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https://www.readbyqxmd.com/read/29036381/project-echo-telementoring-intervention-for-managing-chronic-pain-in-primary-care-insights-from-a-qualitative-study
#1
Leslie Carlin, Jane Zhao, Ruth Dubin, Paul Taenzer, Hannah Sidrak, Andrea Furlan
Objective: Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. Design: An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions...
September 27, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29027618/moral-injury-contextualized-care
#2
Keith G Meador, Jason A Nieuwsma
Amidst the return of military personnel from post-9/11 conflicts, a construct describing the readjustment challenges of some has received increasing attention: moral injury. This term has been variably defined with mental health professionals more recently conceiving of it as a transgression of moral beliefs and expectations that are witnessed, perpetrated, or allowed by the individual. To the extent that morality is a system of conceptualizing right and wrong, individuals' moral systems are in large measure developmentally and socially derived and interpreted...
October 13, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29019801/mapping-the-landscape-journeying-together-the-gold-foundation-s-model-for-research-based-advocacy-in-humanism-in-medicine
#3
Elizabeth Gaufberg
Mapping the Landscape, Journeying Together (MTL) is an initiative of the Arnold P. Gold Foundation Research Institute. The MTL initiative awards teams with a grant to complete a rigorous review of the literature on a topic related to humanism in health care. Teams may then seek a discovery or advocacy grant to fill in gaps in knowledge or to make or advocate for change. In this Commentary, the author reveals the MTL journey through the metaphor of cartography. She describes the initial development of a road map, as well as the MTL community's experience of navigation, discovery, and exploration...
October 10, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28988074/asset-management-to-support-urban-land-and-subsurface-management
#4
Linda Maring, Maaike Blauw
Pressure on urban areas increases by demographic and climate change. To enable healthy, adaptive and liveable urban areas different strategies are needed. One of the strategies is to make better use of subsurface space and its functions. Asset management of the Subsurface (AMS) contributes to this. Asset management provides transparency of trade-offs between performance, cost and risks throughout the entire lifecycle of these assets. AMS is based on traditional asset management methods, but it does not only take man-made assets in the subsurface into account...
October 5, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28985025/multidisciplinary-approach-to-cardiac-and-pulmonary-vascular-disease-risk-assessment-in-liver-transplantation-an-evaluation-of-the-evidence-and-consensus-recommendations
#5
Lisa B VanWagner, Matthew E Harinstein, James R Runo, Christopher Darling, Marina Serper, Shelley Hall, Jon A Kobashigawa, Laura L Hammel
Liver transplant (LT) candidates today are older, have greater medical severity of illness, and have more cardiovascular comorbidities than ever before. In addition, there are specific cardiovascular responses in cirrhosis that can be detrimental to the LT candidate. Cirrhotic cardiomyopathy, a condition characterized by increased cardiac output and a reduced ventricular response to stress, is present in up to 30% of patients with cirrhosis thus challenging perioperative management. Current noninvasive tests that assess for subclinical coronary and myocardial disease have low sensitivity, and altered hemodynamics during the LT surgery can unmask latent cardiovascular disease either intraoperatively or in the immediate postoperative period...
October 6, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28976917/ten-years-of-simulation-in-healthcare-a-thematic-analysis-of-editorials
#6
Debra Nestel
In this commentary, I review 38 articles published as editorials in Simulation in Healthcare from inception to April 2016. Of the 27 authors, there was a predominance of medical doctors (63%), male authors (67%), and work originating in the United States (86%). The founding Editor-in-Chief Dr David Gaba contributed to half of the editorials. Using inductive thematic analysis, the following five themes were identified: "embedding" simulation, simulation responding to clinical practice, educational considerations for simulation, research practices, and communicating leadership and scholarship about the community...
October 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28976644/ask-an-anatomist-identifying-global-trends-topics-and-themes-of-academic-anatomists-using-twitter
#7
Madeleine J Marsland, Michelle D Lazarus
Social media (SoMe) is increasingly used in higher education (HE) to access knowledge and enable global communication. The SoMe platform Twitter(®) is particularly beneficial in these contexts because it is readily accessible, easily searchable (via hashtags) and global. Given these advantages, the twitter platform @AskAnatomist was created to foster a global weekly tweet chat, where students and academics can ask and address anatomy-related questions. The aim of this study was to identify themes arising in the early stages of the @AskAnatomy Twitter community to gain insights into current needs/key areas for academic anatomists, students, and other followers...
