educational framework health services researchers
222299871
Superwoman Schema, Stigma, Spirituality, and Culturally Sensitive Providers: Factors Influencing African American Women's Use of Mental Health Services.
Many African American women are heavily burdened by unmet mental health needs yet underuse mental health services. The superwoman schema (SWS) conceptual framework provides a new culturally sensitive framework to enhance researchers' providers' and educators' understanding of the barriers to mental health service use among this group. The "superwoman" role involves perceived obligations to (1) project strength, (2) suppress emotions, (3) resist feelings of vulnerability and dependence, (4) succeed despite limited resources, and (5) prioritize caregiving over self care. In this study, the SWS framework guided a secondary qualitative analysis of data from eight focus groups comprised of 48 African American women from the southeastern United States and a broad range of age and educational backgrounds. Results suggest that the major components of SWS, as well as perceived stigma, religious and spiritual concerns, and the desire for culturally sensitive providers influenced participants' perceptions and use of mental healthcare. Understanding how SWS operates in African American women may (1) enable researchers to better understand and develop interventions to mitigate disparities in mental health service use; (2) help healthcare professionals to engage and treat this population more effectively; and (3) equip health professions educators to improve the cultural sensitivity of the next generation of providers.
Journal of best practices in health professions diversity research, education and policy
Cheryl L Woods-Giscombe Millicent N Robinson Dana Carthon Stephanie DeVane-Johnson Giselle M Corbie-Smith
213657760
IOT for Capturing Information and Providing Assessment Framework for Higher Educational Institutions A Framework for Future Learning
Internet of Things (IoT) has been changing the way of operations for multiple segments like Industries, Health Care, and Manufacturing. It also holds a chance to change how Educational Institutions operates and enhance student learning experience. It has enormous opportunities for Educational Segment which will enhance the learning experiences for students, teachers and other stakeholders. The development of IOT Systems, devices, applications, and services are already in the consideration and process by the students and researchers. Therefore, this paper presents a framework to capture validated information of individual Higher Educational Institutions (HEI) through IOT devices to avail the assessment based platform to evaluate and enhance the educational experience. It also describes the processes to automate the survey of Educational Institutions and provide analytical report using IOT components and Machine Learning. To ease the understanding of different methods we provide a prototype with its practical implementations using common processes in a friendly manner.
SocProS
Mayank Srivastava Praneet Saurabh Bhupendra Verma
144695431
Providing a Sound Educational Framework for Foster Youth: A Proposed Research Agenda
Youth living in out of home care often have multiple risk factors for school failure. Family disruption and frequent moves between schools compromise a student's ability to succeed in school. When mental health and behavioral issues compound these risk factors, students are at even greater risk. Despite the poor academic outcomes for foster youth, few programs aim to reduce risk and promote school success for this population. Few researchers have evaluated the effectiveness of existing programs, and there is little evidence of the effectiveness of the strategies designed to prevent school failure for foster youth. This article identifies gaps in services to youth in out of home care and proposes a research agenda to build our knowledge and understanding of what is needed, and how to increase the use of effective practices.
Emily J Bruce Toni Naccarato Laura M Hopson Kristen Morrelli
209753147
Impact of Disability Services on Academic Achievement Among College Students with Disabilities
Disability service offices within postsecondary educational institutions exist to provide students with disabilities (SWD) reasonable accommodations needed to facilitate educational equity and promote inclusion and access to postsecondary education. Little is known, however, regarding how services provided by these offices contribute to academic success that predicts college persistence and graduation. Using the International Classification of Function, Disability, and Health (ICF) as a framework to examine the impact of student disability services and other contextual factors on academic achievement, results from this study found that sex, race/ethnicity, college major, type of disability, and time when students register for disability services predict semester grade point average (GPA) Recommendations for practitioners and researchers are discussed.
Yung-Chen Jen Chiu Hsiao-Ying Vicki Chang Ann Johnston Mauricio Nascimento James T Herbert Xiaoyue Maggie Niu
59515947
Interprofessional Collaboration in Global Health Radiology
To meet the needs addressed by the World Health Organization for interprofessional education and collaborative practice and to ensure optimal integration of radiology into global health, a team approach can be used within educational partnerships. Departments of radiology are composed of many professionals, including but not limited to radiologists, advanced practice provider, radiologic technologists, trainees, medical physicists, nurses, biomedical engineers, biomedical technicians, administrative leadership, administrative staff, informatics personnel, researchers, patient transport, and environmental services. Starting with an initial assessment, stakeholders can establish goals to address gaps in radiology access. Then, a mutually agreed upon plan can be implemented in a stepwise framework with measureable deliverables. To establish a comprehensive plan, the professional roles within the radiology team should be represented. By understanding the professional scope and roles of all members, the team can more effectively proceed with working toward improving human capacity, infrastructure, supply chain, and other needs.
Jay Shah Joshua S Harford Patricia A DuCharme Bartram Pierce Thomas Alberico Christopher B Steelman
20750916
Measuring Enactment of Innovations and the Factors that Affect Implementation and Sustainability: Moving Toward Common Language and Shared Conceptual Understanding
This article describes research that focuses on the concern that researchers are unable to fully realize the potential value of their collective efforts because they do not have shared conceptual or operational tools for communicating assumptions, ideas, research strategies, or findings with others outside, or even within their disciplines. This research, through the lens of measuring implementation of educational programs, has taken steps toward bringing researchers' varied pictures of understanding into a coherent landscape. This article describes a conceptual framework for describing aspects of implementation, a conceptual framework for describing the factors that affect implementation, and tools for measuring each. It describes the challenges addressed in the development of these approaches, and the application of these approaches to current studies in education and other fields in the social sciences. In doing so, it demonstrates that meaningful communication between researchers and accumulation of knowledge across fields is possible, and necessary.
