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https://www.readbyqxmd.com/read/29455445/adaptive-reinventing-implicit-bias-and-the-co-construction-of-social-change
#1
Javeed Sukhera, Alexandra Milne, Pim W Teunissen, Lorelei Lingard, Chris Watling
Emerging research on implicit bias recognition and management within health professions describes individually focused educational interventions without considering workplace influences. Workplace learning theories highlight how individual agency and workplace structures dynamically interact to produce change within individuals and learning environments. Promoting awareness of individual biases shaped by clinical learning environments may therefore represent a unique type of workplace learning. We sought to explore how individuals and the workplace learning environment interact once awareness of implicit biases are triggered within learners...
February 17, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29452050/pathways-linking-intergenerational-cultural-dissonance-and-alcohol-use-among-asian-american-youth-the-role-of-family-conflict-parental-involvement-and-peer-behavior
#2
Jeremy C Kane, Renee M Johnson, Derek K Iwamoto, David H Jernigan, Tracy W Harachi, Judith K Bass
A difference in degree of acculturation between immigrant parents and children, known as intergenerational cultural dissonance (ICD), is a risk factor for adolescent alcohol use. We used path analysis with 292 Vietnamese and Cambodian adolescents from immigrant families in the United States to measure potential mediators (family conflict, parental involvement/monitoring, association with deviant peers) of the ICD-alcohol use relationship. The hypothesized model was an adequate data fit among both groups. Among Cambodian adolescents, higher ICD levels significantly predicted increased family conflict, which in turn was associated with reduced parental involvement/monitoring, increased association with deviant peers, and a subsequently higher risk of alcohol use (p < ...
February 16, 2018: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/29449296/gp-and-parent-dissonance-about-the-assessment-and-treatment-of-childhood-eczema-in-primary-care-a-qualitative-study
#3
Kingsley Powell, Emma Le Roux, Jonathan Banks, Matthew J Ridd
OBJECTIVES: To compare parents' and clinicians' perspectives on the assessment and treatment of children with eczema in primary care. DESIGN: Qualitative interview study with purposive and snowball sampling and thematic analysis. SETTING: 14 general practices in the UK. PARTICIPANTS: 11 parents of children with eczema and 15 general practitioners (GPs) took part in semistructured individual interviews. RESULTS: We identified several areas of dissonance between parents and GPs...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29446570/gratitude-protective-buffering-and-cognitive-dissonance-how-families-respond-to-pediatric-whole-exome-sequencing-in-the-absence-of-actionable-results
#4
Allison Werner-Lin, Lori Zaspel, Mae Carlson, Rebecca Mueller, Sarah A Walser, Ria Desai, Barbara A Bernhardt
Clinical genome and exome sequencing (CGES) may identify variants leading to targeted management of existing conditions. Yet, CGES often fails to identify pathogenic diagnostic variants and introduces uncertainties by detecting variants of uncertain significance (VUS) and secondary findings. This study investigated how families understand findings and adjust their perspectives on CGES. As part of NIH's Clinical Sequencing Exploratory Research Consortium, children were recruited from clinics at the Children's Hospital of Pennsylvania (CHOP) and offered exome sequencing...
March 2018: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/29433577/gaps-and-strategies-in-developing-health-research-capacity-experience-from-the-nigeria-implementation-science-alliance
#5
Echezona E Ezeanolue, William Nii Ayitey Menson, Dina Patel, Gregory Aarons, Ayodotun Olutola, Michael Obiefune, Patrick Dakum, Prosper Okonkwo, Bola Gobir, Timothy Akinmurele, Anthea Nwandu, Hadiza Khamofu, Bolanle Oyeledun, Muyiwa Aina, Andy Eyo, Obinna Oleribe, Ikoedem Ibanga, John Oko, Chukwuma Anyaike, John Idoko, Muktar H Aliyu, Rachel Sturke
BACKGROUND: Despite being disproportionately burdened by preventable diseases than more advanced countries, low- and middle-income countries (LMICs) continue to trail behind other parts of the world in the number, quality and impact of scholarly activities by their health researchers. Our strategy at the Nigerian Implementation Science Alliance (NISA) is to utilise innovative platforms that catalyse collaboration, enhance communication between different stakeholders, and promote the uptake of evidence-based interventions in improving healthcare delivery...
February 12, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29424066/untimely-illness-when-diagnosis-does-not-match-age-related-expectations
#6
Susan Kirkpatrick, Louise Locock, Albert Farre, Sara Ryan, Helen Salisbury, Janet E McDonagh
BACKGROUND: We explore the concept of "untimely diagnosis," where the onset of a long-term condition occurs at a life stage which does not conform to traditional expectations, focusing on two conditions (asthma and arthritis) typically associated with a particular life stage (childhood and older adulthood, respectively). Previous literature has focused on the meaning of chronic illness in terms of life history, and the biographical lens has been used in various ways to make sense of the experience...