October 4, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28969997/deliberate-acquisition-of-competence-in-physiological-breech-birth-a-grounded-theory-study
#8
Shawn Walker, Mandie Scamell, Pam Parker
PROBLEM: Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems. BACKGROUND: Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool...
September 29, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28968559/professional-development-needs-of-nurse-educators-an-australian-case-study
#9
Florin Oprescu, Margaret McAllister, David Duncan, Christian Jones
Because there is a global shortage of nurse educators, highly productive and committed nurse educators are needed to supply a rapidly expanding and changing health landscape. To support the aforementioned effort professional development needs of nurse educators must be systematically identified. This study explores practical issues around professional development needs of nurse educators. One hundred and thirty eight Australian nurse educators based in Queensland answered an online survey around professional development needs...
July 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28882923/-reframing-healthcare-services-through-the-lens-of-co-production-rhelaunch-a-study-protocol-for-a-mixed-methods-evaluation-of-mechanisms-by-which-healthcare-and-social-services-impact-the-health-and-well-being-of-patients-with-copd-and-chf-in-the-usa-and-the
#10
Gijs Hesselink, Julie Johnson, Paul Batalden, Michelle Carlson, Wytske Geense, Stef Groenewoud, Sylvester Jones, Brita Roy, Christina Sansone, Judith R L M Wolf, Bradley Bart, Hub Wollersheim
INTRODUCTION: The USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient's health is however unknown. 'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions...
September 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28873041/-booster-days-an-educational-initiative-to-develop-a-community-of-practice-of-primary-care-collaborative-memory-clinics
#11
Linda Lee, Loretta M Hillier, W Wayne Weston
This study explores the value of a Booster Day education initiative for clinicians working in interprofessional Primary Care Collaborative Memory Clinics (PCCMC) to share updates in dementia care, challenging cases, key lessons learned, and best practices, as a mechanism to foster learning and support the PCCMC Community of Practice (CoP). Between 2010 and 2016, 17 annual Booster Days were delivered to health professionals who completed the PCCMC training program. All participants were invited to complete an evaluation survey in which they identified the ways in which the sessions have been helpful; 89% (1361/1530) completed surveys...
September 5, 2017: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/28854982/knowledge-of-standard-precautions-and-barriers-to-compliance-among-healthcare-workers-in-the-lower-manya-krobo-district-ghana
#12
Sandra Enyonam Akagbo, Priscillia Nortey, Mercy M Ackumey
BACKGROUND: Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupational accidents among health workers are often unreported. The literature on knowledge and compliance to SP in Ghana is scanty. We report findings of a study that examined knowledge of SP, compliance and barriers to compliance with SP among HCWs in two health facilities in Ghana...
August 30, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28851771/initial-protocol-for-a-national-evaluation-of-an-area-based-intervention-programme-a-better-start-on-early-life-outcomes-a-longitudinal-cohort-study-with-comparison-control-cohort-samples
#13
Jane Barlow, Sarah Beake, Debra Bick, Caroline Bryson, Laurie Day, Nicholas Gilby, Vivette Glover, Sarah Knibbs, Alastair Leyland, Geoff Lindsay, Sandra Mathers, Katharine McKenna, Stavros Petrou, Susan Purdon, Kathy Sylva, Carolyn D Summerbell, Fiona Tudor, Amy Wheeler, Virginia Woolgar
INTRODUCTION: Pregnancy and the first few years of a child's life are important windows of opportunity in which to equalise life chances. A Better Start (ABS) is an area-based intervention being delivered in five areas of socioeconomic disadvantage across England. This protocol describes an evaluation of the impact and cost-effectiveness of ABS. METHODS AND ANALYSIS: The evaluation of ABS comprises a mixed-methods design including impact, cost-effectiveness and process components...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28841063/the-hope-research-community-of-practice-building-advanced-practice-nurses-research-capacity
#14
Janet Landeen, Helen Kirkpatrick, Winnifred Doyle
Background Clinical nurses have multiple challenges in conducting high-quality nursing research to inform practice. Theoretically, the development of a community of practice on nursing research centered on the concept of hope is an approach that may address some of the challenges. Purpose This article describes the delivery and evaluation of a hope research community of practice (HRCoP) approach to facilitate research expertise in a group of advanced practice nurses in one hospital. It addressed the question: Does the establishment of a HRCoP for master's prepared nurses increase their confidence and competence in leading nursing research? Method Using interpretive descriptive qualitative research methodology, five participants were interviewed about their experiences within the HRCoP and facilitators engaged in participant observation...
