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Patient-practitioner relationship

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https://www.readbyqxmd.com/read/28637613/the-inseparability-of-emotional-and-instrumental-care-in-cancer-towards-a-more-powerful-science-of-clinical-communication
#1
Peter Salmon, Bridget Young
OBJECTIVE: Clinical communication literature currently distinguishes clinicians' emotional care of patients from instrumental aspects of clinical care, and regards clinicians' explicit emotional engagement with patients as the key to emotional care. Here we critically appraise this view. METHODS: We draw on empirical evidence and recent reviews and critiques focusing on cancer care. RESULTS: Patients and families do not generally seek explicit emotional engagement from their practitioners; nor does such engagement consistently improve patient outcomes...
May 30, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28637144/what-information-do-patients-need-following-a-whiplash-injury-the-perspectives-of-patients-and-physiotherapists
#2
Annick Maujean, Joanna Sterling, Michele Sterling
PURPOSE: The aims of the present study were to identify information that individuals with whiplash associated disorders (WAD) need to know in the early stages of recovery and to establish whether there is a difference between what physiotherapists and whiplash-injured patients perceive as important information. METHOD: Forty-one participants were recruited (20 whiplash-injured patients, 21 physiotherapists). Participants were asked to provide five statements to one open-ended question about what they believe is the most important information individuals with WAD need to know in the early stages of recovery...
February 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28629349/relationships-between-dental-personnel-and-non-dental-primary-health-care-providers-in-rural-and-remote-queensland-australia-dental-perspectives
#3
Jackie Stuart, Ha Hoang, Len Crocombe, Tony Barnett
BACKGROUND: Collaboration between dental practitioners and non-dental primary care providers has the potential to improve oral health care for people in rural and remote communities, where access to oral health services is limited. However, there is limited research on collaboration between these professional disciplines. The purpose of this paper was to explore the relationships between dental practitioners and non-dental primary care providers from rural and remote areas of Queensland and to identify strategies that could improve collaboration between these disciplines from the perspective of dental participants...
June 19, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28623941/development-of-a-program-theory-for-shared-decision-making-a-realist-review-protocol
#4
Gary Groot, Tamara Waldron, Tracey Carr, Linda McMullen, Lori-Ann Bandura, Shelley-May Neufeld, Vicky Duncan
BACKGROUND: The practicality of applying evidence to healthcare systems with the aim of implementing change is an ongoing challenge for practitioners, policy makers, and academics. Shared decision- making (SDM), a method of medical decision-making that allows a balanced relationship between patients, physicians, and other key players in the medical decision process, is purported to improve patient and system outcomes. Despite the oft-mentioned benefits, there are gaps in the current literature between theory and implementation that would benefit from a realist approach given the value of this methodology to analyze complex interventions...
June 17, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28619270/what-is-symptom-meaning-a-framework-analysis-of-communication-in-palliative-care-consultations
#5
Celina F Estacio, Phyllis N Butow, Melanie R Lovell, Skye T Dong, Josephine M Clayton
OBJECTIVE: There is a limited understanding of symptom meaning and its significance to clinical practice within symptom experience literature. This study aims to qualitatively explore the ways in which symptom meanings are discussed by patients and responded to by palliative care physicians during consultations. METHODS: Framework analysis was conducted with 40 palliative care consultation transcripts. RESULTS: 55% of consultations discussed symptom meaning...
May 5, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28615017/protocol-for-the-effect-evaluation-of-independent-medical-evaluation-after-six-months-sick-leave-a-randomized-controlled-trial-of-independent-medical-evaluation-versus-treatment-as-usual-in-norway
#6
Elisabeth Husabo, Karin Monstad, Tor Helge Holmås, Irene Oyeflaten, Erik L Werner, Silje Maeland
BACKGROUND: It has been discussed whether the relationship between a patient on sick leave and his/her general practitioner (GP) is too close, as this may hinder the GP's objective evaluation of need for sick leave. Independent medical evaluation involves an independent physician consulting the patient. This could lead to new perspectives on sick leave and how to follow-up the patient. METHODS/DESIGN: The current study is a randomized controlled trial in a Norwegian primary care context, involving an effect evaluation, a cost/benefit analysis, and a qualitative evaluation...
June 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28611090/a-qualitative-analysis-of-the-three-good-things-intervention-in-healthcare-workers
#7
Karin Rippstein-Leuenberger, Oliver Mauthner, J Bryan Sexton, Rene Schwendimann
BACKGROUND: Intensive care unit (ICU) personnel have an elevated prevalence of job-related burn-out and post-traumatic stress disorder, which can ultimately impact patient care. To strengthen healthcare workers' skills to deal with stressful events, it is important to focus not only on minimising suffering but also on increasing happiness, as this entails many more benefits than simply feeling good. Thus, the purpose of this study was to explore the content of the 'good things' reported by healthcare workers participating in the 'Three Good Things' intervention...
