Department of Health and Rehabilitation Sciences

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Browsing Department of Health and Rehabilitation Sciences by browse.metadata.type "Editorial"

Now showing 1 - 5 of 5
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    Physiotherapy in the intensive care unit
    (Health & Medical Publishing Group, 2016) Hanekom, Susan
    ENGLISH SUMMARY : While physiotherapy has been recommended by scientific societies as integral to the management of critically ill patients, great variation has been reported in the role of the physiotherapist in the intensive care unit (ICU), the service provided and the techniques used.[1] Clearly, this may impact on patient outcome. In a bid to address these variations, ICU physiotherapists have taken the initiative to drive a research agenda and to standardise clinical pathways to facilitate optimal patient outcome.
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    South African Guidelines Excellence (SAGE) : clinical practice guidelines - quality and credibility
    (Health and Medical Publishing Group, 2015) Machingaidze, Shingai; Kredo, Tamara; Louw, Quinette; Young, Taryn; Grimmer, Karen
    ENGLISH SUMMARY : In this editorial, the first in a series of six, we present issues critical to CPG development and uptake, relevant to South Africa (SA) and beyond. While recent local efforts to improve CPG quality and credibility in SA are commendable, opportunities to progress SA CPG quality and uptake are limited by the lack of a central, nationally recognised and accepted CPG development unit. Such a unit has the potential to significantly increase SA efforts to improve and standardise high-quality, credible CPG development, reporting and uptake. To this end, the Project SAGE (South African Guidelines Excellence) team is engaging in a 3-year stakeholder-driven process that aims to better understand the guideline development arena in SA, and improve the standard of local guideline development, adaptation, contextualisation, and ultimately implementation of primary healthcare guidelines.
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    South African Guidelines Excellence (SAGE) : efficient, effective and unbiased clinical practice guideline teams
    (Health & Medical Publishing Group, 2016) Grimmer, Karen; Dizon, Janine Margarita; Louw, Quinette; Kredo, Tamara; Young, Taryn; Machingaidze, Shingai
    ENGLISH SUMMARY : A range of different evidence-based methods for clinical practice guideline activities have been established, and there is common agreement in these that poorly conceived CPG team composition and management can jeopardise CPG integrity. Recognised CPG initiatives therefore provide guidance on CPG team construction and management. In this editorial, we outline steps for effective, efficient and outcome-focused CPG team membership, roles and management: (i) determine responsibilities and tasks; (ii) identify ‘experts’ and their ‘voices’; (iii) identify a CPG team leader; (iv) determine and declare conflicts of interest; (v) determine CPG team terms of reference; (vi) establish CPG timeframes and tailored capacity development; and (vii) establish consensus. Writing CPGs can be time-consuming and expensive.Efforts therefore need to be underpinned by efficient, respectful and agreed processes. Justifying CPG team membership, declaring conflicts of interest, identifying efficient ways of hearing constituent ‘voices’, defining and time-lining team tasks and roles, providing necessary training, and respecting individuals’ efforts and time should ensure that CPG team members enjoy their experiences. This will contribute to growing CPG expertise in South Africa and beyond.
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    South African Guidelines Excellence (SAGE) : What’s in a name?
    (Health & Medical Publishing Group, 2016) Kredo, Tamara; Machingaidze, Shingai; Louw, Quinette; Young, Taryn; Grimmer, Karen
    ENGLISH SUMMARY : Project SAGE (South African Guidelines Excellence) is a 3-year research project, funded by the South African Medical Research Council, through the South African University Flagship Project scheme (http://www.mrc.ac.za/cochrane/sage.htm). Using stakeholder-driven processes, SAGE will provide tools to assist effective South African (SA) clinical practice guideline (CPG) activities in developing, adapting, adopting, contextualising and implementing primary care CPGs. In a resource-limited setting such as SA, where access to resources for health is limited, ensuring best use of effective and cost-effective primary care diagnostics and treatments is key to reducing waste, improving access and hence improving quality of care.
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    There’s more to weaning than just the lungs
    (Health & Medical Publishing Group, 2018) Lupton-Smith, A.
    No abstract available.