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Lord Ferguson S. Should we give patients what they want? Patient expectations and financial pressures need to be addressed to increase uptake of evidence-based practice. Musculoskelet Sci Pract 2023; 66:102831. [PMID: 37481797 DOI: 10.1016/j.msksp.2023.102831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 06/21/2023] [Accepted: 07/17/2023] [Indexed: 07/25/2023]
Abstract
Contextual factors such as patient expectations and financial pressures are overlooked challenges for Physiotherapists (PTs) and other rehabilitation professionals trying to implement evidence-based practice (EBP), particularly in private practice settings. In today's hypercompetitive pain management market, PTs may risk detrimental impacts to their reputation and livelihood if they do not give patients what they want, even if what they want does not align with clinical guidelines and research evidence. The aim of this professional practice paper is to shed light on these real-world challenges and encourage discussion among the PT community about strategies to increase uptake of EBP that involve multiple stakeholders such as PT training programs, professional organizations, researchers and clinic owners, which all have a role to play in supporting the translation of evidence into practice in our profession.
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Affiliation(s)
- Sarah Lord Ferguson
- Beedie School of Business, Simon Fraser University, 500 Granville Street, Vancouver, British Columbia, V6C 1W6, Canada.
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2
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Ezzat AM, Esculier JF, Ferguson SL, Napier C, Wong ST. Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic. Physiother Can 2023; 75:134-145. [PMID: 37736382 PMCID: PMC10510558 DOI: 10.3138/ptc-2022-0092] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 12/24/2021] [Accepted: 01/07/2022] [Indexed: 09/23/2023]
Abstract
Purpose To examine Canadian physiotherapists' experiences in adapting their delivery of patient care during the COVID-19 pandemic. We examine the level of strain on the profession and barriers and enablers to virtual care and provide strategies to support future virtual care implementation. Methods From May to October 2020, a series of eight cross-sectional survey cycles were distributed every 2-4 weeks through branches and divisions of the Canadian Physiotherapy Association, social media, and personal networks. Descriptive statistics summarized the main findings. Open ended questions were first analyzed inductively using thematic analysis, then deductively mapped to the Capability-Opportunity-Motivation Behavioural (COM-B) Model. Results Between 1,820 (cycle 1) and 334 (cycle 7) physiotherapists responded. Median strain level was 5/5 (cycle 1) and dropped to median 3/5 (cycles 5-8). In cycle 1, 55% of physiotherapists had ceased in-person care, while 41% were providing modified in-person care. Of these physiotherapists, 79% were offering virtual care. As modified in-person care increased, virtual care continued as a substantial aspect of practice. Physiotherapists identified barriers (e.g., lack of hands-on care) and enabling factors (e.g., greater accessibility to patients) for virtual care. In-depth examination of the barriers and enablers through the COM-B lens identified potential interventions to support future virtual care implementation, including education and training resources for physiotherapists and communication and advocacy to patients and the public on the value of virtual care. Conclusions Canadian physiotherapists exhibited high adaptability in response to COVID-19 through the rapid and widespread use of virtual care. By creating an in-depth understanding of the barriers and enablers to virtual care, along with potential interventions, this work will facilitate future opportunities to support and enhance physiotherapists' delivery of virtual care.
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Affiliation(s)
- Allison M. Ezzat
- From the:
La Trobe Sports Medicine Research Centre, La Trobe University, Melbourne, Australia
- Department of Physical Therapy, University of British Columbia, Vancouver, Canada
- School of Nursing, University of British Columbia, Vancouver, Canada
- Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
| | - Jean-Francois Esculier
- Department of Physical Therapy, University of British Columbia, Vancouver, Canada
- The Running Clinic, Lac Beauport, Quebec, Canada
| | | | - Christopher Napier
- Department of Physical Therapy, University of British Columbia, Vancouver, Canada
- Schools of Mechatronic Systems Engineering and Engineering Science, Simon Fraser University, Metro Vancouver, Canada
| | - Sabrina T. Wong
- School of Nursing, University of British Columbia, Vancouver, Canada
- Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
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Lord Ferguson S, Berthon P. A renewable resource model of health decision-making: insights to improve health marketing. AMS Rev 2022. [PMCID: PMC8551663 DOI: 10.1007/s13162-021-00208-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
The COVID-19 crisis has fundamentally changed how many businesses operate and connect with their customers. Previously unheard-of government restrictions and sheltering-in-place requirements forced most professional services to transition to remote delivery methods (e.g., email, telephone, video consults, Shopify storefronts). Providers of low-touch services (e.g., lawyers, accountants) naturally lent themselves to remote delivery; however, those that offer high-touch services, particularly those in healthcare (e.g., doctors, chiropractors, physical therapists), experienced a drastic change in working conditions when going virtual. Despite a long history of resistance to virtual delivery, the pandemic created an unprecedented incentive for these high-touch professionals to experiment with underutilized care models such as telehealth: the provision of healthcare services remotely using telecommunications technologies. We examine the rapid adoption of telehealth during COVID-19 through the coming together or convergence of previously unrelated technologies, spaces, and practices. Our analysis reveals opportunities and challenges associated with going hands-off that apply to many other professionals providing high-trust services. Specifically, we offer nine guiding principles for building and protecting cognitive and affective trust in virtual and hybrid delivery models. This is important given the pace of compounding technology convergences that lie ahead for service professionals.
