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https://www.readbyqxmd.com/read/28922547/the-vicious-circle-of-patient-physician-mistrust-in-china-health-professionals-perspectives-institutional-conflict-of-interest-and-building-trust-through-medical-professionalism
#1
Jing-Bao Nie, Yu Cheng, Xiang Zou, Ni Gong, Joseph D Tucker, Bonnie Wong, Arthur Kleinman
To investigate the phenomenon of patient-physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians' distrust of patients and their relatives) leads to increased levels of fear and self-protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization...
September 18, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28912115/system-wide-inpatient-portal%C3%A2-implementation-survey-of-health-care-team-perceptions
#2
Jennifer L Hefner, Cynthia J Sieck, Daniel M Walker, Timothy R Huerta, Ann Scheck McAlearney
BACKGROUND: Inpatient portals, a new type of patient portal tailored specifically to the hospital setting, can allow patients to access up-to-date health information and exchange secure communications with their care team. As such, inpatient portals present an opportunity for patients to increase engagement in their care during a time of acute crisis that emphasizes focus on a patient's health. While there is a large body of research on patient portals in the outpatient setting, questions are being raised specifically about inpatient portals, such as how they will be incorporated into the flow of patient care in hectic, stressed, team-based hospital settings...
September 14, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28906415/teaching-culturally-competent-veteran-nursing-care-in-prelicensure-programs
#3
Cynthia L Kautzmann, Rachelle J Lancaster
With the publication of Healthy People 2020, health disparities have been redefined to expand concepts beyond traditional racial and ethnic minorities and include a broader range of populations. Veterans, with their unique experiences and values, comprise a distinct culture with health risks and potential disparities. Although accrediting agencies require programs of nursing to teach culturally competent care, it is unknown whether nurse faculty recognize veterans as having a culture distinct from the rest of the population...
September 12, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28905238/methological-quality-of-systematic-reviews-and-meta-analyses-on-acupuncture-for-stroke-a-review-of-review
#4
REVIEW
Xin-Lin Chen, Chuan-Wei Mo, Li-Ya Lu, Ri-Yang Gao, Qian Xu, Min-Feng Wu, Qian-Yi Zhou, Yue Hu, Xuan Zhou, Xian-Tao Li
OBJECTIVE: To assess the methodological quality of systematic reviews and meta-analyses regarding acupuncture intervention for stroke and the primary studies within them. METHODS: Two researchers searched PubMed, Cumulative index to Nursing and Allied Health Literature, Embase, ISI Web of Knowledge, Cochrane, Allied and Complementary Medicine, Ovid Medline, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang and Traditional Chinese Medical Database to identify systematic reviews and meta-analyses about acupuncture for stroke published from the inception to December 2016...
September 13, 2017: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/28901705/peer-assisted-learning-and-small-group-teaching-to-improve-practice-placement-quality-and-capacity-in-dietetics
#5
Dianne P Reidlinger, Judy Lawrence, Jane E Thomas, Kevin Whelan
AIM: Peer-assisted learning (PAL) has been positively evaluated during practice placements for medical, nursing and some allied health professional students. The aim of this study was to evaluate a PAL and small-group teaching model of dietetic practice placement education implemented in the UK setting as part of a quality improvement process. METHODS: A PAL placement model was adapted from a previously published Australian model, implemented and evaluated among dietetic students at King's College London and with their practice educators...
September 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28899305/writing-from-the-edge
#6
Nan Russell Yancey
On the 30th Anniversary of Nursing Science Quarterly, the 17-year journey of conceiving, launching, and guiding the "Teaching-Learning Column" was explored in this dialogue with Dr. Sandra Schmidt Bunkers, adjunct professor of nursing, South Dakota State University Brookings, South Dakota, founding contributing editor of the column, and Dr. Barbara Backer Condon, Professor of Nursing, Briar Cliff University, Sioux City, Iowa, contributing editor, 2012-2016. Reflecting on the shared stories, the challenge is offered to continue the tradition of the column in reading, writing, and thinking from the edge, to bravely consider what might be, daring to go beyond the confinements of mainstream thinking, and to vision as yet unimagined possibilities in teaching-learning in nursing...
January 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28899266/graduate-students-reflections-on-elder-and-end-of-life-care-for-prisoners
#7
Steven L Baumann, Vidette Todaro-Franceschi
The focus of this report was graduate nursing students' reflections on elder and end-of-life care for prisoners. The personal reflections of 21 graduate nursing students who attended a presentation by Susan J. Loeb on October 26, 2016 were included in this report. The title of the presentation was "Enhancing End-of-Life Care for Prisoners Through Partnering With the Prison Community." The student essays were synthesized to construct a summary essay, from which four themes were identified: aging in prison, dying in prison, ethical and professional issues in the elder and end-of-life care of prisoners, and ethical and professional issues in research involving elderly and end-of-life care of prisoners...
