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https://www.readbyqxmd.com/read/29619664/constructing-critical-thinking-in-health-professional-education
#1
Renate Kahlke, Kevin Eva
INTRODUCTION: Calls for enabling 'critical thinking' are ubiquitous in health professional education. However, there is little agreement in the literature or in practice as to what this term means and efforts to generate a universal definition have found limited traction. Moreover, the variability observed might suggest that multiplicity has value that the quest for universal definitions has failed to capture. In this study, we sought to map the multiple conceptions of critical thinking in circulation in health professional education to understand the relationships and tensions between them...
April 4, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29616577/collaborative-group-testing-improves-learning-and-knowledge-retention-of-human-physiology-topics-in-second-year-medical-students
#2
Mario Vázquez-García
The present study examined the relationship between second-year medical students' group performance and individual performance in a collaborative-learning environment. In recent decades, university professors in the scientific and humanistic disciplines have successfully put into practice different modalities of collaborative approaches to teaching. Essentially, collaborative approach refers to a variety of techniques that involves the joint intellectual effort of a small group of students, which encourages interaction and discussion among students and professors...
June 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29561106/-technicization-of-surgery-a-real-danger
#3
Amandine Klipfel
Technicized medicine foreshadows a dehumanisation of care : patients are seen as tools for progress, and doctors are focused on the therapeutical means to be developed. Therefore, surgeons are torn between their desires, as technicians, to improve their tech-nical skills, and their duty, as doctors, to look after each patient who needs care. The advent of laparaoscopy has changed the way doctors consider their patients' bodies. The current state of surgery is in crisis insofar as humanist surgery can no longer meet the aspirations of modern surgery...
October 13, 2017: Journal International de Bioéthique et D'éthique des Sciences
https://www.readbyqxmd.com/read/29508203/-the-rowdy-ones-configurations-of-difference-in-a-private-psychiatric-hospital
#4
Seth Donal Hannah
Drawing on participant-observation and semi-structured interviews, this paper examines the local forms of clinical practice in a 26-bed acute psychiatric inpatient unit located within a private psychiatric hospital in the Northeastern United States. It focuses on how clinicians, staff, and management understand and utilize the concepts of culture, race, and ethnicity in their daily work, finding that a humanistic approach to care that that treats patients as "individuals" was dominant. Clinicians and staff categorized patients using descriptive, behavior based categories including language, propensity for violence, and whether patients are "from the streets...
March 5, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29501208/-precision-medicine-a-major-step-forward-in-specific-situations-a-myth-in-refractory-cancers
#5
REVIEW
Nicolas Albin, Anne Mc Leer, Linda Sakhri
In recent years, high-throughput sequencing techniques have been developed for cancerology and many clinical trials are currently structured around biomarkers that can guide specific treatment choices. This approach is characteristic of precision medicine, which is actually a concept initiated several decades ago with, for example, retinoic acid in promyelocytic leukemia. This paper will review the different types of molecular alterations and « -omics » biological analyses, bioinformatics tools, coupled drug/biomarkers already validated, the ethical issues of whole genomic sequencing of an individual as part of an inclusion in a clinical trial and finally the first results of precision medicine trials...
March 1, 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29490528/persistent-influence-of-a-narrative-educational-program-on-physician-attitudes-regarding-patient-care
#6
Jennifer N Stojan, Eleanor Y Sun, Arno K Kumagai
PURPOSE: Educational approaches involving patient stories aim at enhancing empathy and patient-centered care; however, it is not known whether the influence of such programs on physician attitudes persists beyond medical school. MATERIALS AND METHODS: The Family Centered Experience (FCE) paired preclinical medical students with patient families over two years and engaged students in reflective dialogs about the volunteers' stories. This study examined possible long-term influences on attitudes toward medicine and doctoring...
February 28, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29466928/mapping-patterns-of-change-in-emotion-focused-psychotherapy-implications-for-theory-research-practice-and-training
#7
Jeanne C Watson
An important objective in humanistic-experiential psychotherapies and particularly emotion-focused psychotherapy (EFT) is to map patterns of change. Effective mapping of the processes and pathways of change requires that in-session processes be linked to in-session resolutions, immediate post-session changes, intermediate outcome, final therapy outcome, and longer-term change. This is a challenging and long-term endeavour. Fine-grained descriptions of in-session processes that lead to resolution of specific interpersonal and intrapersonal issues linked with longer-term outcomes are the foundation of EFT, the process-experiential approach...