February 9, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29421463/unintended-consequences-of-the-bushmeat-ban-in-west-africa-during-the-2013-2016-ebola-virus-disease-epidemic
#7
Jesse Bonwitt, Michael Dawson, Martin Kandeh, Rashid Ansumana, Foday Sahr, Hannah Brown, Ann H Kelly
Following the 2013-2016 outbreak of Ebola virus disease (EVD) in West Africa, governments across the region imposed a ban on the hunting and consumption of meat from wild animals. This injunction was accompanied by public health messages emphasising the infectious potential of wild meat, or 'bushmeat.' Using qualitative methods, we examine the local reception and impact of these interventions. Fieldwork was focused in 9 villages in the Eastern and Southern provinces of Sierra Leone between August and December 2015...
January 31, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29417068/internationalization-or-globalization-of-higher-education
#8
REVIEW
Habibolah Rezaei, Alireza Yousefi, Bagher Larijani, Reza Dehnavieh, Nima Rezaei, Peyman Adibi
INTRODUCTION: Studies about globalization and internationalization demonstrate different attitudes in explaining these concepts. Since there is no consensus among Iranian specialists about these concepts, the purpose of this study is to explain the concepts of internationalization and globalization in Iran. MATERIALS AND METHODS: This study is a systematic review done in the first half of 2016. To explain the concept of globalization and internationalization, articles in Scientific Information D atabase, Magiran database, and Google Scholar were searched with the keywords such as globalization, scientific exchange, international cooperation, curriculum exchange, student exchange, faculty exchange, multinational cooperation, transnational cooperation, and collaborative research...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29402110/addressing-the-cultural-spiritual-and-religious-perspectives-of-palliative-care
#9
Hodan Nalayeh
Healthcare services are often out of sync with cultural, spiritual and religious perspectives on health, death, and grieving. This dissonance affects attitudes and behaviours in seeking and utilizing end-of-life health services and can lead to poor clinical communication, misunderstanding, and anxiety as patients, families and health providers interact during a serious illness. To address a gap in cultural-specific information Canadian Virtual Hospice launched LivingMyCulture.ca-an evidence-informed collection of videos of immigrants, refugees, and Indigenous people sharing their stories about the intersection of culture, spirituality, and religion with their experiences of advanced illness, palliative care, and grief...
January 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29401507/turnover-intentions-in-a-call-center-the-role-of-emotional-dissonance-job-resources-and-job-satisfaction
#10
Margherita Zito, Federica Emanuel, Monica Molino, Claudio Giovanni Cortese, Chiara Ghislieri, Lara Colombo
BACKGROUND: Turnover intentions refer to employees' intent to leave the organization and, within call centers, it can be influenced by factors such as relational variables or the perception of the quality of working life, which can be affected by emotional dissonance. This specific job demand to express emotions not felt is peculiar in call centers, and can influence job satisfaction and turnover intentions, a crucial problem among these working contexts. This study aims to detect, within the theoretical framework of the Job Demands-Resources Model, the role of emotional dissonance (job demand), and two resources, job autonomy and supervisors' support, in the perception of job satisfaction and turnover intentions among an Italian call center...
2018: PloS One
https://www.readbyqxmd.com/read/29385590/effect-of-co-payment-on-behavioral-response-to-consumer-genomic-testing
#11
Wendy Liu, Jessica J Outlaw, Nathan Wineinger, Debra Boeldt, Cinnamon S Bloss
Existing research in consumer behavior suggests that perceptions and usage of a product post-purchase depends, in part, on how the product was marketed, including price paid. In the current study, we examine the effect of providing an out-of-pocket co-payment for consumer genomic testing (CGT) on consumer post-purchase behavior using both correlational field evidence and a hypothetical online experiment. Participants were enrolled in a longitudinal cohort study of the impact of CGT and completed behavioral assessments before and after receipt of CGT results...
January 29, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29377724/only-bad-for-believers-religion-pornography-use-and-sexual-satisfaction-among-american-men
#12
Samuel L Perry, Andrew L Whitehead
Research has often demonstrated a negative association between pornography use and various intrapersonal and relationship outcomes, particularly for men. Several recent studies, however, have suggested that the negative association between pornography use and these indicators is stronger among more religious Americans, suggesting that moral incongruence (engaging in an activity that violates one's sacred values) and the attendant shame or cognitive dissonance, rather than pornography use per se, may be the primary factor at work...
