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Kelly M Pennington, Yue Dong, Hongchuan H Coville, Bo Wang, Ognjen Gajic, Diana J Kelm
OBJECTIVE: The current study examines the feasibility and potential effects of long distance, remote simulation training on team dynamics. DESIGN: The study design was a prospective study evaluating team dynamics before and after remote simulation. SUBJECTS: Study subjects consisted of interdisciplinary teams (attending physicians, physicians in training, advanced care practitioners, and/or nurses). SETTING: The study was conducted at nine training sites in eight countries...
December 2018: Medical Education Online
Ines M Aguerre, Amy R Riley-Powell, Caroline T Weldon, Monica J Pajuelo, Rosa A Celis Nacimento, Anité Puente-Arnao, Lilia Cabrera, Richard A Oberhelman, Valerie A Paz-Soldan
BACKGROUND: More than one billion people worldwide live with a disability. Despite advances in recognising inequalities experienced by people with disabilities, barriers to services and stigmatisation still exist. The aims of this study were to explore: (1) perceptions and experiences of services specifically available to people with disabilities and their caregivers and (2) the perception of disability. METHODS: In-depth interviews were conducted with 20 caregivers of persons with a disability and 14 key informants in two cities in Peru; Lima and Iquitos...
June 17, 2018: Disability and Rehabilitation
Justin A Pruneski
Overcoming the complex and technical language used in science is a major barrier to scientists being able to communicate their work with the general public. This can lead to misunderstanding and mistrust of science, with many negative consequences. Scientists are increasingly seeking to improve their ability to communicate their work effectively with a variety of audiences. As such, students should recognize the challenges and importance of communicating science with nonscientists. This short classroom activity takes advantage of a free, web-based tool, called Simple Writer (https://xkcd...
2018: Journal of Microbiology & Biology Education: JMBE
Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J A Holland, Elizabeth Sullivan, Rebecca Ivers
BACKGROUND: Access to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child's health and well-being, but disparities and inequality in health care systems have been almost impossible to eradicate for First Nation people globally. The objective of this review is to identify the factors that impact access and ongoing care for First Nation children globally with a chronic condition. METHODS: An extensive systematic search was conducted of nine electronic databases to identify primary studies that explored factors affecting access to ongoing services for First Nation children with a chronic disease or injury...
June 14, 2018: BMC Health Services Research
Anna Lloyd, Katrina Bannigan, Thavapriya Sugavanam, Jennifer Freeman
OBJECTIVE: The objective of the review was to synthesize the best available qualitative evidence regarding the experiences of stroke survivors, their families and unpaid carers, about goal setting within stroke rehabilitation. INTRODUCTION: Clinical guidelines recommend person-centered goal setting in stroke rehabilitation but many barriers exist to its implementation. Individual differences and preferences, of both the stroke survivor and practitioner, may influence involvement in goal setting...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
Zoi Papadatou, Hector Williams, Kay Cooper
OBJECTIVE: The aim of this review was to identify, appraise and synthesize the best available evidence on the effectiveness of moisturizers, barrier creams, protective gloves, skin protection education and complex interventions (a combination of two or more of the interventions listed here) in preventing occupational irritant hand dermatitis (OIHD) in wet workers, comparing each intervention to an alternative intervention or to usual care (workers' regular skin care regimen). INTRODUCTION: The most significant occupational skin problem potentially encountered in wet work occupations is occupational dermatitis...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
Nicola Heslehurst, Heather Brown, Augustina Pemu, Hayley Coleman, Judith Rankin
BACKGROUND: Global migration is at an all-time high with implications for perinatal health. Migrant women, especially asylum seekers and refugees, represent a particularly vulnerable group. Understanding the impact on the perinatal health of women and offspring is an important prerequisite to improving care and outcomes. The aim of this systematic review was to summarise the current evidence base on perinatal health outcomes and care among women with asylum seeker or refugee status. METHODS: Twelve electronic database, reference list and citation searches (1 January 2007-July 2017) were carried out between June and July 2017...