June 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28603465/spinal-cord-as-an-adjunct-to-brain-magnetic-resonance-imaging-in-defining-no-evidence-of-disease-activity-in-multiple-sclerosis
#8
Subhash Tummala, Tarun Singhal, Vinit V Oommen, Gloria Kim, Fariha Khalid, Brian C Healy, Rohit Bakshi
ACTIVITY AVAILABLE ONLINE: To access the article, post-test, and evaluation online, go to http://www.cmscscholar.org. TARGET AUDIENCE: The target audience for this activity is physicians, physician assistants, nursing professionals, and other health-care providers involved in the management of patients with multiple sclerosis (MS). LEARNING OBJECTIVES: 1) Describe the concept of "no evidence of disease activity" in MS.2) Recognize the role of spinal cord imaging in routine monitoring of MS disease activity...
May 2017: International Journal of MS Care
https://www.readbyqxmd.com/read/28589307/cultivating-community-responsive-future-healthcare-professionals-using-service-learning-in-pre-health-humanities-education
#9
Casey Kayser
This essay argues that service-learning pedagogy is an important tool in pre-health humanities education that provides benefits to the community and produces more compassionate, culturally competent, and community-responsive future healthcare professionals. Further, beginning this approach at the baccalaureate level instills democratic and collaborative values at an earlier, crucial time in the career socialization process. The discussion focuses on learning outcomes and reciprocity between the university and community in a Medical Humanities course for junior and senior premedical students, an elective in the premedical curriculum...
June 7, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28583702/barriers-to-genetic-testing-for-pediatric-medicaid-beneficiaries-with-epilepsy
#10
Eric J Kutscher, Sucheta M Joshi, Anup D Patel, Baria Hafeez, Zachary M Grinspan
BACKGROUND: Children with public insurance (Medicaid) have increased barriers to specialty care in the United States. For children with epilepsy, the relationship between public insurance and barriers to genetic testing is understudied. METHODS: We surveyed a sample of US child neurology clinicians. We performed quantitative and qualitative analysis of responses. RESULTS: There were 302 responses (of 1982 surveyed; response rate 15%) from clinicians from 46 states, the District of Columbia, and Puerto Rico, including board-certified child neurologists (82%), resident physicians (6%), nurses (3%), and nurse practitioners (3%)...
April 20, 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/28582951/the-effects-of-physical-and-psychosocial-factors-and-ergonomic-conditions-on-the-prevalence-of-musculoskeletal-disorders-among-dentists-in-malaysia
#11
Mohd Firdaus Mohd Taib, Sangwoo Bahn, Myung Hwan Yun, Mohd Syukri Mohd Taib
BACKGROUND: Musculoskeletal disorders (MSDs) have been recognized as one of the main occupational health problems for dentists. Many studies have suggested that dentists experience work-related pain or discomfort in the neck, shoulder, and back, as well as in other parts of the body. OBJECTIVE: This study aimed to examine the relationship between specific physical and psychosocial factors and/or ergonomic conditions on MSD symptoms among dentists in Malaysia. METHODS: A group of 85 dentists was asked to complete a questionnaire to determine whether their complaints were related to physical and psychosocial factors and/or ergonomic conditions in their practices...
June 1, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28581878/what-happens-when-the-doctor-denies-a-patient-s-request-a-qualitative-interview-study-among-general-practitioners-in-norway
#12
Stein Nilsen, Kirsti Malterud
OBJECTIVE: To explore general practitioners (GPs') experiences from consultations when a patient's request is denied, and outcomes of such incidents. DESIGN AND PARTICIPANTS: We conducted a qualitative study with semi-structured individual interviews with six GPs in Norway. We asked them to tell about experiences from specific encounters where they had refused a patient's request. The texts were analysed with Systematic Text Condensation, a method for thematic cross-case analysis...
June 5, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28580748/opioid-addiction-and-misuse-in-adult-and-adolescent-patients-with-cancer
#13
Ross Pinkerton, Janet R Hardy
In the context of a therapeutic opioid epidemic, particularly in the USA, where increasingly stringent screening for 'at risk' individuals and close monitoring of opioid prescription and use is strongly recommended, the issue of misuse within the cancer population must be addressed. Most patients with advanced cancer will have pain requiring opioid therapy at some stage during their disease course. In the majority, this will provide good pain relief with no short- or longer-term adverse sequelae. A subset will present with substance misuse issues that will influence management and prescribing practice...