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Affiliation(s)
| | - Claudia Smith
- Gustavson School of Business, University of Victoria, Canada
| | - Jan Kietzmann
- Gustavson School of Business, University of Victoria, Canada
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Affiliation(s)
- Sarah Lord Ferguson
- Beedie School of Business, Simon Fraser University, Vancouver, BC, Canada,Address all correspondence to Sarah Lord Ferguson at:
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Abstract
This study evaluated the psychometric properties of the Organizational Bullshit Perception Scale (OBPS) using two samples of employees of organizations in various sectors. The scale is designed to gauge perceptions of the extent of organizational bullshit that exists in a workplace, where bullshit is operationalized as individuals within an organization making statements with no regard for the truth. Analyses revealed three factors of organizational bullshit, termed regard for truth, the boss and bullshit language. The three factors are consistent with existing literature in the field of organizational bullshit and offer further insight into how employees view workplace bullshit. The OBPS constitutes three subscales measuring these factors. Future researchers should seek to validate the OBPS and further develop the identified factors of organizational bullshit.
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Affiliation(s)
- Caitlin Ferreira
- 451543Red and Yellow Creative School of Business, Cape Town, South Africa
| | - David Hannah
- Beedie School of Business, Simon Fraser University, Vancouver, Canada
| | - Ian McCarthy
- Beedie School of Business, Simon Fraser University, Vancouver, Canada; Luiss, Rome, Italy
| | - Leyland Pitt
- Beedie School of Business, Simon Fraser University, Vancouver, Canada; 3856Hanken School of Economics, Helsinki, Finland
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Abstract
Healthcare consumers are increasingly turning to online sources such as educational websites, forums and social media platforms to share their experiences with medical services and to demystify the uncertainties associated with undergoing various procedures. This study demonstrates a non-invasive way of understanding the feelings and emotions that consumers share via electronic word of mouth. By using IBM Watson, a content analysis tool that harnesses artificial intelligence, we show how a large amount of unstructured qualitative data can be transformed into quantitative data that can be subsequently analysed to generate novel insights into what patients are sharing about their healthcare experiences online.
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Benton DC, Watkins MJ, Beasley CJ, Ferguson SL, Holloway A. Evidence into action: a policy brief exemplar supporting attainment of nursing now. Int Nurs Rev 2020; 67:61-67. [PMID: 31944309 DOI: 10.1111/inr.12573] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Revised: 12/03/2019] [Accepted: 12/05/2019] [Indexed: 11/30/2022]
Abstract
AIM To provide a framework for the production of policy briefs, and offer a practical example of how evidence can be turned into a succinct document to inform policy and bring about change targeted at delivering universal health coverage. INTRODUCTION Policymakers are too busy, or do not have the necessary expertise, to read and comprehend complex scientific papers. As a result, policy briefs that capture and present the essential points are needed if evidence-informed policy is to be developed and implemented. METHOD A two-page example of how evidence from meta-analytical and systematic reviews can be presented to identify options and recommendations to address a major global disease burden. RESULTS The example uses a simple, seven-section template for developing a policy brief. The essential characteristics of each section are provided. The briefing, targeted at the global level, provides information on the major challenges associated with the treatment of individuals with diabetes. DISCUSSION AND CONCLUSIONS This paper demonstrates how to use existing research evidence to address the pursuit of UHC relevant to a wide range of geographies, settings or disadvantaged groups. IMPLICATIONS FOR POLICY Gaps in universal health coverage and major disease burdens such as diabetes can be pursued through entities such as country-based Nursing Now groups. In addition, ongoing opportunities exist through the International Council of Nurses annual International Nurses Day and WHO's regular regional meetings to inform and influence policy discussions at national and subnational levels. By focusing on a small number of global topics each year, measurable changes in addressing the burden of disease can be achieved while simultaneously keeping the nursing profession's contribution centre stage.
