Pub Date : 2017-05-29DOI: 10.5176/2345-718X_4.2.150
Dwight Mahaputera, P. Thaniwattananon, K. Yodchai, A. Hutapea
{"title":"Perceived Benefits to Treatment Adherence, Perceived Barriers to Treatment Adherence, and Level of Treatment Adherence among Indonesian Older Adults with Type 2 Diabetes Mellitus","authors":"Dwight Mahaputera, P. Thaniwattananon, K. Yodchai, A. Hutapea","doi":"10.5176/2345-718X_4.2.150","DOIUrl":"https://doi.org/10.5176/2345-718X_4.2.150","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87459757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-29DOI: 10.5176/2345-718X_4.2.136
W. Bartfay, E. Bartfay
{"title":"The Lived Experiences and Challenges Faced by Male Nursing Students: A Canadian Perspective","authors":"W. Bartfay, E. Bartfay","doi":"10.5176/2345-718X_4.2.136","DOIUrl":"https://doi.org/10.5176/2345-718X_4.2.136","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85423829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-29DOI: 10.5176/2345-718X_4.2.144
Ni Komang Sukraandini, W. Kongsuwan, K. Nilmanat
{"title":"Nurses Caring for Patients at the End of Life in Intensive Care Unit : A Literature Review","authors":"Ni Komang Sukraandini, W. Kongsuwan, K. Nilmanat","doi":"10.5176/2345-718X_4.2.144","DOIUrl":"https://doi.org/10.5176/2345-718X_4.2.144","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74312065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5176/2345-718x_4.2.149
Angela Chia-Chen Chen, Marguerita Lightfoot, Laura A Szalacha, Cathy Strachan Lindenberg
Information technology provides new avenues to increase opportunities to deliver HIV/STI prevention interventions in a confidential, sensitive, and engaging manner for youth. While technology-based HIV/STI interventions show promise in preventing HIV/STI among different populations, few have targeted young Latinas. This pilot study examined the feasibility and acceptability of a bilingual, web-based HIV/STI prevention intervention among Latino females aged 15-19. We used a mix-method approach, including a prospective 2-group design with 3 repeated measures, and a post-intervention focus group discussion. We recruited 14 participants from an alternative high school and randomized into each study condition. Participants took 5 structurally equivalent modules focusing on either HIV/STI prevention (intervention) or nutrition/exercise (comparison) and completed assessments before the intervention, immediately post-intervention, and 2 months post-intervention. The findings suggested that the intervention had high levels of feasibility and acceptability. We discuss the keys to success, challenges encountered, and future directions.
{"title":"A Pilot, Web-Based HIV/STI Prevention Intervention Targeting At-Risk Mexican American Adolescents: Feasibility, Acceptability, and Lessons Learned.","authors":"Angela Chia-Chen Chen, Marguerita Lightfoot, Laura A Szalacha, Cathy Strachan Lindenberg","doi":"10.5176/2345-718x_4.2.149","DOIUrl":"https://doi.org/10.5176/2345-718x_4.2.149","url":null,"abstract":"<p><p>Information technology provides new avenues to increase opportunities to deliver HIV/STI prevention interventions in a confidential, sensitive, and engaging manner for youth. While technology-based HIV/STI interventions show promise in preventing HIV/STI among different populations, few have targeted young Latinas. This pilot study examined the feasibility and acceptability of a bilingual, web-based HIV/STI prevention intervention among Latino females aged 15-19. We used a mix-method approach, including a prospective 2-group design with 3 repeated measures, and a post-intervention focus group discussion. We recruited 14 participants from an alternative high school and randomized into each study condition. Participants took 5 structurally equivalent modules focusing on either HIV/STI prevention (intervention) or nutrition/exercise (comparison) and completed assessments before the intervention, immediately post-intervention, and 2 months post-intervention. The findings suggested that the intervention had high levels of feasibility and acceptability. We discuss the keys to success, challenges encountered, and future directions.</p>","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731613/pdf/nihms-1046469.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38717825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-21DOI: 10.5176/2345-7198_4.1.127
