Communities of practice to facilitate change in health professions education: A realist synthesis.

Background: Communities of practice could contribute to transformations in health professions education to meet complex and emerging challenges. However, little is known about the underlying mechanisms of communities of practice in this setting, and how context influences outcomes.

Objective: To understand when, why and how communities of practice with health professions education faculty work to facilitate higher education change.

Main Mechanisms of Remote Monitoring Programs for Cardiac Rehabilitation and Secondary Prevention: A SYSTEMATIC REVIEW.

Purpose: The objective of this report was to identify the main mechanisms of home-based remote monitoring programs for cardiac rehabilitation (RM CR) and examine how these mechanisms vary by context.

Methods: This was a systematic review using realist synthesis. To be included, articles had to be published in English between 2010 and November 2020 and contain specific data related to mechanisms of effect of programs.

Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review.

Background: Priority patients in primary care include people from low-income, rural, or culturally and linguistically diverse communities, and First Nations people.

Aim: To describe the effectiveness, feasibility, and acceptability of behaviour change tools that have been tested by family doctors working with priority patients.

Design And Setting: A global systematic review.

Exploring behaviour change in general practice consultations: A realist approach.

Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultations. We aimed to identify mechanisms supporting GPs to undertake successful behaviour change in consultations for people with T2DM by exploring (a) the role of GPs in behaviour change, (b) what happens in GP consultations that supports or impedes behaviour change and (c) how context moderates the behaviour change consultation.

Methods: Semi-structured interviews with academic clinicians ( = 13), GPs ( = 7) and patients with T2DM ( = 16) across Australia.

Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?

Many people with heart failure do not receive cardiac rehabilitation despite a strong evidence base attesting to its effectiveness, and national and international guideline recommendations. A more holistic approach to heart failure rehabilitation is proposed as an alternative to the predominant focus on exercise, emphasising the important role of education and psychosocial support, and acknowledging that this depends on patient need, choice and preference. An individualised, needs-led approach, exploiting the latest digital technologies when appropriate, may help fill existing gaps, improve access, uptake and completion, and ensure optimal health and wellbeing for people with heart failure and their families.

Behaviour change for type 2 diabetes: perspectives of general practitioners, primary care academics, and behaviour change experts on the use of the 5As framework.

Background: The 5As framework is a recognized underpinning of behaviour change guidelines, teaching, and research in primary care. Supporting patients to improve their lifestyle behaviours, including diet and physical activity, is a common aspect of type 2 diabetes mellitus (T2DM) management. The 5As framework often informs behaviour change for patients with T2DM.

Intersectionality and heart failure: what clinicians and researchers should know and do.

Purpose Of Review: To review the application of intersectionality to heart failure. Intersectionality refers to the complex ways in which disenfranchisement and privilege intersect to reproduce and influence health and social outcomes.

Recent Findings: Intersectionality challenges approaches that focus on a single or small number of socio-demographic characteristics, such as sex or age.

Obesity management in primary care: systematic review exploring the influence of therapeutic alliance.

Purpose: To identify the influence of the therapeutic alliance on the effectiveness of obesity interventions delivered in primary care.

Method: Systematic review of randomized controlled trials of primary care interventions for adult patients living with obesity. Comprehensive search strategy using the terms 'obesity', 'primary care' and 'intervention' of seven databases from 1 January 1998 to March 2018.

Views of Patients With Heart Failure on Their Value-Based Self-care Decisions: A Qualitative Study.

Background: Self-care adherence remains low in patients with heart failure (HF); little is known about the influence of patients' values on self-care decisions and behaviors.

Objectives: The aim of this study was to explore how participants living with HF perceive their values and how those values are reportedly expressed in self-care decision making.

Methods: The Interpretative Phenomenological Analysis approach was used.

Nursing interventions in autologous stem cell transplantation for autoimmune diseases.

Aims: To identify clinical symptoms and nursing interventions for stem cell therapy in autoimmune diseases.

Design: This is a retrospective, cross-sectional study.

Methods: This study was undertaken with patients diagnosed with type 1 diabetes or multiple sclerosis, undergoing autologous haematopoietic stem cell transplantation from January 2004 - December 2018.

Life and priorities before death: A narrative inquiry of uncertainty and end of life in people with heart failure and their family members.

Background: Most patients with advanced heart failure are ill-prepared and poorly supported during the end of life. To date, research has focused primarily on generalized patient accounts of the management or self-care phase of the syndrome. Little research has examined the end of life in depth or from the perspectives of family members.

Trust within your team during a pandemic.

The concept of trust is essential for high-functioning general practice teams during a pandemic.

Motivators and Deterrents to Diet Change in Low Socio-Economic Pakistani Patients With Cardiovascular Disease.

This study explores factors that affect the people of low socioeconomic status regarding food choices after diagnosis with cardiovascular disease. Qualitative approach was used to identify the important factors associated with dietary changes as a result of their disease. Twenty-four participants were interviewed from two cardiac facilities in Karachi, the largest metropolitan city of Pakistan.

Dressings for the central venous catheter to prevent infection in patients undergoing hematopoietic stem cell transplantation: a systematic review and meta-analysis.

Purpose: To identify the most effective dressing for covering long-term central venous catheter exit site to prevent catheter-related infections and skin irritation in patients undergoing hematopoietic stem cell transplantation.

Methods: Systematic Review. The search was performed in the following electronic databases: CINAHL, Cochrane Library CENTRAL, EMBASE, LILACS, PubMed, Scopus, and Web of Science.