- Tejativaddhana, Phudit, Briggs, David, Fraser, John, Minichiello, Victor, Cruickshank, Mary
- Authors: Tejativaddhana, Phudit , Briggs, David , Fraser, John , Minichiello, Victor , Cruickshank, Mary
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 28, no. 1 (2013), p. 16-34
- Full Text: false
- Reviewed:
- Description: In 2001, the universal health coverage policy was adopted by Thailand with primary healthcare (PHC) as the major focus of the policy. In order to understand the structural and institutional factors affecting the implementation of PHC in rural Thailand, a qualitative study, utilising individual interviews with national and provincial policy decision makers, community health directors, heads of hospital primary care units, chiefs of district health offices, heads of health centres and community representatives, from one rural province was undertaken. Findings showed that the sustainability of PHC service provision under the administration of community hospitals is problematic as barriers exist at the policy and operational levels and access to PHC for all citizens may not be achieved until these barriers are addressed. Furthermore, although PHC needs to be acknowledged and implemented by all stakeholders within the health industry and government, the roles and responsibilities of the stakeholders in health services management at the district level need to be clarified. Copyright © 2012 John Wiley & Sons, Ltd.
Mentors supporting nurses transitioning to primary healthcare roles : a practice improvement initiative
- Rossiter, Rachel, Robinson, Tracy, Cox, Rebekah, Collison, Lisa, Hills, Danny
- Authors: Rossiter, Rachel , Robinson, Tracy , Cox, Rebekah , Collison, Lisa , Hills, Danny
- Date: 2024
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 10, no. (2024), p.
- Full Text:
- Reviewed:
- Description: Introduction: Effective primary healthcare services have been identified by the World Health Organization as the most equitable approach to enhancing universal healthcare. Robust models of mentoring for registered nurses (RNs) transitioning to primary healthcare roles have yet to be described in the Australian context. A robust mentoring model can support RNs to fulfill their potential, bridging the gap between theory and practice. In 2015, the peak body for nurses in primary health care (PHC) began developing a transition to practice program, including embedded mentoring to support newly graduated and more experienced registered and enrolled nurses. This quality improvement study reports the experiences and perspectives of nurses participating as mentors in two separate offerings of the program delivered between 2019 and 2021. Method: A two-phase concurrent mixed methods evaluation utilized data from pre- and post online surveys and post program meetings. Quantitative items underwent descriptive analyses. Thematic analysis of free-text responses and comments was conducted independently by two researchers. Mentors voluntarily provided self-report data and were informed that data is routinely collected to support continuous quality improvement processes for all programs. An Information Sheet informed mentors of data usage, confidentiality, and options to withdraw without penalty from the program at any time. Results: Seventy-nine mentors were recruited to support two groups of nurses (N = 111). Mentor self-rated overall satisfaction with program participation was 86.67% (very or extremely satisfied). Mentors described being “witness to mentee growth,” “having facilitated access to learning” and receiving “unexpected benefits” including personal and professional growth and enhanced enthusiasm for their role in PHC. Conclusion: The embedded mentoring reported in this article combined a focus on skills acquisition and professional identity with the provision of a range of resources and support activities. Sustainable mentoring programs will be an important mechanism for supporting the expanding roles required of nurses working in primary health. © The Author(s) 2024.
- Authors: Rossiter, Rachel , Robinson, Tracy , Cox, Rebekah , Collison, Lisa , Hills, Danny
- Date: 2024
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 10, no. (2024), p.
