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https://www.readbyqxmd.com/read/29779552/using-echo-clinics-to-promote-capacity-building-in-clinical-supervision
#1
Michael J Chaple, Thomas E Freese, Beth A Rutkowski, Laurie Krom, Andrew S Kurtz, James A Peck, Paul Warren, Susan Garrett
INTRODUCTION: Project Extension for Community Healthcare Outcomes (ECHO™) is a hub-and-spoke knowledge-sharing network, led by expert teams who use multipoint videoconferencing to conduct virtual clinics with community providers in order to improve the quality of care. For this project, members of the Addiction Technology Transfer Center network applied this model in order to enhance workforce capacity to deliver clinical supervision for the treatment of substance use disorders. METHODS: Clinical supervisors (n=66) employed in substance use disorder treatment programs were recruited to participate in this pilot study...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29779546/state-legislative-approach-to-enumerating-behavioral-health-workforce-shortages-lessons-learned-in-new-mexico
#2
Deborah B Altschul, Caroline A Bonham, Martha J Faulkner, Amy W Farnbach Pearson, Jessica Reno, Wayne Lindstrom, Shelley M Alonso-Marsden, Annette Crisanti, Julie G Salvador, Richard Larson
Nationally, the behavioral health workforce is in crisis because of a lack of resources, culturally responsive services, quality clinical supervision, sufficient training in evidence-based practices, and targeted recruitment and retention. Disparities in access to behavioral health care are particularly significant in New Mexico, where 25% of the population live in rural areas, and behavioral health shortages are among the highest in the nation. Additionally, as a Medicaid expansion state, New Mexico providers experience increased demand for services at a time when the state is challenged with limited workforce capacity...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29766539/block-versus-longitudinal-integrated-clerkships-students-views-of-rural-clinical-supervision
#3
Martin Witney, Vivian Isaac, Denese Playford, Leesa Walker, David Garne, Lucie Walters
CONTEXT: Medical students undertaking longitudinal integrated clerkships (LICs) train in multiple disciplines concurrently, compared with students in block rotations who typically address one medical discipline at a time. Current research suggests that LICs afford students increased access to patients and continuity of clinical supervision. However, these factors are less of an issue in rural placements where there are fewer learners. The aim of this study was to compare rural LIC and rural block rotation students' reported experiences of clinical supervision...
May 15, 2018: Medical Education
https://www.readbyqxmd.com/read/29746179/collaborative-task-sharing-to-enhance-the-point-of-care-ultrasound-pocus-access-among-expectant-women-in-kenya-the-role-of-midwife-sonographers
#4
Sudhir Vinayak, Sharon Brownie
Unrealized maternal and child health goals continue to challenge Kenya where adverse outcomes remain high and diagnostic services are limited. The acute shortage of doctors and radiographers requires alternate human resources for health (HRH) with the ability to identify risk factors in pregnancy through Point-Of-Care Ultrasound (POCUS). A specialist radiologist and ultrasonography team partnered with midwives to adopt interprofessional task sharing and capacity building. Faculty from the Radiology Department of our hospital designed and implemented the project which was carried out at three outreach health service centres...
May 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29686769/residents-ratings-of-their-clinical-supervision-and-their-self-reported-medical-errors-analysis-of-data-from-2009
#5
DeWitt C Baldwin, Steven R Daugherty, Patrick M Ryan, Nicholas A Yaghmour, Ingrid Philibert
Background : Medical errors and patient safety are major concerns for the medical and medical education communities. Improving clinical supervision for residents is important in avoiding errors, yet little is known about how residents perceive the adequacy of their supervision and how this relates to medical errors and other education outcomes, such as learning and satisfaction. Methods : We analyzed data from a 2009 survey of residents in 4 large specialties regarding the adequacy and quality of supervision they receive as well as associations with self-reported data on medical errors and residents' perceptions of their learning environment...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29683013/medical-students-professional-identity-development-from-being-actors-in-an-objective-structured-teaching-exercise
#6
Jehanne De Grasset, Marie-Claude Audetat, Nadia Bajwa, Nicole Jastrow, Hélène Richard-Lepouriel, Mathieu Nendaz, Noelle Junod Perron
INTRODUCTION: Medical students develop professional identity through structured activities and impromptu interactions in various settings. We explored if contributing to an Objective Structured Teaching Exercise (OSTE) influenced students' professional identity development. METHODS: University clinical faculty members participated in a faculty development program on clinical supervision. Medical students who participated in OSTEs as simulated residents were interviewed in focus groups about what they learnt from the experience and how the experience influenced their vision of learning and teaching...
