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https://www.readbyqxmd.com/read/28813254/adapting-to-the-changing-needs-of-adolescents-parenting-practices-and-challenges-to-sensitive-attunement
#1
REVIEW
Roger Kobak, Caroline Abbott, Abigail Zisk, Nadia Bounoua
Changes in adolescents' motivations and capabilities pose unique challenges to parents who play a continuing role in ensuring the youth's safety and well-being. We describe sensitively attuned parenting as an optimal response to this challenge and summarize practices of positive engagement, supervision/guidance and open communication that support sensitive attunement and facilitate the continuing development of the adolescent's self-confidence, autonomous decision-making, and communication skills. We then consider factors that require parents to adapt their practices to the particular needs and developmental level of the adolescent...
June 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28811747/what-establishes-an-excellent-nurse-a-focus-group-and-delphi-panel-approach
#2
Wolter Paans, Patricia Robbe, Inge Wijkamp, Marca V C Wolfensberger
BACKGROUND: Over the past few years, the complexity of the health care system in which nurses are required to practice has increased considerably, magnifying the need for excellent professionals with a specific set of knowledge, skills and attitudes. However, the characteristics that distinguish an excellent nurse have not yet been clarified. The aim of this study was to determine nurses' perspectives regarding characteristics associated with an excellent nurse in order to elicit a conceptual profile...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28807699/communication-challenges-of-oncologists-and-intensivists-caring-for-pediatric-oncology-patients-a-qualitative-study
#3
Folasade Odeniyi, Pamela G Nathanson, Theodore E Schall, Jennifer K Walter
CONTEXT: The families of oncology patients requiring intensive care often face increasing complexity in communication with their providers, particularly when patients are cared for by providers from different disciplines. OBJECTIVE: To describe experiences and challenges faced by pediatric oncologists and intensivists and how the oncologist-intensivist relationship impacts communication and initiation of goals of care discussions (GCDs). METHODS: We conducted semi-structured interviews with a convenience sample of ten physicians, including pediatric oncology and intensive care attendings and fellows...
August 11, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28807194/the-impact-of-glasgow-coma-scale-age-prognosis-score-on-geriatric-traumatic-brain-injury-outcomes
#4
Muhammad Khan, Terence O'Keeffe, Faisal Jehan, Narong Kulvatunyou, Abdullah Kattaa, Lynn Gries, Andrew Tang, Bellal Joseph
BACKGROUND: As the population ages, increasing number of geriatric patients sustain traumatic brain injury (TBI). Communication of accurate prognostic information is crucial for making informed decisions on behalf of such patients. Therefore, the aim of our study was to develop a simple and clinically applicable tool that accurately predicts the prognosis in geriatric TBI patients. METHODS: We performed a 1-y (2011) retrospective analysis of isolated geriatric TBI patients (age ≥65 y, head abbreviated injury score [AIS] ≥ 3, and other body AIS < 3) in the National Trauma Data Bank...
August 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28805569/speech-voice-and-communication
#5
Julia A Johnson
Communication changes are an important feature of Parkinson's and include both motor and nonmotor features. This chapter will cover briefly the motor features affecting speech production and voice function before focusing on the nonmotor aspects. A description of the difficulties experienced by people with Parkinson's when trying to communicate effectively is presented along with some of the assessment tools and therapists' treatment options. The idea of clinical heterogeneity of PD and subtyping patients with different communication problems is explored and suggestions are made on how this may influence clinicians' treatment methods and choices so as to provide personalized therapy programmes...
2017: International Review of Neurobiology
https://www.readbyqxmd.com/read/28803559/rethinking-the-idea-of-late-autism-spectrum-disorder-onset
#6
Elizabeth C Bacon, Eric Courchesne, Cynthia Carter Barnes, Debra Cha, Sunny Pence, Laura Schreibman, Aubyn C Stahmer, Karen Pierce
A common theory of autism spectrum disorder (ASD) symptom onset includes toddlers who do not display symptoms until well after age 2, which are termed late-onset ASD cases. Objectives were to analyze differences in clinical phenotype between toddlers identified as ASD at initial evaluations (early diagnosed) versus those initially considered nonspectrum, then later identified as ASD (late diagnosed). Two hundred seventy-three toddlers recruited from the general population based on a failed developmental screening form or parent or physician concerns were followed longitudinally from 12 months and identified as early- and late-diagnosed cases of ASD, language delayed, or typically developing...
August 14, 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/28800716/co-occurrence-of-asd-and-adhd-traits-in-an-adult-population
#7
Maria Panagiotidi, Paul G Overton, Tom Stafford
OBJECTIVE: ADHD and autism spectrum disorder (ASD) can be viewed as the extreme end of traits found in the general population. Clinical and genetic studies suggest that ADHD and ASD often co-occur and share genetic susceptibility. The aim of this study was to examine co-occurrence of ADHD and ASD traits in the general population. METHOD: In total, 334 participants were recruited from a population-based sample. Four questionnaires assessing current and retrospective ADHD and ASD traits were administered online: the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, the Wender Utah Rating Scale (WURS-25), the Broad Autism Phenotype Questionnaire (BAPQ), and the Autism Spectrum Quotient (AQ)...
