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Clinical Nurse Specialists and Nurse Practitioners in Canada: A Decision Support Synthesis

As clinical experts, leaders and change agents, advanced practice nurses (APN) are recognized as an important human resource strategy for improving access to high-quality, cost-effective and sustainable models of healthcare. This report aims to develop a better understanding of the roles of APNs, the contexts in which they are currently being used, and the health system factors that influence the effective integration of advanced practice nursing in the Canadian healthcare system. [adapted from author]

Understanding Whole Systems Change in Healthcare: The Case of Emerging Evidence-Informed Nursing Service Delivery Models

The imperative to deliver the best care possible drives research on best practices in nursing. This study examines what it takes to spread a guideline or recommendation from one or two units or organizations to a system-wide innovation that benefits all patients and providers and the healthcare system as a whole; what cost drivers and increased benefits come with spreading a best practice; and what supports, sustains or gets in the way of spreading evidence-informed change. [adapted from summary]

mHealth: New Horizons for Health through Mobile Technologies

The growing penetration of mobile phone networks in many low- and middle-income countries is transforming the way health services and information are accessed, delivered and managed. This document provides an overview of mHealth initiatives, an analysis of the results of the different types of intitiatives, barriers to implementation and an evaluation based on WHO surveys. [from author]

Attitudes of Medical Students to Medical Leadership and Management: A Systematic Review to Inform Curriculum Development

This is a systematic review of what is known concerning the knowledge, skills and attitudes of medical students regarding leadership and management. It reports the results pertaining to the attitudes of students to provide evidence to inform curriculum development in the developing field of medical education. [adapted from author]

Tanzanian Lessons in Using Non-Physician Clinicians to Scale up Comprehensive Emergency Obstetric Care in Remote and Rural Areas

This article evaluates an intensive three-month course developed to train non-physician clinicians for remote health centres to address the unmet need for emergency obstetrical care in rural areas.

Effectiveness of Classroom Based Crew Resource Management Training in the Intensive Care Unit: Study Design of a Controlled Trial

This article describes a study protocol which aims to determine the effectiveness and cost-effectiveness of Crew Resource Management (CRM) staff training to enhance patient safety in intensive care units. [adapted from abstract]

Training and Learning Standards

These standards were created to guide those who are responsible for planning, developing, implementing, and evaluating training programs of many types. The standards outline the elements that effective training and learning programs should include and serve as a foundation upon which curricula and programs should be developed, supported, and evaluated. [adapted from author]

Study on the Readiness of the Political, Legal, Health and Community Systems to Respond to Gender-Based Violence in Three Districts of the City of Kigali

This study examines the ability of political, legal, health, and communities to respond to gender-based violence in Kigali, Rwanda. [from publisher]

Twubakane Gender-Based Violence/Prevention of Mother-to-Child Transmission of HIV Readiness Assessment Toolkit

The Twubakane Gender-Based Violence/Prevention of Mother-to-Child Transmission of HIV Readiness Assessment is a toolkit to assess the readiness of service providers, service facilities, the community and the policy environment to respond to gender-based violence at antenatal care/prevention of mother-to-child transmission of HIV service sites and in the community. Each file is a downloadable MS Word document, in English or French, that can be customized for the user’s location. [from publisher]

Gender Equality in Human Resources for Health: What Does This Mean and What Can We Do?

This paper discusses the meaning of gender equality in the context of human resources for health, and offers practical ways to address it. [from publisher]

Access to Non-Pecuniary Benefits: Does Gender Matter? Evidence from Six Low- and Middle-Income Countries

There is an accumulating body of evidence on gender differences in health workers’ employment patterns and pay, but inequalities in access to non-pecuniary benefits between men and women have received little attention. This study investigates empirically whether gender differences can be observed in health workers’ access to non-pecuniary benefits across six low- and middle-income countries. [from abstract]

Nurses' Perceptions of Online Continuing Education

The aims of this study are to show nurses’ perceptions of online continuing education and to determine perceptions of various groups; area groups, working companies, frequency of computer usage and age. [from abstract]

Evaluation of a Community-Based Rehabilitation Model for Chronic Schizophrenia in Rural India

Community-based rehabilitation (CBR) is a model of care which has been widely used for physical disabilities in resource-poor settings. This study aimed to compare CBR with out-patient care (OPC) for schizophrenia in a resource-poor setting in India to determine if it is a feasible model for treatment in areas without specialized mental health care providers. [adapted from author]

Mental Health Workforce Gap in Low- and Middle-Income Countries: A Needs-Based Approach

This study aimed to provide country-specific estimates of the human resources that are required in the area of mental health to adequately care for the population in need of mental health care. It focused on eight priority problems as defined by the World Health Organization. [adapted from introduction]

Student Approaches for Learning in Medicine: What Does It Tell Us about the Informal Curriculum?

