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https://www.readbyqxmd.com/read/28525312/evaluation-of-the-introduction-of-an-e-health-skills-component-for-dietetics-students
#1
Megan E Rollo, Clare E Collins, Lesley MacDonald-Wicks
BACKGROUND: Appropriate and effective use of technology within practice is a key competency outlined in Australian dietetics training standards. An e-health skills component (lecture and workshop) was introduced to undergraduate students enrolled in an Australian nutrition and dietetics program. METHODS: The lecture orientated students to key e-health terms and concepts relating to telehealth and m-health technologies, while the workshop provided an opportunity to apply knowledge...
May 19, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28521082/training-doctors-briefly-and-in-situ-to-involve-their-patients-in-making-medical-decisions-preliminary-testing-of-a-newly-developed-module
#2
Jürgen Kasper, Katrin Liethmann, Christoph Heesen, Daniel R Reissmann, Friedemann Geiger
OBJECTIVE: To carry out preliminary evaluation of a training module for doctors to enhance their ability to involve their patients in medical decision making. The training refers to the shared decision-making (SDM) communication concept. METHODS: The training module includes a comprehensive manual, a corresponding video tutorial with communication examples and a 15-minute face-to-face feedback session based on an SDM analysis of a consultation recording provided by the trainee...
May 18, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28514123/-telemedicine-a-novel-service-in-pediatric-emergency-care
#3
Alon Nevet, Yves Bitton, Lior Wolf, Yehezkel Waisman
INTRODUCTION: Telemedicine is a field that deals with monitoring and caring for patients who are physically apart from the caregivers, so they cannot communicate without technological means. The use of telemedicine has been recognized by a number of official organizations worldwide. This article reviews a unique service, "pediatrician online", provided by Clalit HMO, through Medtrix Ltd, with Schneider Children's Hospital specialists' supervision. With this service, parents can receive medical consultation from pediatricians beyond community clinic hours...
July 2016: Harefuah
https://www.readbyqxmd.com/read/28509808/implementing-patient-information-for-gynae-oncology-patients-at-a-tertiary-referral-health-service
#4
Vicki Campbell, Kate Kynoch, Jacinta Tolmie, Carolyn Donges
AIM: To ensure that gynae-oncology surgical patients receive relevant written information, in their preferred format, and at a time that suits them, according to the best available evidence. METHODS: This project utilized an audit and feedback design and was conducted over a 9-month period from August 2015 to May 2016. Twenty-nine patients were audited prior to two strategies being implemented. The first strategy was a standardized e-mail letter to all patients (containing links to surgical information, cancer support websites and a short video introducing hospital staff, and the second was a discharge information sheet detailing wound care, signs of complications, actions to take and follow-up instructions...
May 15, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28497575/recognition-of-delirium-in-postoperative-elderly-patients-a-multicenter-study
#5
Tianne Numan, Mark van den Boogaard, Adriaan M Kamper, Paul J T Rood, Linda M Peelen, Arjen J C Slooter
OBJECTIVES: To evaluate to what extent delirium experts agree on the diagnosis of delirium when independently assessing exactly the same information and to evaluate the sensitivity of delirium screening tools in routine daily practice of clinical nurses. DESIGN: Prospective observational longitudinal study. SETTING: Three medical centers in the Netherlands. PARTICIPANTS: Elderly postoperative adults (n = 167). MEASUREMENTS: A researcher examined participants daily (Postoperative Day 1-3) for delirium using a standardized cognitive assessment and interview including the Delirium Rating Scale Revised-98 as global impression without any cut-off values that was recorded on video...
May 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28496296/a-systematic-review-of-the-literature-on-parenting-of-young-children-with-visual-impairments-and-the-adaptions-for-video-feedback-intervention-to-promote-positive-parenting-vipp
#6
REVIEW
Ellen G C van den Broek, Ans J P M van Eijden, Mathilde M Overbeek, Sabina Kef, Paula S Sterkenburg, Carlo Schuengel
Secure parent-child attachment may help children to overcome the challenges of growing up with a visual or visual-and-intellectual impairment. A large literature exists that provides a blueprint for interventions that promote parental sensitivity and secure attachment. The Video-feedback Intervention to promote Positive Parenting (VIPP) is based on that blueprint. While it has been adapted to several specific at risk populations, children with visual impairment may require additional adjustments. This study aimed to identify the themes that should be addressed in adapting VIPP and similar interventions...
