Partnerships identified within primary health care literature

MacIntosh, Judith; McCormack, Dianne

doi:10.1016/s0020-7489(00)00095-x

Cited by 35 publications

(26 citation statements)

References 24 publications

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“…These principles and associated practices emphasised: respect for diverse skills, learning together and communication within the team and with patients and other professional colleagues (Field & West, 1995;Freeman et al, 2000;MacIntosh & McCormack, 2001). The viable systems model was used as a backdrop against which to view the structure and functions of the evolving team (Beer, 1985).…”

Section: Principles Underlying the Team Developmentmentioning

confidence: 99%

Of rocks and safe channels: learning to navigate as an interprofessional team

Bateman

Bailey

McLellan

2003

Journal of Interprofessional Care

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A new interprofessional primary care team was established in a greenfield site. Using anethnographic approach, significant experiences in the formation of the team were documented and specific problem areas were defined and addressed using action research principles. The nature of the problems experienced and the processes used in their resolution are described and related to current policy recommendations and to existing literature on the theory and practice of team development. Problems include: the potentially varied expectations and managerial requirements of collaborating partners, the lack of clarity over professional roles and associated essential competencies, and the appropriate management and development of specialist professional roles. Conclusions drawn concern the complexity of the issues raised by interprofessional team working, and the value of existing techniques and models in this setting, such as the viable systems model, 360 degree appraisal and action research.

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Section: Principles Underlying the Team Developmentmentioning

confidence: 99%

Of rocks and safe channels: learning to navigate as an interprofessional team

Bateman

Bailey

McLellan

2003

Journal of Interprofessional Care

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“…Visible exertions of power over and on bodies testify to the failure of the health system to absorb a set of democratic practices. Similarly, the paternalism of doing for patients reflects an insistence that patient input is not important (MacIntosh and McCormack 2001). This 'we know best' approach has also been observed beyond the clinic in practices of community health workers (CHWs) (Dewing et al 2013).…”

Section: Accountability In Sovereign Spacesmentioning

confidence: 99%

Ways of Doing: Restorative Practices, Governmentality, and Provider Conduct in Post-Apartheid Health Care

Harris

Eyles

Goudge

2016

Medical Anthropology

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In this article, we consider the conduct of post-apartheid health care in a policy context directed toward entrenching democracy, ensuring treatment-adherent patients, and creating a healthy populace actively responsible for their own health. We ask how tuberculosis treatment, antiretroviral therapy, and maternal services are delivered within South Africa's health system, an institutional site of colonial and apartheid injustice, and democratic reform. Using Foucauldian and post-Foucauldian notions of governmentality, we explore provider ways of doing to, for, and with patients in three health subdistricts. Although restorative provider engagements are expected in policy, older authoritarian and paternalistic norms persist in practice. These challenge and reshape, even 'undo' democratic assertions of citizenship, while producing compliant, self-responsible patients. Alongside the need to address pervasive structural barriers to health care, a restorative approach requires community participation, provider accountability, and a health system that does with providers as much as providers who do with patients.

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“…Nurses act as consultants and guide them in their efforts. Successful collaboration results in a partnership that respects equality, reciprocity, mutual understanding and informing (Jewell 1994;MacIntosh and McCormack 2001;Stewart et al 1995).…”

Section: The Discipline Of Nursingmentioning

confidence: 99%

An Examination of the Self-Care Concept Uncovers a New Direction for Healthcare Reform

McCormack¹

2003

cjnl

Self Cite

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The concept of self-care is multidimensional, with many defining elements. This paper describes the origin of this comprehensive concept. It examines the response of the nursing discipline to citizen self-care initiatives and the subsequent effects this response has had on the development of nursing knowledge. The evolution of self-care as a core concept within Canadian health policy is presented; the potential readiness for citizens to accept self-care as an aspect of healthcare delivery is explored, identifying potential benefits and obstacles. The paper concludes with a proposed self-care approach to healthcare reform in Canada and the subsequent influence this approach may have on the discipline of nursing. The congruency between a self-care healthcare delivery system and the theoretical foundations and perspective of healthcare delivery held by the nursing discipline is discussed. The role nurses might assume in shaping a self-care healthcare delivery system is delineated.Self-care is not a new idea. Since the beginning of humankind, people have taken action to ensure personal safety and have developed strategies to address illness and other health challenges (Haug et al. 1989;Levin 1976;Padula 1992;Saunders 1994;Woods 1989). Primitive societies developed healing rituals that sometimes involved the consumption of special foods to promote the health of particular individuals or entire communities (Hill and Smith 1985). Women assisted one another in childbirth and shared the acquired knowledge with the next generation. Implementing self-care strategies to address day-to-day concerns about health is normal and usual (Bohart and Tallman 1996;DeFriese et al. 1989;Levin 1981; Punamaki and Ascham 1994 Individuals select self-care behaviours in order to maintain an acceptable level of health or well-being, to prevent illness or injury and to promote health. These selfcare behaviours contribute to one's ability to perform a variety of tasks, ranging from ensuring survival to attaining self-actualization. Families accept responsibilities for facilitating the self-care of their members and take on self-care activities for other members who, owing to maturation, illness or other life events, are unable to complete the necessary task themselves. Community leaders support resources that enable individuals and families to carry out self-care tasks important to them. Clients at the individual, family and community levels have different self-care needs and expectations.Different beliefs (Keller et al. 1989) and individual characteristics or conditioning factors (Chang 1980;Connelly 1993;Edwardson and Dean 1999;Horsburgh 1999;McCaleb 1995) influence the self-care behaviours selected or processes used to achieve a particular level of health. As well, the type or level of client (individual, family or community) influences choice of self-care activities.Multiple descriptors of self-care result in varied definitions within and across disciplines (DeFriese et al. 1989;Health Canada 1997;Punamaki and Aschan 1994;Rew 1990)...

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Partnerships identified within primary health care literature

Cited by 35 publications

References 24 publications

Of rocks and safe channels: learning to navigate as an interprofessional team

Of rocks and safe channels: learning to navigate as an interprofessional team

Ways of Doing: Restorative Practices, Governmentality, and Provider Conduct in Post-Apartheid Health Care

An Examination of the Self-Care Concept Uncovers a New Direction for Healthcare Reform

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