The aim of this study was to establish the extent to which students in a graduate-entry medical program use various learning approaches to assist their learning and preparation for examinations, apart from those resources offered as part of the formal curriculum. [from abstract]

Patient Volume, Human Resource Levels, and Attrition from HIV Treatment Programs in Central Mozambique

Human resource shortages are viewed as one of the primary obstacles to provide effective services to growing patient populations receiving antiretroviral therapy and explanding access further. This article examined the relationship of patient volume, human resource levels, and patient characteristics with attrition from HIV treatment programs in central Mozambique. [adapted from abstract]

Family Medicine Graduates' Perceptions of Intimidation, Harassment and Discrimination During Residency Training

The purpose of the study was to examine intimidation, harassment and/or discrimination as reported by Alberta family medicine graduates during their two-year residency program. [from abstract]

Profiles and Outcome of Traditional Healing Practices for Severe Mental Illnesses in Two Districts of Eastern Uganda

Traditional healers shoulder a large burden of care of patients with mental health problems. The purpose of this study was to describe the profiles and outcome of traditional healing practices for severe mental illnesses in Jinja and Iganga districts in the Busoga region of Eastern Uganda. [adapted from author]

Traditional Healers for Mental Health Care in Africa

This article argues that the combination of the widespread use of traditional healers and the shortages of biomedical human resources highlights the need for innovative experiments in making traditional healers potential co-partners in mental health care.

Screening of Women for Intimate Partner Violence: A Pilot Intervention at an Outpatient Department in Tanzania

This study evaluated the feasibility of health worker training on and use of an abuse screening tool for women attending an outpatient department as a health care intervention to address gender-based violence. [adapted from author]

Thirty Years after Alma-Ata: A Systematic Review of the Impact of Community Health Workers Delivering Curative Interventions against Malaria, Pneumonia and Diarrhoea on Child Mortality and Morbidity in Sub-Saharan Africa

Given the very limited professional health care human resources in these settings, it is important to examine the evidence for the effectiveness of community health worker (CHW) programs as a delivery strategy for health interventions in sub-Saharan Africa. This review focuses on the impact CHWs have when delivering curative interventions. [adapted from author]

Systematic Review of the Links between Human Resource Management Practices and Performance

This publication assesses the results from a wide-ranging series of systematic reviews of the evidence on human resource management (HRM) and performance. It assesses evidence on use of HRM in the UK and fidelity of practice implemented and considers evidence for the impact of HRM practices on intermediate outcomes, which can impact on final outcomes, such as organisational performance or patient care. [adapted from abstract]

Problem-Solving Therapy for Depression and Common Mental Disorders in Zimbabwe: Piloting a Task-Shifting Primary Mental Health Care Intervention in a Population with a High Prvalence of People Living with HIV

This article outlines the pilot of a low-cost multi-component intervention for depression and other common mental disorders, locally adapted from problem-solving therapy and delivered by trained and supervised female lay workers, to learn if was feasible and possibly effective and how best to implement it on a larger scale. [adapted from abstract]

Improving Inpatient Postnatal Services: Midwives Views and Perspectives of Engagement in a Quality Improvement Initiative

This paper presents data on the views of midwives from one maternity unit in England following the introduction of an organisation wide quality improvement initiative to improve in-patient postnatal care and processes to transfer women home. As quality improvement initiatives are highly influenced by the context into which they are introduced and by the processes of implementation, our findings may support others to address how clinician engagement could be enhanced. [adapted from author]

Joint Statement on Scaling-Up the Community-Based Health Workforce for Emergencies

The aim of this statement is to draw attention to the vital role that the community-based health workforce plays in all phases of emergency risk management; promote the scale-up of the community-based health workforce; and encourage governments and supporting partners to reinforce the community-based health workforce by strengthening and preparing existing health systems. [from author]

Effectiveness of Mental Health Services in Primary Care: The View from the Developing World

This document reviews and evaluates the effectiveness of mental health programmes in primary health care in the developing countries. It argues that the scaricity of trained mental health professionals necessitates the use of non-specialized health workers, including primary health workers, nurses and doctors working in collaboration to bring basic mental health care within reach of the mass of the population in developing countries. [adapted from author]

Mental Health Atlas 2011

This publication provides the latest estimates on available resources for treatment and prevention of neuropsychiatric disorders globally, in WHO regions, and in groups of countries with different levels of economic development. [from preface]

For Money or Service? A Cross-Sectional Survey of Preference for Financial Versus Non-Financial Rural Practice Characteristics among Ghanain Medical Students

The purpose of this study was to identify determinants of preference for rural job characteristics among fourth year medical students in Ghana including salary, infrastructure, management style, and contract length in considering future jobs. [from author]

Human Resources for Mental Health Care: Current Situation and Strategies for Action

The overwhelming worldwide shortage of human resources for mental health, particularly in low-income and middle-income countries, is well established. This article reviews the current state of human resources for mental health, needs, and strategies for action. [from summary]

Constraints to Implementing the Essential Health Package in Malawi

The research detailed in this paper aimed to understand which health system factors constrained the delivery of the Essential Health Package (EHP) in Malawi, namely two areas factors - human resources and drug supply. [adapted from author]