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Behavioural impact of antibiotic stewardship in children in primary care: interviews with GPs and parents.
JAC Antimicrob Resist
December 2024
Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Background: The ARON study, a randomized controlled trial, assesses a behavioural intervention incorporating clinically guided C-reactive protein (CRP) point-of-care testing and a parental information booklet to reduce inappropriate antibiotic prescriptions for acutely ill children in Belgian primary care.
Objectives: To explore GP and parent views and experiences regarding the ARON trial intervention.
Methods: We conducted a qualitative embedded process evaluation in Belgian general practice.
To do or not to do: Teaching the skill of deciding what to do in the face of uncertainty.
Aust J Gen Pract
December 2024
MBBS, FRACGP, Grad Cert HPE, Senior Research Fellow, Murray City Country Coast GP Training, Carlton, Vic.
Background: The management of uncertainty is a core general practice skill best learnt in clinical practice.
Objective: This article outlines strategies a general practice supervisor can implement to help registrars acquire the skills of managing and coping with uncertainty.
Discussion: The medical education literature recommends supervisors being explicit about the different paradigm operating in primary care and normalising the existence and tolerance of uncertainty.
The Impact of the Introduction of the Additional Roles Reimbursement Scheme on the General Practice Nursing Workforce in England.
J Prim Care Community Health
November 2024
Queen's Nursing Institute, London, UK.
Introduction/objectives: To understand the impact of introducing Additional Roles Reimbursement Scheme (ARRS) on the General Practice Nurse (GPN) workforce. A workforce/people impact assessment designed as a cross-sectional survey of a stratified sample of 900 GPN on the Queen's Nursing Institute mailing list.
Method: A workforce/people impact assessment was designed based on the UKCS 2014 piloted and distributed as a cross-sectional survey via a survey platform.
Interventions to improve timely cancer diagnosis: an integrative review.
Diagnosis (Berl)
October 2024
Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
Cancer will affect more than one in three U.S. residents in their lifetime, and although the diagnosis will be made efficiently in most of these cases, roughly one in five patients will experience a delayed or missed diagnosis.
View Article and Find Full Text PDFPerceived benefits and challenges of using an electronic cancer prediction system for safety netting in primary care: An exploratory study of C the signs.
Health Informatics J
October 2024
Faculty of Health, Medicine and Social Care, Anglia Ruskin University, Cambridge, England.
Objectives: This paper reports on an exploratory study into the perceived benefits and challenges of using an electronic cancer prediction system, C the Signs, for safety netting within a Primary Care Network (PCN) in the East of England.
Methods: The study involved semi-structured interviews and a qualitative questionnaire with a sample of 15 clinicians and practice administrators within four GP practices in the PCN.
Results: Participants generally perceived benefits of C the Signs for managing and monitoring referrals as part of post-consultation safety netting.
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