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https://www.readbyqxmd.com/read/28822594/-grade-evidence-to-decision-etd-frameworks-a-systematic-and-transparent-approach-to-making-well-informed-healthcare-choices-1-introduction
#1
Pablo Alonso-Coello, Holger J Schünemann, Jenny Moberg, Romina Brignardello-Petersen, Elie A Akl, Marina Davoli, Shaun Treweek, Reem A Mustafa, Gabriel Rada, Sarah Rosenbaum, Angela Morelli, Gordon H Guyatt, Andrew D Oxman
Clinicians, guideline developers, and policymakers sometimes neglect important criteria, give undue weight to criteria, and do not use the best available evidence to inform their judgments. Explicit and transparent systems for decision making can help to ensure that all important criteria are considered and that decisions are informed by the best available research evidence. The GRADE Working Group has developed Evidence to Decision (EtD) frameworks for the different type of recommendations or decisions. The purpose of EtD frameworks is to help people use evidence in a structured and transparent way to inform decisions in the context of clinical recommendations, coverage decisions, and health system or public health recommendations and decisions...
August 16, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28820743/sleep-apnea-a-review-of-diagnostic-sensors-algorithms-and-therapies
#2
Mehdi Shokoueinejad, Chris Fernandez, Emily Carroll, Fa Wang, Jake Levin, Sam Rusk, Nick Glattard, Ashley Mulchrone, Xuan Zhang, Ailiang Xie, Mihaela Teodorescu, Jerome Dempsey, John Webster
While public awareness of sleep related disorders is growing, sleep apnea syndrome (SAS) remains a public health and economic challenge. Over the last two decades, extensive controlled epidemiologic research has clarified the incidence, risk factors including the obesity epidemic, and global prevalence of obstructive sleep apnea (OSA), as well as establishing a growing body of literature linking OSA with cardiovascular morbidity, mortality, metabolic dysregulation, and neurocognitive impairment. The US Institute of Medicine Committee on Sleep Medicine estimates that 50-70 million US adults have sleep or wakefulness disorders...
August 18, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/28820641/identifying-communication-barriers-to-colorectal-cancer-screening-adherence-among-appalachian-kentuckians
#3
Audrey Smith Bachman, Elisia L Cohen, Tom Collins, Jennifer Hatcher, Richard Crosby, Robin C Vanderpool
Utilizing data from 40 in-depth interviews, this article identifies both barriers and facilitators to colorectal screening guideline adherence among Appalachian Kentucky adults recruited through a community-based research network. Key findings identify (a) varying levels of knowledge about screening guidelines, (b) reticence to engage in screening processes, and (c) nuanced communication with healthcare providers and family members regarding screening adherence. What participants knew about the screening process was often derived from personal stories or recalled stories from family members about their screening experiences...
August 18, 2017: Health Communication
https://www.readbyqxmd.com/read/28817990/using-qualitative-methods-to-understand-factors-contributing-to-patient-satisfaction-among-dermatology-patients-a-systematic-review
#4
Caitlin Gibbons, Sanminder Singh, Brittany Gibbons, Caitlin Clark, Josefina Torres, Michelle Y Cheng, Elizabeth A Wang, April W Armstrong
PURPOSE: In this systematic review, we aimed to synthesize data that identify factors contributing to patient satisfaction in dermatology care using qualitative methods. MATERIALS AND METHODS: We performed a comprehensive search of the literature using the PubMed database for articles published between January 1, 2000 and February 9, 2015. The initial search yielded 186 articles, of which 13 were included after applying inclusion and exclusion criteria. RESULTS: The systematic review of 13 articles included a total of 330 patients...
August 18, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28817304/medical-education-and-leadership-in-breastfeeding-medicine
#5
Julie Scott Taylor, Esther Bell
Physicians' experience with high quality training in breastfeeding during their medical education is historically varied. The process of becoming a board-certified physician entails more than 20 years of education, and although medical school and residency training timelines and courses are relatively standardized across the United States and even internationally, breastfeeding education varies greatly across schools and programs. The Academy of Breastfeeding Medicine (ABM) exists, in part, because historically, physicians have received too little clinical training in breastfeeding and infant nutrition...
August 17, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/28815124/pheknow-cloud-a-tool-for-evaluating-high-throughput-phenotype-candidates-using-online-medical-literature
#6
Jette Henderson, Ryan Bridges, Joyce C Ho, Byron C Wallace, Joydeep Ghosh
As the adoption of Electronic Healthcare Records has grown, the need to transform manual processes that extract and characterize medical data into automatic and high-throughput processes has also grown. Recently, researchers have tackled the problem of automatically extracting candidate phenotypes from EHR data. Since these phenotypes are usually generated using unsupervised or semi-supervised methods, it is necessary to examine and validate the clinical relevance of the generated "candidate" phenotypes. We present PheKnow-Cloud, a framework that uses co-occurrence analysis on the publicly available, online repository ofjournal articles, PubMed, to build sets of evidence for user-supplied candidate phenotypes...
