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The Divine in the Clinic: Assisted Reproduction and Religious Practice in Ghana and South Africa.
J Relig Health
January 2025
School of Social Sciences, 20 Chancellor's Walk, Monash University, Melbourne, VIC, 3880, Australia.
Drawing on studies with 40 informants in Ghana and 74 informants in South Africa, we explore spiritual interventions among staff and patients that accompany their use of assisted reproduction. These practices and expressions of faith reinforce staff and patients as moral subjects who have done everything possible to assist in the vagaries of assisted reproduction-another form of care to enable, complement, and enhance high-tech intervention. We consider the creation of sacred spaces in the clinics, the rituals that form part of IVF practice, and the dilemmas of translation when assisted reproductive technologies (ARTs) travel to different cultural and religious contexts.
View Article and Find Full Text PDFAn integrated framework to guide evidence-informed public health policymaking.
J Public Health Policy
January 2025
Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Australia.
Evidence-informed policymaking emphasizes that policy decisions should be informed by the best available evidence from research and follow a systematic and transparent approach. For public health policymaking we can learn from existing practices of transparent, evidence-informed decision-making for clinical practice, medicines, and medical technology. We review existing evidence-to-decision frameworks, as well as frameworks and theories for policymaking to address the political dimension of policymaking, and use this analysis to propose an integrated framework to guide evidence-informed policymaking.
View Article and Find Full Text PDFFeasibility of a randomized controlled trial of enteral vs intravenous resuscitation for adults with major burn injuries in Nepal.
Burns
December 2024
Department of Surgery, University of Washington School of Medicine, Seattle, WA, United States; Harborview Injury Prevention and Research Center, United States. Electronic address:
Introduction: Enterally-based resuscitation (EResus) is safe, efficacious, and has operational advantages, particularly in low-resource settings. However, there is a lack of real-world effectiveness studies and evidence-based protocols, which hinders implementation. To address this gap, we conducted a feasibility study ahead of a randomized controlled trial (RCT) of enterally based versus usual resuscitation at a tertiary burn center in Nepal which had no prior clinical trial experience.
View Article and Find Full Text PDFClinical genetic services in the Emilia-Romagna region, Italy: current activity and open issues: a mixed-method study.
J Community Genet
January 2025
Medical Genetics Unit, University Hospital of Parma, Parma, Italy.
In 2002, in the Emilia-Romagna region of Italy, a comprehensive strategic plan was developed with the aim of improving the integration and efficiency of the genetic services. Two decades later, this report aims to explore the current functioning of the regional network, with special focus on clinical genetics in the evolving scenarios. To this aim, we analyzed the activity data of the medical genetics services in the region, to identify and possibly improve currently open issues.
View Article and Find Full Text PDFAdvancing Quality and Safety Culture in Healthcare: Insights From the Evaluation of an Improvement Science Program for Nurses and Midwives.
J Adv Nurs
January 2025
Professor of Person Centred Healthcare, South Western Sydney Nursing & Midwifery Research Alliance, The Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Aims: This paper presents the outcomes and insights gained from the implementation of an Improvement Science program tailored for nursing and midwifery staff within a large local health district in New South Wales. The programme aimed to enhance frontline clinicians' confidence and capability in quality improvement, ultimately improving patient outcomes and safety culture.
Design: Through an explanatory sequential mixed-methods evaluation study, we assessed the programme's effectiveness in building capacity, sustaining practice changes and fostering a culture of continuous improvement.
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