August 1, 2017: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28800209/using-local-clinical-educators-and-shared-resources-to-deliver-simulation-training-activities-across-rural-and-remote-south-australia-and-south-west-victoria-a-distributed-collaborative-model
#8
Stacey C Masters, Sandi Elliott, Sarah Boyd, James A Dunbar
PROBLEM: There is a lack of access to simulation-based education (SBE) for professional entry students (PES) and health professionals at rural and remote locations. DESIGN: A descriptive study. SETTING: Health and education facilities in regional South Australia and south-west Victoria. KEY MEASURES FOR IMPROVEMENT: Number of training recipients who participated in SBE; geographical distribution and locations where SBE was delivered; number of rural clinical educators providing SBE...
August 11, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28797260/developing-physiotherapy-student-safety-skills-in-readiness-for-clinical-placement-using-standardised-patients-compared-with-peer-role-play-a-pilot-non-randomised-controlled-trial
#9
Anna C Phillips, Shylie F Mackintosh, Alison Bell, Kylie N Johnston
BACKGROUND: Using simulated learning environments with standardised patients (SPs) provides a way to scaffold the development of skills for patient safety in a low risk environment. There are no data regarding whether adding SP interactions in early years of physiotherapy training improves safe performance on clinical placement. We assessed the feasibility of recruiting and collecting data from junior physiotherapy students during an SP workshop with a pilot non-randomised trial, also assessing time, cost and scheduling information...
August 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28795580/pilot-study-of-an-interprofessional-palliative-care-curriculum-course-content-and-participant-reported-learning-gains
#10
Helene Starks, Heather Coats, Tia Paganelli, Larry Mauksch, Eileen van Schaik, Taryn Lindhorst, Caroline Hurd, Ardith Doorenbos
CONTEXT: The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines recommend that palliative care clinicians work together as interprofessional teams. We created and piloted a 9-month curriculum that focused on 3 related domains: (1) patient-centered, narrative communication skills; (2) interprofessional team practice; and (3) metrics and systems integration. The multifaceted curriculum was delivered through 16 webinars, 8 online modules, 4 in-person workshops, reflective skill practice, written reflections, and small group online discussions...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28789645/student-preparedness-characteristics-important-for-clinical-learning-perspectives-of-supervisors-from-medicine-pharmacy-and-nursing
#11
Hasini Banneheke, Vishna Devi Nadarajah, Srinivasan Ramamurthy, Afshan Sumera, Sneha Ravindranath, Kamalan Jeevaratnam, Benny Efendie, Leela Chellamuthu, Purushotham Krishnappa, Ray Peterson
BACKGROUND: Student perspectives of clinical preparedness have been studied in the literature, but the viewpoint of supervisors is limited. Hence, the aim was to examine the perspective of supervisors on the characteristics of health professional students important for preparedness for clinical learning. METHODS: This was a descriptive, questionnaire-based, cross-sectional study conducted at three higher education institutions in Malaysia. A previously published questionnaire with 62 characteristics was adopted with modifications after pre-testing...
August 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28776480/italian-adaptation-of-the-functional-outcome-questionnaire-aphasia-initial-psychometric-evaluation
#12
Simona Spaccavento, Elisabetta Cafforio, Fara Cellamare, Antonia Colucci, Angela Di Palma, Rosanna Falcone, Angela Craca, Anna Loverre, Roberto Nardulli, Robert L Glueckauf
PURPOSE: To evaluate the psychometric properties of the Italian version of Functional Outcome Questionnaire - Aphasia. METHODS: Two hundred and five persons with stroke-related aphasia and right hemiparesis who received ongoing assistance from a family caregiver were assessed using the Functional Outcome Questionnaire - Aphasia, Aachener Aphasie Test, Token Test, Raven's Coloured Progressive Matrices, Functional Independence Measure (FIM), Functional Assessment Measure (FAM), and Quality of Life Questionnaire for Aphasics (QLQA)...
August 4, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28765471/the-future-of-interprofessional-education-and-practice-for-dentists-and-dental-education
#13
Elizabeth A Andrews
In the ever-changing landscape of education, health professions programs must be adaptable and forward-thinking. Programs need to understand the services students should be educated to provide over the next 25 years. The movement to increase collaboration among health professionals to improve health care outcomes is a significant priority for all health professions. Complex medical issues frequently seen in patients can best be addressed with interprofessional health care teams. Training future health care providers to work in such teams facilitates collaborative care and can result in improved outcomes for patients...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765405/continuing-professional-development-and-irish-hospital-doctors-a-survey-of-current-use-and-future-needs
#14
Bridget Maher, Adnan Faruqui, Mary Horgan, Colm Bergin, Colm O Tuathaigh, Deirdre Bennett
Doctors rate clinical relevance and applicability as the most important determinants of continuing professional development (CPD) course selection. This study examined patterns of current CPD practice and perceived CPD needs among hospital doctors in Ireland across various clinical specialties. A cross-sectional survey was administered to doctors, focusing on the areas of training needs analysis, CPD course content and preferred course format. In total, 547 doctors identified doctor-patient communication as the skill ranked highest for importance and level of current performance...