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Affiliation(s)
- D C Benton
- National Council of State Boards of Nursing, Chicago, IL, USA
| | | | | | - S L Ferguson
- Stephanie L. Ferguson and Associates, LLC, Amherst, Virginia, USA
| | - A Holloway
- Department of Nursing Studies, University of Edinburgh, Edinburgh, UK
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Benton DC, Watkins MJ, Beasley CJ, Ferguson SL, Holloway A. Evidence-based policy: nursing now and the importance of research synthesis. Int Nurs Rev 2020; 67:52-60. [PMID: 31898317 DOI: 10.1111/inr.12572] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Revised: 11/16/2019] [Accepted: 11/30/2019] [Indexed: 12/27/2022]
Abstract
AIM This study explores how scholarship relating to meta-analytical studies and systematic and integrative reviews can inform nursing's contribution to universal health coverage. INTRODUCTION As nursing globally embraces the 200th anniversary of the birth of Florence Nightingale, the Nursing Now social movement has called for the profession to improve universal health coverage through increasing nursing's policy voice. METHODS In determining how the Nursing Now social movement could pursue the aim of this study, researchers undertook a comparative bibliometric analysis of scholarship relating to the systematic curation of evidence. This study uses a mixed-method analysis of the bibliometric data available through extracting and synthesizing information from one of the commercially produced indexing and citation databases. RESULTS Generally, medicine has contributed far more synthesized contributions than nursing, except in the case of integrative reviews. Co-occurrence analysis of nursing literature through examination of key terms yielded a complex visualization of 11 specific clusters of scholarship (Care of the Older Person, Nurse Education, Emergency and Critical Care, Occupational Health and Safety, Rural Services, Anxiety and Depression, Measurement, Newborn and Post-natal Health, Cardiovascular Disease, Preventative Health and Cancer Care). DISCUSSION AND CONCLUSIONS Bibliometric analysis of curated evidence demonstrates that there is ample nursing-relevant material to inform evidence-based policy change directed towards the attainment of universal health coverage and several of the Sustainable Development Goals. IMPLICATIONS FOR POLICY Nursing literature is available to support policy change directed towards the pursuit of universal health coverage and sustainable development goals. Leveraging existing networks of research collaboration to increase research capacity through communities of scholarship or by twinning experienced and neophyte contributors is possible. Further work is needed to equip nurses with the competencies to navigate the policy environment and develop and deliver impactful policy messaging.
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Affiliation(s)
- D C Benton
- National Council of State Boards of Nursing, Chicago, IL, USA
| | | | | | - S L Ferguson
- Stephanie L. Ferguson and Associates, LLC, Amherst, VA, USA
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Abstract
Pain and anxiety are well-documented problems during the rehabilitation of patients with burns. This study examined the effect of music on anxiety and pain during range of motion. Eleven subjects with partial-thickness or deeper burns were randomly assigned to a control group (without music intervention) or experimental group (with music intervention). Vital signs, pain, and anxiety were recorded before and after treatments. There was no difference in pretest and posttest anxiety across the groups; however, there was a difference in anxiety between the groups. Conversely, there was a difference in pretest and posttest pain across the groups but no difference in pain between the groups. Results showed no significant reduction in anxiety and pain during therapy with music relaxation. Limitations included nonhomogenous groups, small sample size, potentially unrepresentative sample, variation in exercise protocol, and small musical selection. Further research is recommended.
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Affiliation(s)
- S L Ferguson
- Department of Rehabilitation Services, Senatar Norfolk General Hospital, Norfolk, Virginia 23507, USA
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Affiliation(s)
- S L Ferguson
- College of Nursing & Health Science, Center for Health Policy, Research & Ethics, George Mason University, Fairfax, VA, USA
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Abstract
Health care delivery systems are evolving and transforming rapidly. Nurses will need new leadership and policy skills to meet the challenge of ensuring patient care safety and quality health care delivery. Nurses bring a unique perspective to health care policy development because of their educational training, professional values and ethics, advocacy skills, and experiential background. Significant progress has occurred over the years toward advancing nursing's presence, role, and influence in the development of health care policy. However, more nurses need to learn how to identify issues strategically; work with decision makers; understand who holds the power in the workplace, communities, state and federal level organizations; and understand who controls the resources for health care services. In health care policy development, nurses are essential in ensuring quality health care that is accessible and affordable for all women and their infants. More nurses need to actively work as leaders in the health policy arena.
