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https://www.readbyqxmd.com/read/29653460/-doctor-patient-communication-training-in-simulated-situations-emotions-and-perceptions-of-simulated-patients-during-patient-centered-conversations
#1
Maria Asisa Butollo, Anita Holzinger, Michaela Wagner-Menghin
INTRODUCTION: The use of simulated patients (SPs) for doctor-patient communication training has been established in medical curricula as an important didactic method. The study addresses the question, if patients' emotions and perceptions are represented adequately in patient-centered communication. MATERIALS AND METHODS: 22 of 37 SPs of the Medical University of Vienna (12 women, 10 men) were asked openly about their feelings after having acted as an SP in a semi-structured interview, which employed the Critical Incident Technique...
April 13, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#2
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29652589/distributed-newton-methods-for-deep-neural-networks
#3
Chien-Chih Wang, Kent Loong Tan, Chun-Ting Chen, Yu-Hsiang Lin, S Sathiya Keerthi, Dhruv Mahajan, S Sundararajan, Chih-Jen Lin
Deep learning involves a difficult nonconvex optimization problem with a large number of weights between any two adjacent layers of a deep structure. To handle large data sets or complicated networks, distributed training is needed, but the calculation of function, gradient, and Hessian is expensive. In particular, the communication and the synchronization cost may become a bottleneck. In this letter, we focus on situations where the model is distributedly stored and propose a novel distributed Newton method for training deep neural networks...
April 13, 2018: Neural Computation
https://www.readbyqxmd.com/read/29650727/a-pharmacy-led-united-states-pharmacopeia-usp-chapter-800-compliance-collaborative-at-an-academic-medical-center
#4
Bijan C Mekoba, Erin M Turingan, Patricia A Roberts, Susan Mason, Ian Willoughby, Cindy Taylor, Andrew Stivers, John Valgus
PURPOSE: One academic medical center's efforts to move toward compliance with requirements of United States Pharmacopeia ( USP ) chapter 800 through a multidepartmental collaborative initiative are described. SUMMARY: Requirements of USP general chapter 800 (enforceable as of December 2019) address the handling of hazardous drugs (HDs) throughout the entire operational and clinical cycle, from receiving to compounding, administration, and waste disposal. Due to the variety of pharmacy operational areas in which HDs are encountered at University of North Carolina Medical Center (UNCMC), multiple pharmacy managers oversee the safe handling of HDs...
April 12, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29650504/interactive-two-way-mhealth-interventions-for-improving-medication-adherence-an-evaluation-using-the-behaviour-change-wheel-framework
#5
Nicole Chiang, Michael Guo, K Rivet Amico, Lou Atkins, Richard T Lester
BACKGROUND: Medication adherence is an important but highly complex set of behaviors, which for life-threatening and infectious diseases such as HIV carry critical consequences for individual and public health. There is growing evidence that mobile phone text messaging interventions (mHealth) connecting providers with patients positively impact medication adherence, particularly two-way engagement platforms that require bidirectional communication versus one-way in which responses are not mandatory...
April 12, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29650489/guiding-hand-hygiene-interventions-among-future-healthcare-workers-implications-of-knowledge-attitudes-and-social-influences
#6
Shamsul Arfin Qasmi, Sayed Mustafa Mahmood Shah, Hafiz Yahya Iftikhar Wakil, Sarmad Pirzada
BACKGROUND: Medical students in their clinical years play an important role in healthcare delivery, yet poor levels of hand hygiene (HH) compliance in this population raise the risk for propagating nosocomial infections. To date, there has been a lack of dedicated interventions showing sustainable improvements in HH in this population. METHODS: A multicenter, cross-sectional study was conducted among 450 medical students in their clinical years (third to fifth years)...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29650178/the-effective-needle-stick-injury-prevention-strategies-for-nursing-students-in-the-clinical-settings-a-literature-review
#7
Hanny Handiyani, L Meily Kurniawidjaja, Dewi Irawaty, Rita Damayanti
OBJECTIVE: Nursing students are prone to needle stick injuries (NSIs) during their practice in the hospitals. This study aimed to identify the effective NSI prevention strategies for nursing students in the clinical settings. METHOD: Literature review was performed using the databases of ScienceDirect, ProQuest, MEDLINE, PsycINFO, Scopus, CINAHL, SpringerLink, JSTOR, and PubMed. The search terms of "nursing students", "NSI incidents", "prevention", and "clinical settings" were entered, generating 103 articles published between 1991 and 2015...