The Journal of Behavioral Health Services Research
Jeanne Century Amy E Cassata Mollie Rudnick Cassie Freeman
31855655
Studies in planning health manpower: the Varna meeting.
Although the papers presented at the Seventh World Congress of Sociology session on Planning Medical Manpower are derived from the experience of researchers in ten nations, all of the writers subscribe to the concept of a health service system which is developed in part in several papers. This perspective assumes that a health service system includes all formal and informal activities centered on the provision of health services and of their utilization by a population; in its connotation for health manpower this perspective includes all health personnel, their recruitment, training and behaviour. Further, a health service system is molded by prevailing social values, historical precedents; contained by disease, educational and fiscal restraints; and is inextricably linked with other systems. This approach provides a conceptual baseline for the testing of hypotheses generated by the various studies a framework within which it is possible to test whether certain behaviours and attitudes are universal in their implications or limited to specific settings.
Journal of health and social behavior
Robin F Badgley
78397000
Using Clinical Guidelines: Impact on Public Policy, Clinical Policy, and Individual Care Decisions
Consortium at a Glance Background A group of health services researchers and health care providers gathered for the second invitational National Quality of Care Forum, April 15 16, 1993, in Leesburg, Virginia, in a series on "Bridging the Gap Between Theory and Practice." Sponsored by The Hospital Research and Educational Trust of the American Hospital Association and The Parke Davis Division of the Warner Lambert Company, this year's forum focused on clinical practice guidelines and the challenges of implementing them. Questions Presenters, reactors, and participants were asked to consider four questions, basing their discussion on four papers provided in advance of the forum: Why are we developing guidelines? Are expectations for guidelines realistic? What are the characteristics of guidelines as effective tools? What is needed for successful implementation of guidelines? Presenters and Projects John M. Eisenberg, MD, of Georgetown University, Washington, DC, outlined a framework for enhancing the incorporation of guideline information at the level of the individual clinician and patient making decisions about health care. Catherine Borbas, PhD, MPH, of the Healthcare Education and Research Foundation in St Paul, offered the experience of the comprehensive Minnesota Clinical Comparison and Assessment Program for other states and systems to emulate or adapt. Stephen A. Myers, DO, of Mount Sinai Hospital Medical Center in Chicago, evaluated the role of "diagnostic criteria," a guideline precursor, in comparison with data collection and peer review in the hospital's Cesarean Section Reduction Program. David B. Nash, MD, MBA, of Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, detailed the use of clinical practice guidelines as tools for hospital accountability as one "leg" in the new tripod of quality along with continuous quality improvement and outcomes management, and offered action plans for purchasers, clinicians, and administrators. Conclusions Participants agreed that guidelines can be a useful tool in linking information on outcomes of care with care management. Dissemination of guidelines and education alone are not sufficient for changing behavior and affecting the quality of care. Regardless of where or by whom guidelines are developed, they must be applied at the local level. Successful implementation requires leadership support, integration into the continuous quality improvement process, and an integrated delivery system.
John M Eisenberg Nancy E Foster
40424864
Conceptual issues in the analysis of cost data within cluster randomized trials
Cluster randomized controlled trials (RCTs) are increasingly used in economic evaluations of social, educational and health care interventions. Methodological research has, therefore, been spread across several disciplines, with the result that it has taken many years for guidelines on good statistical practice in the design and analysis of such trials to become easily accessible to health service researchers. These guidelines remain incomplete, however, because they do not take account of issues specific to the analysis of cost data. In particular, they fail to recognize that the calculation of confidence intervals around costs needed to inform health care priority setting raises unique methodological issues. If poorly designed trials are to be avoided in future (including those by the authors) then collaboration between triallists and health economists is required. This paper sets out a framework that should facilitate such collaboration and draws attention to problems that must be addressed quickly in the design of cluster based economic evaluations.
Journal of health services research policy
Terry N Flynn Tim J Peters
46933134
Update on the Stock and Supply of Health Services Researchers in the United States
OBJECTIVE This study examines the stock and supply including educational pipeline of health services researchers (HSRers) in the United States. DATA SOURCES National Institutes of Health Research Portfolio Online Reporting Tools, Agency for Healthcare Research and Quality Grants On Line Database, Health Services Research Projects in Progress, PubMed, Integrated Postsecondary Education Data System, AcademyHealth membership database, and social networks. STUDY DESIGN Exploratory descriptive analysis of individuals involved in health services research (HSR) in the United States as of 2015/16. PRINCIPAL FINDINGS The HSRer stock grew by 25 percent to 45 percent between 2007 and 2015/16, which was slower than the previous measurement period. The growth in the number of doctoral and master's degrees conferred in core HSR fields has been slowing in recent years. Minorities are underrepresented among HSRers, but this trend may improve over time given the diversity of the educational pipeline. Hispanics, however, were generally underrepresented in the educational pipeline. CONCLUSIONS The average annual growth rate of HSRers appears to be within range of national recommendations. Additional work is needed to assess whether supply of HSRers is meeting demand and to ensure a competent and diverse educational pipeline that meets the needs of an evolving health system.
Health services research
Bianca K Frogner