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https://www.readbyqxmd.com/read/29684831/dis-integrating-cultural-difference-in-practice-and-communication-a-qualitative-study-of-host-and-migrant-registered-nurse-perspectives-from-new-zealand
#1
Margaret Brunton, Catherine Cook
BACKGROUND: Several earlier studies have provided evidence of the difficulties nurses have had adapting to foreign workplaces, however few have considered wider perspectives of the workplace communication environment. OBJECTIVE: The aim of this study was to examine the viewpoints and experience of both New Zealand qualified nurses and internationally qualified nurses in managing communication within teams and the clinical practice context in an increasingly diverse healthcare workplace in New Zealand...
April 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684002/how-should-social-media-be-used-in-transplantation-a-survey-of-the-american-society-of-transplant-surgeons
#2
Macey L Henderson, Joel T Adler, Sarah E Van Pilsum Rasmussen, Alvin G Thomas, Patrick D Herron, Madeleine M Waldram, Jessica M Ruck, Tanjala S Purnell, Sandra R DiBrito, Courtenay M Holscher, Christine E Haugen, Yewande Alimi, Jonathan M Konel, Ann K Eno, Jacqueline M Garonzik Wang, Elisa J Gordon, Krista L Lentine, Randolph L Schaffer, Andrew M Cameron, Dorry L Segev
BACKGROUND: Social media platforms are increasingly used in surgery and have shown promise as effective tools to promote deceased donation and expand living donor transplantation. There is growing need to understand how social media-driven communication is perceived by providers in the field of transplantation. METHODS: We surveyed 299 members of the American Society of Transplant Surgeons (ASTS) about their use of, attitudes toward, and perceptions of social media and analyzed relationships between responses and participant characteristics...
April 21, 2018: Transplantation
https://www.readbyqxmd.com/read/29683867/communication-among-team-members-within-the-patient-centered-medical-home-and-patient-satisfaction-with-providers-the-mediating-role-of-patient-provider-communication
#3
Susan E Stockdale, Danielle Rose, Jill E Darling, Lisa S Meredith, Christian D Helfrich, Timothy R Dresselhaus, Philip Roos, Lisa V Rubenstein
BACKGROUND: The Patient-centered Medical Home (PCMH) uses team-based care to improve patient outcomes, including satisfaction. The quality of patients' communication with their primary care providers (PCPs) is a key determinant of patient satisfaction. A shift to team-based care could disrupt the therapeutic relationship between patients and their PCPs and reduce patient satisfaction if communication and coordination among primary care team members is poor. Little is known about the relationship between intrateam communication within a PCMH and patient satisfaction with PCPs, and whether patient-provider communication might mediate this relationship...
April 21, 2018: Medical Care
https://www.readbyqxmd.com/read/29683788/communication-about-prognosis-with-adolescent-and-young-adult-patients-with-cancer-information-needs-prognostic-awareness-and-outcomes-of-disclosure
#4
Jennifer W Mack, Karen M Fasciano, Susan D Block
Purpose Communication about prognosis affects decisions patients and family members make about cancer care, and most patients say they want to know about their chances of cure. We sought to evaluate experiences with prognosis communication among adolescents and young adults (AYAs) with cancer. Patients and Methods We surveyed 203 AYAs with cancer age 15 to 29 years (response rate, 74%) treated at Dana-Farber Cancer Institute and their oncologists. Patients were approached within 6 weeks of diagnosis and asked to report on their prognosis communication preferences and experiences, their beliefs about likelihood of cure, and psychosocial outcomes of communication, such as trust (using an item from the Trust in Physician Scale), peace of mind (using select items from the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale), and anxiety and depression (using the Hospital Anxiety and Depression Scale)...
