Abstract Background Pharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim this study was to develop validate pharmacists' effective performance roles, so doing, document perceived contribution providing collaborative services. Methods Using modified Delphi process including assessing perception frequency criticality performing...

Health coaching is a new intervention offering one-on-one focused self-management support program. This study implemented health pilot in primary care clinics Eastern Ontario, Canada to evaluate the feasibility and acceptability of integrating into for patients who were either at risk or diagnosed with diabetes. We three practices. Patients diabetes offered six months from their coach, including an initial face-to-face meeting follow-up by email, telephone, according patient preference....

<h3>Introduction:</h3> This study examines the development of collaborative relationships between family physicians (FPs) and Anticipatory And Preventative Team Care (APTCare) team members providing care to medically complex patients who have been identified as at-risk for negative health outcomes. <h3>Methods:</h3> We undertook a qualitative primary intervention in practice. Interviews were held with FPs ATPCare nurse practitioners (NPs) pharmacists. Focus groups conducted survey was...

Combien de patients un médecin famille devrait-il avoir?Facteurs à prendre en compte pour répondre une question apparemment simple

The use of developmental evaluation is increasing as a method for conducting implementation research. This paper describes the to enhance an ongoing study. study develops and implements evidence-based clinical guidelines deprescribing medications in primary care long-term settings. A unique feature our approach rapid analytical technique.

Abstract Objectives The ADAPT (ADapting pharmacists' skills and Approaches to maximize Patients' drug Therapy effectiveness) e-learning programme requires weekly participation in module activities facilitated discussion support skill uptake. In this study, we sought describe the extent pattern of, satisfaction with factors affecting initial offering reasons for withdrawal. Methods Mixed methods – convergent parallel approach. Participation was examined qualitative data from boards,...

Background. Qualitative methods are an important part of the primary care researcher's toolkit providing a nuanced view complexity in reform and delivery. Ethnographic research is comprehensive approach to qualitative data collection, including observation, in-depth interviews document analysis. Few studies have been published outlining methodological issues related ethnography this setting. Objective. This paper examines some challenges conducting ethnographic study setting Canada, where...

As health systems evolve, it is essential to evaluate their impact on the delivery of services socially disadvantaged populations. We evaluated primary for different socio-economic groups and assessed performance organizational models in terms equality care Ontario, Canada. Cross sectional study 5,361 patients receiving from practices using Capitation, Salaried or Fee-For-Service remuneration models. self-reported status patients, visit duration, number visits per year, quality service...

Introduction An adverse event (AE) is a negative consequence of health care that results in unintended injury or illness. The study investigates whether simulation-based analysis different from traditional uncovering root causes and generating recommendations when analyzing AEs hospitalized children. Methods Two simulation scenarios were created based on real-life identified through the hospital's Safety Reporting System. Scenario A involved an error commission (inpatient drug error)...

Abstract The growing number of families that include members sexual and/or gender minority (SGM) groups requires perinatal nurses to know how provide respectful and affirming care all people, including this population. Approximately 19% adults who are SGM raising 3 million children, with many hoping become pregnant, foster, use surrogacy, or adopt in the future. Based on current literature, not prepared meet clinical needs patients maternity setting. Likewise, often perceive uncomfortable...

Research training is essential to the development of well-rounded physicians. Although many pediatric residency programs require residents complete a research project, it often challenging integrate into educational programs.We aimed develop an innovative program for residents, called Scholarly Activity Guidance and Evaluation (SAGE) program.We developed competency-based which establishes benchmarks while providing ongoing academic mentorship.Feedback from their supervisors about SAGE has...

Background: Adherence to Baby Friendly Initiative (BFI) practices is low in Canadian hospitals, despite evidence showing a positive impact of BFI on breastfeeding rates and duration. In 2012, the provincial Ontario Ministry Health Long Term Care added status its progress indicators for Public Units, which are now required begin implementation. Objective: This study aims explore health care workers’ self-reported knowledge their perceptions importance components. Methods: A questionnaire was...

Background: Despite the known adverse effects of benzodiazepines, elderly people commonly use these drugs over long periods to treat insomnia and anxiety. This qualitative study was conducted examine experiences patients care providers in a geriatric day hospital (GDH) as participated benzodiazepine tapering process, identify components processes intervention, begin exploring how they influence patient outcomes. Methods: The GDH Canadian city. Data were gathered from discussion group...

Background: Breastfeeding is the ideal form of nutrition for newborns, yet our recent pan-Canadian study showed that knowledge, attitudes, and beliefs primary care pediatricians family physicians are suboptimal with regard to breastfeeding.Objective: We aim develop, implement, evaluate a national breastfeeding educational intervention at postgraduate residency level.Methods: Our initial development process informed by Kern’s approach curriculum development. To date, we have completed...

Research has shown that patient-centred pharmacist interventions can be effective in a wide range of practice settings and disease states.1–6 In recent years, several Canadian jurisdictions have begun to pay for pharmacist-led clinical services such as medication reviews, minor ailment management smoking cessation counselling.7 Unfortunately, it been widely reported uptake these is often unimpressive, even when remuneration available. 8,9 Several barriers change previously identified,...

A brief review of Bioware's successful sci-fi game Mass Effect, a combination first person shooter and role playing game.

Objective The aim of this study was to explore the perspectives families regarding their expectations and experience visiting emergency department (ED) for migraine. Methods This a qualitative involving 25 patients aged 10 18 years receiving ED care acute Following visit, independent semistructured telephone interviews were conducted with both patient parent or guardian. Questions designed factors pertaining family's perspective visit visit. Results Families reported variety reasons ED....

Background: Although well-designed instruments to assess communication during medical interviews and complex encounters exist, assessment tools that differentiate between communication, empathy, decision-making, moral judgment are needed different aspects of situations defined by ethical conflict. To address this need, we developed an tool differentiates competencies associated with practice in ethically challenging situations. The grouped into three distinct categories: skills, civility...

Pediatric inpatients are at high risk of adverse events (AE). Traditionally, root cause analysis was used to analyze AEs and identify recommendations for change. Simulation-based event (SBEA) is a protocol that systematically reviews by recreating them using in situ simulated patients, understand clinician decision making, improve error discovery, and, through guided sequential debriefing, recommend interventions prevention. Studies suggest these rarely tested before dissemination. This...