Important physiological and pathophysiological phenomena are concurrently manifest as changes across multiple clinical streams.
An NC is required to have at least a Master degree, preferably doctoral, in clinical streams of nursing, completed nursing specialty training, preferably with general training in other specialties, and track record of demonstrated specialty educational planning and teaching experiences.
From 2008 to 2012, we offered genetic testing through both clinical streams at the Women's College Hospital, Toronto, and we are now in the unique position to compare the yield of the two approaches.
One Senior health service manager went further stating that networks should be formally embedded in clinical streams at the local health area and hospital level, otherwise momentum would be lost after initial establishment of a network and clinicians would 'drift away' from the network.
Analysis for the clinical symptoms stream involves describing the frequency and severity of symptoms based on the clinical symptom instrument.
Reasons for leadership support include the need for political will to support an initiative without (initially) an obvious clinical funding stream.
Unlike the clinical symptom stream where data are collected online or by telephone, the bio-psychosocial-spiritual instruments are completed at home and mailed to the main site.
The results were compelling enough that the regimen is being evaluated in a randomized controlled clinical trial, STREAM (the Evaluation of a Standardised Treatment Regimen of Anti-Tuberculosis Drugs for Patients with MDR TB); results are expected in 2017 2018 (12017 2018
The rich clinical data streams becoming accessible to public health should enable the implementation of surveillance strategies that incorporate our findings.