February 21, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29429022/a-new-path-for-humanistic-medicine
#8
Juliette Ferry-Danini
According to recent approaches in the philosophy of medicine, biomedicine should be replaced or complemented by a humanistic medical model. Two humanistic approaches, narrative medicine and the phenomenology of medicine, have grown particularly popular in recent decades. This paper first suggests that these humanistic criticisms of biomedicine are insufficient. A central problem is that both approaches seem to offer a straw man definition of biomedicine. It then argues that the subsequent definition of humanism found in these approaches is problematically reduced to a compassionate or psychological understanding...
February 2018: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/29388278/walls-or-bridges-no-gobbledygook-the-international-psycho-oncology-society-2017-sutherland-award-lecture
#9
Matthew J Loscalzo
Illness, health and wellness happens in social contexts. The present political environment is highly divisive and plays to the most primitive fears of people. Never have the stakes been so high. History is replete with putative leaders who create walls that separate people in ways that inevitably leads to dehumanization, suffering and eventually violence. Timely and openly shared psychosocial insights by experts in mental health into the evil consequences of "wall builders" are essential to the physical, mental and spiritual health of individuals and nations...
February 1, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29384026/evaluation-of-an-academic-community-partnership-to-implement-mtm-services-in-rural-communities-to-improve-pharmaceutical-care-for-patients-with-diabetes-and-or-hypertension
#10
Melissa Johnson, Rebecca Jastrzab, Jared Tate, Kate Johnson, Elizabeth Hall-Lipsy, Rose Martin, Ann M Taylor, Terri Warholak
BACKGROUND: Although the current methods of medication therapy management (MTM) delivery have demonstrably improved therapeutic, safety, economic, and humanistic health outcomes, patient- and prescriber-level barriers persist, limiting its reach and effectiveness. OBJECTIVE: To assess telephonic- and community-based clinical pharmacy services in improving health indicators for rural, underserved patients. METHODS: In 2014, an established MTM provider created a novel, collaborative pilot program with independent retail and community health center pharmacies to provide comprehensive, telephonic MTM services to rural Arizonans...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29383378/counseling-issues-addressing-behavioral-and-emotional-considerations-in-the-treatment-of-communication-disorders
#11
Aaron Lieberman
Purpose: Counseling is an important fundamental professional activity and an established component of the speech-language pathology/audiology scope of practice as documented by the American Speech-Language-Hearing Association (2004a, 2016a). Appropriate incorporation of counseling into practice can optimize service provision, help address comorbid behavioral and emotional reactions to communication disorders, and enhance prognosis. Practitioner insecurity in incorporating counseling into practice has been documented by Phillips and Mendel (2008), as well as Atkins (2007)...
January 30, 2018: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29357987/patient-perspectives-on-nurse-led-consultations-within-a-pilot-structured-transition-program-for-young-adults-moving-from-an-academic-tertiary-setting-to-community-based-type-1-diabetes-care
#12
Sandra Zoni, Marie-Elise Verga, Michael Hauschild, Marie-Paule Aquarone-Vaucher, Teresa Gyuriga, Anne-Sylvie Ramelet, Andrew A Dwyer
PURPOSE: We aimed to evaluate patient self-management activities, patient perceptions of the therapeutic relationship and satisfaction with nurse-led consultations as part of a structured, pilot program transitioning young adults with type 1 diabetes (T1DM) to adult-oriented community-based practices. DESIGN AND METHODS: A descriptive, cross-sectional study of patients receiving nurse-led consultations. Patients provided sociodemographic/health information, glycated hemoglobin (HbA1c) measures and completed questionnaires assessing self-management (Revised Self-Care Inventory) and the therapeutic relationship (Caring Nurse-Patient Interaction - short scale)...
January 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29351132/a-mixed-methods-approach-to-humanistic-interprofessional-faculty-development
#13
Alice Fornari, Leanne M Tortez, Monika Lay, Bruce Hirsch, Donna Tanzi, Isabel Friedman, Alison P Ricardo, Renee Pekmezaris, William Branch
INTRODUCTION: This study evaluated the effectiveness of the Mentoring and Professionalism in Training (MAP-IT) program, a longitudinal, interprofessional faculty development curriculum designed to enhance clinicians' humanistic mentoring skills, specifically nurses and physicians. METHODS: During 2014 to 2016, two consecutive cohorts of nurses and physicians completed the MAP-IT program. Participants included 169 high potential mentors (HPMs) and 61 facilitator leaders...
