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Many Lessons (many + lesson)
Selected AbstractsPOLICING A LIBERAL SOCIETYECONOMIC AFFAIRS, Issue 4 2007John Blundell Better policing can only come by devolving accountability and responsibility. This, combined with decentralisation and privatisation where possible, will create an environment where innovation flourishes and good practice is copied. There are many lessons from the USA which could usefully be adopted by the UK. [source] Pearls From an Inpatient Headache UnitHEADACHE, Issue 6 2008Joel R. Saper MD Much can be learned from treating over 15,000 headache hospitalized patients over the course of 30 years. By the very need to be admitted, these individuals are complicated, both physiologically and often psychologically. Founded in 1978, the Michigan Head Pain and Neurological Institute and its hospital unit developed a set of criteria for admission and a growing staff of professionals to serve this complex population of patients. Experience has taught us many lessons; several are considered in this review. Among the important topics discussed are: admission criteria to the hospital unit; treatment protocols and other hospital-based strategies; integration of behavioral therapy and therapists into the treatment system; diagnostic testing of patients with intractable headache; identifying the "problem patient" and "medication misuse" early in the course of therapy; approaching the headache patient with cluster B personality disorder; and the use of interventional and anesthesiological treatment for intractable headache. Outcome data and a review of recent publications are presented. [source] Developing Clinical Terms for Health Visiting in the United KingdomINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2003June Clark BACKGROUND The UK health visiting service provides a universalist preventive health service that focuses mainly on families with young children and the elderly or vulnerable, but anyone who wishes can access the services. The principles of health visiting have been formally defined as the search for health needs, the stimulation of awareness of health needs, influencing policies that affect health, and the facilitation of health-enhancing activities. The project is currently in its fourth phase. In phase 1, 17 health visitors recorded their encounters with families with new babies over a period of 3 months; in phase 2, 27 health visitors recorded their encounters with a wider range of clients (769 encounters with 205 families) over a period of 9 months; in phase 3, the system is being used by a variety of healthcare professionals in a specialist program that provides intensive parenting support; phase 4 is developing a prototype of an automated version for point-of-contact recording. UK nursing has no tradition of standardized language and the concept of nursing diagnosis is almost unknown. Over the past decade, however, the government has initiated the development of a standardized terminology (Read codes) to cover all disciplines and all aspects of health care, and it is likely that the emerging SNOMED-CT terminology (a merger of the Read codes with the SNOMED terminology) will be mandated for use throughout the National Health Service (NHS). MAIN CONTENT POINTS The structure and key elements of the Omaha System were retained but the terminology was modified to take account of the particular field of practice and emerging UK needs. Modifications made were carefully tracked. The Problem Classification Scheme was modified as follows: ,All terms were anglicized. ,Some areas , notably relating to antepartum/postpartum, neonatal care, child protection, and growth and development,were expanded. ,The qualifiers "actual,""potential," and "health promotion" were changed to "problem,""risk," and "no problem." ,Risk factors were included as modifiers of "risk" alongside the "signs and symptoms" that qualify problems. The Intervention Classification was modified by substituting synonymous terms for "case management" and "surveillance" and dividing "health teaching, guidance, and counseling" into two categories. The Omaha System "targets" were renamed "focus" and a new axis of "recipient" was introduced in line with SNOMED-CT. The revised terminologies were tested in use and also sent for review to 3 nursing language experts and 12 practitioners, who were asked to review them for domain completeness, appropriate granularity, parsimony, synonymy, nonambiguity, nonredundancy, context independence, and compatibility with emerging multiaxial and combinatorial nomenclatures. Review comments were generally very favourable and modifications suggested are being incorporated. CONCLUSIONS The newly published government strategy for information management and technology in the NHS in Wales requires the rapid development of an electronic patient record, for which the two prerequisites are structured documentation and the use of standardized language. The terminology developed in this project will enable nursing concepts to be incorporated into the new systems. The experiences of the project team also offer many lessons that will be useful for developing the necessary educational infrastructure. [source] Restoration Ecology and Invasive Riparian Plants: An Introduction to the Special Section on Tamarix spp. in Western North AmericaRESTORATION ECOLOGY, Issue 1 2008Patrick B. Shafroth Abstract River systems around the world are subject to various perturbations, including the colonization and spread of non-native species in riparian zones. Riparian resource managers are commonly engaged in efforts to control problematic non-native species and restore native habitats. In western North America, small Eurasian trees or shrubs in the genus Tamarix occupy hundreds of thousands of hectares of riparian lands, and are the targets of substantial and costly control efforts and associated restoration activities. Still, significant information gaps exist regarding approaches used in control and restoration efforts and their effects on riparian ecosystems. In this special section of papers, eight articles address various aspects of control and restoration associated with Tamarix spp. These include articles focused on planning restoration and revegetation; a synthetic analysis of past restoration efforts; and several specific research endeavors examining plant responses, water use, and various wildlife responses (including birds, butterflies, and lizards). These articles represent important additions to the Tamarix spp. literature and contain many lessons and insights that should be transferable to other analogous situations in river systems globally. [source] Research Note: Fieldwork, supervision and trustASIA PACIFIC VIEWPOINT, Issue 2 2010Jean Michaud Abstract In this research note I reflect upon my different experiences as a researcher with ethnic minorities in Southeast Asia, from my years as a postgraduate student to my current work as a professor. From being a graduate student, to supervising them, I have learned many lessons about graduate fieldwork. Nowadays, I pass these on to supervisees as best I can. I consider it my professional and personal duty to actively warn, inform and prepare young anthropologists about to leave for their masters' and doctoral field research in China, Vietnam and Laos about the field locations to which they are travelling, the political negotiations that they will need to undertake, and the cultural, economic and political differences they will encounter. I also stress that the anthropology that is played out in the field in socialist settings is not necessarily that which we read about in textbooks. [source] Fidelity in the Field: Developing Infrastructure and Fine-Tuning MeasurementCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 3 2010Amy D. Herschell [Clin Psychol Sci Prac 17: 253,257, 2010] Mazzucchelli and Sanders (2010) provide a thoughtful, detailed, and complex description of how to encourage flexible fidelity to one well-established, evidence-based treatment, the Triple P-Positive Parenting Program. As the authors highlight, many of the "lessons learned" from this wealth of treatment, research, and implementation experience were developed over decades and can be applied to other evidence-based treatments. Underlying many of the recommendations provided by Mazzucchelli and Sanders (2010) is a well-refined infrastructure to support implementation and the need to refine the measurement of fidelity in the field. This commentary will discuss each of those topics. It seems that we have many lessons to learn and hurdles to clear in this emerging area of science, which will be hastened by pioneers like Mazzucchelli and Sanders. [source] | ||||||||||