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https://www.readbyqxmd.com/read/28430573/roles-of-physicians-and-health-care-systems-in-difficult-clinical-encounters
#1
Elizabeth S Goldsmith, Erin E Krebs
Physicians are, by definition, contributing partners in "difficult" patient-physician encounters. Although research on relevant physician qualities is limited, common themes mirror the more extensive literature on physician burnout. Focusing on primary care, we discuss physician-level factors in difficult encounters related to psychosocial attitudes and self-awareness, communication skills, and practice environments. Potential approaches to mitigating these factors include changes to medical training, such as structured peer case discussion groups and communication skills development, and changes to workplace environments, such as integrated mental health...
April 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28430570/repairing-difficult-patient-clinician-relationships
#2
Denise M Dudzinski, Carrol Alvarez
Using a case example, we offer guidance for improving "difficult" clinician-patient relationships. These relationships may be repaired by acknowledging a clinician's part in conflict, empathizing with patients, identifying a patient's skill deficits, and employing communication and engagement techniques used by mental health professionals. Clinicians will inevitably take on more of the work of repairing damaged relationships, but doing so improves the odds of these patients receiving the help they need.
April 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28429816/a-randomised-controlled-trial-to-test-the-effect-of-promoting-caregiver-contingent-talk-on-language-development-in-infants-from-diverse-socioeconomic-status-backgrounds
#3
Michelle McGillion, Julian M Pine, Jane S Herbert, Danielle Matthews
BACKGROUND: Early language skills are critical for later academic success. Lower socioeconomic status (SES) children tend to start school with limited language skills compared to advantaged peers. We test the hypothesis that this is due in part to differences in caregiver contingent talk during infancy (how often the caregiver talks about what is in the focus of the infant's attention). METHODS: In a randomised controlled trial with high and low SES families, 142 11-month olds and their caregivers were randomly allocated to either a contingent talk intervention or a dental health control...
April 21, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28428160/simulated-conversations-with-virtual-humans-to-improve-patient-provider-communication-and-reduce-unnecessary-prescriptions-for-antibiotics-a-repeated-measure-pilot-study
#4
Antoinette Schoenthaler, Glenn Albright, Judith Hibbard, Ron Goldman
BACKGROUND: Despite clear evidence that antibiotics do not cure viral infections, the problem of unnecessary prescribing of antibiotics in ambulatory care persists, and in some cases, prescribing patterns have increased. The overuse of antibiotics for treating viral infections has created numerous economic and clinical consequences including increased medical costs due to unnecessary hospitalizations, antibiotic resistance, disruption of gut bacteria, and obesity. Recent research has underscored the importance of collaborative patient-provider communication as a means to reduce the high rates of unnecessary prescriptions for antibiotics...
April 19, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28427889/lost-in-translation-cultural-divides-in-communication-skills-teaching-identified-in-the-icch-2016-student-symposium
#5
Heather K Schopper, Nasteha A Mohamed, Max Seegel, Kseniya Gorina, Jonathan Silverman, Marcy Rosenbaum
OBJECTIVE: To provide a platform for learners' voices at an international conference on communication in healthcare. METHODS: A group of medical students were invited to explore their experiences with communication skills learning at a symposium at the 2016 International Conference on Communication in Healthcare in Heidelberg, DE. RESULTS: Students from the US, Denmark, Germany, and Russia discussed their experiences with communication skills curriculum at their institutions...
April 12, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28426520/nursing-practice-research-and-education-in-the-west-the-best-is-yet-to-come
#6
Heather M Young, Susan Bakewell-Sachs, Linda Sarna
PURPOSE: This paper celebrates the 60th anniversary of the Western Institute of Nursing, the nursing organization representing 13 states in the Western United States, and envisions a preferred future for nursing practice, research, and education. BACKGROUND: Three landmark calls to action contribute to transforming nursing and healthcare: the Patient Protection and Affordable Care Act of 2010; the Institute of Medicine report Future of Nursing: Leading Change, Advancing Health; and the report Advancing Healthcare Transformation: A New Era for Academic Nursing...
