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Four Article Reviews and OpinionsArticle

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¶ … shared decision-making models or SDMs. The majority of shared decision-making models in healthcare have been restricted to the physician -- patient dyad. As an initial step towards encouraging an interprofessional tactic to SDM within primary care, this article provides information on how an interdisciplinary and interprofessional group established and attained agreement on an innovative interprofessional SDM model.

In order to identify key concepts, they had to utilize three previously published reviews.Key concepts discussed within published analyses of SDM models as well as interprofessionalism were acknowledged, analyzed, and chatted over by the group to allow them to reach consensus on their desired new interprofessional SDM/IP-SDM model. The model consists of three levels. These levels are the individual or micro level, including two healthcare system label ed the meso and macro levels. This study was qualitative and its other focus was at the individual level, where the patient demonstrates signs of a health condition needing decision-making and then continues into a structured process that helps to promote the making of an educated, value-based choice in conjunction with a team of other healthcare professionals.

The model recognizes (within the designated meso level) the effect of individual team members' and their assigned, professional roles together with the decision coach plus organizational routines. "At the macro level it acknowledges the influence of system level factors (i.e. health policies, professional organisations, and social context) on the meso and individual levels. Subsequently, the IP-SDM model will be validated with other stakeholders." (Legare et al. 18) The conclusion suggested the newly developed IP-SDM model designated for primary care can have the potential to unite the process of SDM in diverse healthcare system settings as well as with dissimilar health professionals. The development of this kind of model was done in an inventive, iterative kind of consensus-building progression that produced great interest between the participants.

To print article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018136/

Relation to Class

The information presented in this article relates to class because it provides an examination and understanding into the decision making process in healthcare. Everything is run on communication and successful implementation of ideas. These cannot be done without making the right choices at the right time. Choices are made both on the micro and macro levels. It is important to understand the process of decision making in order to understand other concepts like budgeting, and organizational culture.

Future Benefit

The future benefit is quite significant since every decision made requires careful consideration. Understanding the decision making process from decision-making models may help provide a better grasp of what to do when it comes to choice selection in the future. Being in a healthcare setting is a challenge and anyone working in that kind of environment has to make important decisions on a daily basis. Grasping the process can yield better results and outcomes.

Athletic Training

In a recent article covering core stability training, training that is focused to improve a person's hip and trunk control, researchers suggest it is an essential aspect of athletic development, providing the basis for hypothesis and research question as little is known concerning its direct connection to a person's athletic performance. Their objective was a clear and simple systematic review that focused on documentation of the link between sports-related performance measures and core stability. While this was their first objective, a secondary objective allotted them time to recognize difficulties met when attempting to train a person's core stability with the objective of enhancing athletic performance.

Their data collecting methods involved a systematic search of electronic databases such as MEDLINE, SPORTDiscus and CINAHL. It can be considered a quantitative study and their methodology involved assessment of 179 articles to identify for initial examination. They included studies that researchers performed as an intervention directed toward the individual's core and measured conclusions in connection with athletic/sport performances. Studies they did not include were those with participants older than 65 years of age. The results revealed that the majority of the studies showed that utilization of core stability training was in conjunction with more broad exercise programs. A larger number of those kinds of studies saw participants with marked improvements in skills that included general strengths such as vertical leap and maximum squat load. Although this helped with the research question, not enough data was gathered in order to determine if the core strength training improved overall core strength. "Conflicting findings and the lack of a standardization for measurement of outcomes and training focused to improve core strength and stability pose difficulties. Because of this, further research targeted to determine this relationship is necessary to better understand how core strength and stability affect athletic performance." (Reed et al. 697)

Article: http://www.ncbi.nlm.nih.gov/pubmed/22784233

Relation to Class

Things like core stability training are discussed in many areas of rehabilitation and exercise. The core is the gateway to a stronger body. However, as the article mentions, it should not be the focus when it comes to athletic training. The focus should be on a more comprehensive route. This article, like the class, allows one to acknowledge mistakes in making assumptions and opting for a more comprehensive solution. In the end, one does not know everything.

Future Benefit

This article is beneficial in many ways. The first is the use of core stability training with other forms of exercise. Should one decide to go into training individuals, or training one's own body, core stability training should be added, but not be regarded as the focus of an athletic training program. It also provides a desire to further research the relationship between stability and core strength to how well an athlete performs and so forth.

Physical Education

This paper centers on one aspect of a developed qualitative study that covers the topic of physical education by examining the meaning and place of 'physical education' in relation to children and practitioners located at three preschools within the country of Scotland. Researchers analyzed the ways that participants involved themselves with discourses associated with health and physical activity in order to build subjectivities. The study assessed 70 children and 14 practitioners.

Some of the research methods employed included interviews with adults, observations; a group drawing that involved discussion activity as well as the main interviews with the children. The results from the qualitative assessments revealed both of the categories of participants marked the dominance of healthism, neoliberal meanings that place people as responsible for their own health. It then transitioned into recognizing exercise as a means of regulation of a child's behavior. "While the children's talk primarily centered on health as a corporeal notion, "the practitioners tended to talk about physical activity and health in both corporeal terms and in relation to the self-more holistically. The practitioners also talked about physical activity as a means of regulating children's behavior." (McEvilya, Verheulb and Atencioc 832)

This study wanted to identify not just the meaning of physical education from a universal perspective, but also from a perspective that is individual and subjective. It set about getting the opinions of people that the study wished to focus on, children and practitioners, and discovered exactly what physical activity and thus physical education meant to them. It provided adequate context over potential sentiments of children participating in physical education programs. How that may influence overall participation in such programs. Although the interviews and discussions were time-intensive and required a lot of effort, it highlight the qualitative data needed for analysis and provided individualistic context.

Relation to Class

Physical education is an important topic that concerns everyone worldwide. Hospitals attempt to run health and wellness programs along with many businesses. As some countries like the United States experience an obesity epidemic, it is important to see how researchers are attempting to deal with the demand for health and fitness through studies. Class tries to provide information derived from studies like this in order to educate the student in the current trends in research.

Future Benefit

This article provided a good foundation into how to perform a qualitative analysis study to gather information about a desired topic. Things like interviews, discussions, and observation can help a researcher understand connection and prove or disprove hypotheses. Without such information methods, it may be hard to gather enough data to form adequate conclusions. That being said, physical activity has been linked for some time to mental well-being and it is interesting how that connection is again made in the article.

Download article here: http://www.tandfonline.com/doi/abs/10.1080/01425692.2013.848780#.VlKaCvmrTIU

(You can find it in your school portal as well for free) by searching for title: "Physical education at preschools: practitioners' and children's engagements with physical activity and health discourses"

Public Health

A skilled and well-trained workforce allows the success of public health programs as well as chronic disease programs. To improve the workforce, an organization called OSTLTS was made responsible for development and growth of the program called the Public Health Associate Program that allows the training of college graduates and enables them to become future public health advisors. The article covers and centers a research question on… [END OF PREVIEW]

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