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Nasir Hamid
Training in general practice: Three contemporary controversies
In this essay we present Trisha Greenhalgh's intervention at the 2006 Wonca Europe Conference. The Author speaks about training, in particular about contemporary controversies emerging in our professional training. In teaching family medicine when we consider three aspects of learning we face up with an impact area: What should we know? We need to acquire knowledge necessary to our practice from research. What should we do? In order to answer this question, which includes the great part of medical activities, we should know ethical principles and human virtues. What should we dare to hope? To learn to use creativity and imagination both in scientific reasoning and in the human dimension of our practice. These reminders are then resumed by Giorgio Bert in a comment full of stimulus very useful for professional training in medicine.
Towards a broader agenda for training in critical appraisal
Much progress has been made in recent years towards an evidence-based approach to health care, ie the routine framing of an explicit decision sequence in the clinical encounter, the systematic search for published evidence, and the appraisal of relevant research articles. We argue that this is a commendable but limited milestone, and that training in evidence-based health care, particularly the use of critical appraisal techniques, is in need of a broader agenda. We outline a proposal through which the skills and attitudes needed for the critical appraisal of published articles may be applied to all other aspects of clinical practice, from planning research projects to presenting results and guidelines and peer review of articles submitted for publication.
Narrative Research in Health and Illness
This comprehensive book celebrates the coming of age of narrative in health care. It uses narrative to go beyond the patient's story and address social, cultural, ethical, psychological, organizational and linguistic issues. This book has been written to help health professionals and social scientists to use narrative more effectively in their everyday work and writing. The book is split into three, comprehensive sections; Narratives, Counter-narratives and Meta-narratives.
Understanding barriers to healthy lifestyles in a Bangladeshi community
This article summarises the findings from a large qualitative study in east London. In a series of focus groups involving 147 people, the team explored the perceptions of the Bangladeshi community towards diabetes prevention and healthy living, sought advice from religious leaders and Islamic scholars, and asked healthcare professionals about their experiences of giving lifestyle advice to this target audience. The authors highlight key findings that are particularly relevant to diabetes nurses, and suggest some practical changes that might be implemented by nurses working with people of Bangladeshi origin.