2017: AMIA Summits on Translational Science Proceedings
https://www.readbyqxmd.com/read/28813541/reflections-on-medical-tourism-from-the-2016-global-healthcare-policy-and-management-forum
#7
Valorie A Crooks, Meghann Ormond, Ki Nam Jin
In October 2016, the Global Healthcare Policy and Management Forum was held at Yonsei University, Seoul, South Korea. The goal of the forum was to discuss the role of the state in regulating and supporting the development of medical tourism. Forum attendees came from 10 countries. In this short report article, we identify key lessons from the forum that can inform the direction of future scholarly engagement with medical tourism. In so doing, we reference on-going scholarly debates about this global health services practice that have appeared in multiple venues, including this very journal...
2017: BMC Proceedings
https://www.readbyqxmd.com/read/28801388/facilitation-roles-and-characteristics-associated-with-research-use-by-healthcare-professionals-a-scoping-review
#8
Lisa A Cranley, Greta G Cummings, Joanne Profetto-McGrath, Ferenc Toth, Carole A Estabrooks
BACKGROUND: Implementing research findings into practice is a complex process that is not well understood. Facilitation has been described as a key component of getting research findings into practice. The literature on facilitation as a practice innovation is growing. This review aimed to identify facilitator roles and to describe characteristics of facilitation that may be associated with successful research use by healthcare professionals. METHODS: We searched 10 electronic databases up to December 2016 and used predefined criteria to select articles...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28801052/accompaniment-of-second-trimester-abortions-the-model-of-the-feminist-socorrista-network-of-argentina
#9
Ruth Zurbriggen, Brianna Keefe-Oates, Caitlin Gerdts
OBJECTIVE: Legal restrictions on abortion access impact the safety and timing of abortion. Women affected by these laws face barriers to safe care that often result in abortion being delayed. Second-trimester abortion affects vulnerable groups of women disproportionately, and is often more difficult to access. In Argentina, where abortion is legally restricted except in cases of rape or threat to the health of the woman, the Socorristas en Red, a feminist network, offers a model of accompaniment wherein they provide information and support to women seeking second-trimester abortions...
August 8, 2017: Contraception
https://www.readbyqxmd.com/read/28793390/interventions-for-maintaining-nasogastric-feeding-after-stroke-an-integrative-review-of-effectiveness-and-acceptability
#10
REVIEW
Catherine Mahoney, Linda Veitch
AIMS AND OBJECTIVES: To investigate the effectiveness and acceptability of interventions for maintaining nasogastric tubes (NGT) in adult stroke patients. BACKGROUND: Internationally, incidence of Cerebral Vascular Disease (CVD) continues to increase and stroke is the largest cause of complex disability in adults. Dysphagia is common following a stroke which necessitates feeding via a NGT. NGT are not well tolerated by stroke patients and may be frequently dislodged...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28793387/indigenous-cardiac-patients-and-relatives-experiences-of-hospitalisation-a-narrative-inquiry
#11
Vainess Mbuzi, Paul Fulbrook, Melanie Jessup
AIM: To explore Indigenous people's experiences of hospitalisation for acute cardiac care. BACKGROUND: Indigenous Australians suffer a higher burden of cardiovascular ill health and hospitalisation rates in comparison to other Australians, but there is little research that explores their perspectives of hospitalisation. DESIGN: Narrative inquiry. METHODS: Interviews were undertaken using storytelling to facilitate participants' descriptions of their hospital experience...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28793385/factors-which-influence-concordance-among-measurements-obtained-by-different-pulse-oximeters-currently-used-in-some-clinical-situations
#12
Candelaria de la Merced Díaz-González, Milagros de la Rosa-Hormiga, Josefa M Ramal-López, Juan José González-Henríquez, María Sandra Marrero-Morales
AIMS: This study evaluates both concordance among those measurements obtained by three different pulse oximeters currently used by nursing professionals in hospital units and the factors which can influence this concordance. BACKGROUND: Many models of wireless pulse oximeters in the present market do not offer possibility of calibration and, therefore, they do not ensure patients' safety in daily clinical practice. DESIGN: This is a descriptive and cross-sectional study...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28792957/assessing-the-impact-of-healthcare-research-a-systematic-review-of-methodological-frameworks
#13
Samantha Cruz Rivera, Derek G Kyte, Olalekan Lee Aiyegbusi, Thomas J Keeley, Melanie J Calvert
BACKGROUND: Increasingly, researchers need to demonstrate the impact of their research to their sponsors, funders, and fellow academics. However, the most appropriate way of measuring the impact of healthcare research is subject to debate. We aimed to identify the existing methodological frameworks used to measure healthcare research impact and to summarise the common themes and metrics in an impact matrix. METHODS AND FINDINGS: Two independent investigators systematically searched the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Excerpta Medica Database (EMBASE), the Cumulative Index to Nursing and Allied Health Literature (CINAHL+), the Health Management Information Consortium, and the Journal of Research Evaluation from inception until May 2017 for publications that presented a methodological framework for research impact...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28789734/new-paths-to-professional-nursing-using-encouragement-to-prepare-a-minority-workforce-to-enter-the-nursing-profession
#14
Elisheba Haqq-Stevens, Kathleen E Zavotsky, Sarah Kelly, Christopher Duffy, Claudia Pagani, Myrna Young, Lori Colineri
The current professional nursing workforce in the United States is predominantly White and female, even though minorities compose 33% of the national population (Travers, Smaldone, & Cohn, 2015). Minority patients are more effectively cared for when their particular cultural milieu is taken into consideration as part of their health care plan (Sullivan, 2004). According to the Agency for Healthcare Research and Quality (AHRQ), health care quality remains suboptimal for diverse populations in the United States because some individuals do not receive quality care or do not believe their values are honored or respected (AHRQ, 2016)...
