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https://www.readbyqxmd.com/read/29427897/spatial-aggregation-of-holistically-nested-convolutional-neural-networks-for-automated-pancreas-localization-and-segmentation
#1
Holger R Roth, Le Lu, Nathan Lay, Adam P Harrison, Amal Farag, Andrew Sohn, Ronald M Summers
Accurate and automatic organ segmentation from 3D radiological scans is an important yet challenging problem for medical image analysis. Specifically, as a small, soft, and flexible abdominal organ, the pancreas demonstrates very high inter-patient anatomical variability in both its shape and volume. This inhibits traditional automated segmentation methods from achieving high accuracies, especially compared to the performance obtained for other organs, such as the liver, heart or kidneys. To fill this gap, we present an automated system from 3D computed tomography (CT) volumes that is based on a two-stage cascaded approach-pancreas localization and pancreas segmentation...
February 1, 2018: Medical Image Analysis
https://www.readbyqxmd.com/read/29334516/computer-based-training-in-eating-and-nutrition-facilitates-person-centered-hospital-care-a-group-concept-mapping-study
#2
Albert Westergren, Ellinor Edfors, Erika Norberg, Anna Stubbendorff, Gita Hedin, Martin Wetterstrand, Scott R Rosas, Peter Hagell
Studies have shown that computer-based training in eating and nutrition for hospital nursing staff increased the likelihood that patients at risk of undernutrition would receive nutritional interventions. This article seeks to provide understanding from the perspective of nursing staff of conceptually important areas for computer-based nutritional training, and their relative importance to nutritional care, following completion of the training. Group concept mapping, an integrated qualitative and quantitative methodology, was used to conceptualize important factors relating to the training experiences through four focus groups (n = 43), statement sorting (n = 38), and importance rating (n = 32), followed by multidimensional scaling and cluster analysis...
January 12, 2018: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29227430/continuing-education-meets-the-learning-organization-the-challenge-of-a-systems-approach-to-patient-safety
#3
John M Eisenberg
Since the release of the report of the Institute of Medicine on medical errors and patient safety in November 1999, health policy makers and health care leaders in several nations have sought solutions that will improve the safety of health care. This attention to patient safety has highlighted the importance of a learning approach and a systems approach to quality measurement and improvement. Balanced with the need for public disclosure of performance, confidential reporting with feedback is one of the prime ways that nations such as the United States, Canada, the United Kingdom, and Australia have approached this challenge...
October 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29155960/occupational-medicine-specialist-referral-triggers-mixed-methods-analysis-of-teleconsult-cases
#4
J L Eaton, A Mohammad, D C Mohr, D J Brustein, S R Kirkhorn
Background: Qualitative analyses can yield critical lessons for learning organizations in healthcare. Few studies have applied these techniques in the field of occupational and environmental medicine (OEM). Aims: To describe the characteristics of complex cases referred for OEM subspecialty evaluation and variation by referring provider's training. Methods: Using a mixed methods approach, we conducted a content analysis of clinical cases submitted to a national OEM teleconsult service...
November 16, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28958192/the-effects-of-leadership-competencies-and-quality-of-work-on-the-perceived-readiness-for-organizational-change-among-nurse-managers
#5
Mahmoud Al-Hussami, Sawsan Hamad, Muhammad Darawad, Mahmoud Maharmeh
Purpose This paper aims to set a leadership guidance program that can promote nurses' knowledge of leadership and, at the same time, to enhance their leadership competencies and quality of work to promote their readiness for change in healthcare organizations. Design/methodology/approach A pre-experimental, one-group pretest-posttest design was utilized. Out of 90 invited to participate in this study, 61 nurses were accepted to participate. Findings The statistical analyses suggested several significant differences between pre- and in-service nurse managers about leadership competencies, quality of work and readiness for change...
September 28, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28944504/creating-and-sustaining-an-academic-practice-partnership-engagement-model
#6
Marjorie A Schaffer, Patricia M Schoon, Bonnie L Brueshoff
Public health clinical educators and practicing public health nurses (PHNs) are experiencing challenges in creating meaningful clinical learning experiences for nursing students due to an increase in nursing programs and greater workload responsibilities for both nursing faculty and PHNs. The Henry Street Consortium (HSC), a collaborative group of PHNs and nursing faculty, conducted a project to identify best practices for public health nursing student clinical learning experiences. Project leaders surveyed HSC members about preferences for teaching-learning strategies, facilitated development of resources and tools to guide learning, organized faculty/PHN pilot teams to test resources and tools with students, and evaluated the pilot team experiences through two focus groups...
