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Nadiya Sunderji, Allyson Ion, Dan Huynh, Paul Benassi, Abbas Ghavam-Rassoul, Adriana Carvalhal
OBJECTIVE: Integrated or collaborative care is a well-evidenced and widely practiced approach to improve access to high-quality mental health care in primary care and other settings. Psychiatrists require preparation for this emerging type of practice, and such training is now mandatory for Canadian psychiatry residents. However, it is not known how best to mount such training, and in the absence of such knowledge, the quality of training across Canada has suffered. To guide integrated care education nationally, we conducted a systematic review of published and unpublished training programs...
August 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Marie E VanderKooi, Dianne M Conrad, Sandra L Spoelstra
Doctor of nursing practice (DNP) projects are summative evaluations of enactment of the DNP Essentials. However, information about structure, process, and outcomes of DNP projects is scarce. Guided by an enhanced actualized DNP model, this study tested the effect of a PhD-DNP-site mentor model to guide DNP projects. Time-to-complete assignments, defense, and graduation improved; high satisfaction for students, mentors, and faculty were found; and a strengthened academic-practice partnership occurred, leading to additional student placements...
September 2018: Nursing Education Perspectives
Monica L Molinaro, Paula C Fletcher
PURPOSE: The purpose of this study was to examine the lived experiences of the perceived long-term effects of pediatric cancer on adult survivors and whether these effects had bearing on their primary support persons. DESIGN: This work was guided by van Manen's "new" interpretive phenomenology. METHODS: Ten survivors of pediatric cancer (aged 21-28 years) and 9 of their support persons (aged 23-73 years) were recruited. Background questionnaires were administered, and interviews were conducted...
September 2018: Clinical Nurse Specialist CNS
Manasa S Ayyala, Kimberly Skarupski, Joann N Bodurtha, Marlís González-Fernández, Lisa E Ishii, Barbara Fivush, Rachel B Levine
PURPOSE: To understand how sponsorship functions as a professional relationship in academic medicine. METHOD: The authors conducted semi-structured interviews with Johns Hopkins University School of Medicine faculty in 2016: department chairs (sponsors) and faculty participants of an executive leadership development program (protégés). Using editing analysis style, the authors coded interview transcripts for thematic content; a coding framework and themes were derived using an iterative process...
August 7, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Ivan Jovanovic, Klaus Mönkemüller
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most advanced therapeutic procedures in gastrointestinal endoscopy. It is highly operator-dependent procedure requiring specific, knowledge-based training in order to achieve competence. Strategies for assessing competency of trainees and those in practice include numbers of procedures performed, and subjective or objective assessment by a mentor or self-assessment by the trainee. However, it is still not clear how to measure the quality in (ERCP) training in an objective and reproducible way, so far...
July 2018: Annals of Translational Medicine
Chris C Cook, Lawrence M Wei, Harold G Roberts, Vinay Badhwar
No abstract text is available yet for this article.
July 20, 2018: Journal of Thoracic and Cardiovascular Surgery
R Mukora, M Tlali, S Monkwe, S Charalambous, A S Karat, K L Fielding, A D Grant, A Vassall
INTRODUCTION: The World Health Organization recommends point-of-care (POC) lateral flow urine lipoarabinomannan (LF-LAM) for tuberculosis (TB) diagnosis in selected human immunodeficiency virus (HIV) positive people. South Africa had 438 000 new TB episodes in 2016, 58.9% of which were contributed by HIV-positive people. LF-LAM is being considered for scale-up in South Africa. METHODS: We estimated the costs of using LF-LAM in HIV-positive adults with CD4 counts  150 cells/μl enrolled in the TB Fast Track Trial in South Africa...
September 1, 2018: International Journal of Tuberculosis and Lung Disease
A I Salisu, I J Adama, N W Yusuf, Y Tanko
Human Physiology courses are compulsory in medical education but many students encounter challenges instudying them. This study investigates understandings, opinions and perceptions of students about physiology subject andthe challenges they encounter in their study. Two hundred and eighty (280) students were interviewed using structuredquestionnaire. The data were analyzed using IBM SPSS statistics 22. The mean age of the students was 22.8 ± 4.1 years.Males constituted 174(62.1%), while females were 106 (37...