April 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29679433/students-attitudes-to-suicide-and-suicidal-persons-a-cross-national-and-cultural-comparison-between-turkey-and-united-kingdom
#7
Chris Flood, Mualla Yilmaz, Louise Phillips, Tracy Lindsay, Mehmet Eskin, Janet Hiley, Bahar Tasdelen
INTRODUCTION: Suicide is a major public health issue internationally and the impact of positive or negative attitudes amongst the mental health professional workforce warrants scrutiny. The study aimed to examine English and Turkish nursing students' attitudes towards people with suicidal behaviour. METHOD: This cross-cultural study reports on attitudes of 240 nursing students towards suicide in Turkey and 82 nursing students in the UK. A reliable and valid twenty-four item 'Attitudes towards Suicide Scale' and 'Social Reactions to Suicidal Persons Scale' were used to measure attitudes...
April 21, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29669685/nurses-views-on-legalising-assisted-dying-in-new-zealand-a-cross-sectional-study
#8
Michael Wilson, Pam Oliver, Phillipa Malpas
AIMS: This study investigated New Zealand nurses' views on legalising assisted dying across a range of clinical conditions, nurses' willingness to engage in legal assisted dying, potential deterrents and enablers to such engagement, and nurses' perceptions of the proper role of their professional bodies in relation to legalising assisted dying. BACKGROUND: A Bill for legalising assisted dying is currently before the New Zealand parliament. Of the 16 jurisdictions where assisted dying has been specifically legislated, only the Canadian federal statute provides nurses with explicit legal protection for their performance of assisted dying-related tasks...
April 15, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29626265/addressing-the-immediate-need-for-emergency-providers-in-resource-limited-settings-the-model-of-a-six-month-emergency-medicine-curriculum-in-haiti
#9
Shada A Rouhani, Kerling Israel, Fernet Leandre, Sosthène Pierre, Brennan Bollman, Regan H Marsh
BACKGROUND: In many resource-limited settings, emergency medicine (EM) is underdeveloped and formal EM training limited. Residencies and fellowships are an ideal long-term solution but cannot meet immediate needs for emergency providers, while short-term programs are often too limited in content. We describe a third method successfully implemented in Haiti: a medium-duration certificate program to meet the immediate need for emergency specialists. METHODS: In conjunction with the Haitian Ministry of Health and National Medical School, we developed and implemented a novel, 6-month EM certificate program to build human resources for health and emergency care capacity...
April 6, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29588829/the-effectiveness-of-clinical-teaching-of-mental-health-courses-in-nursing-using-clinical-supervision-and-kirkpatrick-s-model
#10
Maryam Maddineshat, Mitra Hashemi, Reza Besharati, Sepideh Gholami, Fatemeh Ghavidel
Background: Clinical experience associated with the fear and anxiety of nursing students in the psychiatric unit. Mental health nursing instructors find it challenging to teach nursing students to deal with patients with mental disorders in an environment where they need to provide patient teaching and clinical decision-making based on evidence and new technology. Objective: To measure the effectiveness of clinical teaching of mental health courses in nursing using clinical supervision and Kirkpatrick's model evaluation in the psychiatry unit of Imam Reza Hospital, Bojnurd, Iran...
January 2018: Electronic Physician
https://www.readbyqxmd.com/read/29574394/online-learning-versus-blended-learning-of-clinical-supervisee-skills-with-pre-registration-nursing-students-a-randomised-controlled-trial
#11
Karen McCutcheon, Peter O'Halloran, Maria Lohan
BACKGROUND: The World Health Organisation amongst others recognises the need for the introduction of clinical supervision education in health professional education as a central strategy for improving patient safety and patient care. Online and blended learning methods are growing exponentially in use in higher education and the systematic evaluation of these methods will aid understanding of how best to teach clinical supervision. OBJECTIVE: The purpose of this study was to test whether undergraduate nursing students who received clinical supervisee skills training via a blended learning approach would score higher in terms of motivation and attitudes towards clinical supervision, knowledge of clinical supervision and satisfaction of learning method, when compared to those students who received an online only teaching approach...
March 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29565099/what-keeps-nurses-happy-implications-for-workforce-well-being-strategies
#12
Jennifer Oates
AIM: The aim of this article is to present selected findings from a doctoral study on the subjective well-being and subjective experience of mental health problems in UK mental health nurses. Here the concept of 'nurses' well-being' is explored. METHOD: Data were drawn from a survey of 237 mental health nurses about their mental health and well-being and from interviews with 27 mental health nurses with personal experience of mental health problems and high subjective well-being...
March 22, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29564586/clinical-supervision-of-mental-health-professionals-serving-youth-format-and-microskills
#13
Abby Bailin, Sarah Kate Bearman, Rafaella Sale
Clinical supervision is an element of quality assurance in routine mental health care settings serving children; however, there is limited scientific evaluation of its components. This study examines the format and microskills of routine supervision. Supervisors (n = 13) and supervisees (n = 20) reported on 100 supervision sessions, and trained coders completed observational coding on a subset of recorded sessions (n = 57). Results indicate that microskills shown to enhance supervisee competency in effectiveness trials and experiments were largely absent from routine supervision, highlighting potential missed opportunities to impart knowledge to therapists...