January 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29344376/effectiveness-of-pharmacist-s-intervention-in-the-management-of-cardiovascular-diseases
#14
REVIEW
Stefano Omboni, Marina Caserini
The pharmacist may play a relevant role in primary and secondary prevention of cardiovascular diseases, mainly through patient education and counselling, drug safety management, medication review, monitoring and reconciliation, detection and control of specific cardiovascular risk factors (eg, blood pressure, blood glucose, serum lipids) and clinical outcomes. Systematic reviews of randomised controlled and observational studies have documented an improved control of hypertension, dyslipidaemia or diabetes, smoking cessation and reduced hospitalisation in patients with heart failure, following a pharmacist's intervention...
2018: Open Heart
https://www.readbyqxmd.com/read/29331186/-addictology-promoting-users-power-to-act
#15
REVIEW
Alain Morel
The notion of risk reduction applies to all uses, drinking of alcohol and smoking including, addictions without drugs likewise. With regard to drugs, mentalities change. We now talk more of risks than fault or deviance. Following, collaboration between health professionals and users, sharing and cooperation are the conditions necessary to develop a modern humanist and social addictology approach.
January 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29322243/humanistic-burden-of-disease-for-patients-with-advanced-melanoma-in-canada
#16
Winson Y Cheung, Martha S Bayliss, Michelle K White, Angela Stroupe, Andrew Lovley, Bellinda L King-Kallimanis, Kathryn Lasch
BACKGROUND: Metastatic melanoma is a highly aggressive cancer, often striking in the prime of life. This study provides new information directly from advanced melanoma (stage III and IV) patients on how their disease impacts their health-related quality of life (HRQL). METHODS: Twenty-nine in-depth, qualitative interviews were conducted with adult patients with advanced melanoma in Canada. A semi-structured interview guide was used. Interviews were transcribed verbatim and key concepts were identified using a grounded theory analytic approach...
January 10, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29238482/a-historical-review-of-the-concept-of-labor-support-in-technocratic-humanistic-and-holistic-paradigms-of-childbirth
#17
REVIEW
Tahereh Fathi Najafi, Robab Latifnejad Roudsari, Hossein Ebrahimipour
Background: In the past century, maternal support during childbirth has been changed according to the different approaches suggested by various health care paradigms. Objective: The aim of this review was to argue the maternity supportive care paradigms of the past century and to closely analyze each paradigm. Methods: This is a historical review, in which published articles were retrieved from databases including Scopus, Science Direct, PubMed and Google Scholar...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29203258/the-importance-impact-and-influence-of-group-clinical-supervision-for-graduate-entry-nursing-students
#18
Fiona Sheppard, Gemma Stacey, Aimee Aubeeluck
This paper will report on an evaluation of group clinical supervision (CS) facilitated for graduate entry nursing (GEN) students whilst on clinical placement. The literature suggests educational forums which enable GEN students to engage in critical dialogue, promote reflective practice and ongoing support are an essential element of GEN curricula. The model of supervision employed was informed by Proctor's three function interactive CS model and Inskipp and Proctor's Supervision Alliance. Both emphasise the normative, formative and restorative functions of CS as task areas within an overarching humanistic supervisory approach...
January 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29180545/implementation-of-a-standardized-medication-therapy-management-plus-approach-within-primary-care
#19
Emily J Schwartz, Jacques Turgeon, Jay Patel, Parag Patel, Hetal Shah, Amalia M Issa, Orsula V Knowlton, Calvin H Knowlton, Kevin T Bain
PURPOSE: The purpose of this study was to implement a clinical pharmacist-led medication therapy management (MTM) service within a primary-care setting that is enhanced by 1) a clinical decision support system (CDSS) that includes a unique combination of medication risk mitigation factors, which aids the pharmacist in interpreting the medication profile, and 2) pharmacogenomics (PGx) testing. METHODS: This was a service implementation study, whereby Medicare beneficiaries were eligible if they were patients of Elmwood Family Physicians, a private family, primary care practice with 2 locations in New Jersey, and were on at least 7 medications...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29169937/positive-deviance-and-hand-hygiene-of-nurses-in-a-quebec-hospital-what-can-we-learn-from-the-best
#20
Josiane Létourneau, Marie Alderson, Annette Leibing
BACKGROUND: Although it is well known that hand hygiene is the most effective measure to prevent health care-associated infections, hand hygiene adherence is low in Quebec, as it is elsewhere. For this study, an innovative framework was used to explore the clinical practice of nurses regarding hand hygiene and the factors that influence it: positive deviance, or the idea that there are people who find better solutions to problems than their peers. This study investigated positive deviance at the level of the care team to shed light on group dynamics...
November 21, 2017: American Journal of Infection Control
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