2017: Journal of Developmental and Physical Disabilities
https://www.readbyqxmd.com/read/28491304/health-care-to-empower-self-care-in-adolescents-with-type-1-diabetes-mellitus-and-an-immigrant-minority-background
#7
Åse Boman, Margareta Bohlin, Mats Eklöf, Gun Forsander, Christian Munthe, Marianne Törner
BACKGROUND: The pediatric diabetes team aims to support health, quality of life, and normal growth and development among adolescents with type 1 diabetes mellitus. Adolescents with an immigrant background have been found less successful in self-care. Previous research indicated that adolescents who had integrated the disease as a part of their self-image reasoned differently about their self-care to those who had not. OBJECTIVE: The aim of this study was to identify elements in the patient-pediatrician consultations that might influence such integration of the disease among adolescents with type 1 diabetes mellitus...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28490553/using-a-patient-decision-aid-for-insulin-initiation-in-patients-with-type-2-diabetes-a-qualitative-analysis-of-doctor-patient-conversations-in-primary-care-consultations-in-malaysia
#8
Ayeshah Syed, Zuraidah Mohd Don, Chirk Jenn Ng, Yew Kong Lee, Ee Ming Khoo, Ping Yein Lee, Khatijah Lim Abdullah, Azlin Zainal
OBJECTIVE: To investigate whether the use of apatient decision aid (PDA) for insulin initiation fulfils its purpose of facilitating patient-centred decision-making through identifying how doctors and patients interact when using the PDA during primary care consultations. DESIGN: Conversation analysis of seven single cases of audio-recorded/video-recorded consultations between doctors and patients with type 2 diabetes, using a PDA on starting insulin. SETTING: Primary care in three healthcare settings: (1) one private clinic; (2) two public community clinics and (3) one primary care clinic in a public university hospital, in Negeri Sembilan and the Klang Valley in Malaysia...
May 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28490421/patientvoice-development-of-a-preparatory-pre-chemotherapy-online-communication-tool-for-older-patients-with-cancer
#9
Sandra van Dulmen, Jeanine A Driesenaar, Julia Cm van Weert, Mara van Osch, Janneke Noordman
BACKGROUND: Good communication around cancer treatment is essential in helping patients cope with their disease and related care, especially when this information is tailored to one's needs. Despite its importance, communication is often complex, in particular in older patients (aged 65 years or older). In addition to the age-related deterioration in information and memory processing older patients experience, communication is also complicated by their required yet often unmet role of being an active, participatory patient...
May 10, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28485038/a-cross-sectional-evaluation-of-the-validity-of-a-smartphone-otoscopy-device-in-screening-for-ear-disease-in-nepal
#10
R Mandavia, T Lapa, M Smith, M F Bhutta
OBJECTIVES: Hearing loss is a neglected international health problem. The greatest burden of ear disease is in low-income countries where there is also a lack of resources. In this context, screening for otological disease may be worthwhile. Cupris© has developed an otoscopy device that offers the possibility of low-cost mass screening in remote communities. We evaluated the validity of this device in diagnosing ear disease, and in determining whether referral to an ENT centre is warranted...
May 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28483569/the-emergence-and-promise-of-telelactation
#11
Lori Uscher-Pines, Ateev Mehrotra, Debra L Bogen
Although professional breastfeeding support positively influences breastfeeding behaviors, access to International Board Certified Lactation Consultants (IBCLCs) is limited in many communities. Recognizing their unique role in the provision of breastfeeding support, the Surgeon General's Call to Action to Support Breastfeeding identifies increasing access to IBCLCs as a policy priority. Since 2015, a number of direct-to-consumer telelactation services have emerged to increase convenient access to professional breastfeeding support...
May 5, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28450466/improving-teaching-about-medically-unexplained-symptoms-for-newly-qualified-doctors-in-the-uk-findings-from-a-questionnaire-survey-and-expert-workshop
#12
Katherine Yon, Stephanie Habermann, Joe Rosenthal, Kate R Walters, Sarah Nettleton, Alex Warner, Kethakie Lamahewa, Marta Buszewicz
OBJECTIVES: Medically unexplained symptoms (MUS) present frequently in healthcare, can be complex and frustrating for clinicians and patients and are often associated with overinvestigation and significant costs. Doctors need to be aware of appropriate management strategies for such patients early in their training. A previous qualitative study with foundation year doctors (junior doctors in their first 2 years postqualification) indicated significant lack of knowledge about this topic and appropriate management strategies...
April 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28449293/a-novel-approach-to-study-medical-decision-making-in-the-clinical-setting-the-own-point-of-view-perspective
#13
Thierry Pelaccia, Jacques Tardif, Emmanuel Triby, Bernard Charlin
BACKGROUND: Making diagnostic and therapeutic decisions is a critical activity among physicians. It relies on the ability of physicians to use cognitive processes and specific knowledge in the context of a clinical reasoning. This ability is a core competency in physicians, especially in the field of emergency medicine where the rate of diagnostic errors is high. Studies that explore medical decision-making in an authentic setting are increasing significantly. They are based on the use of qualitative methods which are applied at two separate times: 1) a video recording of the subject's actual activity in an authentic setting and 2) an interview with the subject, supported by the video recording...