April 23, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29683764/the-impact-of-dosing-schedules-on-the-success-of-vaccination-programmes-in-elderly-populations-a-summary-of-current-evidence
#5
Ian Matthews, Hazel Dawson
Vaccines are an established means of preventing and eliminating communicable diseases. Whilst their efficacy in some settings is well studied, the impact of multi-dose vaccinations programmes in elderly populations is not well documented. A literature review was conducted in order to collate and analyse existing publications to provide a summary of current thinking and support identification of key factors that impact on the success of vaccination programmes. Having returned little information to provide a comprehensive understanding of the subject area, two short surveys were undertaken to supplement the findings and further examine the attitudes and opinions of the elderly and healthcare professionals...
April 23, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29683371/hippocampal-related-memory-network-in-multiple-sclerosis-a-structural-connectivity-analysis
#6
Sara Llufriu, Maria A Rocca, Elisabetta Pagani, Gianna C Riccitelli, Elisabeth Solana, Bruno Colombo, Mariaemma Rodegher, Andrea Falini, Giancarlo Comi, Massimo Filippi
BACKGROUND: We used graph theoretical analysis to quantify structural connectivity of the hippocampal-related episodic memory network and its association with memory performance in multiple sclerosis (MS) patients. METHODS: Brain diffusion and T1-weighted sequences were obtained from 71 MS patients and 50 healthy controls (HCs). A total of 30 gray matter regions (selected a priori) were used as seeds to perform probabilistic tractography and create connectivity matrices...
April 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/29683117/patient-use-of-electronic-methods-to-self-report-symptoms-an-integrative-literature-review
#7
Sharyn Carrasco, Lene Symes
PROBLEM IDENTIFICATION: Clinicians are unaware of most of their patients' symptoms. Symptoms may be poorly documented and their impact underestimated. Undertreatment of symptoms may lead to increased symptom distress and decreased quality of life. Improving the communication of symptoms to nurses is vital in symptom management and quality-of-life improvement. Electronic patient self-report of symptoms may be beneficial. LITERATURE SEARCH: An integrative review of the literature was conducted to describe the use of electronic methods for symptom self-report by patients with cancer and to inform best practices...
May 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29683041/the-management-of-chronic-back-pain-in-primary-care-settings-exploring-perceived-facilitators-and-barriers-to-the-development-of-patient-professional-partnerships
#8
Y Fu, E McNichol, K Marczewski, S José Closs
Supporting patients in forming partnerships with health professionals is the key of effective self-management. This study aimed to explore the nature of patient-professional partnerships and its related factors that create facilitators and barriers to patients' self-management ability. A constructivist grounded theory approach was undertaken. Three main themes emerged: interaction and communication, integrated care, and service and system. A theoretical model was generated that posits effective communication, individualized integrated care, and high-quality service as key influences on the successful development of patient-professional partnerships and patients' ability to self-manage...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29683011/can-communication-skills-training-improve-empathy-a-six-year-longitudinal-study-of-medical-students-in-japan
#9
Hitomi Kataoka, Toshihide Iwase, Hiroko Ogawa, Sabina Mahmood, Masaru Sato, Jennifer DeSantis, Mohammadreza Hojat, Joseph S Gonnella
BACKGROUND: Empathy is an important component of overall clinical competence; thus, enhancing empathy in medical education is essential for quality patient care. AIM: This longitudinal study was designed to address the following questions: 1. Can a targeted educational program in communication skills training enhance empathy in medical students? and 2. Can such a program have a sustained effect? METHODS: Study participants included 116 students who entered Okayama University Medical School in 2011...
April 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29682975/older-patients-perspectives-on-quality-of-serious-illness-care-in-primary-care
#10
Nebras Abu Al Hamayel, Sarina R Isenberg, Susan M Hannum, Joshua Sixon, Katherine Clegg Smith, Sydney M Dy
BACKGROUND: Despite increased focus on measuring and improving quality of serious illness care, there has been little emphasis on the primary care context or incorporation of the patient perspective. OBJECTIVE: To explore older patients' perspectives on the quality of serious illness care in primary care. DESIGN: Qualitative interview study. PARTICIPANTS: Twenty patients aged 60 or older who were at risk for or living with serious illness and who had participated in the clinic's quality improvement initiative...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29682768/combining-conversation-analysis-and-event-sequencing-to-study-health-communication
#11
Kristen E Pecanac
Good communication is essential in patient-centered care. The purpose of this paper is to describe conversation analysis and event sequencing and explain how integrating these methods strengthened the analysis in a study of communication between clinicians and surrogate decision makers in an intensive care unit. Conversation analysis was first used to determine how clinicians introduced the need for decision-making regarding life-sustaining treatment and how surrogate decision makers responded. Event sequence analysis then was used to determine the transitional probability (probability of one event leading to another in the interaction) that a given type of clinician introduction would lead to surrogate resistance or alignment...
