Exploring the level of inter professional engagement within a chiropractic program
- Haworth, Navine, Jones, Linda
- Authors: Haworth, Navine , Jones, Linda
- Date: 2015
- Type: Text , Journal article
- Relation: International Journal of Current Research Vol. 7, no. 11 (2015), p. 22617-22624
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- Description: Background: Although there has been significant improvement in both understanding and treating type 2 diabetes, there is no indication of a decrease in its prevalence. This trend has led to an hypothesis that are still risk factors that have not been fully understood and dealt with and patient need effective treatment programs to help them deal with such. For along time, medical experts have emphasized the need for diabetic patients to exercise lifestyle changes such as dieting and engaging in physical exercise in order to maintain their conditions. Objectives: Self-care is increasingly becoming an important for diabetic patient seeking to manage their conditions. Consequently, this study is geared towards evaluating the efficiency level of self-care programs among type 2 diabetes (T2D) patients in Saudi Arabia. It will also describe the self-care programs’ effects on the outcome of disease and patients’ quality of life, and the importance of associated educational programs. Methods: This is a systematic review of published studies exploring the quality of self-care management, as well as its effect on promoting quality of life among T2D patients in Saudi Arabia. This review revealed 11 published papers which included Prospective cohort study, uncontrolled quasi-experimental intervention study with pre–post assessment, non experimental retrospective cross sectional survey, naturalistic observation, case control study, and qualitative interview. Results: The results from this review indicated that a significant percentage of T2D patients do not observe, or are selective with the type of self-care management they use. This habit leads to reduced quality of life, prolonged stay at the hospital, and extended recuperation period. The reviews indicated that educational programs have promoted self-care management among T2D patients. An educational program promotes self-care management among T2D patients and provides additional training for healthcare to facilitate and encourage self-care activity among the patients to minimize the growing number of T2D patients.
- Authors: Haworth, Navine , Jones, Linda
- Date: 2015
- Type: Text , Journal article
- Relation: International Journal of Current Research Vol. 7, no. 11 (2015), p. 22617-22624
- Full Text:
- Reviewed:
- Description: Background: Although there has been significant improvement in both understanding and treating type 2 diabetes, there is no indication of a decrease in its prevalence. This trend has led to an hypothesis that are still risk factors that have not been fully understood and dealt with and patient need effective treatment programs to help them deal with such. For along time, medical experts have emphasized the need for diabetic patients to exercise lifestyle changes such as dieting and engaging in physical exercise in order to maintain their conditions. Objectives: Self-care is increasingly becoming an important for diabetic patient seeking to manage their conditions. Consequently, this study is geared towards evaluating the efficiency level of self-care programs among type 2 diabetes (T2D) patients in Saudi Arabia. It will also describe the self-care programs’ effects on the outcome of disease and patients’ quality of life, and the importance of associated educational programs. Methods: This is a systematic review of published studies exploring the quality of self-care management, as well as its effect on promoting quality of life among T2D patients in Saudi Arabia. This review revealed 11 published papers which included Prospective cohort study, uncontrolled quasi-experimental intervention study with pre–post assessment, non experimental retrospective cross sectional survey, naturalistic observation, case control study, and qualitative interview. Results: The results from this review indicated that a significant percentage of T2D patients do not observe, or are selective with the type of self-care management they use. This habit leads to reduced quality of life, prolonged stay at the hospital, and extended recuperation period. The reviews indicated that educational programs have promoted self-care management among T2D patients. An educational program promotes self-care management among T2D patients and provides additional training for healthcare to facilitate and encourage self-care activity among the patients to minimize the growing number of T2D patients.
Changing trends in puberty : Implications for chiropractic practitioners
- Haworth, Navine, Gordon, Sharon, Jones, Linda
- Authors: Haworth, Navine , Gordon, Sharon , Jones, Linda
- Date: 2012
- Type: Text , Journal article
- Relation: Journal of Clinical Chiropractic Pediatrics Vol. 13, no. 1 (2012), p. 951-957
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- Description: Objective: The purpose of this paper is to review the changing ages of pubertal onset, and discuss how it may impact chiropractic diagnosis and management in this pediatric population. Methods: An open literature search was conducted, using scientific journal databases PubMed, Science Direct, Medline, Proquest, and Medscape. An open Internet search was also utilized. Discussion: Puberty includes a range of events and the emergence of several secondary sexual characteristics. What has been considered the normal age ranges for puberty differ between gender (for females, 9-16 years of age and males, 13-15 years of age). Precocious puberty has been considered the onset of puberty prior to age 8 in girls, and 9 in boys. Recent studies, however, have shown the onset of puberty earlier than expected, particularly in the female population. Precocious puberty may occur secondarily to pathologies such as endocrine disorders or central nervous system insults. Furthermore, with the onset of puberty, there is commonly a rapid growth period, which could potentially lead to a surprisingly "early onset" for a number of orthopedic conditions. Chiropractors should be aware of emerging trends in the average age of onset of puberty and differentiate it from precocious puberty, which may require referral. Conclusion: It is important that chiropractic practitioners are aware of the changing trends, potential pathologies and underlying disorders that may contribute to an early pubertal onset. In addition, chiropractors need to be aware of the common orthopedic conditions presenting during periods of rapid growth and development. These may go undiagnosed if the practitioner is unaware of current adolescent age ranges.
