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https://www.readbyqxmd.com/read/29777924/views-and-experiences-with-regard-to-antibiotic-use-of-hospitalised-patients-in-five-european-countries-a-qualitative-descriptive-study
#1
V Zanichelli, A A Monnier, G Tebano, M Stanić Benić, I C Gyssens, C Pulcini, V Vlahović-Palčevski, M Schindler, S Harbarth, M Hulscher, B D Huttner
OBJECTIVES: To explore inpatients experiences and views with regard to antibiotics in 5 European hospitals. METHODS: Qualitative study where a patient-centred framework was used to explore inpatients' experiences concerning antibiotic treatment. A purposeful sample of inpatients treated with antibiotics in 5 hospitals (Belgium-BE, Croatia-HR, France-FR, Netherlands-NL, Switzerland-CH) participated in interviews (all centres) and focus groups (CH). RESULTS: 31 interviews (BE=5, HR=10, F=9, NL=5, CH=2) and three focus groups (CH= 11 participants) were performed...
May 16, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29777617/simulation-in-urology-to-train-non-technical-skills-in-ward-rounds
#2
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
https://www.readbyqxmd.com/read/29771228/clinical-leadership-training-an-evaluation-of-the-welsh-fellowship-programme
#3
Suzanne Phillips, Alison Bullock
Purpose UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation. Design/methodology/approach Focused on the participants ( n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29768069/analyzing-trend-for-u-s-immigrants-e-health-engagement-from-2008-to-2013
#4
Xinyan Zhao, Bo Yang, Chau-Wai Wong
Our study examines the trend of U.S. immigrants' engagement in various e-health activities and how immigrants' use of e-health technologies is associated with their cultural characteristics over years. Aggregating three national representative samples of U.S. immigrants from the Health Information National Trends Survey (HINTS) conducted between 2008 and 2013, our results from trend analyses and logistic regressions revealed that the U.S. immigrants exhibited an increasing trend on two types of e-health engagement: tracking personal health information online and communicating with a doctor online...
May 16, 2018: Health Communication
https://www.readbyqxmd.com/read/29767213/teaching-medical-educators-how-to-teach-communication-skills-more-than-a-decade-of-experience
#5
Carla L Spagnoletti, Sarah Merriam, Laurel Milberg, William I Cohen, Robert M Arnold
OBJECTIVES: Although opportunities exist for medical educators to gain additional training in teaching, literature that describes how to teach educators to teach communication skills to trainees is limited. The authors developed and evaluated a faculty development course that uses didactics, demonstration, drills, and role-play in a small-group format. METHODS: The course has been offered through the Institute for Clinical Research Education at the University of Pittsburgh for almost 15 years...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29766913/telemedicine-and-neurosciences
#6
Krishnan Ganapathy
It is well documented that there is an acute shortage of neurologists and neurosurgeons in India and globally. Despite all efforts, it will be impossible to make available neurospecialists in all suburban and rural areas. Simultaneously, there has been an exponential increase in the growth and development of Information and Communication Technology (ICT). Plummeting costs and unbelievable sophistication in the availability of user-friendly mobile video conferencing devices is making distance meaningless. Geography has become History! Worldwide, the ultraconservative health care industry, in particular, the medical community, has been uniformly slow to adopt and embrace the use of ICT to extend their clinical reach...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29766550/what-advice-is-given-to-newly-qualified-doctors-on-twitter-an-analysis-of-tipsfornewdocs-tweets
#7
Mohammed Ahmed Rashid, Doug McKechnie, Deborah Gill
CONTEXT: Twitter is a social media platform on which users post very brief messages that can be rapidly communicated across wide geographical areas and audiences. Many doctors use Twitter for personal as well as professional communications and networking. The #TipsForNewDocs hashtag is used on Twitter to give advice to newly qualified doctors as they commence their careers. This study explores the nature and focus of such advice. METHODS: An analysis of Twitter activity containing the #TipsForNewDocs hashtag was performed using Symplur health care analytics software...
May 15, 2018: Medical Education
https://www.readbyqxmd.com/read/29757414/vaccination-coverage-in-systemic-lupus-erythematosus-a-cross-sectional-analysis-of-the-german-long-term-study-lula-cohort
#8
Gamal Chehab, Jutta G Richter, Ralph Brinks, Rebecca Fischer-Betz, Borgi Winkler-Rohlfing, Matthias Schneider
Objectives: Vaccinations are an important measure to prevent infections in immunocompromised patients. The knowledge of vaccination coverage and reasons for non-vaccination in patients with SLE is scarce. The aim of this study was to assess coverage rates of selected vaccinations in a representative sample of SLE patients and to identify predictors for non-vaccination. Methods: In 2013, information on selected vaccinations (coverage, application and reservations) and on demographics, clinical parameters and health beliefs was assessed by means of a self-reported questionnaire among a representative sample of SLE patients in Germany (LuLa cohort)...