Praditporn Pongtriang
Health services are central to the provision of services for those affected by HIV including, prevention, health promotion and treatment. Access to health services for gay men is significant in increasing their knowledge associated with issues relevant to HIV so that they can better protect and care for themselves. Aim: This ethnographic study sought to clarify and further understand the experience of Bangkok’s gay men and their access to health services relevant to HIV issues. Methods: The data collection was conducted between May and August, 2014. 45 to 60 minutes Face to face interview and digital audio recording were utilised for the data collection processes. Semi structured in-depth interviews undertaken at the Thai Red Cross Research Centre, Bangkok. All interview transcripts were translated from Thai to English. The NVivo program version 10 was utilised to organise the data coding and theming. Result: This study identified that there are few specific clinics for gay men with HIV in Thailand. Additionally, information associated with HIV and other related concerns are required to be more accurate and specific to men living with HIV. Many chaay rak chaay face difficulties accessing services, including a lack of information, privacy concerns and inadequate provision of services. Conclusion: the specific clinic and information relevant HIV issues need to be more readily available and widely circulated. Moreover, health care services should be aware of the privacy issues and personal confidentially issues. Such approaches toward providing services for gay me in Bangkok may assist in eliminating some of the many barriers faced by gay men when accessing health services in the city.
保健服务是向受艾滋病毒影响者提供服务的核心，包括预防、促进健康和治疗。男同性恋者获得保健服务对于增加他们对与艾滋病毒有关的问题的知识具有重要意义，从而使他们能够更好地保护和照顾自己。目的:这项人种学研究旨在澄清和进一步了解曼谷男同性恋者的经历以及他们获得与艾滋病毒问题相关的卫生服务的机会。方法:数据采集时间为2014年5 - 8月。数据收集过程采用45至60分钟的面对面访谈和数字录音。在曼谷的泰国红十字会研究中心进行的半结构化深度访谈。所有采访笔录均由泰语翻译成英语。使用NVivo程序版本10来组织数据编码和主题化。结果:本研究发现，泰国很少有专门针对男同性恋者的诊所。此外，与艾滋病毒和其他相关问题有关的信息需要更准确和具体地针对感染艾滋病毒的男子。许多chaay rak chaay在获得服务方面面临困难，包括缺乏信息、隐私问题和服务提供不足。结论:HIV相关问题的具体临床和信息需要更加容易获取和广泛传播。此外，保健服务机构应意识到隐私问题和个人保密问题。这种为曼谷同性恋者提供服务的方法，可能有助于消除男同性恋者在曼谷获得医疗服务时面临的一些障碍。
{"title":"Exploring to Bangkok Chaay Rak Chaay (Gay Men) Accessing Health Services in Thailand","authors":"Praditporn Pongtriang","doi":"10.5176/2345-7198_4.1.127","DOIUrl":"https://doi.org/10.5176/2345-7198_4.1.127","url":null,"abstract":"Health services are central to the provision of services for those affected by HIV including, prevention, health promotion and treatment. Access to health services for gay men is significant in increasing their knowledge associated with issues relevant to HIV so that they can better protect and care for themselves. Aim: This ethnographic study sought to clarify and further understand the experience of Bangkok’s gay men and their access to health services relevant to HIV issues. Methods: The data collection was conducted between May and August, 2014. 45 to 60 minutes Face to face interview and digital audio recording were utilised for the data collection processes. Semi structured in-depth interviews undertaken at the Thai Red Cross Research Centre, Bangkok. All interview transcripts were translated from Thai to English. The NVivo program version 10 was utilised to organise the data coding and theming. Result: This study identified that there are few specific clinics for gay men with HIV in Thailand. Additionally, information associated with HIV and other related concerns are required to be more accurate and specific to men living with HIV. Many chaay rak chaay face difficulties accessing services, including a lack of information, privacy concerns and inadequate provision of services. Conclusion: the specific clinic and information relevant HIV issues need to be more readily available and widely circulated. Moreover, health care services should be aware of the privacy issues and personal confidentially issues. Such approaches toward providing services for gay me in Bangkok may assist in eliminating some of the many barriers faced by gay men when accessing health services in the city.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79483461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-13DOI: 10.5176/2345-718X_3.2.112