Developing chiropractic students clinical practice skills - elements of best practice : a qualitative exploratory descriptive study
- Authors: Haworth, Navine
- Date: 2021
- Type: Text , Thesis , PhD
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- Description: Background Although chiropractic has 125 years as an established profession, scrutiny of the literature proves that few studies have examined the clinical education of chiropractic students with a call for research from academics. This thesis is significant as it develops knowledge that can inform chiropractic bodies and help them improve an essential component of chiropractic education: clinical skill development. Research Purpose and Aims The purpose of this study was to identify elements of best practices in clinical education by critically examining, exploring and describing the aspects of an exemplar chiropractic clinical program that develops students’ clinical practice skills for transition into practice. This study explored the innovative clinical program of a reputable American chiropractic institution providing a scaffolded clinical program across varied clinical settings, patient populations and amongst other health disciplines. Research Design A six-phase exploratory descriptive qualitative design (EDQD) study was conducted to explore and describe the phenomenon being examined (Flick, 2014). This design enabled the collection of information about perceptions and lived experiences of three stakeholder cohorts: clinical faculty members, students and new graduates. Methods Purposive sampling (of students and clinical faculty members) and snowball sampling techniques (of new graduates) were used to derive the sample. Data were collected in three cycles across a two-year period using in-depth, semi-structured interviews. Interviews were conducted with 15 clinical faculty members and eight new graduates, and semi-structured focus groups were conducted with 20 students. All data were audio recorded, transcribed and thematically analysed using an inductive approach. Findings Chiropractic clinical education programs ought to be developed within a framework that incorporates adult learner principles; situated, social and experiential learning theories. Valued was a student-centred learning experience that includes authentic and diverse clinical placements, supervision and mentoring from multiple clinical educators which enhances students’ access to varied perspectives of clinical practices that contributes to developing clinical skills and professional identity. Business knowledge and entrepreneurial skills was an area of deficiency, which is problematic when the objective is to build graduates’ independence in clinical practice and professional prospects are predominantly private practice (NBCE, 2020). Embedding evidence-based practice within curricula and clinical training for educators and students are necessary to ensure this becomes a part of clinical practice. Conclusion This thesis posits best practice in chiropractic clinical education consists of the following: (a) using a scaffolded longitudinal clinical program, (b) varying clinical placements and case mix, (c) supervision and mentoring from multiple clinical educators, (d) educating the clinical educator, (e) curricula designed around industry standards and desired graduate attributes and capabilities, (f) an evidence-based practice approach in the curricula and clinical context, (g) aligning business skills, knowledge and practices with the professional context and (h) interprofessional learning and practice opportunities. Although this study has made a contribution to scholarly discourse, there remain many gaps in our knowledge where further studies are needed.
- Description: Doctor of Philosophy
- Authors: Haworth, Navine
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background Although chiropractic has 125 years as an established profession, scrutiny of the literature proves that few studies have examined the clinical education of chiropractic students with a call for research from academics. This thesis is significant as it develops knowledge that can inform chiropractic bodies and help them improve an essential component of chiropractic education: clinical skill development. Research Purpose and Aims The purpose of this study was to identify elements of best practices in clinical education by critically examining, exploring and describing the aspects of an exemplar chiropractic clinical program that develops students’ clinical practice skills for transition into practice. This study explored the innovative clinical program of a reputable American chiropractic institution providing a scaffolded clinical program across varied clinical settings, patient populations and amongst other health disciplines. Research Design A six-phase exploratory descriptive qualitative design (EDQD) study was conducted to explore and describe the phenomenon being examined (Flick, 2014). This design enabled the collection of information about perceptions and lived experiences of three stakeholder cohorts: clinical faculty members, students and new graduates. Methods Purposive sampling (of students and clinical faculty members) and snowball sampling techniques (of new graduates) were used to derive the sample. Data were collected in three cycles across a two-year period using in-depth, semi-structured interviews. Interviews were conducted with 15 clinical faculty members and eight new graduates, and semi-structured focus groups were conducted with 20 students. All data were audio recorded, transcribed and thematically analysed using an inductive approach. Findings Chiropractic clinical education programs ought to be developed within a framework that incorporates adult learner principles; situated, social and experiential learning theories. Valued was a student-centred learning experience that includes authentic and diverse clinical placements, supervision and mentoring from multiple clinical educators which enhances students’ access to varied perspectives of clinical practices that contributes to developing clinical skills and professional identity. Business knowledge and entrepreneurial skills was an area of deficiency, which is problematic when the objective is to build graduates’ independence in clinical practice and professional prospects are predominantly private practice (NBCE, 2020). Embedding evidence-based practice within curricula and clinical training for educators and students are necessary to ensure this becomes a part of clinical practice. Conclusion This thesis posits best practice in chiropractic clinical education consists of the following: (a) using a scaffolded longitudinal clinical program, (b) varying clinical placements and case mix, (c) supervision and mentoring from multiple clinical educators, (d) educating the clinical educator, (e) curricula designed around industry standards and desired graduate attributes and capabilities, (f) an evidence-based practice approach in the curricula and clinical context, (g) aligning business skills, knowledge and practices with the professional context and (h) interprofessional learning and practice opportunities. Although this study has made a contribution to scholarly discourse, there remain many gaps in our knowledge where further studies are needed.
- Description: Doctor of Philosophy
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