June 30, 2018: Nigerian Journal of Physiological Sciences: Official Publication of the Physiological Society of Nigeria
Regina L Hale, Carolyn A Phillips
AIMS AND OBJECTIVES: To generate a theoretical explanation of nurse-to-nurse mentoring in the clinical setting. BACKGROUND: Despite an abundance of mentoring literature, the processes involved between nurses in mentoring relationships has yet to be studied. Nursing literature has focused on mentor attributes and relationship outcomes rather than focusing on theoretical discovery. DESIGN: Classical Grounded Theory (CGT). METHODS: CGT procedures (constant comparative method, coding, and memoing) were used to analyze interview data exploring fifteen nurse protégés' experiences of mentoring...
August 9, 2018: Journal of Clinical Nursing
Mark Wareing, Helen Green, Barbara Burden, Sally Burns, Mary A R Beckwith, Fortune Mhlanga, Bob Mann
INTRODUCTION: This paper presents findings from a study that evaluated mental health nursing students' experience of a team mentoring model called Coaching and Peer Assisted Learning (C-PAL). At present there are no published research studies into the effectiveness of team mentorship utilised by nursing students within in-patient mental health settings. AIM: The study utilised an interpretist methodology where the focus was on individuals in their social world. METHOD: Two focus groups were held with fifteen students who had experienced C-PAL in four in-patient wards...
August 8, 2018: Journal of Psychiatric and Mental Health Nursing
W Mohsen, Ppy Chan, M Whelan, A Glass, M Mouton, E Yeung, Q Trinh, S Arora, S Davison, T Lama, Cherry Cobrador, M T Levy
INTRODUCTION: Hepatitis C (HCV) is curable, treatment of difficult to access populations (DTAPs) presents unique challenges. Project ECHO® (PE), a tele-mentoring program, adopted to support clinicians treating DTAPs. AIMS: Determine if the PE model supports primary care clinicians treating HCV. Compare cohort of PE patients with those in a tertiary liver clinic (TLC). METHODS: Weekly PE group video conferences were conducted. Clinical information, laboratory indices, psychosocial elements, and treatment outcomes including Sustained Virological Response (SVR) data were recorded in the first 100 consecutive cases and retrospectively compared to 100 consecutive patients seen at a tertiary liver clinic from July 2016 to April 2017...
August 8, 2018: Internal Medicine Journal
Simon Nderitu Githui, Margaret Chege, Miriam Ca Wagoro, James Mwaura
Background information: Domestic Violence (DV) is associated with serious consequences to the survivor's physical, emotional, sexual, social and mental well-being. DV screening ensures timely detection of violence and hence promotes timely intervention. This timely intervention has the potential of averting adverse outcomes of DV to the survivor. Globally, the prevalence of DV among women is 35% and in Kenya its 49% among women and 13.5% among pregnant women. Despite the adverse outcome of DV in pregnancy, screening during pregnancy lags behind in Kenya...
2018: Journal of community & public health nursing
Terusha Chetty, H Manisha N Yapa, Carina Herbst, Pascal Geldsetzer, Kevindra K Naidu, Jan-Walter De Neve, Kobus Herbst, Philippa Matthews, Deenan Pillay, Sally Wyke, Till Bärnighausen
BACKGROUND: Gaps in maternal and child health services can slow progress towards achieving the Sustainable Development Goals. The Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care (MONARCH) study will evaluate a Continuous Quality Improvement (CQI) intervention targeted at improving antenatal and postnatal health service outcomes in rural South Africa where HIV prevalence among pregnant women is extremely high. Specifically, it will establish the effectiveness of CQI on viral load (VL) testing in pregnant women who are HIV-positive and repeat HIV testing in pregnant women who are HIV-negative...