J. Loke, B. K. Lee, Emma-Louise Bush
Background: The need for quality nursing personnel in clinical practice expected nurse teachers to be able to impart instrumental and expressive aspects of caring behaviours to nursing students. Operating in a resource-limited higher educational context, nurse teachers are required to do so in a cost effective way. This study as part of a larger study evaluated the effects of a blended approach to learning of caring behaviours based on ‘modified’ medium-fidelity simulation scenarios and podcasting to repeat debriefs. Methods: This study employed a quasi-experimental, two group pre-test-post-test design. The study included 146 second year nursing students. Participants were divided into ‘intervention’ and ‘control’ groups and were asked to complete a caring behaviour inventory scale at various stages of the research study. Results: Students in the intervention group scored statistically higher, post receiving medium-fidelity simulation learning and higher post podcasting. The exposure to high fidelity simulation learning has resulted in the lower scoring in control group. Conclusions: This study highlights the value of a blended approach based on medium-fidelity simulation learning and podcasting. Successful learning of caring behaviours lies in the heart of a care-oriented teaching approach rather than the use of sophisticated technologies. This study has implications for a better practice in nursing education for developing student caring behaviours, it also has a wider implication for all vocational and non-nursing healthcare education.
{"title":"A quasi-experiment to evaluate the effects of a blended approach of simulation learning and podcasting on caring behaviours","authors":"J. Loke, B. K. Lee, Emma-Louise Bush","doi":"10.5176/2345-718X_3.2.112","DOIUrl":"https://doi.org/10.5176/2345-718X_3.2.112","url":null,"abstract":"Background: The need for quality nursing personnel in clinical practice expected nurse teachers to be able to impart instrumental and expressive aspects of caring behaviours to nursing students. Operating in a resource-limited higher educational context, nurse teachers are required to do so in a cost effective way. This study as part of a larger study evaluated the effects of a blended approach to learning of caring behaviours based on ‘modified’ medium-fidelity simulation scenarios and podcasting to repeat debriefs. Methods: This study employed a quasi-experimental, two group pre-test-post-test design. The study included 146 second year nursing students. Participants were divided into ‘intervention’ and ‘control’ groups and were asked to complete a caring behaviour inventory scale at various stages of the research study. Results: Students in the intervention group scored statistically higher, post receiving medium-fidelity simulation learning and higher post podcasting. The exposure to high fidelity simulation learning has resulted in the lower scoring in control group. Conclusions: This study highlights the value of a blended approach based on medium-fidelity simulation learning and podcasting. Successful learning of caring behaviours lies in the heart of a care-oriented teaching approach rather than the use of sophisticated technologies. This study has implications for a better practice in nursing education for developing student caring behaviours, it also has a wider implication for all vocational and non-nursing healthcare education.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88442777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-11-04DOI: 10.5176/2345-718x_3.1.105
J. Hahn
Nurses are responding to global health care crisis needs by providing care to diverse populations while expanding their understanding of cultural, economic, political, social, and environmental factors impacting healthcare. Educational institutions are placing emphasis on global health learning and providing international experiences for nursing students to view population health beyond borders increasing knowledge of health determinants alongside their global nursing counterparts.
