3,578 research outputs found
Keeping newly qualified GPs in primary care
No full text Katherine Owen and Jeremy Dale present the results of a survey to help practice managers develop an effective strategy for recruiting new staff and tending your GP trainees </jats:p
Forgotten People: I Saw Human Shame as a Migrant Worker
No full textDale Wright, a World-Telegram Staff writer, went undercover as a migrant worker in Hightstown, New Jersey, and in Florida. He recorded his observations, interviewed other workers, and took photos of the harsh conditions endured by migrant workers. The pamphlet includes a letter from New Jersey Governor Robert Meyner, commending Wright's work
Supplemental Material - Do Healthy People Engage With Education About Death, Dying and Advance Care Planning? An Early Evaluation of the Omega Course
No full textSupplemental Material for Do Healthy People Engage With Education About Death, Dying and Advance Care Planning? An Early Evaluation of the Omega Course by Ieuan Davies, Chantal Meystre, and Jeremy Dale in American Journal of Hospice and Palliative Medicine</p
‘It gives a sense of purpose’ - exploring GP registrars’ views on relational continuity of care: a survey
No full textBackground: relational continuity of care has been shown to improve patient outcomes and clinician satisfaction. However, little is known about how GP registrars, the future workforce in general practice, experience this continuity, especially in the context of evolving workforces and increasing use of remote consultations.Aim: this study aimed to explore GP registrars' views on relational continuity of care and identify personal, training, and practice factors that may influence these views, including the impact of digital/remote consulting.Design & setting: a cross-sectional online survey was conducted among GP registrars in the West Midlands, England. The survey explored registrars' experiences and attitudes towards relational continuity, including the impact of remote consulting.Method: the survey combined Likert-scale and multiple-choice questions with free-text responses. Quantitative data was analysed using descriptive statistics with logistic regression to identify personal and training factors that might influence views. Content analysis was used for qualitative data.Results: 246 responses were received (estimated 14.5% response rate). Registrars valued relational continuity, particularly for patients with long-term conditions. Barriers such as rotational training, high workload, and limited appointment access were reported. Remote consulting was seen as challenging for building relationships but helpful for follow-up encounters. Few personal or training factors influenced views on relational continuity.Conclusion: despite significant barriers, GP registrars highlighted the importance of relational continuity for patient care and clinician satisfaction. Further research is needed to explore how training models impact continuity, and how training and remote consulting can support the experience of relational continuity in practice
An evaluation of service user experience, clinical outcomes and service use associated with urgent care services that utilise telephone-based digital triage : a systematic review protocol
Get PDFBackground: Telephone-based digital triage is widely used by services that provide urgent care. This involves a call handler or clinician using a digital triage tool to generate algorithm-based care advice, based on a patient’s symptoms. Advice typically takes the form of signposting within defined levels of urgency to specific services or self-care advice. Despite wide adoption, there is limited evaluation of its impact on service user experience, service use and clinical outcomes; no previous systematic reviews have focussed on services that utilise digital triage, and its impact on these outcome areas within urgent care. This review aims to address this need, particularly now that telephone-based digital triage is well established in healthcare delivery. Methods: Studies assessing the impact of telephone-based digital triage on service user experience, health care service use and clinical outcomes will be identified through searches conducted in Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus. Search terms using words relating to digital triage and urgent care settings (excluding in-hours general practice) will be used. The review will include all original study types including qualitative, quantitative and mixed methods studies; studies published in the last 20 years and studies published in English. Quality assessment of studies will be conducted using the Mixed Methods Appraisal Tool (MMAT); a narrative synthesis approach will be used to analyse and summarise findings. Discussion: This is the first systematic review to evaluate service user experience, service use and clinical outcomes related to the use of telephone-based digital triage in urgent care settings. It will evaluate evidence from studies of wide-ranging designs. The narrative synthesis approach will enable the integration of findings to provide new insights on service delivery. Models of urgent care continue to evolve rapidly, with the emergence of self-triage tools and national help lines. Findings from this review will be presented in a practical format that can feed into the design of digital triage tools, future service design and healthcare policy. Systematic review registration: This systematic review is registered on the international database of prospectively registered systematic reviews in health and social care (PROSPERO 2020 CRD42020178500)
Letter from Dale Morioka, Block Club Coordinator, Heart Mountain, to Miss Hisako Hayakawa, March 31, 1944
No full textCorrespondence from Dale Morioka to Hisako Hayakawa regarding clubs and programming at Heart Mountain incarceration camp.The Japanese American Archival Collection documents the people, places, and daily life of Japanese Americans, primarily those who lived in the once thriving community of pre-war Florin in the Sacramento region, as well as the conditions in American incarceration camps during World War II. The approximately 7,000 original items include personal and official letters, photographs, diaries, arts and crafts, newsletters, textiles, camps artifacts, yearbooks and other publications
About Dale Cooper
No full textDale J. Cooper (b. 1941) is chaplain emeritus of Calvin College (now University), a position he held for thirty years, starting in 1979. The chaplaincy, he said, offered the best of three worlds—the opportunity to teach, to preach, and to be a pastor to 4,000 students. Cooper—known to decades of students as “Coop”—initiated the LOFT worship service on campus in 1996.