January 29, 2018: Journal of Sex Research
https://www.readbyqxmd.com/read/29375027/women-and-self-promotion-a-test-of-three-theories
#13
Meghan I H Lindeman, Amanda M Durik, Maura Dooley
Although self-promotion (communicating one's past accomplishments and positive characteristics) is important for obtaining career and educational opportunities, women feel uncomfortable when doing it, which limits their self-promotion success. This study tested which of the three possible theoretical mechanisms explained women's limited self-promotion success: (1) cognitive dissonance, (2) stereotype threat, and (3) backlash avoidance. In this experiment, college women ( N = 123) wrote a scholarship application essay and the ownership of the essay was varied experimentally...
January 1, 2018: Psychological Reports
https://www.readbyqxmd.com/read/29373418/litigation-in-perinatal-care-the-deposition-process
#14
Lisa A Miller
Litigation in perinatal nursing represents a disproportionate share of indemnity payouts and results in excessive psychological stress. Testimony at deposition or trial can be challenging for clinicians; little is taught in training or postgraduate education regarding litigation. Nurses, midwives, and physicians can effectively navigate the deposition process and prepare for trial testimony by understanding the plaintiff's goals, recognizing the role of documentation, and becoming familiar with various plaintiff's strategies including reptile theory...
January 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29358979/the-effect-of-telling-lies-on-belief-in-the-truth
#15
Danielle Polage
The current study looks at the effect of telling lies, in contrast to simply planning lies, on participants' belief in the truth. Participants planned and told a lie, planned to tell a lie but didn't tell it, told an unplanned lie, or neither planned nor told a lie (control) about events that did not actually happen to them. Participants attempted to convince researchers that all of the stories told were true. Results show that telling a lie plays a more important role in inflating belief scores than simply preparing the script of a lie...
November 2017: Europe's Journal of Psychology
https://www.readbyqxmd.com/read/29335327/gps-experiences-of-diagnosing-and-managing-childhood-eczema-a-qualitative-study-in-primary-care
#16
Emma Le Roux, Kingsley Powell, Jonathan P Banks, Matthew J Ridd
BACKGROUND: Eczema is common among children, and in the UK the majority are managed by GPs. The most common cause of poor disease control is incorrect use of topical treatments. There is a lack of research into the challenges faced by GPs in diagnosing and managing this condition. AIM: To explore the experiences of GPs in assessing and managing children with eczema. DESIGN AND SETTING: Qualitative study in primary care in England. METHOD: Semi-structured interviews with 15 GPs were audiorecorded, transcribed verbatim, and analysed thematically using the framework method...
January 15, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29326408/-association-between-emotional-labor-emotional-dissonance-burnout-and-turnover-intention-in-clinical-nurses-a-multiple-group-path-analysis-across-job-satisfaction
#17
Chi Yun Back, Dae Sung Hyun, Sei Jin Chang
PURPOSE: This study was conducted to investigate the influence of emotional labor, emotional dissonance, and burnout on nurse's turnover intention and examine the effect of job satisfaction on the relationships among emotional labor, emotional dissonance, burnout, and turnover intention. METHODS: The sample consisted of 350 nurses recruited from 6 general hospitals in 2 cities in Korea. A multiple-group analysis was utilized. Data were analyzed using SPSS statistics 23 and AMOS 20...
December 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29318615/playing-off-the-beat-applying-the-jazz-paradigm-to-psychotherapy
#18
David Read Johnson
A jazz paradigm is applied to traditional psychotherapy practice, illuminating the links between psychotherapy and the Romantic aesthetic tradition, primarily in the centrality of concepts such as attunement. Modernist disruptions of realism during the early 20th century, such as jazz, elaborated dissonant and improvisational artistic impulses that brought new vitality to their art forms. The psychotherapeutic relationship also has potential avenues for multilevel and discrepant communication that open possibilities of freedom...
February 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29300808/frailty-mind-the-gap
#19
Alison M Mudge, Ruth E Hubbard
Frailty has become the focus of considerable research interest and media attention over the past 15 years. While it has much to offer geriatric medicine, potential pitfalls also need to be acknowledged. The conceptualisation of frailty in very different ways-as a syndrome or a risk state-has created semantic dissonance: the frailest patients by one definition may have early sarcopenia, by another be bedbound and in institutional care. Caution is required in transferring findings between studies enroling these different populations...
December 29, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29294731/therapeutic-change-in-group-therapy-for-interpersonal-trauma-a-relational-framework-for-research-and-clinical-practice
#20
Zoë Chouliara, Thanos Karatzias, Angela Gullone, Sandra Ferguson, Katie Cosgrove, Claire Burke Draucker
Our understanding of therapeutic change processes in group therapy for complex interpersonal trauma has been limited. The present study aimed at addressing this gap by developing a framework of therapeutic change in this field from a survivor and therapist perspective. This is a qualitative study, which utilized semistructured individual interviews. Transcripts were analyzed using interpretative phenomenological analysis (IPA) to identify recurrent themes. A final sample of n = 16 patients and n = 5 facilitators completed the interview...
April 1, 2017: Journal of Interpersonal Violence
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