June 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28574322/volume-outcome-relationship-for-colorectal-cancer-in-primary-care-a-prospective-cohort-study
#14
David W Borowski, Sarah Cawkwell, Syed M Amir Zaidi, Matthew Toward, Nicola Maguire, Talvinder S Gill
Purpose Higher caseloads are associated with better outcomes for many conditions treated in secondary and tertiary care settings, including colorectal cancer (CRC). There is little known whether such volume-outcome relationship exist in primary care settings. The purpose of this paper is to examine general practitioner (GP) CRC-specific caseload for possible associations with referral pathways, disease stage and CRC patients' overall survival. Design/methodology/approach The paper retrospectively analyses a prospectively maintained CRC database for 2009-2014 in a single district hospital providing bowel cancer screening and tertiary rectal cancer services...
June 12, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28562635/physicians-beliefs-about-placebo-and-nocebo-effects-in-antidepressants-an-online-survey-among-german-practitioners
#15
Lea Kampermann, Yvonne Nestoriuc, Meike C Shedden-Mora
BACKGROUND: While substantial placebo and nocebo effects have been documented in antidepressant clinical trials, physicians' awareness of the nonspecific effects in routine antidepressant treatment remains unclear. The study investigated physicians' beliefs and explanatory models regarding the desired effects and undesired side effects of antidepressants, with specific emphasis on nonspecific effects accounted for by placebo and nocebo mechanisms. METHODS: An online survey was conducted among 87 physicians (40...
2017: PloS One
https://www.readbyqxmd.com/read/28561709/practice-model-for-advanced-practice-providers-in-oncology
#16
Jamie Cairo, Mary Ann Muzi, Deanna Ficke, Shaunta Ford-Pierce, Katrina Goetzke, Diane Stumvoll, Laurie Williams, Federico A Sanchez
According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attrition...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28558853/-effectiveness-of-influenza-vaccine-in-the-netherlands-predominant-circulating-virus-type-and-vaccine-match-are-important-conditions
#17
E van Doorn, M Darvishian, F Dijkstra, M J Bijlsma, G A Donker, M M A de Lange, L M Cadenau, E Hak, A Meijer
OBJECTIVE: To investigate the relationship between circulating influenza virus A types and subtypes and influenza B lineages, their match with the vaccine and the effectiveness of the influenza vaccine (IVE). DESIGN: Test negative case control study. METHOD: We used data from the Dutch Sentinel Practices of the Netherlands Institute for Health Services Research (NIVEL) Primary Care Database. Participating general practitioners took nose and throat swabs for viral studies from patients with influenza-like illness or another acute respiratory infection...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28558820/patients-views-and-needs-about-systemic-sclerosis-and-its-management-a-qualitative-interview-study
#18
Luc Mouthon, Sophie Alami, Anne-Sophie Boisard, Benjamin Chaigne, Eric Hachulla, Serge Poiraudeau
BACKGROUND: Systemic sclerosis (SSc) is a chronic connective-tissue disease responsible for reduced life expectancy, disability and a decreased quality of life. In order to optimize patients-physicians relationship and care strategy we aimed to survey views of patients on SSc and its management to reveal potential hurdles and improve health care strategies. METHODS: A qualitative study combined semi-structured interviews, focus groups, and a direct observation of an information session was performed between November 2008 and January 2009...
May 30, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28557931/what-matters-more-about-the-interpersonal-reactivity-index-and-the-jefferson-scale-of-empathy-their-underlying-constructs-or-their-relationships-with-pertinent-measures-of-clinical-competence-and-patient-outcomes
#19
Mohammadreza Hojat, Joseph S Gonnella
In their study published in this issue of Academic Medicine, Costa and colleagues confirmed the underlying constructs of the Interpersonal Reactivity Index (IRI) and the Jefferson Scale of Empathy (JSE) in medical students. The authors of this Commentary propose that in comparing two instruments that both purport to measure empathy, researchers or test users must pay close attention to the target populations, the conceptualizations of empathy, and the validity evidence in relation to pertinent criterion measures...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557849/monitoring-resistance-exercise-intensity-via-rpe-in-previously-untrained-patients-with-prostate-cancer-undergoing-androgen-deprivation-therapy
#20
C M Fairman, R L LaFountain, A R Lucas, B C Focht
Exercise has been shown to be safe and effective for prostate cancer (PrCa) patients. The monitoring of resistance exercise (RE) intensity is an emerging area of interest in RE prescription. Rating of perceived exertion (RPE) is one of the most commonly used methods, but has not yet been validated in this population. Thus, the purpose of this study was to examine the relationship between RPE and RE intensity in PrCa. Data for this study were abstracted from baseline upper and lower body strength assessments from two previous trials (IDEA-P; Livestrong) in our laboratory investigating functional outcomes in PrCa patients undergoing androgen deprivation therapy (ADT)...
May 23, 2017: Journal of Strength and Conditioning Research
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