- Full Text:
- Reviewed:
- Description: Introduction: Effective primary healthcare services have been identified by the World Health Organization as the most equitable approach to enhancing universal healthcare. Robust models of mentoring for registered nurses (RNs) transitioning to primary healthcare roles have yet to be described in the Australian context. A robust mentoring model can support RNs to fulfill their potential, bridging the gap between theory and practice. In 2015, the peak body for nurses in primary health care (PHC) began developing a transition to practice program, including embedded mentoring to support newly graduated and more experienced registered and enrolled nurses. This quality improvement study reports the experiences and perspectives of nurses participating as mentors in two separate offerings of the program delivered between 2019 and 2021. Method: A two-phase concurrent mixed methods evaluation utilized data from pre- and post online surveys and post program meetings. Quantitative items underwent descriptive analyses. Thematic analysis of free-text responses and comments was conducted independently by two researchers. Mentors voluntarily provided self-report data and were informed that data is routinely collected to support continuous quality improvement processes for all programs. An Information Sheet informed mentors of data usage, confidentiality, and options to withdraw without penalty from the program at any time. Results: Seventy-nine mentors were recruited to support two groups of nurses (N = 111). Mentor self-rated overall satisfaction with program participation was 86.67% (very or extremely satisfied). Mentors described being “witness to mentee growth,” “having facilitated access to learning” and receiving “unexpected benefits” including personal and professional growth and enhanced enthusiasm for their role in PHC. Conclusion: The embedded mentoring reported in this article combined a focus on skills acquisition and professional identity with the provision of a range of resources and support activities. Sustainable mentoring programs will be an important mechanism for supporting the expanding roles required of nurses working in primary health. © The Author(s) 2024.
Determinants of cancer screenings participation in Queensland : a scoping review
- Lui, Paraniala, Singh, Kamal, Nguyen, Tam, Kurth, Brian, Phan, Thuc, Nelson, Ashleigh, Danisevska, Renata, De Ambrosis, Tony
- Authors: Lui, Paraniala , Singh, Kamal , Nguyen, Tam , Kurth, Brian , Phan, Thuc , Nelson, Ashleigh , Danisevska, Renata , De Ambrosis, Tony
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Primary Health Care Vol. 16, no. 1 (2024), p. 70-77
- Full Text:
- Reviewed:
- Description: Introduction: Cancer screening programmes for cervical, breast, and colorectal cancer have successfully reduced mortality rates among target groups. However, a large proportion of women and men are unscreened. Aim: This review aims to provide an overview of the literature regarding the determinants of cancer screening participation among target groups in Queensland. Methods: Electronic databases were searched for studies on determinants of cancer screening participation in Queensland. Retrieved studies were screened, and eligible articles were selected for data extraction. Both peer-reviewed and grey literature studies were included. The determinants of cancer screening participation were classified according to the I-Change model. Results: Sixteen out of 75 articles were selected and analysed. Information factors, such as the lack of tailored strategies, determined cancer screening participation. Age, gender, cultural beliefs, fear and past experiences were the most reported predisposing factors to cancer screening participation. Lack of knowledge, misconceptions, low awareness, timely access to service, privacy and confidentiality were mainly reported awareness and motivation factors. Encouragement from health professionals, providing more information and interactions with communities would result in different effects on cancer screening participation among the target groups. Discussion: The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs. © 2024 Authors
- Authors: Lui, Paraniala , Singh, Kamal , Nguyen, Tam , Kurth, Brian , Phan, Thuc , Nelson, Ashleigh , Danisevska, Renata , De Ambrosis, Tony
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Primary Health Care Vol. 16, no. 1 (2024), p. 70-77
- Full Text:
- Reviewed:
- Description: Introduction: Cancer screening programmes for cervical, breast, and colorectal cancer have successfully reduced mortality rates among target groups. However, a large proportion of women and men are unscreened. Aim: This review aims to provide an overview of the literature regarding the determinants of cancer screening participation among target groups in Queensland. Methods: Electronic databases were searched for studies on determinants of cancer screening participation in Queensland. Retrieved studies were screened, and eligible articles were selected for data extraction. Both peer-reviewed and grey literature studies were included. The determinants of cancer screening participation were classified according to the I-Change model. Results: Sixteen out of 75 articles were selected and analysed. Information factors, such as the lack of tailored strategies, determined cancer screening participation. Age, gender, cultural beliefs, fear and past experiences were the most reported predisposing factors to cancer screening participation. Lack of knowledge, misconceptions, low awareness, timely access to service, privacy and confidentiality were mainly reported awareness and motivation factors. Encouragement from health professionals, providing more information and interactions with communities would result in different effects on cancer screening participation among the target groups. Discussion: The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs. © 2024 Authors
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