April 23, 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29682712/-incidence-and-risk-factors-for-anastomotic-leakage-after-anterior-resection-for-rectal-cancer
#12
Jun Li, Yongbo An, Guocong Wu, Xiaomu Zhao, Yingchi Yang, Jin Wang, Lan Jin, Hongwei Wu, Na Zeng, Fuxiao Xie, Jie Dong, Anlong Yuan, Wuqing Sun, Ruiqing Zhou, Hongwei Yao, Zhongtao Zhang
OBJECTIVE: To assess the incidence and independent risk factors for clinical anastomotic leakage (AL) in patients undergoing anterior resection(AR) or low anterior resection, (LAR) for rectal cancer. METHODS: This was a retrospective case-control study of 550 patients with rectal cancer who underwent AR or LAR from April 2007 to March 2017 in Beijing Friendship Hospital, Capital Medical University. The relationship between the incidence of AL and clinicopathological manifestations was analyzed by Chi-squared test and Fisher exact test, and the independent risk factors of AL were analyzed using logistic regression analysis...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29682538/root-cause-analysis-of-persistently-high-maternal-mortality-in-a-rural-district-of-indonesia-role-of-clinical-care-quality-and-health-services-organizational-factors
#13
Mohammad Afzal Mahmood, Ismi Mufidah, Steven Scroggs, Amna Rehana Siddiqui, Hafsa Raheel, Koentijo Wibdarminto, Bernardus Dirgantoro, Jorien Vercruyssen, Hayfaa A Wahabi
Background: Despite significant reduction in maternal mortality, there are still many regions in the world that suffer from high mortality. District Kutai Kartanegara, Indonesia, is one such region where consistently high maternal mortality was observed despite high rate of delivery by skilled birth attendants. Method: Thirty maternal deaths were reviewed using verbal autopsy interviews, terminal event reporting, medical records' review, and Death Audit Committee reports, using a comprehensive root-cause analysis framework including Risk Identification, Signal Services, Emergency Obstetrics Care Evaluation, Quality, and 3 Delays...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29682511/preferences-of-older-adults-and-their-families-for-meaningful-use-clinical-summaries
#14
Karen Colorafi, Robert A Greenes, Marc Kates
Background: This study assessed the perceptions of older adults regarding the plan of care (POC) contained in the clinical summary mandated by the Electronic Health Records (EHR) Incentive Program. Methods: A qualitative descriptive design was selected for this study. Older adults (≥65) with chronic cardiac diagnoses were invited to participate. The investigator shadowed the physician during the patient encounter, interviewed the patients following their encounter, and asked patients to complete standard health literacy and cognitive screening tools and the Patient Activation Measure...
2018: MHealth
https://www.readbyqxmd.com/read/29682342/a-proposed-middle-range-theory-of-nursing-in-hypertension-care
#15
REVIEW
Eva Drevenhorn
Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient)...
2018: International Journal of Hypertension
https://www.readbyqxmd.com/read/29682238/rate-and-rhythm-control-strategies-for-apraxia-of-speech-in-nonfluent-primary-progressive-aphasia
#16
Bárbara Costa Beber, Monalise Costa Batista Berbert, Ruth Siqueira Grawer, Maria Cristina de Almeida Freitas Cardoso
The nonfluent/agrammatic variant of primary progressive aphasia is characterized by apraxia of speech and agrammatism. Apraxia of speech limits patients' communication due to slow speaking rate, sound substitutions, articulatory groping, false starts and restarts, segmentation of syllables, and increased difficulty with increasing utterance length. Speech and language therapy is known to benefit individuals with apraxia of speech due to stroke, but little is known about its effects in primary progressive aphasia...