April 20, 2017: Nursing Research
https://www.readbyqxmd.com/read/28426301/small-group-randomized-controlled-trial-to-increase-condom-use-and-hiv-testing-among-hispanic-latino-gay-bisexual-and-other-men-who-have-sex-with-men
#7
Scott D Rhodes, Jorge Alonzo, Lilli Mann, Eunyoung Y Song, Amanda E Tanner, Jorge Elias Arellano, Rodrigo Rodriguez-Celedon, Manuel Garcia, Arin Freeman, Beth A Reboussin, Thomas M Painter
OBJECTIVES: To evaluate the HOLA en Grupos intervention, a Spanish-language small-group behavioral HIV prevention intervention designed to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men. METHODS: In 2012 to 2015, we recruited and randomized 304 Hispanic/Latino men who have sex with men, aged 18 to 55 years in North Carolina, to the 4-session HOLA en Grupos intervention or an attention-equivalent general health education comparison intervention...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28425890/biomedical-simulation-evolution-concepts-challenges-and-future-trends
#8
Carla Sá-Couto, Luís Patrão, Francisco Maio-Matos, José Miguel Pêgo
Biomedical simulation is an effective educational complement for healthcare training, both at undergraduate and postgraduate level. It enables knowledge, skills and attitudes to be acquired in a safe, educationally orientated and efficient manner. In this context, simulation provides skills and experience that facilitate the transfer of cognitive, psychomotor and proper communication competences, thus changing behavior and attitudes, and ultimately improving patient safety. Beyond the impact on individual and team performance, simulation provides an opportunity to study organizational failures and improve system performance...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28425886/an-overview-of-teaching-communication-of-bad-news-in-medical-school-should-a-lecture-be-adequate-to-address-the-topic
#9
Filipe Coutinho, Anisha Ramessur
INTRODUCTION: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject. MATERIAL AND METHODS: A 45 minute lecture "Breaking Bad News" was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES' protocol training...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28425884/a-brief-course-on-clinical-communication-skills-a-multi-centered-study
#10
Camila Franco, Renato Franco, Milton Severo, Maria Amélia Ferreira
INTRODUCTION: This paper describes and analyses the results of a multicenter course on clinical communication skills with the use of the learning in small groups, patient actors and feedback. The aim of the course was to encourage participants to develop a more effective clinical communication to recognize the different manifestations of the same disease in different patients (disease versus illness). MATERIAL AND METHODS: The course was applied to third and fourth year medical students in three Brazilian universities and one university in Portugal...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28425759/speech-pathology-as-the-masterchef-getting-the-right-ingredients-and-stirring-the-pot
#11
Pam Enderby
The purpose of this paper is to consider the many influences that have an impact on appropriate speech-language pathology service delivery. The competitive cooking and entertainment television program, MasterChef, is used as an analogy to consider the ingredients, blend and approach required to improve speech-language pathology services. Speech-language pathologists (SLPs) enter the profession with the aim of assisting those with communication and swallowing disorders to have a better quality of life. Thus, we should be restless to continue to improve our services in order to achieve the best influence and outcomes by changing our recipes and ingredients...
February 16, 2017: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28424551/interprofessional-education-for-internationally-educated-health-professionals-an-environmental-scan
#12
REVIEW
Mubashir Arain, Esther Suter, Sara Mallinson, Shelanne L Hepp, Siegrid Deutschlander, Shyama Dilani Nanayakkara, Elizabeth Louise Harrison, Grace Mickelson, Lesley Bainbridge, Ruby E Grymonpre
OBJECTIVE: The objective of this environmental scan was to identify Western Canadian interprofessional education (IPE) resources that currently exist for internationally educated health professionals (IEHPs). METHODOLOGY: A web-based search was conducted to identify learning resources meeting defined inclusion criteria with a particular focus on the resources available in the Western Canadian provinces. Information was extracted using a standardized template, and we contacted IEHP programs for additional information if necessary...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28421891/truth-be-told-evaluation-of-a-narrative-and-skills-intervention-in-two-women-s-prisons
#13
Michael W Ross
This article describes the evaluation of a narrative and skills intervention to enable women to come to terms with their offenses, tell the truth, and then work to deal with the emotions and issues surrounding their offenses, in two southern U.S. women's prisons. The intervention involved skills building in communication, community building, creativity, and caring for the self, using narrative writing, speaking, and movement. There was broad agreement that the intervention had multiple positive impacts, including insight into factors that lead to incarceration, comfort with selves and better ability to express themselves, restorative justice (ability to understand the situation of others, understanding the impact on themselves and their families), better relationships with other inmates, and understanding the challenges that may lead to recidivism...
