Agroup of junior colleagues recently asked me what, after nearly 30 years of experience of caring for people with diabetes, I would consider as the single most important piece of advice to give to them as they launch into their new diabetes practice. It didn’t take me long to find an answer. ‘‘Ensure you have good communication with your diabetes patients,’’ I replied without trepidation. To st...

BACKGROUND In the UK, National Health Service Direct Wales (NHSDW) uses computerised decision support software to advise patients on appropriate care. However, the effect of deprivation on the advice given is not known. We aimed to estimate the effect of deprivation on advice given by nurses in NHSDW adjusting for confounding variables. METHODS We included 400 000 calls to NHSDW between Janua...

A review of the literature (Part 1 in this series) revealed the power and pitfalls of being female and being a healer, A qualitative study of medical-surgical nurses (Part 2) gave a glimpse of the satisfaction, frustration, and confusion nurses experience as healers. In particular, participants did not engage in regular self-care behaviors and did not articulate ways to create healing environme...

Recognizing the increasing reliance being placed on caring practices in large scale nutrition programs, a study was undertaken in the context of one such program, the Bangladesh Integrated Nutrition Project, to examine the effects of women’s time constraints on the successful implementation of such programs. Women who are most seriously time-constrained are neither those at the top nor those at...

Canadians provide significant amounts of unpaid care to elderly family members and friends with long-term health problems. While some information is available on the nature of the tasks unpaid caregivers perform, and the amounts of time they spend on these tasks, the contribution of unpaid caregivers is often hidden. (It is recognized that some caregiving may be for short periods of time or may...

BACKGROUND The World Health Organization (WHO) has argued that functioning, and, more concretely, functioning domains constitute the operationalization that best captures our intuitive notion of health. Functioning is, therefore, a major public-health goal. A great deal of data about functioning is already available. Nonetheless, it is not possible to compare and optimally utilize this informat...

during the years after the end of the cold war and parallel to the forming a new practice for the use of force under the title of the humanitarian intervention, different theoretical endeavors have been made to understand the formation of the mentioned interventions. the theoreticians, using constructivism, cosmopolitanism, english school and realism theories, have tried to explain the said phe...