May 10, 2018: Rheumatology
https://www.readbyqxmd.com/read/29755006/multiparametric-magnetic-resonance-imaging-for-bladder-cancer-development-of-vi-rads-vesical-imaging-reporting-and-data-system
#9
REVIEW
Valeria Panebianco, Yoshifumi Narumi, Ersan Altun, Bernard H Bochner, Jason A Efstathiou, Shaista Hafeez, Robert Huddart, Steve Kennish, Seth Lerner, Rodolfo Montironi, Valdair F Muglia, Georg Salomon, Stephen Thomas, Hebert Alberto Vargas, J Alfred Witjes, Mitsuru Takeuchi, Jelle Barentsz, James W F Catto
CONTEXT: Management of bladder cancer (BC) is primarily driven by stage, grade, and biological potential. Knowledge of each is derived using clinical, histopathological, and radiological investigations. This multimodal approach reduces the risk of error from one particular test, but may present a staging dilemma when results conflict. Multiparametric magnetic resonance imaging (mpMRI) may improve patient care through imaging of the bladder with better resolution of the tissue planes than computed tomography and without radiation exposure...
May 10, 2018: European Urology
https://www.readbyqxmd.com/read/29754593/comparison-of-health-literacy-in-privately-insured-and-public-hospital-orthopaedic-patients
#10
Filip Cosic, Tabitha Porter, Cameron Norsworthy, Rohan Price, Harvinder Bedi
Objective The aim of the present study was to quantify and compare patient health literacy between privately insured and public orthopaedic patients. Methods As part of the present cross-sectional study, elective postoperative orthopaedic patients across two sites were recruited and asked to complete a questionnaire at the first postoperative out-patient review. Patients were divided into three groups: (1) a public group (Public); (2) a private group (Private-pre); and (3) a private group that completed the questionnaire immediately after the out-patient review (Private-post)...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29753557/how-interpreters-influence-patient-participation-in-medical-consultations-the-confluence-of-verbal-and-nonverbal-dimensions-of-interpreter-mediated-clinical-communication
#11
Demi Krystallidou, Peter Pype
OBJECTIVE: To investigate i) how the patient's participation in interaction occurs in interpreter-mediated consultations (IMCs) when the doctor provides information to the patient or tries to elicit information from them; ii) how the interpreter's presence in the consultation influences the patient's participation. METHOD: We analyzed 20 authentic video-recorded IMCs using the A.R.T. framework, an analytical tool for the study of participation in video recorded interpreter-mediated interactions...
May 5, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29751948/quantifying-positive-communication-doctor-s-language-and-patient-anxiety-in-primary-care-consultations
#12
Inge A Stortenbeker, Juul Houwen, Peter L B J Lucassen, Hugo W Stappers, Willem J J Assendelft, Sandra van Dulmen, Tim C Olde Hartman, Enny Das
OBJECTIVE: Positive communication is advocated for physicians during consultations with patients presenting medically unexplained symptoms (MUS), but studies generally focus on what is said rather than how it is said. This study quantified language use differences of general practitioners (GPs), and assessed their relation to patient anxiety. METHODS: Language use of 18 Dutch GPs during 82 consultations was compared for patients with MUS versus medically explained symptoms (MES)...
May 1, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29751856/how-does-the-current-generation-of-medical-students-view-the-radiology-match-an-analysis-of-the-auntminnie-and-student-doctor-network-online-forums
#13
Paul H Yi, Sherwin Novin, Taylor L Vander Plas, Eric Huh, Donna Magid
RATIONALE AND OBJECTIVES: The AuntMinnie (AM) and the Student Doctor Network (SDN) online forums are popular resources for medical students applying for residency. The purpose of this study was to describe medical student radiology-related posts on AM and SDN to better understand the medical student perspective on the application and Match process. MATERIALS AND METHODS: We reviewed all posts made on the AM and SDN online forums over 5 consecutive academic years from July 2012 to July 2017...