January 2018: Dementia & Neuropsychologia
https://www.readbyqxmd.com/read/29682141/communicating-hydrocephalus-and-coexisting-nonenhancing-tumor-an-ominous-sign-for-patients-with-neurofibromatosis-type-1
#17
Ryo Miyahara, Satoshi Tsutsumi, Satoshi Adachi, Hisato Ishii, Akihide Kondo, Yukimasa Yasumoto
A 26-year-old woman with familial neurofibromatosis type 1 sustained headache that worsened for 1 month. Neuroimaging revealed a mild ventriculomegaly and nonenhancing lesion in the pons. In spite of repeated cerebrospinal fluid examinations and magnetic resonance imaging, the etiology was not determined. The affected pons markedly enlarged in the following 2 months, with extensive leptomeningeal dissemination. Biopsy through hemilaminectomy of the T9 was diagnosed as glioblastoma multiforme. Prompt histologic examination should be performed when patients with familial neurofibromatosis type 1 manifest communicating hydrocephalus coexistent with a nonenhancing tumor...
June 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29682138/successful-retrograde-recanalization-of-acute-right-dominant-vertebral-artery-occlusion-through-the-left-posterior-communicating-artery-in-a-patient-with-acute-vertebrobasilar-ischemic-stroke
#18
Anton A Khilchuk, Maksim V Agarkov, Sergey V Vlasenko, Sergey G Scherbak, Andrey M Sarana, Svetlana V Lebedeva
Advanced endovascular technology and techniques allow interventional radiologists to utilize novel ways of basilar artery recanalization in the setting of acute ischemic stroke, especially when routine approaches are not eligible. Several authors described nonstandard revascularization techniques in acute ischemic strokes due to basilar and middle cerebral arteries occlusions with full technical and clinical success. In this report, we present retrograde right vertebral artery recanalization using left posterior communicating artery for subsequent anterograde balloon angioplasty and stenting of a right vertebral artery ostium followed by full vertebrobasilar blood flow restoration...
April 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29682074/language-mapping-in-awake-surgery-report-of-two-cases-with-review-of-language-networks
#19
Liang Hooi Lim, Zamzuri Idris, Faruque Reza, Wan Mohd Nazaruddin Wan Hassan, Laila Abd Mukmin, Jafri Malin Abdullah
The role of language in communication plays a crucial role in human development and function. In patients who have a surgical lesion at the functional language areas, surgery should be intricately planned to avoid incurring further morbidity. This normally requires extensive functional and anatomical mappings of the brain to identify regions that are involved in language processing and production. In our case report, regions of the brain that are important for language functions were studied before surgery by employing (a) extraoperative methods such as functional magnetic resonance imaging, transmagnetic stimulation, and magnetoencephalography; (b) during the surgery by utilizing intraoperative awake surgical methods such as an intraoperative electrical stimulation; and (c) a two-stage surgery, in which electrical stimulation and first mapping are made thoroughly in the ward before second remapping during surgery...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29682071/intraoperative-rupture-cerebral-aneurysm-and-computational-flow-dynamics
#20
Ilya Senko, Anton Shatokhin, Ishu Bishnoi, Yasuhiro Yamada, Riki Tanaka, Daisuke Suyama, Tukasa Kawase, Yoko Kato
Intraoperative aneurysmal rupture (IAR) is the most fearsome complication of aneurysm surgery. IAR associates with high morbidity and mortality. In recent years, we have many studies regarding using computational fluid dynamics (CFD) in aneurysm surgery. CFD helps in calculating the velocity of blood flowing in the aneurysm sac, the pressure in the aneurysm sac, and wall shear stress (WSS). CFD also helps in predicting nature of aneurysm wall and thus may warn about different intraoperative microscopy findings in aneurysms...
April 2018: Asian Journal of Neurosurgery
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