February 2018: EnfermerĂ­a ClĂ­nica
https://www.readbyqxmd.com/read/29649404/development-of-valid-and-reliable-measures-of-patient-and-family-experiences-of-hospice-care-for-public-reporting
#8
Rebecca Anhang Price, Brian Stucky, Layla Parast, Marc N Elliott, Ann Haas, Melissa Bradley, Joan M Teno
BACKGROUND: Increasingly, dying patients and their families have a choice of hospice providers. Care quality varies considerably across providers; informing consumers of these differences may help to improve their selection of hospices. OBJECTIVE: To develop and evaluate standardized survey measures of hospice care experiences for the purpose of comparing and publicly reporting hospice performance. DESIGN: We assessed item performance and constructed composite measures by factor analysis, evaluating item-scale correlations and estimating reliability...
March 20, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29649396/surgeons-perceived-barriers-to-palliative-and-end-of-life-care-a-mixed-methods-study-of-a-surgical-society
#9
Pasithorn A Suwanabol, Ari C Reichstein, Z Tuba Suzer-Gurtekin, Jane Forman, Maria J Silveira, Lona Mody, Arden M Morris
BACKGROUND: Nearly 20% of colorectal cancer (CRC) patients present with potentially incurable (Stage IV) disease, yet their physicians do not integrate cancer treatment with palliative care. Compared with patients treated by primary providers, surgical patients with terminal diseases are significantly less likely to receive palliative or end-of-life care. OBJECTIVE: To describe surgeon perspectives on palliative and end-of-life care for patients with Stage IV CRCs...
March 13, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29648922/reducing-wait-time-between-admission-and-chemotherapy-initiation
#10
Arjun Gupta, Jenny Li, Bernard Tawfik, Thao Pham, Sudarshan Pathak, Prabhjyot Singh, Esmaeil Porsa, Navid Sadeghi, Hsiao C Li
PURPOSE: Reducing the length of stay is a high-priority objective for all health care institutions. Delays in chemotherapy initiation for planned preadmissions lead to patient dissatisfaction and prolonged length of stay. PATIENTS AND METHODS: A multidisciplinary team was formed as part of the ASCO Quality Training Program. We aimed to reduce the time to initiation of chemotherapy from patient arrival at Parkland Hospital from a median of 6.2 hours at baseline to 4 hours over a 6-month period (35% reduction)...
April 12, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29648901/training-health-professions-preceptors-in-rural-practices-a-challenge-for-interprofessional-practice-and-education
#11
Molly L Osborne, Virginia P Tilden, Elizabeth Eckstrom
The ever-increasing mandate for interprofessional practice and education (IPE) faces challenges in rural settings. Oregon Health & Science University (OHSU) launched a preceptor development program as part of its commitment to training interprofessional student groups in rural settings. The objectives of the program were to (1) encourage preceptors to exemplify team behaviors; (2) characterize contemporary learners and learning styles of trainees; (3) encourage interprofessional precepting skills, and (4) apply practical teaching tools in the clinical setting...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29644987/preventing-and-managing-workplace-violence-against-healthcare-workers-in-emergency-departments
#12
Gabriele D'Ettorre, Vincenza Pellicani, Mauro Mazzotta, Annamaria Vullo
BACKGROUND AND AIM: Healthcare workers (HCWs) employed in Emergency Departments (EDs) frequently face with patients becoming violent because of long wait or diseases or under the influence of alcohol or drugs. Globally, workplace violence (WPV) in EDs is a major challenge to safety for HCWs, involving significant consequences to the victims, patients, and healthcare organizations. We reviewed the current literature with the aim to explore the topics focused on and to detect new evidences about approaching the issue of WPV toward HCWs in EDs...