June 12, 2018: BMC Medicine
Kimberly K Repp, Eva Hawes, Kathleen J Rees, Beth Vorderstrasse, Sue Mohnkern
CONTEXT: Conducting a large-scale Community Assessment for Public Health Emergency Response (CASPER) in a geographically and linguistically diverse county presents significant methodological challenges that require advance planning. PROGRAM: The Centers for Disease Control and Prevention (CDC) has adapted methodology and provided a toolkit for a rapid needs assessment after a disaster. The assessment provides representative data of the sampling frame to help guide effective distribution of resources...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Janett A Hildebrand, John Billimek, Ellen F Olshansky, Dara H Sorkin, Jung-Ah Lee, Lorraine S Evangelista
BACKGROUND: Latinos constitute 17% of the US population and are one of the largest ethnic groups; however, only 7.6% participate in research studies. There is a disproportionately high number of Latinos living with type 2 diabetes mellitus and are at increased risk for cardiovascular events. Research to elicit facilitators and barriers for participation in research and effective recruitment strategies is limited. AIMS: This article reports the qualitative findings of a mixed-methods study examining perceived facilitators and barriers for research participation, and explores decision-making processes and ascertains ethnic values that influenced their decisions among Spanish-speaking Latinos with type 2 diabetes mellitus...
June 1, 2018: European Journal of Cardiovascular Nursing
Bente Norbye, Lorna Butler, Heather Exner-Pirot
The recruitment and retention of health professionals in rural, remote, and northern regions is an ongoing challenge. The Northern Nursing Education Network brought together nursing students working in rural and remote regions of the circumpolar north in Innovative Learning Institute on Circumpolar Health (ILICH) events to create opportunities for shared learning and expose both students and faculty to local and traditional knowledge that informs health behaviors specific to regions with Indigenous populations...
May 21, 2018: Healthcare (Basel, Switzerland)
Kylie Meyer, Laura Rath, Zach Gassoumis, Natalie Kaiser, Kathleen Wilber
Family caregivers are the cornerstone of the long-term supports and services infrastructure in the U.S., yet often contend with many challenges related to this role. Public policy has been slow to change, leaving many caregivers vulnerable to health and economic consequences. Using models of policymaking, we identify barriers to advancing policies that support family caregivers and overcome policy drift. We draw on discussions from the California Task Force on Family Caregiving as it prepares state policy recommendations...
June 8, 2018: Journal of Aging & Social Policy
Bianca Augusto, Monica L Kasting, Fergus J Couch, Noralane M Lindor, Susan T Vadaparampil
Barriers to genetic counseling services (GCS) utilization for Spanish-speaking patients (SSP) may include language barriers and limited availability of bilingual genetic counselors (GCs). The sample included GCs who: (1) practice cancer genetic counseling, (2) report a cancer practice setting, and (3) have a US mailing address. We assessed: (1) number of Spanish-speaking GCs, (2) estimated proportion of Hispanic patients, and (3) approaches used to counsel SSP. Of respondents (n = 229), 10% (n = 23) spoke Spanish...
June 7, 2018: Journal of Immigrant and Minority Health
Tawatchai Apidechkul
BACKGROUND: Type 2 diabetes mellitus (T2DM) and hypertension (HT) are major noncommunicable health problems in both developing and developed countries, including Thailand. Each year, a large amount of money is budgeted for treatment and care. Hill tribe people are a marginalized population in Thailand, and members of its elderly population are vulnerable to health problems due to language barriers, lifestyles, and daily dietary intake. METHODS: An analytic cross-sectional study was conducted to estimate the prevalence of T2DM and HT and to assess the factors associated with T2DM and HT...
June 5, 2018: BMC Public Health
Ashlea D Cardin, Michael B Hudson
BACKGROUND: In the United States' changing health care climate, an updated picture of evidence-based practice (EBP) in the hospital setting is needed. Researchers explored EBP activities that interdisciplinary therapy team members used most frequently to acquire and appraise clinical evidence, therapists' perceptions of EBP, and barriers and enablers to EBP implementation within two similar acute-care hospitals in the Midwest. METHODS: An electronic survey was distributed to 190 therapy practitioners working in two acute-care hospital settings...