March 21, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29563006/opioid-rotation-in-cancer-pain-treatment
#14
Michael Schuster, Oliver Bayer, Florian Heid, Rita Laufenberg-Feldmann
BACKGROUND: Rotating several different WHO level III opioid drugs is a therapeutic option for patients with chronic cancer-related pain who suffer from inadequate analgesia and/or intolerable side effects. The evidence favoring opioid rotation is controversial, and the current guidelines in Germany and other countries contain only weak recommendations for it. METHODS: This review is based on pertinent publications retrieved by a systematic review of the literature on opioid rotation for adult patients with chronic cancerrelated pain who are regularly taking WHO level III opioids by the oral or trans - dermal route...
March 2, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29531930/emotional-intelligence-an-old-issue-and-a-new-look-in-clinical-teaching
#15
REVIEW
Athar Omid, Fariba Haghani, Peyman Adibi
In this paper, a novel model of clinical teachers with social and emotional competency which is emphasized on the importance of clinical teacher's social and emotional competence is presented. In this model, we supposed that a teacher with social and emotional competence can manage her/his emotions and has the ability to personal development and well-being. Such teacher has the competency of empathy, communication with the patients, teamwork, and collaboration to provide successful patient-centered care and relationship-centered care...
2018: Advanced Biomedical Research
https://www.readbyqxmd.com/read/29523206/effectiveness-and-cost-effectiveness-of-humanistic-counselling-in-schools-for-young-people-with-emotional-distress-ethos-study-protocol-for-a-randomised-controlled-trial
#16
Megan Rose Stafford, Mick Cooper, Michael Barkham, Jeni Beecham, Peter Bower, Karen Cromarty, Andrew J B Fugard, Charlie Jackson, Peter Pearce, Rebekah Ryder, Cathy Street
BACKGROUND: One in ten children in Britain have been identified as experiencing a diagnosable mental health disorder. School-based humanistic counselling (SBHC) may help young people identify, address, and overcome psychological distress. Data from four pilot trials suggest that SBHC may be clinically effective. However, a fully powered randomised controlled trial (RCT) is needed to provide a robust test of its effectiveness, to assess its cost-effectiveness, and to determine the process of change...
March 9, 2018: Trials
https://www.readbyqxmd.com/read/29522381/experiences-of-burnout-among-drug-counselors-in-a-large-opioid-treatment-program-a-qualitative-investigation
#17
Mark Beitel, Lindsay Oberleitner, Dharushana Muthulingam, David Oberleitner, Lynn M Madden, Ruthanne Marcus, Anthony Eller, Madeline H Bono, Declan T Barry
BACKGROUND: Little is known about possible experiences of burnout among drug counselors in opioid treatment programs that are scaling up capacity to address the current opioid treatment gap. METHODS: Participants in this quality improvement study were 31 drug counselors employed by large opioid treatment programs whose treatment capacities were expanding. Experiences of burnout and approaches for managing and/or preventing burnout were examined using individual semi-structured interviews, which were audiotaped, transcribed, and systematically coded by a multidisciplinary team using grounded theory...
March 9, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29520662/a-sustainable-alternative-to-the-gold-standard-ebp-validating-existing-programs
#18
Pamela Meadowcroft, Maria Zeglen Townsend, Art Maxwell
Increasingly, jurisdictions are requiring the adoption of certified evidence-based programs (EBPs) for behavioral health and human services for children, youth, and their families. Often, such adoption of proven, prepackaged programs is done without regard to existing, yet effective, locally developed program models. This study presents a replicable six-step process that identifies key researched elements from within existing programs and creates program-specific fidelity scoring and tracking tools for routine use during clinical supervision to assure that these elements are implemented well...
March 8, 2018: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29517330/developing-advanced-clinical-practice-skills-in-gastrointestinal-consequences-of-cancer-treatment
#19
Caroline Gee, Jervoise Andreyev, Ann Muls
This article explores the transition from a clinical nurse specialist (CNS) towards developing advanced clinical practice skills within a gastrointestinal consequences of cancer clinic. It presents data on the first 50 patients assessed by the CNS from a prospective service evaluation, demonstrating how this informed the nurse's future learning. There is high demand for advanced clinical practice skills to address unmet health needs and improve the quality, efficiency, and sustainability of healthcare services...
March 8, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29494636/causes-of-death-and-early-life-determinants-of-survival-in-homozygous-sickle-cell-disease-the-jamaican-cohort-study-from-birth
#20
Graham R Serjeant, Nicki Chin, Monika R Asnani, Beryl E Serjeant, Karlene P Mason, Ian R Hambleton, Jennifer M Knight-Madden
Globally, the majority of persons born with sickle cell disease do not have access to hydroxyurea or more expensive interventions. The objectives were to estimate the survival in homozygous sickle cell disease, unbiased by symptomatic selection and to ascertain the causes of death in a pre-hydroxyurea population. The utility of early life biomarkers and genetically determined phenotypes to predict survival was assessed. A cohort study based on neonatal diagnosis was undertaken at the Sickle Cell Unit, a specialist clinic delivering care to persons with sickle cell disease in Jamaica...
2018: PloS One
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