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Affiliation(s)
- S L Ferguson
- Center for Health Policy, Research & Ethics, College of Nursing and Health Science, George Mason University, Fairfax, VA 22030-4444, USA.
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Affiliation(s)
- S L Ferguson
- College of Nursing & Health Science, Center for Health Policy, Research and Ethics, George Mason University, Fairfax, VA, USA
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Affiliation(s)
- S E Leeman
- Department of Pharmacology, Boston University School of Medicine, Boston, MA 02118, USA.
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Ferguson SL. Policy leadership training institute-another successful year. Nurs Outlook 2000; 48:241-3. [PMID: 11044302 DOI: 10.1016/s0029-6554(00)70025-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- SL Ferguson
- Associate professor, faculty coordinator, Center for Health Policy, Research and Ethics
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Affiliation(s)
- M Clark
- Division of Nursing, Graduate Family Nurse Practitioner Program, Howard University, Washington, DC, USA
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Affiliation(s)
- L J Davis
- Kenner Army Health Clinic, Fort Lee, VA, USA
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Ferguson SL. Enhancing leadership abilities for pediatric nurses: strategies for the 21st century. J Pediatr Nurs 1999; 14:403-4. [PMID: 10638054 DOI: 10.1016/s0882-5963(99)80069-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- S L Ferguson
- Division of Nursing, Howard University, Washington, DC, USA
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Abstract
Bright Futures is a national program dedicated to promoting and improving the health of children in the United States. This article gives a brief historical perspective of Bright Futures, its mission, goals, available resources, and strategies that pediatric nurses can use in a variety of health care settings with children and families.
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Abstract
This study evaluated the effects of peer counseling in a culturally specific adolescent pregnancy prevention program for African American females. A random pretest and multiple posttest experimental and comparison group design was used to obtain data on a sample of 63 female African American adolescents, ages 12 to 16, who lived in four public housing developments. Descriptive data and tests of significance revealed that none of the participants who received peer counseling became pregnant within three months of the intervention. Findings revealed a statistically significant increase in reproductive and other self-related knowledge topics among the experimental group when comparing pretest and eight-week posttest scores. Most participants had not had sexual intercourse; the average age of sexual onset was 12 years in the experimental group and 11 years in the controls. Designing and implementing culturally specific adolescent pregnancy prevention programs for adolescents younger than age 11 and/or before sexually active seems appropriate.
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Affiliation(s)
- S L Ferguson
- College of Pharmacy, Nursing, and Allied Health, Division of Nursing, Howard University, Washington, DC 20059, USA
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Abstract
A grounded theory approach was used to describe how males and females in late adolescence communicate with their sexual partners about sexual risk behaviors. Interviews were audiotaped with 18 women and 15 men from a university in the southeastern United States. Verbatim transcripts were analyzed using constant comparative analysis. Building trust was identified as the core variable for both men and women. For women, prerequisites for building trust were being involved in caring relationships and indirectly gathering information about potential sexual partners. For men, prerequisites were being involved in caring relationships and using their instincts. Women usually initiated safe-sex talk, but men were willing to discuss it, once the conversation was initiated. Findings can serve as a guide for developing nursing strategies that promote more effective communication about sexual risk behavior in this age group.
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Affiliation(s)
- S E Lock
- University of Kentucky College of Nursing, USA
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25
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Affiliation(s)
- S L Ferguson
- Abt Associates, Inc., Bethesda, MD 20814-5341, USA
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Affiliation(s)
- S L Ferguson
- Virginia Health Policy Center, University of Virginia, Charlottesville, USA
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Ferguson SL, Engelhard CL. Short stay. The art of legislating quality and economy. AWHONN Lifelines 1997; 1:17-23. [PMID: 9223945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- S L Ferguson
- Virginia Health Policy Center of the University of Virginia, USA
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Ferguson SL, Engelhard CL. Maternity length of stay and public policy: issues and implications. J Pediatr Nurs 1996; 11:392-4. [PMID: 8991340 DOI: 10.1016/s0882-5963(96)80084-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- S L Ferguson
- Virginia Health Policy Center, University of Virginia, Charlottesville, USA
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Affiliation(s)
- S L Ferguson
- Virginia Health Policy Center, University of Virginia, Charlottesville, USA
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Ferguson SL. The use of Medicaid managed care: a case study of two states. J Pediatr Nurs 1996; 11:189-91. [PMID: 8667157 DOI: 10.1016/s0882-5963(96)80053-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- S L Ferguson
- Virginia Health Policy Center, University of Virginia, Charlottesville, USA
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