2018: Journal of Allied Health
Rosalind Case, Susie Cartledge, Josine Siedenburg, Karen Smith, Lahn Straney, Bill Barger, Judith Finn, Janet E Bray
INTRODUCTION: Understanding regional variation in bystander cardiopulmonary resuscitation (CPR) is important to improving out-of-hospital cardiac arrest (OHCA) survival. In this study we aimed to identify barriers to providing bystander CPR in regions with low rates of bystander CPR and where OHCA was recognised in the emergency call. METHODS: We retrospectively reviewed emergency calls for adults in regions of low bystander CPR in the Australian state of Victoria...
June 1, 2018: Resuscitation
Anna Green, Natalia Jerzmanowska, Safrina Thristiawati, Marguerite Green, Elizabeth A Lobb
OBJECTIVE: To understand the clinical and psychosocial journey of culturally and linguistically diverse (CALD) palliative care patients. METHOD: This study was conducted at a subacute hospital with a specialist palliative care unit and a community palliative care service in a metropolitan region of New South Wales, Australia. Medical records of 100 deceased patients from CALD backgrounds over a 12-month period from 2014 to 2015 were recorded on a data mining tool...
June 4, 2018: Palliative & Supportive Care
Sheri L Robb, Deanna Hanson-Abromeit, Lindsey May, Eugenia Hernandez-Ruiz, Megan Allison, Alyssa Beloat, Sarah Daugherty, Rebecca Kurtz, Alyssa Ott, Oladele Oladimeji Oyedele, Shelbi Polasik, Allison Rager, Jamie Rifkin, Emily Wolf
INTRODUCTION: Concomitant with the growth of music intervention research, are concerns about inadequate intervention reporting and inconsistent terminology, which limits validity, replicability, and clinical application of findings. OBJECTIVE: Examine reporting quality of music intervention research, in chronic and acute medical settings, using the Checklist for Reporting Music-based Interventions. In addition, describe patient populations and primary outcomes, intervention content and corresponding interventionist qualifications, and terminology...
June 2018: Complementary Therapies in Medicine
Martin Cooke, Maria Luisa Garcia Lecumberri
Listeners manage to acquire the sounds of their native language in spite of experiencing a range of acoustic conditions during acquisition, including the presence of noise. Is the same true for non-native sound acquisition? This study investigates whether the presence of masking noise during consonant training is a barrier to improvement, or, conversely, whether noise can be beneficial. Spanish learners identified English consonants with and without noise, before and after undergoing one of four extensive training regimes in which they were exposed to either consonants or vowels in the presence or absence of speech-shaped noise...
May 2018: Journal of the Acoustical Society of America
Melinda J Morton Hamer, Paul L Reed, Jane D Greulich, Charles W Beadling
OBJECTIVE: The West African Disaster Preparedness Initiative held a disaster preparedness tabletop exercise with representatives from the Economic Community of West African States (ECOWAS) in November 2015. The tabletop exercise was hosted by the Republic of Ghana's National Disaster Management Organization and partners in Accra, Ghana. METHODS: ECOWAS Commission delegates and representatives from 10 member states were confronted with a series of simulated crises...
May 30, 2018: Disaster Medicine and Public Health Preparedness
Iyiola Faturiyele, Dimitris Karletsos, Keletso Ntene-Sealiete, Alfred Musekiwa, Mantiti Khabo, Marethabile Mariti, Phetole Mahasha, Thembisile Xulu, Pedro T Pisa
BACKGROUND: HIV treatment and care for migrants is affected by their mobility and interaction with HIV treatment programs and health care systems in different countries. To assess healthcare needs, preferences and accessibility barriers of HIV-infected migrant populations in high HIV burden, borderland districts of Lesotho. METHODS: We selected 15 health facilities accessed by high patient volumes in three districts of Maseru, Leribe and Mafeteng. We used a mixed methods approach by administering a survey questionnaire to consenting HIV infected individuals on anti-retroviral therapy (ART) and utilizing a purposive sampling procedure to recruit health care providers for qualitative in-depth interviews across facilities...
May 29, 2018: BMC Public Health
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