September 25, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28938243/creating-a-learning-culture-for-medical-consortia-in-china
#7
Guozhong He, Zimin Chen
In China's recent health care reforms, both individuals and organizations have shown an ever-growing desire and demand for new knowledge and skills. A health care delivery system (HCDS) should explore new ways for creating a learning organization (LO) and should organically combine HCDS culture construction with the LO construction to build a cultural atmosphere that is conducive to the development of the LO. This article describes the implementation phase, characteristics, and realization strategy of an HCDS construction for the ultimate purpose of enhancing HCDS cohesion, solidarity, and sustainable development...
September 21, 2017: Health Care Manager
https://www.readbyqxmd.com/read/28686129/centres-for-leadership-a-strategy-for-academic-integration
#8
Gillian King, Kathryn Parker, Sean Peacocke, C J Curran, Amy C McPherson, Tom Chau, Elaine Widgett, Darcy Fehlings, Golda Milo-Manson
Purpose The purpose of this paper is to describe how an Academic Health Science Centre, providing pediatric rehabilitation services, research, and education, developed a Centres for Leadership (CfL) initiative to integrate its academic functions and embrace the goal of being a learning organization. Design/methodology/approach Historical documents, tracked output information, and staff members' insights were used to describe the ten-year evolution of the initiative, its benefits, and transformational learnings for the organization...
May 15, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28598040/doing-the-research-that-informs-practice-a-retrospective-view-of-one-group-s-attempt-to-study-the-teaching-and-learning-of-organic-chemistry
#9
George M Bodner, Rob Ferguson, Selçuk Çalimsiz
The idea that the focus of educational research should be on results that can inform the practice of teaching has been an implicit assumption for so many years that one would be hard-pressed to trace it back to an individual source. At one time, the people doing such research in STEM disciplines were faculty in schools or colleges of education who focused on K-12 classrooms and looked for ideas, concepts, and principles that would be valid across a range of STEM disciplines. Eventually, this research was done on college- or university-level students, as well, and there was a shift toward what has been called discipline-based educational research (DBER) that looks at the problems associated with the teaching and learning of a given discipline, such as chemistry...
July 4, 2017: Chemistry, An Asian Journal
https://www.readbyqxmd.com/read/28300979/-family-healthcare-units-in-portugal-and-family-clinics-in-rio-de-janeiro-their-essence-and-similarities
#10
Eunice Isabel do Nacimento Carrapiço, João Henrique Vaz Ramires, Victor Manuel Borges Ramos
The authors address parallel developments in Family Healthcare Units (USF) in Portugal (since 2006) and in primary care Family Clinics (CF) in Rio de Janeiro (since 2009). In this essay, they highlight the meeting that took place in Portugal with Brazilian Health Ministry and Rio de Janeiro Department of Health members in October 2009. Being directly involved (since May 2016) in the development of USF in the Lisbon Region, and having visited, in November 2016, several CF in Rio de Janeiro, they analyze aspects such as: organization in permanent structural multi-professional teams; main common characteristics of the teams; teambuilding processes; organization and technical autonomy; instruments to regulate autonomy; responsibility and accountability - contracting processes; monitoring and evaluation; leadership system; motivational factors for professionals and for the team as a whole; learning organizations...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28255597/an-updated-synthesis-of-review-evidence-of-interprofessional-education
#11
REVIEW
Scott Reeves, Janice Palaganas, Brenda Zierler
With continued growth and investment in interprofessional education (IPE) activities, there is a persistent need to understand the effect of IPE on learning, organizations, systems, and patients. This paper presents an update of a previously published synthesis of reviews. In doing so, it provides a critical appraisal of the most recent evidence for the IPE review literature. Following a search of the literature, eight IPE reviews were identified. Findings from this synthesis indicate continued methodological weaknesses, similarities in the methodological approaches to the reviews, and a focus on short-term impact with a lack of attention on long-term impact...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/27997477/an-examination-of-the-self-directed-online-leadership-learning-choices-of-public-health-professionals-the-maternal-and-child-health-public-health-leadership-institute-experience
#12
Claudia S P Fernandez, Cheryl C Noble, Elizabeth T Jensen
OBJECTIVES: To assess the self-selected asynchronous leadership module-based learning choices of public health professionals participating in the Maternal and Child Health Public Health Leadership Institute (MCH PHLI). METHODS: Online module completion and evaluation data were used to determine the topics most utilized by the Fellows; whether the topics and mode of training were acceptable, relevant, and practical; and whether participant characteristics explained any usage patterns...