February 21, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29643742/effects-of-interprofessional-education-for-medical-and-nursing-students-enablers-barriers-and-expectations-for-optimizing-future-interprofessional-collaboration-a-qualitative-study
#13
Sabine Homeyer, Wolfgang Hoffmann, Peter Hingst, Roman F Oppermann, Adina Dreier-Wolfgramm
Background: To ensure high quality patient care an effective interprofessional collaboration between healthcare professionals is required. Interprofessional education (IPE) has a positive impact on team work in daily health care practice. Nevertheless, there are various challenges for sustainable implementation of IPE. To identify enablers and barriers of IPE for medical and nursing students as well as to specify impacts of IPE for both professions, the 'Cooperative academical regional evidence-based Nursing Study in Mecklenburg-Western Pomerania' (Care-N Study M-V) was conducted...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29642710/teaching-residents-how-to-talk-about-death-and-dying-a-mixed-methods-analysis-of-barriers-and-randomized-educational-intervention
#14
David C Miller, Amy M Sullivan, Morgan Soffler, Brett Armstrong, Asha Anandaiah, Laura Rock, Jakob I McSparron, Richard M Schwartzstein, Margaret M Hayes
OBJECTIVES: We present a pilot study exploring the effects of a brief, 30-minute educational intervention targeting resident communication surrounding dying in the intensive care unit (ICU). We sought to determine whether simulation or didactic educational interventions improved resident-reported comfort, preparation, and skill acquisition. We also sought to identify resident barriers to using the word "dying." METHODS: In this mixed-methods prospective study, second- and third-year medical residents were randomized to participate in a simulation-based communication training or a didactic session...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29629391/medical-students-perceptions-of-small-group-teaching-effectiveness-in-hybrid-curriculum
#15
Pradeep Kumar Sahu, Shivananda Nayak, Vincent Rodrigues
OBJECTIVES: The objective of this study was designed to investigate medical students' perceptions of small group teaching effectiveness in a hybrid curriculum. MATERIALS AND METHODS: A cross-sectional, descriptive survey was conducted at the School of Medicine, The University of the West Indies, St. Augustine where we collected the data from 195 undergraduate students. A self-administered questionnaire consisting of 25 items was used to measure students' perception on the effectiveness of problem-based learning (PBL) with regard to learning experience, teamwork, confidence, communication skills, and role of the tutor...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29628404/when-the-reading-room-meets-the-team-room-resident-perspectives-from-radiology-and-internal-medicine-on-the-effect-of-personal-communication-after-implementing-a-resident-led-radiology-rounds
#16
Andrew J Klobuka, John Lee, Raquel Buranosky, Matthew Heller
OBJECTIVE: Current radiology and internal medicine (IM) residents have trained to varying degrees depending on program in the post picture archiving and communication systems implementation era and thus have largely missed out on the benefits of in-person, 2-way communication between radiologists and consulting clinicians. The purpose of this study is to broadly explore resident perspectives from these groups on the desire for personal contact between radiologists and referring physicians and the effect of improved contact on clinical practice...
February 13, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29628018/barriers-and-facilitators-affecting-the-implementation-of-substance-use-screening-in-primary-care-clinics-a-qualitative-study-of-patients-providers-and-staff
#17
Jennifer McNeely, Pritika C Kumar, Traci Rieckmann, Erica Sedlander, Sarah Farkas, Christine Chollak, Joseph L Kannry, Aida Vega, Eva A Waite, Lauren A Peccoralo, Richard N Rosenthal, Dennis McCarty, John Rotrosen
BACKGROUND: Alcohol and drug use are leading causes of morbidity and mortality that frequently go unidentified in medical settings. As part of a multi-phase study to implement electronic health record-integrated substance use screening in primary care clinics, we interviewed key clinical stakeholders to identify current substance use screening practices, barriers to screening, and recommendations for its implementation. METHODS: Focus groups and individual interviews were conducted with 67 stakeholders, including patients, primary care providers (faculty and resident physicians), nurses, and medical assistants, in two urban academic health systems...
April 9, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29627999/moral-competence-among-nurses-in-malawi-a-concept-analysis-approach
#18
Veronica Mary Maluwa, Elizabeth Gwaza, Betty Sakala, Esnath Kapito, Ruth Mwale, Clara Haruzivishe, Ellen Chirwa
BACKGROUND: Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis. OBJECTIVE: The aim of this article is to analyse moral competence concept in relation to nursing practice and determine defining attributes, antecedents and consequences of moral competence in nursing practice...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29627268/findings-from-a-feasibility-study-to-improve-gp-elicitation-of-patient-concerns-in-uk-general-practice-consultations
#19
Geraldine M Leydon, Beth Stuart, Rachael H Summers, Paul Little, Stuart Ekberg, Fiona Stevenson, Carolyn A Chew-Graham, Lucy Brindle, John Heritage, Paul Drew, Michael V Moore
OBJECTIVES: To establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations ("do you have 'any' vs. 'some' other concerns?") noting the impact on consultation length, and b) whether patients attend with multiple concerns and whether they voiced them in the consultation. METHODS: A mixed-methods three arm RCT feasibility study to assess the feasibility of the communication intervention...
March 23, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29626400/assessing-and-improving-performance-a-longitudinal-evaluation-of-priority-setting-and-resource-allocation-in-a-canadian-health-region
#20
William Hall, Neale Smith, Craig Mitton, Bonnie Urquhart, Stirling Bryan
BACKGROUND: In order to meet the challenges presented by increasing demand and scarcity of resources, healthcare organizations are faced with difficult decisions related to resource allocation. Tools to facilitate evaluation and improvement of these processes could enable greater transparency and more optimal distribution of resources. METHODS: The Resource Allocation Performance Assessment Tool (RAPAT) was implemented in a healthcare organization in British Columbia, Canada...
August 22, 2017: International Journal of Health Policy and Management
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