August 8, 2018: BMC Health Services Research
Kanika Mehrotra, Prabhat Chand, Mrunal Bandawar, Mallikarjun Rao Sagi, Sandeepa Kaur, Aurobind G, Aravind Raj, Sumi Jain, Miriam Komaromy, Pratima Murthy, Sanjeev Arora
The present study was conducted to ascertain the effectiveness of Project ECHO, a Hub and Spokes tele-mentoring model to bridge the urban-rural divide in mental health and addiction care in the context of a developing country like India. The Counsellors from 11 rural and underserved districts of Chhattisgarh were periodically connected to NIMHANS multidisciplinary specialists by smartphone app and underwent virtual mentoring to learn and translate "best practices" in Mental health and Addiction by using "patient-centric learning", a core component of NIMHANS ECHO model...
July 18, 2018: Asian Journal of Psychiatry
Christopher St Vil, Adam Angel
A small body of literature has identified cross-age peer mentoring (CAPM) as an effective mentoring model that is reciprocal in nature, affecting the outcomes of both mentees and mentors. To date, however, much of the attention and research focused on CAPM models have been conducted within school settings and few have described programs with an emphasis on disconnected young adults. This current study reports on the findings of a process evaluation that used qualitative methods to examine the impact of a cross-age group peer mentoring program on educationally disengaged young adults serving as mentors...
August 6, 2018: Social Work
John Paul Spence, Jennifer L Buddenbaum, Paula J Bice, Julie L Welch, Aaron E Carroll
BACKGROUND: In the highly competitive environment of academic medicine, junior faculty investigators face high attrition rates due to challenges in finding effective mentorship, securing grant funding, and obtaining resources to support their career development and research productivity. The purpose of this study was to describe the centralized, cost-sharing design of the Independent Investigator Incubator (I3 ) program as a novel approach to junior faculty mentoring and to evaluate quantitative outcomes for program improvement...
August 6, 2018: BMC Medical Education
Hannah Beks, Christopher Healey, Kate G Schlicht
INTRODUCTION: A higher proportion of chronic mental illness is reported for populations residing in inner and outer regional (IOR) areas when compared to major cities in Australia. Conversely, fewer mental health professionals work in IOR areas when compared to major cities indicating poorer access to services for rural populations. Rural emergency departments (EDs) and urgent care centres (UCCs) deliver a broad range of services. Often they are the first point of care for consumers experiencing acute mental health issues...
August 2018: Rural and Remote Health
Jose de Leon
Computers are becoming better than physicians in some activities. To survive, 21st century physicians need to become better thinkers. The most unique human cognitive skill is the ability to understand other human minds by creating stories about oneself and others (narrative thinking). Narrative thinking is at the core of the art of medicine, and dominated medicine until the 19th century when two types of scientific thinking (mechanistic and mathematical thinking) started to become influential. Mechanistic thinking uses mechanisms (abstract concepts which cannot be demonstrated in experiments but are needed for making hypotheses and interpreting observations from the experiments)...
July 2018: Actas Españolas de Psiquiatría
Craig D Newgard, Cynthia D Morris, Lindsey Smith, Jennifer N B Cook, Donald M Yealy, Sean Collins, James F Holmes, Nathan Kuppermann, Lynne D Richardson, Stephen Kimmel, Lance B Becker, Jane D Scott, Robert A Lowe, Clifton W Callaway, L Kris Gowen, Jill Baren, Alan B Storrow, Nicole Vasilevsky, Marijane White, Adrienne Zell
STUDY OBJECTIVE: We assess the productivity, outcomes, and experiences of participants in the National Institutes of Health/National Heart, Lung, and Blood Institute-funded K12 institutional research training programs in emergency care research. METHODS: We used a mixed-methods study design to evaluate the 6 K12 programs, including 2 surveys, participant interviews, scholar publications, grant submissions, and funded grants. The training program lasted from July 1, 2011, through June 30, 2017...
August 2, 2018: Annals of Emergency Medicine
Ahmad E Aboshaiqah, Regie B Tumala, Joel G Patalagsa, Ahmed A Al-Khaibary, Haya Al Fozan, John Paul Ben
BACKGROUND: Saudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience. OBJECTIVES: Validate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy)...
July 2018: Annals of Saudi Medicine
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