June 2018: Academic Radiology
https://www.readbyqxmd.com/read/29750061/changing-patient-safety-culture-in-china-a-case-study-of-an-experimental-chinese-hospital-from-a-comparative-perspective
#14
Xiao Ping Xu, Dong Ning Deng, Yong Hong Gu, Chui Shan Ng, Xiao Cai, Jun Xu, Xin Shi Zhang, Dong Ge Ke, Qian Hui Yu, Chi Kuen Chan
Background: The World Health Organization highlights that patient safety interventions are not lacking but that the local context affects their successful implementation. Increasing attention is being paid to patient safety in Mainland China, yet few studies focus on patient safety in organizations with mixed cultures. This paper evaluates the current patient safety culture in an experimental Chinese hospital with a Hong Kong hospital management culture, and it aims to explore the application of Hong Kong's patient safety strategies in the context of Mainland China...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/29749042/miscommunication-in-doctor-patient-communication
#15
Rose McCabe, Patrick G T Healey
The effectiveness of medical treatment depends on the quality of the patient-clinician relationship. It has been proposed that this depends on the extent to which the patient and clinician build a shared understanding of illness and treatment. Here, we use the tools of conversation analysis (CA) to explore this idea in the context of psychiatric consultations. The CA "repair" framework provides an analysis of the processes people use to deal with problems in speaking, hearing, and understanding. These problems are especially critical in the treatment of psychosis where patients and health care professionals need to communicate about the disputed meaning of hallucinations and delusion...
April 2018: Topics in Cognitive Science
https://www.readbyqxmd.com/read/29746355/relationships-among-dnp-and-phd-students-after-implementing-a-doctoral-student-organization
#16
Jasmine L Travers, Marjorie Weis, Jacqueline A Merrill
BACKGROUND: Early career contact, between clinically focused DNP and research-focused PhD nursing students, may encourage desirable intradisciplinary synergies. AIM: The aim of the study was to assess relationships among DNP and PhD nursing students after initiating a doctoral student organization. METHOD: An online survey assessed student interaction pre- and post-doctoral student organization implementation. Analysis consisted of paired t-test, social network analysis, and content analysis methods...
May 9, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29746184/students-perspectives-of-core-value-development-in-a-modified-problem-based-learning-program
#17
Michelle E Wormley, Melissa M Tovin, Michelle Lusardi, Stanley Wilson
Physical therapy educational programs are tasked to develop core values in their students as the foundation of professionalism. Problem-based learning (PBL) is an approach that intends to enrich exploration of issues in clinical decision making, understand how patient care is supported by other aspects of professional practice, and develop examination, intervention and communication skills. This qualitative study aimed to understand, interpret, and describe doctoral physical therapy students' perspectives of core value development in a modified PBL program...
May 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29745918/the-role-of-psychological-features-in-management-of-patients-with-type-1-diabetes-case-report
#18
M Dunicheva, T Zagorovskaya, E Patrakeeva
Studies have shown that effective diabetes management (and also self-management) can delay or prevent the micro- and macrovascular complications. But sometimes the way of achieving optimal glycemic control can affect quality of patient's life resulting in different fears and other psychological problems. Our clinical case demonstrates type 1 diabetes (T1D) patient with frequent episodes of hypoglycemia, including severe hypoglycemia, and various psychosocial problems. It confirms the importance of doctor's communication skills and necessity of constant collaboration with psychologist in organization of diabetes care...
April 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29741237/-walking-the-tightrope-the-role-of-peer-support-workers-in-facilitating-consumers-participation-in-decision-making
#19
Michelle Cleary, Toby Raeburn, Phil Escott, Sancia West, Violeta Lopez
In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision-making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers' participation in decision-making and recovery. Semi-structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems...
May 9, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29739742/user-needs-in-the-development-of-a-health-app-ecosystem-for-self-management-of-cystic-fibrosis-user-centered-development-approach
#20
Jacqueline Floch, Annabel Zettl, Lena Fricke, Tina Weisser, Lisbet Grut, Thomas Vilarinho, Erlend Stav, Antonio Ascolese, Cornelia Schauber
BACKGROUND: Digital self-management in cystic fibrosis (CF) is foreseen as a means toward better understanding of the disease and its treatment and better adherence to the treatment. Mobile apps hold the potential to provide access to information, motivate, and strengthen compliance. However, to deliver high-quality apps, the development should be based on thorough knowledge about user needs. Empirical research on the user-centered development of mobile apps for health care is, however, still limited...
May 8, 2018: JMIR MHealth and UHealth
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