September 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/28816126/building-virtual-communities-of-practice-for-health
#15
Bruce Struminger, Sanjeev Arora, Sarah Zalud-Cerrato, David Lowrance, Tedd Ellerbrock
No abstract text is available yet for this article.
August 12, 2017: Lancet
https://www.readbyqxmd.com/read/28802671/the-internet-and-nurse-education
#16
EDITORIAL
Martin Aasbrenn, Anne Raustøl, Hanne Maria Bingen
Participation in a community of practice through asynchronous writing is useful for learning in higher education. We argue that such computer-mediated communication via the internet is valuable in nurse education, but that it often should take place at sites protected from search with access restricted to a limited group to make the students confident and enable learning. We further argue why we think discussion of patient stories in educational settings often should be done without computers. Reflection around patient stories is a fundamental part of the education of a clinician, but should be done either with fictional cases or as face-to-face activities to protect patient confidentiality...
August 8, 2017: Nurse Education in Practice
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
#17
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/28795934/strategies-for-developing-family-nursing-communities-of-practice-through-social-media
#18
Kris Isaacson, Wendy S Looman
This discussion article presents communities of practice (CoPs) and bridging social capital as conceptual frameworks to demonstrate how social media can be leveraged for family nursing knowledge, scholarship, and practice. CoPs require a shared domain of interest, exchange of resources, and dedication to expanding group knowledge. Used strategically and with a professional presence, mainstream social media channels such as Twitter, Facebook, and YouTube can support the family nurse in developing and contributing to CoPs related to family nursing...
February 2017: Journal of Family Nursing
https://www.readbyqxmd.com/read/28764468/automatic-sociophonetics-exploring-corpora-with-a-forensic-accent-recognition-system
#19
Georgina Brown, Jessica Wormald
This paper demonstrates how the Y-ACCDIST system, the York ACCDIST-based automatic accent recognition system [Brown (2015). Proceedings of the International Congress of Phonetic Sciences, Glasgow, UK], can be used to inspect sociophonetic corpora as a preliminary "screening" tool. Although Y-ACCDIST's intended application is to assist with forensic casework, the system can also be exploited in sociophonetic research to begin unpacking variation. Using a subset of the PEBL (Panjabi-English in Bradford and Leicester) corpus, the outputs of Y-ACCDIST are explored, which, it is argued, efficiently and objectively assess speaker similarities across different linguistic varieties...
July 2017: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28756443/enhancing-general-practitioners-participation-in-a-virtual-community-of-practice-for-continuing-medical-education-an-exploratory-study
#20
Abdulaziz Murad, Reeva Lederman, Rachelle Bosua, Shanton Chang, John D Wark
As sources of medical information grow online, Virtual Communities of Practice (VCoPs) have evolved into a potential tool that allows General Practitioners (GPs) to interact through the sharing of their experience and knowledge. However, literature reports that GPs are reluctant to participate in VCoPs especially for their continuing medical education (CME). Currently, no study has explored the design and structural aspects of VCoPs that may lead to enhancing GPs' participation in such online communities. Hence, this paper explores how GPs envisage the use of a VCoP for their CME and how to enhance their participation by conducting an exploratory qualitative study of two focus groups with 10 GPs in each group, accompanied by a specialist and a nurse...
2017: Studies in Health Technology and Informatics
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