August 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28789595/personal-narrative-approaches-in-rehabilitation-following-traumatic-brain-injury-a-synthesis-of-qualitative-research
#15
Kate D'Cruz, Jacinta Douglas, Tanya Serry
Although narrative storytelling has been found to assist identity construction, there is little direct research regarding its application in rehabilitation following traumatic brain injury (TBI). The aim of this review was to identify published evidence on the use of personal narrative approaches in rehabilitation following TBI and to synthesise the findings across this literature. A systematic search of four databases was conducted in December 2016. No limit was set on the start date of the search. Personal narrative approaches were defined as direct client participation in sharing personal stories using written, spoken or visual methods...
August 9, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28781755/what-do-hypnotics-cost-hospitals-and-healthcare
#16
Daniel F Kripke
Hypnotics (sleeping pills) are prescribed widely, but the economic costs of the harm they have caused have been largely unrecognized. Randomized clinical trials have observed that hypnotics increase the incidence of infections. Likewise, hypnotics increase the incidence of major depression and cause emergency admissions for overdoses and deaths.  Epidemiologically, hypnotic use is associated with cancer, falls, automobile accidents, and markedly increased overall mortality.  This article considers the costs to hospitals and healthcare payers of hypnotic-induced infections and other severe consequences of hypnotic use...
2017: F1000Research
https://www.readbyqxmd.com/read/28780622/outcomes-after-bariatric-surgery-according-to-large-databases-a-systematic-review
#17
Andrea Balla, Gabriela Batista Rodríguez, Santiago Corradetti, Carmen Balagué, Sonia Fernández-Ananín, Eduard M Targarona
PURPOSE: The rapid development of technological tools to record data allows storage of enormous datasets, often termed "big data". In the USA, three large databases have been developed to store data regarding surgical outcomes: the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP), the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)...
August 5, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28780607/strategies-to-identify-and-reduce-opioid-misuse-among-patients-with-gastrointestinal-disorders-a-systematic-scoping-review
#18
REVIEW
Salva N Balbale, Itishree Trivedi, Linda C O'Dwyer, Megan C McHugh, Charlesnika T Evans, Neil Jordan, Laurie A Keefer
BACKGROUND: Scoping reviews are preliminary assessments intended to characterize the extent and nature of emerging research evidence, identify literature gaps, and offer directions for future research. We conducted a systematic scoping review to describe published scientific literature on strategies to identify and reduce opioid misuse among patients with gastrointestinal (GI) symptoms and disorders. METHODS: We performed structured keyword searches to identify manuscripts published through June 2016 in the PubMed MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Scopus, and Web of Science databases to extract original research articles that described healthcare practices, tools, or interventions to identify and reduce opioid misuse among GI patients...
August 5, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28780549/challenges-and-facilitators-for-health-professionals-providing-primary-healthcare-for-refugees-and-asylum-seekers-in-high-income-countries-a-systematic-review-and-thematic-synthesis-of-qualitative-research
#19
Luke Robertshaw, Surindar Dhesi, Laura L Jones
OBJECTIVES: To thematically synthesise primary qualitative studies that explore challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries. DESIGN: Systematic review and qualitative thematic synthesis. METHODS: Searches of MEDLINE, EMBASE, PsycINFO, CINAHL and Web of Science. Search terms were combined for qualitative research, primary healthcare professionals, refugees and asylum seekers, and were supplemented by searches of reference lists and citations...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28780545/conceptualising-paediatric-health-disparities-a-metanarrative-systematic-review-and-unified-conceptual-framework
#20
Jennifer L Ridgeway, Zhen Wang, Lila J Finney Rutten, Michelle van Ryn, Joan M Griffin, M Hassan Murad, Gladys B Asiedu, Jason S Egginton, Timothy J Beebe
OBJECTIVE: There exists a paucity of work in the development and testing of theoretical models specific to childhood health disparities even though they have been linked to the prevalence of adult health disparities including high rates of chronic disease. We conducted a systematic review and thematic analysis of existing models of health disparities specific to children to inform development of a unified conceptual framework. METHODS: We systematically reviewed articles reporting theoretical or explanatory models of disparities on a range of outcomes related to child health...
August 4, 2017: BMJ Open
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