbnail.jp
The quality and outcomes framework and self-management dialogue in primary care consultations: a qualitative study
No full textBackground: Two key elements to improve the quality of care for people with long-term conditions in primary care are improved clinical information systems to support delivery of evidence-based care, and enhanced self-management support. Although both elements are viewed as necessary, their interaction is not well understood. Aim: To explore the use of computer-based 'disease management' templates and their relevance to self-management dialogue within clinical encounters. Design and setting: Qualitative study of general practices located in three primary care trusts in the north of England. Method: A qualitative mixed methods study was conducted that included comparative analysis of (1) observations of general practice consultations (n = 86); and (2) interviews with health professionals in general practice (n = 17). Results: The analysis suggested that use of the computer templates reinforced a checklist approach to consultations, which included professionals working through several self-management topics framed as discrete behaviours. As a consequence, conversation tended to become focused on the maintenance of the professional-patient relationship at the expense of expansion in self-management dialogue. The computer templates also shaped how patient-initiated self-management dialogue was managed when it arose, with a shift towards discussion around medical agendas. Conclusion: In order to enhance the management of longterm conditions in primary care, the design and implementation of clinical information systems to improve evidence-based care need to take into account their potential impact on supporting self-management. ©British Journal of General Practice
Compliance Update with Tom Fox
No full textJoin us for lunch with Tom Fox, compliance professional, author and creator of the Compliance Podcast Network, hosting a variety of compliance related podcasts, including a succinct daily compliance tip
First person – Tom Carruthers.
No full textFirst Person is a series of interviews with the first authors of a selection of papers published in Biology Open, helping early-career researchers promote themselves alongside their papers. Tom Carruthers is first author on ‘ exTREEmaTIME: a method for incorporating uncertainty into divergence time estimates’, published in BiO. Tom conducted the research described in this article while a PhD student in Professor Robert Scotland's lab in the Department of Plant Sciences, University of Oxford. He is now a postdoc in the lab of Dr William Baker at the Royal Botanic Gardens, Kew, working on determining the extent to which large molecular phylogenies provide information about evolutionary history
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