{"title":"Global Health Care: Implications for Nursing","authors":"J. Hahn","doi":"10.5176/2345-718x_3.1.105","DOIUrl":"https://doi.org/10.5176/2345-718x_3.1.105","url":null,"abstract":"Nurses are responding to global health care crisis needs by providing care to diverse populations while expanding their understanding of cultural, economic, political, social, and environmental factors impacting healthcare. Educational institutions are placing emphasis on global health learning and providing international experiences for nursing students to view population health beyond borders increasing knowledge of health determinants alongside their global nursing counterparts.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75637753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-11-03DOI: 10.5176/2315-4330_WNC15.132
Laura Braidford, M. Terry
Under UK law, an investigator is defined as an “authorised health professional responsible for the conduct of a trial at a site, and if the trial is conducted by a team of authorised health professionals at a trial site, the investigator is the leader responsible for that team” [1]. Whilst the umbrella term “authorised health professional” encompasses registered nurses, midwives and allied health professionals, in addition to medics, research currently tends to be medically led (ie, whereby the Principal Investigator is a doctor). At Chelsea and Westminster Hospital (CHW), a 12 month activity mapping exercise highlighted that only 4% of clinical research studies opened had a PI who was a nurse. However a more in-depth review highlighted that 98% of all clinical research studies opened during that same time period had involvement of nurses as contributors as opposed to leaders. Resultantly a local strategic decision was taken to encourage engagement of, and to enhance opportunities for, nurses to lead on clinical research studies, as appropriate. Collaboration with the existing multi-professional research forum and steering group at CWH facilitated open discussion regarding the key reasons why more nurses (along with midwives and allied health professionals) were not leading on clinical research studies. Three key explanatory factors resulted from this, and a systematic action plan followed to boost the number of nurse PIs. Many individual and organisational benefits were recognised as a result of this programme of work. The experience at CWH confirms that nurses are more than capable of acting as PIs on clinical research studies providing that appropriate support and monitoring are in place. It is therefore the recommendation of this paper that nurses are encouraged and developed to transition from the role of contributor to leader in clinical research.
{"title":"From Contributor to Leader: How a Nurse can Undertake the Role of Principal Investigator (PI) in Clinical Research in the UK","authors":"Laura Braidford, M. Terry","doi":"10.5176/2315-4330_WNC15.132","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC15.132","url":null,"abstract":"Under UK law, an investigator is defined as an “authorised health professional responsible for the conduct of a trial at a site, and if the trial is conducted by a team of authorised health professionals at a trial site, the investigator is the leader responsible for that team” [1]. Whilst the umbrella term “authorised health professional” encompasses registered nurses, midwives and allied health professionals, in addition to medics, research currently tends to be medically led (ie, whereby the Principal Investigator is a doctor). At Chelsea and Westminster Hospital (CHW), a 12 month activity mapping exercise highlighted that only 4% of clinical research studies opened had a PI who was a nurse. However a more in-depth review highlighted that 98% of all clinical research studies opened during that same time period had involvement of nurses as contributors as opposed to leaders. Resultantly a local strategic decision was taken to encourage engagement of, and to enhance opportunities for, nurses to lead on clinical research studies, as appropriate. Collaboration with the existing multi-professional research forum and steering group at CWH facilitated open discussion regarding the key reasons why more nurses (along with midwives and allied health professionals) were not leading on clinical research studies. Three key explanatory factors resulted from this, and a systematic action plan followed to boost the number of nurse PIs. Many individual and organisational benefits were recognised as a result of this programme of work. The experience at CWH confirms that nurses are more than capable of acting as PIs on clinical research studies providing that appropriate support and monitoring are in place. It is therefore the recommendation of this paper that nurses are encouraged and developed to transition from the role of contributor to leader in clinical research.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78202825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-11-03DOI: 10.5176/2315-4330_WNC15.153
J. Rankin, S. MacInnes, R. Lyness, A. Armstrong, S. Stewart, G. Queen
Leadership in nursing and midwifery is a cornerstone to guide and support teams in the dynamic and rapidly changing health environment. Developing research capacity in health is also a key factor to produce and implement a sound evidence base for practice. Internationally, building health service research capacity is a recognized essential factor to influence and inform policy and practice. This includes developing research capacity across the range of individuals and teams, organisations and networks. This paper describes how one NHS Health Board in Scotland promoted a supportive environment and activities to develop leadership and increase research capacity to support implementation of national Early Years policies into practice.