July 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28894725/safety-of-checkpoint-inhibitors-for-cancer-treatment-strategies-for-patient-monitoring-and-management-of-immune-mediated-adverse-events
#8
REVIEW
Marianne Davies, Emily A Duffield
Immune checkpoint inhibitors (ICPIs), in the form of monoclonal antibodies against CTLA-4, PD-1, and PD-L1, have dramatically changed the treatment approach in several advanced cancers. Due to their mechanism of action, these novel agents are associated with a unique spectrum of immune-mediated adverse events (imAEs), with a safety profile that indicates they are better tolerated than traditional chemotherapeutic agents. This article aims to provide education on the current knowledge about imAEs associated with ICPI treatment, including strategies and tools for the prompt identification, evaluation, and optimal management of these events...
2017: ImmunoTargets and Therapy
https://www.readbyqxmd.com/read/28893515/weaning-practices-of-mothers-in-eastern-turkey
#9
Nazan Gürarslan Baş, Gülnaz Karatay, Duygu Arikan
OBJECTIVE: The study aimed to determine the practices used by breastfeeding mothers to wean their children from the breast. METHOD: This qualitative-quantitative research was conducted with mothers whose children were registered the pediatric clinics of a state hospital between June and September 2016. In accordance with a purposeful sampling method, 232 mothers of children between the ages of 2 and 5 years were included in the study. Data were collected through face-to-face interviews using a questionnaire with demographic characteristics of mothers as well as their weaning practices...
September 8, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28893080/core-competencies-of-radiographers-working-in-rural-hospitals-of-kwazulu-natal-south-africa
#10
Bernard Mung'omba, Annali D H Botha
INTRODUCTION: Rural radiographers require, over and above traditional radiographic expertise, additional competencies which to a certain degree are unique however not limited to rural practice. Previous studies, however, have focused more attention primarily on other rural health professionals such as doctors and nurses leaving a research need in this field. This article focuses on the additional competencies that may be required for rural radiographers. AIM: To investigate and identify additional core competencies required by radiographers working in rural hospitals of KwaZulu-Natal in order to propose a continuous professional development strategy aimed at rural radiographers...
August 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28892552/effectiveness-of-mental-health-simulation-in-replacing-traditional-clinical-hours-in-baccalaureate-nursing-education
#11
Denise A Soccio
The purpose of the current study was to (a) determine whether baccalaureate nursing students receiving mental health simulation as a replacement for 25% of traditional clinical hours have equivalent or greater mental health knowledge and self-confidence compared to those who did not receive this simulation; and (b) explore students' perceptions of their mental health simulation compared to traditional clinical hours. An evidence-based practice pilot study was conducted using a mixed-methods design. Quantitative data demonstrated that students who received mental health simulation as a replacement for 25% of traditional clinical hours have equivalent mental health knowledge and self-confidence as those who did not receive the simulation...
September 11, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28888505/mindfulness-for-novice-pediatric-nurses-smartphone-application-versus-traditional-intervention
#12
Chelsey Morrison Wylde, Nicole E Mahrer, Rika M L Meyer, Jeffrey I Gold
PURPOSE: The current study compares the effects of a traditionally delivered mindfulness (TDM) intervention to a smartphone delivered mindfulness (SDM) intervention, Headspace, an audio-guided mindfulness meditation program, in a group of novice nurses. DESIGN AND METHODS: Novice nurses participating in a pediatric nurse residency program were asked to participate in either a TDM or SDM intervention. Participants (N=95) completed self-administered pencil and paper questionnaires measuring mindfulness skills, and risk and protective factors at the start of their residency and three months after entering the program...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28885534/an-organizational-model-for-excellence-in-healthcare-delivery-evidence-from-winners-of-the-baldrige-quality-award
#13
John R Griffith
Winners of the Baldrige National Quality Award in healthcare have documented top quartile clinical outcomes and patient satisfaction across a variety of American communities and a full spectrum of care. Their results also show high levels of satisfaction among physicians, nurses, and other workers, as well as effective financial performance. The managerial methods they use-collectively, the Baldrige model-are consistent with organizational theory literature and are found across all winners. The winners have sustained excellence after winning and expanded it by acquisition of other healthcare organizations...
