Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2021
Roles and responsibilities in substance use prevention in the school setting: views among Finnish school personnel representatives.
This study explores the views of Finnish school personnel representatives regarding substance use prevention responsibilities. ⋯ The findings highlight a need to develop structures and role clarity among school personnel, which can advance further development of intra-school and inter-sectoral collaboration in primary substance use prevention and mental health promotion. In the Finnish context, the successful implementation of relevant legislation, which some school representatives view as unclear or contravening, could be further supported.Key pointsViews regarding responsibilities in primary substance use prevention in the school setting have been less researched in the Nordic countries:The importance of inter-sectoral and intra-school collaboration is emphasized among school personnel representatives, including the role of the homesPrimary prevention and mental health promotion responsibilities are viewed as less clear than secondary and tertiary prevention responsibilitiesStructural guidelines concerning e.g. confidentiality aspects and curriculum features can both support and challenge school representatives in their roles.
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Scand J Prim Health Care · Sep 2021
Suicide prevention training: self-perceived competence among primary healthcare professionals.
Objective: The aim is to report the outcomes of the suicide prevention training in terms of the self-perceived impact on the participants. Design: The three-hour training consisted areas of risk and protective factors, screening and evaluating suicide risk, raising concerns and confronting suicidal patients, and treating suicidal ideation in primary healthcare and the associated referral processes. Subjects: The studied participants consisted of general practitioners, nurses, public health nurses and social work professionals. ⋯ Key pointsAfter the suicide prevention training all participants self-perceived increase in their competence in all training areas. The GPs self-perceived most increase in risk and protective factors and nurses in raising concerns and confronting suicidal patients. The GPs' lowest increase was in the area of treating suicidal ideation in primary health care and the referral processes.
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Scand J Prim Health Care · Sep 2021
Good communication was valued as more important than accessibility according to 707 Nordic primary care patients: a report from the QUALICOPC study.
To explore Nordic patients' ranking of the importance of different aspects of general practice. ⋯ Organisational framework for general practice must allow for acceptable communication quality as well as availability.Key pointsIn order to identify relevant service areas for quality improvement in primary care, we aimed to increase knowledge of patient ranked importance of different dimensions of care.Nordic primary care patients valued good communication and involvement in decisions higher than accessibility to care.A singular focus on the access of care when developing services may not be in accordance with patient preferences.
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Scand J Prim Health Care · Sep 2021
Observational StudyAgenda navigation in consultations covering multiple topics. A qualitative case study from general practice.
To explore how agenda navigation may be accomplished underway in consultations covering multiple topics, we identified and analyzed one GP's communicative strategies. ⋯ Skilful agenda navigation is an important tool for consultations covering multiple issues and could be further developed for medical education. The opening and closing of episodes were vital communicative strategies supporting patient-centered communication in a complex consultation while maintaining the focus of the consultation agenda.KEY POINTSWhile traditional consultation models cover one health problem, GP consultations often include many patient issues in each session.Linguistic microanalysis of speech acts helped to identify communication strategies in a GP consultation with multiple topics.The GP conducted agenda navigation by distinctly opening and closing episodes concerning specific topics.Episodes were opened by accepting, informing, and requesting and closed by instruction, appraisal, making agreements, or plans.