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Implementation of An Advance Care Planning Intervention in Dialysis Clinics.
Am J Kidney Dis
January 2025
School of Nursing, University of Wisconsin-Madison, Madison, WI, U.S.A.
Rationale & Objective: Sharing Patient's Illness Representations to Increase Trust (SPIRIT) is an evidence-based advance care planning intervention targeting dialysis patients and their surrogate decision-makers. To address SPIRIT's implementation potential, we report on a process evaluation in our recently completed five-state cluster-randomized trial.
Study Design: A descriptive study of implementation within a randomized clinical trial.
Identifying competency development needs of hospital managers in Iran: a national survey.
BMC Med Educ
January 2025
Non-communicable Diseases Research Center, Research Institute for Prevention Non-communicable Diseases Qazvin University of Medical Sciences, Qazvin, Iran.
Background: A competent management workforce is crucial to achieve the effectiveness and efficiency of health service provision and to lead and manage the health system reform agenda. However, the traditional recruitment and promotion approach of relying on clinical performance and seniority provides limited incentives for competency development and improvement among hospital managers in Iran. There is limited evidence on the competency development needs of hospital managers in Iran that can guide setting training and development direction.
View Article and Find Full Text PDFEffects of Investments From the Centers for Disease Control and Prevention's COVID-19 Health Disparities Grant on Health Departments' Capacity to Address Public Health Emergencies.
Public Health Rep
January 2025
National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce, Centers for Disease Control and Prevention, Atlanta, GA, USA.
The COVID-19 pandemic magnified long-standing health disparities, showing that certain populations are at higher risk for effects of public health emergencies than others. The pandemic response also put demands on the nation's health departments and stretched their limited resources. In 2021, the Centers for Disease Control and Prevention launched the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities (hereinafter, COVID-19 Health Disparities Grant) to reduce COVID-19 health disparities and advance health equity.
View Article and Find Full Text PDFEvaluation of the initial rollout of the physical activity referral standards policy in Scotland: a qualitative study.
BMJ Open
January 2025
Institute for Sport, Physical Education and Health Sciences, Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
Objectives: Physical activity referral schemes (PARS) allow healthcare professionals to refer patients for physical activity support. Evidence of effectiveness is equivocal. Public Health Scotland has developed 'physical activity referral standards' that aim to enhance quality, reduce variability in design and delivery and build further evidence of what works.
View Article and Find Full Text PDF'It's Already Hard and It's Nearing Impossible': A Thematic Analysis of Submissions by Rural Veterinarians to the NSW Parliamentary Inquiry into the Veterinary Workforce Shortage.
Vet Sci
January 2025
Sydney School of Veterinary Science, University of Sydney, Camperdown, NSW 2006, Australia.
There is a global veterinary workforce shortage, particularly in rural and regional areas. In response to this shortage in New South Wales (NSW), the State Parliament launched a Parliamentary Inquiry in 2023. The Inquiry received 205 publicly available written submissions, providing insights into the perceived challenges and barriers for veterinarians working in rural practice, and how the perceived impact of the feminisation of the workforce interacts with this.
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