April 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/28421695/evaluation-of-an-interview-skills-training-package-for-adolescents-with-speech-language-and-communication-needs
#14
Rachel Mathrick, Tina Meagher, Courtenay Frazier Norbury
BACKGROUND & AIMS: We evaluated a structured intervention programme aimed at preparing adolescents with developmental language disorders for job interviews. Our primary outcome measures included change in ratings of verbal and non-verbal social communication behaviours evident during mock interviews. METHODS & PROCEDURES: In study 1, 12 participants, aged 17-19 years, from a specialist sixth-form college completed the intervention and two mock interviews, one pre- and one post-intervention...
April 18, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28420328/talking-about-intimate-partner-violence-in-multi-cultural-antenatal-care-a-qualitative-study-of-pregnant-women-s-advice-for-better-communication-in-south-east-norway
#15
Lisa Maria Garnweidner-Holme, Mirjam Lukasse, Miriam Solheim, Lena Henriksen
BACKGROUND: Intimate partner violence (IPV) against women constitutes a major public health problem. Antenatal care is considered a window of opportunity to disclose and to communicate about IPV. However, little is known about how women from different ethnic backgrounds wish to communicate about their experiences with IPV during pregnancy in antenatal care. The aim of the present study was to explore how women from different ethnic backgrounds experienced IPV and what their recommendations were about how midwives should communicate about IPV in antenatal care...
April 19, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28419170/evaluation-of-the-relative-efficacy-of-a-couple-cognitive-behaviour-therapy-cbt-for-premenstrual-disorders-pmds-in-comparison-to-one-to-one-cbt-and-a-wait-list-control-a-randomized-controlled-trial
#16
Jane M Ussher, Janette Perz
DESIGN: A randomised control trial (RCT) was conducted to examine the efficacy of couple-based cognitive behaviour therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait-list control. METHODS: Triangulation of quantitative and qualitative outcome measures evaluated changes pre-post intervention. Eighty three women were randomly allocated across three conditions, with 63 completing post-intervention measures, a retention rate of 76%...
2017: PloS One
https://www.readbyqxmd.com/read/28418824/financial-forecasting-and-stochastic-modeling-predicting-the-impact-of-business-decisions
#17
REVIEW
Geoffrey D Rubin, Bhavik N Patel
In health care organizations, effective investment of precious resources is critical to assure that the organization delivers high-quality and sustainable patient care within a supportive environment for patients, their families, and the health care providers. This holds true for organizations independent of size, from small practices to large health systems. For radiologists whose role is to oversee the delivery of imaging services and the interpretation, communication, and curation of imaging-informed information, business decisions influence where and how they practice, the tools available for image acquisition and interpretation, and ultimately their professional satisfaction...
May 2017: Radiology
https://www.readbyqxmd.com/read/28418415/-role-of-the-oral-care-provider-to-call-attention-to-child-abuse
#18
R J M Gruythuysen, J M Wiggelendam
The focus on child abuse has increased in recent years. In 2015, the Royal Dutch Association of Dentists (KNMT) revised the Sign Code 'child abuse and domestic violence'. The core of the Sign Code is formed by the compulsory 5-step action plan for the signalling of, among other things, (a suspicion of) child abuse that must be followed. Dealing professionally with child abuse places high demands on the knowledge and communication skills of the health care provider. If the demands are met, the health care provider is by law adequately protected against complaints...
April 2017: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/28418324/prosody-perception-and-production-in-children-with-hearing-loss-and-age-and-gender-matched-controls
#19
Rose Thomas Kalathottukaren, Suzanne C Purdy, Elaine Ballard
BACKGROUND: Auditory development in children with hearing loss, including the perception of prosody, depends on having adequate input from cochlear implants and/or hearing aids. Lack of adequate auditory stimulation can lead to delayed speech and language development. Nevertheless, prosody perception and production in people with hearing loss have received less attention than other aspects of language. The perception of auditory information conveyed through prosody using variations in the pitch, amplitude, and duration of speech is not usually evaluated clinically...
April 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28418261/preschool-children-s-communication-motor-and-social-development-parents-and-educators-concerns
#20
Sharynne McLeod, Kathryn Crowe, Jane McCormack, Paul White, Yvonne Wren, Elise Baker, Sarah Masso, Sue Roulstone
PURPOSE: During early childhood, it is important to identify which children require intervention before they face the increased demands of school. This study aimed to: (1) compare parents' and educators' concerns, (2) examine inter-rater reliability between parents' and educators' concerns and (3) determine the group difference between level of concern and children's performance on clinical testing. METHOD: Parents and educators of 1205 4- to 5-year-old children in the Sound Start Study completed the Parents' Evaluation of Developmental Status...
April 18, 2017: International Journal of Speech-language Pathology
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