{"title":"Influencing Leadership and Building Research Capacity through the Implementation of Health Policy into Practice","authors":"J. Rankin, S. MacInnes, R. Lyness, A. Armstrong, S. Stewart, G. Queen","doi":"10.5176/2315-4330_WNC15.153","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC15.153","url":null,"abstract":"Leadership in nursing and midwifery is a cornerstone to guide and support teams in the dynamic and rapidly changing health environment. Developing research capacity in health is also a key factor to produce and implement a sound evidence base for practice. Internationally, building health service research capacity is a recognized essential factor to influence and inform policy and practice. This includes developing research capacity across the range of individuals and teams, organisations and networks. This paper describes how one NHS Health Board in Scotland promoted a supportive environment and activities to develop leadership and increase research capacity to support implementation of national Early Years policies into practice.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75424287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-11-03DOI: 10.5176/2315-4330_WNC15.154
J. Rankin, S. MacInnes, R. Lyness, A. Armstrong, G. Queen, S. Stewart
Major health inequalities existing across the world and are often closely linked with degrees of social disadvantage. Scotland is fully committed to tackling this major challenge of health and social inequalities. One key focus is ensuring that every child and young person has equal access to opportunities and health improvements. This is supported by a series of national guidelines and ‘early years’ policy drivers. To implement these policies in practice, one National Health Service (NHS) health board (Lanarkshire) in collaboration with the University of the West of Scotland (UWS), adopted an innovative approach to develop the Best Possible Start (BPS) program of focused activity to reshape ‘early years’ services and ways of working. The foundation for the program was the national transformational initiative ‘Getting it right for every child (GIRFEC)’. This is based on the belief that the developments of the child and their experiences in the early years have a major impact on the child’s future life chances. The early nurturing environment is seen crucial in influencing emotional attachment. The BPS program focused on reshaping and streamlining the related health services in the early years between preconception and early school years. This is incorporated in the universal pathway of care encompassing all ‘early years’ services and related professionals. This universal pathway of care is underpinned with evidence based practice, workforce development, building research capacity and influencing leadership in the workplace. This paper presents a detailed overview of the BPS program including the structure, strategic aims and the rationale underpinning the pathway of care.
{"title":"Tackling Health Inequalities in Scotland: an Innovative Approach to Implement the ‘Early Years’ Policy into Practice","authors":"J. Rankin, S. MacInnes, R. Lyness, A. Armstrong, G. Queen, S. Stewart","doi":"10.5176/2315-4330_WNC15.154","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC15.154","url":null,"abstract":"Major health inequalities existing across the world and are often closely linked with degrees of social disadvantage. Scotland is fully committed to tackling this major challenge of health and social inequalities. One key focus is ensuring that every child and young person has equal access to opportunities and health improvements. This is supported by a series of national guidelines and ‘early years’ policy drivers. To implement these policies in practice, one National Health Service (NHS) health board (Lanarkshire) in collaboration with the University of the West of Scotland (UWS), adopted an innovative approach to develop the Best Possible Start (BPS) program of focused activity to reshape ‘early years’ services and ways of working. The foundation for the program was the national transformational initiative ‘Getting it right for every child (GIRFEC)’. This is based on the belief that the developments of the child and their experiences in the early years have a major impact on the child’s future life chances. The early nurturing environment is seen crucial in influencing emotional attachment. The BPS program focused on reshaping and streamlining the related health services in the early years between preconception and early school years. This is incorporated in the universal pathway of care encompassing all ‘early years’ services and related professionals. This universal pathway of care is underpinned with evidence based practice, workforce development, building research capacity and influencing leadership in the workplace. This paper presents a detailed overview of the BPS program including the structure, strategic aims and the rationale underpinning the pathway of care.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74443532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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