April 27, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28441677/building-a-global-online-community-of-practice-the-openpediatrics-world-shared-practices-video-series
#14
Traci A Wolbrink, Niranjan Kissoon, Nabila Mirza, Jeffrey P Burns
PROBLEM: Health care professionals are familiar with engaging in local communities of practice (CoPs) within their hospital, region, and/or country, but despite the availability of online technologies that facilitate online global collaboration, the health care sector has yet to fully embrace these tools. APPROACH: In 2013, OPENPediatrics (an online social learning platform) launched the World Shared Practices video (WSP) series to engage and coalesce the global community of critical care clinicians...
May 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28439962/balancing-task-focus-and-relationship-building-asking-sleepy-patients-about-traffic-risk-in-treatment-initiation-consultations
#15
Clara Iversen, Anders Broström, Martin Ulander
BACKGROUND: The use of traffic risk assessment questions is an understudied area in nursing research. Obstructive sleep apnoea is associated with an increased risk of traffic accidents. Therefore, traffic safety authorities demand adherent continuous positive airway pressure use. Nurses act as coaches to achieve treatment adherence, but they are also obliged to act as state agents by prohibiting obstructive sleep apnoea patients from drowsy driving. OBJECTIVE: To examine how nurses and obstructive sleep apnoea patients manage traffic risk assessment questions in the relation-building context of treatment initiation consultations...
April 24, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28438364/cross-cultural-training-in-primary-mental-health-care-consultations-in-moldova-the-teach-perspective
#16
Jane Ege Møller, Evelyn van Weel-Baumgarten
OBJECTIVE: This article reports experiences and challenges encountered in a cross-cultural training project in Moldova that was undertaken by tEACH, the teaching subcommittee of EACH: International Association for Communication in Healthcare, in cooperation with local and international stakeholders. As part of a major health policy reform, the aim was to equip a group of trainers with the skills to train Moldovan professionals in skills for primary mental health care, including communication skills...
April 13, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28436157/real-time-teleophthalmology-video-consultation-an-analysis-of-patient-satisfaction-in-rural-western-australia
#17
Benjamin Kj Host, Angus W Turner, Josephine Muir
BACKGROUND: Teleophthalmology, particularly real-time video consultation, holds great potential in Australia and similar countries worldwide, where geography, population and medical workforce distribution make it difficult to provide specialist eye services outside of major cities. Assessment and referrals from rural optometrists are vital to the success of teleophthalmology. While there is good evidence for the efficacy of such services, there is limited evidence for patient satisfaction with video consultation...
April 23, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28418599/use-of-the-harmonic-scalpel-for-delorme-s-procedure
#18
David Parés, Ioanna Drami, Katie Adams, Ugo Grossi, Ibnauf Suliman, Charles H Knowles
AIM: There are many surgical techniques to deal with external rectal prolapse but perineal procedures have the advantage of reduced invasiveness. Therefore, despite concerns regarding high recurrence rates, the technique is still used by many surgeons. METHOD: This manuscript and video describe our early clinical experience using the harmonic scalpel in eleven consecutive patients who underwent a Delorme's procedure for external rectal prolapse. RESULTS: The median age of patients was 76 years (range 30-94)...
April 18, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28403837/effect-of-individualized-communication-skills-training-on-physicians-discussion-of-clinical-trials-in-oncology-results-from-a-randomized-controlled-trial
#19
Alexander Wuensch, Tanja Goelz, Gabriele Ihorst, Darcey D Terris, Hartmut Bertz, Juergen Bengel, Michael Wirsching, Kurt Fritzsche
BACKGROUND: Discussing randomized clinical trials (RCTs) with cancer patients is one of the most challenging communication tasks a physician faces. Only two prior Communication Skills Trainings (CSTs) focused on RCTs in oncology have been reported. Their results demonstrated the need for further improvement. We developed and evaluated an enhanced, individually-tailored CST focused on improving physicians' communication during discussions of RCTs. METHODS: The CST focused on personal learning goals derived from video pre-assessment that were addressed in a 1...
April 13, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28400071/using-interpreters-in-medical-consultations-what-is-said-and-what-is-translated-a-descriptive-analysis-using-rias
#20
Marina Sleptsova, Heidemarie Weber, Andrea C Schöpf, Matthias Nübling, Naser Morina, Gertrud Hofer, Wolf Langewitz
OBJECTIVE: To analyse the concordance of original utterances by healthcare providers (HCP) and patients with the corresponding translations by interpreters using the Roter Interaction Analysis System (RIAS). METHODS: Video recordings of interpreted consultations were transcribed. Transcription was performed by professional interpreters, who first transcribed consultations in both languages, then provided a translation of what was said in the foreign language. Based on the translations, the videos were coded and analysed using RIAS...
March 19, 2017: Patient Education and Counseling
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