September 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28881323/a-systematic-review-comparing-open-book-and-closed-book-examinations-evaluating-effects-on-development-of-critical-thinking-skills
#14
REVIEW
Beth Johanns, Amber Dinkens, Jill Moore
The advantages of using traditional closed-book examinations are closely compared to the advantages of using open-book examinations for the development of critical thinking skills in nursing students. The use of critical thinking skills is vital among nurses to assess patient needs and modify standard approaches to individualize care for better patient outcomes. The following areas are compared and contrasted for both closed-book and open-book examinations: examination preparation, rote memorization versus active learning, intellectual engagement, simulation of working environment, higher order thinking skills, anxiety reduction and student satisfaction...
August 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28880756/how-greek-nurses-perceive-and-overcome-the-barriers-in-implementing-treatment-for-pressure-ulcers-against-the-odds
#15
E Kaba, M Kelesi, A Stavropoulou, D Moustakas, G Fasoi
OBJECTIVE: Although the occurrence of pressure ulcers (PUs) is now considered as an indicator of poor quality nursing care, questions and concerns remain regarding situations where PUs were unavoidable, irrespective of the care provided. The aim of this study was to explore Greek nurses' perceptions about the barriers involved and to identify the factors that influence care planning in PU treatment. METHOD: A grounded theory approach was used and semi-structured interviews were conducted with nurses who provided pressure care to clients in a rehabilitation centre in Greece...
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28877622/are-we-nearly-there-yet-a-study-of-the-english-national-health-service-as-professional-bureaucracies
#16
Helen Dickinson, Iain Snelling, Chris Ham, Peter C Spurgeon
Purpose The purpose of this paper is to explore issues of medical engagement in the management and leadership of health services in the English National Health Service (NHS). The literature suggests that this is an important component of high performing health systems, although the NHS has traditionally struggled to engage doctors and has been characterised as a professional bureaucracy. This study explored the ways in which health care organisations structure and operate medical leadership processes to assess the degree to which professional bureaucracies still exist in the English NHS...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877135/want-correct-percentage-of-tbsa-burned-let-a-layman-do-the-assessment
#17
Ilaria Tocco-Tussardi, Benjamin Presman, Fredrik Huss
Accurate determination of burn size significantly impacts both immediate management and long-term outcome. In the era of evidence-based medicine, the variability in TBSA% assessment shown by traditional methods may prove unacceptable and technology-aided systems become the "accepted standard." The objective of this study was to push this scenario to the limit by investigating the accuracy and consistency of TBSA% estimations using a computer-aided tool. Five Laymen (health care-burn management naïve people) were trained on the handling of the technology-aided assessment tool Burn Case 3D and asked to calculate TBSA% for 18 clinical pictures of burns with different patterns and sizes...
August 31, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28877126/correlates-of-perceived-social-support-in-chinese-adult-child-caregivers-of-parent-stroke-survivors
#18
Yuqin Pan, Patricia S Jones
BACKGROUND: Prevalence of stroke and traditional filial responsibility involve adult children in caregiving to their parent stroke survivors in China. Support resources are insufficient because of the shrinking size of family and the underdeveloped support system. PURPOSE: The aim of this study was to identify the correlates of perceived social support among adult child caregivers of parent stroke survivors in China. METHODS: A cross-sectional correlational design was used in this study...
October 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28866289/a-systematic-review-comparing-open-book-and-closed-book-examinations-evaluating-effects-on-development-of-critical-thinking-skills
#19
REVIEW
Beth Johanns, Amber Dinkens, Jill Moore
The advantages of using traditional closed-book examinations are closely compared to the advantages of using open-book examinations for the development of critical thinking skills in nursing students. The use of critical thinking skills is vital among nurses to assess patient needs and modify standard approaches to individualize care for better patient outcomes. The following areas are compared and contrasted for both closed-book and open-book examinations: examination preparation, rote memorization versus active learning, intellectual engagement, simulation of working environment, higher order thinking skills, anxiety reduction and student satisfaction...
August 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28858997/virtually-integrated-care-a-new-paradigm-in-patient-care-delivery
#20
Shannon Denney, Elizabeth Miller Evans
Current trends, including an aging population; the impact of the Affordable Care Act; increased complexity and acuity of patient needs; shorter hospital stays; and higher patient expectations have resulted in a significant demand for reconfiguration of the bedside nursing model. The health care system is further complicated by a shortage of highly trained nurses, challenging financial incentive models, and inefficient traditional staffing models. These challenges have increased the urgency for designing a more efficient, cost-effective care delivery model...
October 2017: Nursing Administration Quarterly
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