September 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27857013/-structural-model-of-evidence-based-practice-implementation-among-clinical-nurses
#13
Hyunyoung Park, Keum Seong Jang
PURPOSE: This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory. METHODS: Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness...
October 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/27833398/intersections-of-critical-systems-thinking-and-community-based-participatory-research-a-learning-organization-example-with-the-autistic-community
#14
Dora M Raymaker
Critical systems thinking (CST) and community based participatory research (CBPR) are distinct approaches to inquiry which share a primary commitment to holism and human emancipation, as well as common grounding in critical theory and emancipatory and pragmatic philosophy. This paper explores their intersections and complements on a historical, philosophical, and theoretical level, and then proposes a hybrid approach achieved by applying CBPR's principles and considerations for operationalizing emancipatory practice to traditional systems thinking frameworks and practices...
October 2016: Systemic Practice and Action Research
https://www.readbyqxmd.com/read/27828739/leadership-in-learning-organizations-a-strategy-for-improvement
#15
Alex Till, Maslah Amin, Judy McKimm
The learning organization is a potential framework for managing transformational culture change and delivering high quality health care. It helps to shift the focus from the development of individuals as leaders to one which takes a 'whole organization' approach.
November 2, 2016: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/27598708/leadership-training-and-the-problems-of-competency-development
#16
W Michael Reid, Claudia Jennifer Dold
CONTEXT: An important workforce development effort during the past 25 years has been developing competency sets. Several of the sets rely on the concepts of Senge's Learning Organization and Burns' Transformational Leadership. The authors' experiences and study in designing and implementing a curriculum for a public health leadership institute based on these concepts raised several important questions about competency development and application. OBJECTIVES: To summarize the use of the Senge and Burns frameworks in several competency sets and the practice literature and to assess the status of competency development for those frameworks and for competency development generally...
January 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27504396/an-insight-into-health-care-setup-in-national-capital-region-of-india-using-dimensions-of-learning-organizations-questionnaire-dloq-a-cross-sectional-study
#17
Jishnu Krishna Kumar, Ritu Gupta, Patthi Basavaraj, Ashish Singla, Monika Prasad, Venisha Pandita, Ravneet Malhi, Vaibhav Vashishtha
INTRODUCTION: Over the past decades India, though being a developing country has progressed in multiple sectors but has not shown a substantial qualitative progress in healthcare. To be able to evaluate learning organization in a healthcare setup would thrust millennium development goals and infuse continuous learning model into health sector. AIM: To assess health care context using the Dimensions of the Learning Organization Questionnaire (DLOQ) in a health care setting in National Capital Region of India...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27240027/thinking-outside-of-the-box-transfer-of-shape-based-reorientation-across-the-boundary-of-an-arena
#18
Matthew G Buckley, Alastair D Smith, Mark Haselgrove
The way in which human and non-human animals represent the shape of their environments remains a contentious issue. According to local theories of shape learning, organisms encode the local geometric features of the environment that signal a goal location. In contrast, global theories of shape learning suggest that organisms encode the overall shape of the environment. There is, however, a surprising lack of evidence to support this latter claim, despite the fact that common behaviours seem to require encoding of the global-shape of an environment...
June 2016: Cognitive Psychology
https://www.readbyqxmd.com/read/27013869/the-senior-living-lab-an-example-of-nursing-leadership
#19
Susie Riva-Mossman, Thomas Kampel, Christine Cohen, Henk Verloo
The Senior Living Lab (SLL) is dedicated to the care of older adults and exemplifies how nursing leadership can influence clinical practice by designing research models capable of configuring interdisciplinary partnerships with the potential of generating innovative practices and better older patient outcomes. Demographic change resulting in growing numbers of older adults requires a societal approach, uniting stakeholders in social innovation processes. The LL approach is an innovative research method that values user perceptions and participation in the cocreation of new products and services...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/26916659/educating-change-agents-a-qualitative-descriptive-study-of-graduates-of-a-master-s-program-in-evidence-based-practice
#20
Grete Oline Hole, Sissel Johansson Brenna, Birgitte Graverholt, Donna Ciliska, Monica Wammen Nortvedt
BACKGROUND: Health care professionals are expected to build decisions upon evidence. This implies decisions based on the best available, current, valid and relevant evidence, informed by clinical expertise and patient values. A multi-professional master's program in evidence-based practice was developed and offered. The aims of this study were to explore how students in this program viewed their ability to apply evidence-based practice and their perceptions of what constitute necessary conditions to implement evidence-based practice in health care organizations, one year after graduation...
February 25, 2016: BMC Medical Education
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