July 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/28765362/driving-organizational-change-from-the-bedside-the-aacn-clinical-scene-investigator-academy
#15
Susan R Lacey, Caryl Goodyear-Bruch, Adrienne Olney, Dave Hanson, Marian S Altman, Natasha S Varn-Davis, Debbie Brinker, Ramón Lavandero, Karen S Cox
BACKGROUND: Staff nurses are pivotal in leading change related to quality improvement efforts, although many lack skills to steer change from the bedside. The American Association of Critical-Care Nurses (AACN) staff nurse leadership program, Clinical Scene Investigator (CSI) Academy, teaches and empowers staff nurses in leadership skills and change concepts to translate evidence into practice affecting patient outcomes. OBJECTIVES: To describe the curriculum of the AACN CSI Academy that provides staff nurses with the leadership skills required to create unit-based change projects that positively impact patient/family outcomes...
August 2017: Critical Care Nurse
https://www.readbyqxmd.com/read/28764199/evaluation-of-competencies-related-to-personal-attributes-of-resident-doctors-by-360-degree
#16
Harsha Jani, Wasea Narmawala, Jaishree Ganjawale
INTRODUCTION: Postgraduate teaching involves training the residents in all spheres including professionalism, communication and interpersonal skills in addition to the basic clinical skills. Therefore, 360 degree evaluation has gained focus due to increased standards of medical care as shown in this study. AIM: To evaluate interpersonal and communication skills and professionalism in residents doctors using 360 degree evaluation method. MATERIALS AND METHODS: The present study was a descriptive study conducted at a tertiary care hospital affiliated with a medical college...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28755908/communication-skills-in-candidates-for-accreditation-in-rheumatology-are-correlated-with-candidate-s-performance-in-the-objective-structured-clinical-examination
#17
Virginia Pascual-Ramos, Diana Elsa Flores-Alvarado, Margarita Portela-Hernández, María Del Rocío Maldonado-Velázquez, Luis Manuel Amezcua-Guerra, Judith López-Zepeda, Everardo Álvarez, Nadina Rubio, Olga Vera Lastra, Miguel Ángel Saavedra, César Alejandro Arce-Salinas
BACKGROUND: The Mexican Accreditation Council for Rheumatology annually certifies trainees in Rheumatology using a multiple-choice test and an objective structured clinical examination (OSCE). Since 2015, candidate's communication skills (CS) have been rated by both patients and by physician examiners and correlated with results on the OSCE. This study compared the CS from candidates to annual accreditation in Rheumatology as rated by patients and by physician examiners, and assessed whether these correlated with candidate's performance in the OSCE...
July 26, 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/28755497/toward-improving-quality-of-end-of-life-care-encoding-clinical-guidelines-and-standing-orders-using-the-omaha-system
#18
Allison F Slipka, Karen A Monsen
BACKGROUND: End-of-life care (EOLC) relieves the suffering of millions of people around the globe each year. A growing body of hospice care research has led to the creation of several evidence-based clinical guidelines for EOLC. As evidence for the effectiveness of timely EOLC swells, so does the increased need for efficient information exchange between disciplines and across the care continuum. AIMS: The purpose of this study was to investigate the feasibility of using the Omaha System as a framework for encoding interoperable evidence-based EOL interventions with specified temporality for use across disciplines and settings...
July 29, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28752656/the-relationship-between-professional-communication-competences-and-nursing-performance-of-critical-care-nurses-in-south-korea
#19
Hyo-Suk Song, JiYeon Choi, Youn-Jung Son
BACKGROUND: Ineffective communication of critical care nurses can lead to higher levels of burnout and negatively affect quality of patient care and patient outcomes such as higher mortality. AIM: The purpose of this study is to describe the relationship between professional communication competences and nursing performance of critical care nurses in South Korea. METHOD: This cross-sectional study collected data on 197 intensive care unit staff nurses in 3 tertiary academic medical centres in South Korea from July to November 2014...
July 28, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28750617/health-system-preparedness-for-integration-of-mental-health-services-in-rural-liberia
#20
Wilfred S Gwaikolo, Brandon A Kohrt, Janice L Cooper
BACKGROUND: There are increasing efforts and attention focused on the delivery of mental health services in primary care in low resource settings (e.g., mental health Gap Action Programme, mhGAP). However, less attention is devoted to systematic approaches that identify and address barriers to the development and uptake of mental health services within primary care in low-resource settings. Our objective was to prepare for optimal uptake by identifying barriers in rural Liberia. The country's need for mental health services is compounded by a 14-year history of political violence and the largest Ebola virus disease outbreak in history...
July 27, 2017: BMC Health Services Research
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