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2 results on '"Merriel, Abi"'

1. Time to go global: a consultation on global health competencies for postgraduate doctors.

Author

Walpole SC, Shortall C, van Schalkwyk MC, Merriel A, Ellis J, Obolensky L, Casanova Dias M, Watson J, Brown CS, Hall J, Pettigrew LM, and Allen S

Subjects
Adult, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Clinical Competence standards, Cultural Competency education, Curriculum, Delivery of Health Care standards, Education, Medical, Continuing standards, Global Health education, Physicians standards
Abstract

Background: Globalisation is having profound impacts on health and healthcare. We solicited the views of a wide range of stakeholders in order to develop core global health competencies for postgraduate doctors., Methods: Published literature and existing curricula informed writing of seven global health competencies for consultation. A modified policy Delphi involved an online survey and face-to-face and telephone interviews over three rounds., Results: Over 250 stakeholders participated, including doctors, other health professionals, policymakers and members of the public from all continents of the world. Participants indicated that global health competence is essential for postgraduate doctors and other health professionals. Concerns were expressed about overburdening curricula and identifying what is 'essential' for whom. Conflicting perspectives emerged about the importance and relevance of different global health topics. Five core competencies were developed: (1) diversity, human rights and ethics; (2) environmental, social and economic determinants of health; (3) global epidemiology; (4) global health governance; and (5) health systems and health professionals., Conclusions: Global health can bring important perspectives to postgraduate curricula, enhancing the ability of doctors to provide quality care. These global health competencies require tailoring to meet different trainees' needs and facilitate their incorporation into curricula. Healthcare and global health are ever-changing; therefore, the competencies will need to be regularly reviewed and updated., (© The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)

Published
2016
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2. The RESPECT Study for consensus on global bereavement care after stillbirth

Author

Shakespeare, Clare, Merriel, Abi, Bakhbakhi, Danya, Blencowe, Hannah, Boyle, Frances M, Flenady, Vicki, Gold, Katherine, Horey, Dell, Lynch, Mary, Mills, Tracey A, Murphy, Margaret M, Storey, Claire, Toolan, Miriam, Siassakos, Dimitrios, and RESPECT (Research of Evidence based Stillbirth care Principles t

Subjects
Adult, Postnatal Care, Consensus, Delphi Technique, Health Personnel, media_common.quotation_subject, Acknowledgement, Global health, Respect, 03 medical and health sciences, 0302 clinical medicine, Nursing, Pregnancy, Bereavement care, Surveys and Questionnaires, Health care, Humans, Medicine, 030212 general & internal medicine, Quality of Health Care, Reproductive health, media_common, 030219 obstetrics & reproductive medicine, business.industry, Stakeholder, Obstetrics and Gynecology, Professional-Patient Relations, General Medicine, Stillbirth, Systematic review, Female, Grief, The Internet, Empathy, business, Bereavement
Abstract

OBJECTIVE: To develop global consensus on a set of evidence-based core principles for bereavement care after stillbirth.METHODS: A modified policy-Delphi methodology was used to consult international stakeholders and healthcare workers with experience in stillbirth between September 2017 and October 2018 Five sequential rounds involved two expert stakeholder meetings and three internet-based surveys, including a global internet-based survey targeted at healthcare workers in a wide range of settings.RESULTS: Initially, 23 expert stakeholders considered 43 evidence-based themes derived from systematic reviews, identifying 10 core principles. The global survey received 236 responses from participants in 26 countries, after which nine principles met a priori criteria for inclusion. The final stakeholder meeting and internet-based survey of all participants confirmed consensus on eight core principles. Highest quality bereavement care should be enabled through training of healthcare staff to reduce stigma and establish respectful care, including acknowledgement and support for grief responses, and provision for physical and psychologic needs. Women and families should be supported to make informed choices, including those concerning their future reproductive health.CONCLUSION: Consensus was established for eight principles for stillbirth bereavement care. Further work should explore implementation and involve the voices of women and families globally.

Published
2020

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