In 2008, after retiring from his role as chaplain and religion professor, Cooper joined the Calvin Institute of Christian Worship as a resource development specialist for liturgical spirituality. His contributions included a four-year run as author of Coop’s Column, featuring spiritual reflections on Christian worship. Cooper also became an adjunct faculty member in Calvin’s department of Congregational and Ministry Studies, where he has served as a pastoral mentor in the Jubilee Fellows program. With the advent of the Calvin Prison Initiative in 2015, Cooper also began teaching at the Richard A. Handlon Correctional Facility.
Cooper’s writings over the years have included a study guide to the Psalms, meditations for the Calvin journal Dialogue, and a twelve-part series highlighting John Calvin’s teachings for The Banner. Cooper was ordained in the Christian Reformed Church of North America in 1972. Before joining the Calvin College faculty in 1976, he worked for five years at Calvin Christian High School and Unity Christian High School.
In recognition of his extensive impact on campus and beyond, Cooper was named the recipient of Calvin’s Faith and Learning Award in 2017. He also received the Calvin Theological Seminary Distinguished Alumni Award in 2015.
Cooper earned a bachelor’s degree from Calvin College (1964), an MDiv degree from Calvin Theological Seminary (1968), and a doctorandus degree from the Free University of Amsterdam (1971). His family has established the Dale and Marcia Cooper Family Scholarship to benefit international students at Calvin. His stated life\u27s aim: To live faithfully as Jesus\u27 disciple for the world to see.https://digitalcommons.calvin.edu/cicw-staff-work/1003/thumbnail.jp
Clinician-led secondary triage in England's urgent care delivery : a cross-sectional study
Get PDFClinician-led secondary triage, following primary triage by the NHS 111 phone line, is central to England's urgent care system. However, little is known about how secondary triage influences the urgency attributed to patients' needs. To describe patterns of secondary triage outcomes and call-related factors (such as call length and time of call) associated with upgrading/downgrading of primary triage outcomes. Cross-sectional analysis of secondary triage call records from four urgent care providers in England using the same digital triage system to support clinicians' decision making. Statistical analyses (mixed-effects regression) of approximately 200 000 secondary triage call records were undertaken. Following secondary triage, 12% of calls were upgraded (including 2% becoming classified as emergencies) from the primary triage urgency. The highest odds of upgrade related to chest pain (odds ratio [OR] 2.68, 95% confidence interval [CI] = 2.34 to 3.07) and breathlessness (OR 1.62, 95% CI = 1.42 to 1.85; reference: abdominal pain) presentations. However, 74% of calls were downgraded; notably, 92% ( = 33 394) of calls classified at primary triage as needing clinical attention within 1 h were downgraded. Secondary triage outcomes were associated with operational factors (day/time of call), and most substantially with the clinician conducting triage. Non-clinician primary triage has significant limitations, highlighting the importance of secondary triage in the English urgent care system. It may miss key symptoms that are subsequently triaged as requiring immediate care, while also being too risk averse for most calls leading to downgrading of urgency. There is unexplained inconsistency between clinicians, despite all using the same digital triage system. Further research is needed to improve the consistency and safety of urgent care triage
Ep. #026 - Dale Jamieson
No full textThis recording and transcript form part of a collection of podcasts conducted by the Cultures of Energy at Rice University. Cultures of Energy brings writers, artists and scholars together to talk, think and feel their way into the Anthropocene. We cover serious issues like climate change, species extinction and energy transition. But we also try to confront seemingly huge and insurmountable problems with insight, creativity and laughter.It’s Dominic’s birthday and he’ll cry if he wants to. Your co-hosts first talk green virtue and anthropocenic temperance and Cymene’s childhood close encounter with a tiger. We then (9:02) welcome to the podcast a very distinguished guest, Dale Jamieson, Professor of Environmental Studies and Philosophy at New York University and author of Reason in a Dark Time (Oxford University Press, 2014). We talk at length about his moving collaborative project with novelist Bonnie Nadzam (author of Lamb and Lions) and their recently published collection, Love in the Anthropocene (http://www.orbooks.com/catalog/love-in-the-anthropocene-by-jamieson-and-nadzam/). Dale posits love as the antithesis of narcissism and describes why contact with the real is so much more important than enveloping ourselves in fantasy. We talk hierarchy and class and why the Anthropocene will be better for some than for others. Yet, Dale emphasizes the newness of our present situation and says we should spend more time thinking and trying to understand our problems and less time relying on familiar categories and chasing solutions. Tracking back to Dale’s earlier work, we touch on the virtues, our need to recover agency, why we should tax email, and the intergenerational ethics of climate change. Then we turn to his current research on how the Anthropocene has challenged the categories and practices of liberalism, eroding both our traditional agency presupposition and public/private distinctions. The point being that we really don’t know how to govern in the Anthropocene—and, maybe we didn’t in the Holocene either! But in any case we live in a time in need of a great deal of political experimentation. We close with how surfing brought Dale to Environmental Studies and why philosophy matters in the wake of Hurricane Sandy. Do you think we have too much populism and not enough democracy? Listen on
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