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https://www.readbyqxmd.com/read/29040811/mobile-emergency-simulation-training-for-rural-health-providers
#1
Douglas Martin, Brent Bekiaris, Gregory Hansen
INTRODUCTION: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' satisfaction from high fidelity emergency simulation training using a modified motorhome as a mobile education unit (MEU). METHODS: Over a 5-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29032293/facilitating-problem-based-learning-among-undergraduate-nursing-students-a-qualitative-systematic-review
#2
REVIEW
Jacqueline Wosinski, Anne E Belcher, Yvan Dürrenberger, Anne-Claude Allin, Coraline Stormacq, Linda Gerson
OBJECTIVES: The purpose of this study was to identify and synthesize the best available evidence on the perspective of undergraduate nursing students on facilitating elements that contribute to their success with PBL. DESIGN: a qualitative systematic review of the literature according to meta-aggregative methodology using the JBI SUMARI system was conducted. DATA SOURCES: Data was collected across CINAHL, Medline, Embase, Eric, Teacher Reference Center and reference lists...
September 8, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29025114/comprehensive-process-model-of-clinical-information-interaction-in-primary-care-results-of-a-best-fit-framework-synthesis
#3
Tiffany C Veinot, Charles R Senteio, David Hanauer, Julie C Lowery
Objective: To describe a new, comprehensive process model of clinical information interaction in primary care (Clinical Information Interaction Model, or CIIM) based on a systematic synthesis of published research. Materials and Methods: We used the "best fit" framework synthesis approach. Searches were performed in PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Library and Information Science Abstracts, Library, Information Science and Technology Abstracts, and Engineering Village...
September 2, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29022277/teaching-clinical-reasoning-with-an-example-mnemonic-for-the-neuropsychiatric-syndromes-of-traumatic-brain-injury
#4
Matthew E Peters, Khaled Moussawi, Vani Rao
No abstract text is available yet for this article.
October 11, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28994515/role-of-pelvic-ultrasound-simulation
#5
Sushila Arya, Zuber D Mulla, Sanja Kupesic Plavsic
BACKGROUND: Pelvic ultrasound is a critical diagnostic imaging tool in obstetrics and gynaecology. Training opportunities in transvaginal ultrasound have not kept pace with the demand among learners because of the increased complexity of modern ultrasound technology and duty-hour restrictions. Ultrasound simulation training has the potential to overcome this gap. Training opportunities in transvaginal ultrasound have not kept pace with the demand OBJECTIVE: Our study aimed to determine the usefulness, applicability and attitudes toward pelvic ultrasound simulation training among residents, sonographers and practising doctors...
October 10, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28993533/clinical-reasoning-a-55-year-old-man-with-rapidly-progressive-dementia-and-parkinsonism
#6
Miguel Tábuas-Pereira, Isabel Santana, Gustavo Cordeiro Santo
No abstract text is available yet for this article.
October 10, 2017: Neurology
https://www.readbyqxmd.com/read/28990319/a-qualitative-study-on-community-pharmacists-decision-making-process-when-making-a-diagnosis
#7
Vassiliki Sinopoulou, Paul Summerfield, Paul Rutter
RATIONALE, AIMS, AND OBJECTIVES: Self-care policies are increasingly directing patients to seek advice from community pharmacists. This means pharmacists need to have sound diagnostic decision-making skills to enable them to recognise a variety of conditions. The aim of this study was to investigate the process by which pharmacists manage patient signs and symptoms and to explore their use of decision-making for diagnostic purposes. METHODS: Data were collected through semi-structured, face-to-face interviews with community pharmacists working in England, between August 2013 and November 2014...
October 8, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28988676/two-case-reports-use-of-relative-motion-orthoses-to-manage-extensor-tendon-zones-iii-and-iv-and-sagittal-band-injuries-in-adjacent-fingers
#8
Melissa J Hirth, Julianne W Howell, Lisa O'Brien
STUDY DESIGN: Case report. INTRODUCTION: Injuries to adjacent fingers with differing extensor tendon (ET) zones and/or sagittal band pose a challenge to therapists as no treatment guidelines exist. PURPOSE OF THE STUDY: This report highlights how the relative motion flexion/extension (RMF/RME) concepts were combined into one orthosis to manage a zone IV ET repair (RME) and a zone III central slip repair (RMF) in adjacent fingers (Case 1); and how a single RME orthosis was adapted to limit proximal interphalangeal joint motion to manage multi-level ET zone III-IV injuries and a sagittal band repair in adjacent fingers (case 2)...
October 4, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28981223/-child-behavior-disorder-clinical-reasoning-in-general-practice
#9
N Kacenelenbogen
CONTEXT: in Belgium 70 % of the children aged 0 - 14 years have at least one annual contact with their family doctor, while for the same period, only 6 - 12 % of them will see a neuropaediatrician and/or a child psychiatrist, despite the fact that a diagnostic of Externalizing behavior before the age of 6 to 7 years, such as various ways of aggressiveness, of anger or of stealing will very often alert the family, the staff of creches or nursery as well as the teachers. Other children are showing signs of Internalizing behavior, very often together with depression or other forms of anxiety...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28980842/construct-validation-of-the-english-version-of-readiness-for-interprofessional-learning-scale-ripls-are-chinese-undergraduate-students-ready-for-shared-learning
#10
Fraide A Ganotice, Lap Ki Chan
Interprofessional education has been receiving attention as a result of research suggesting the benefits of interpersonal collaboration in healthcare. In Hong Kong, the implementation of the Interprofessional Team-based Learning programme provides implicit call to study the psychometric properties of Readiness for Interprofessional Learning Scale (RIPLS) to clarify if this is a valid measure when used in the Chinese undergraduate healthcare context. This study examines the psychometric properties of RIPLS involving predominantly Chinese undergraduate healthcare students in Hong Kong...
October 5, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28979912/models-of-clinical-reasoning-with-a-focus-on-general-practice-a-critical-review
#11
Shahram Yazdani, Mohammad Hosseinzadeh, Fakhrolsadat Hosseini
INTRODUCTION: Diagnosis lies at the heart of general practice. Every day general practitioners (GPs) visit patients with a wide variety of complaints and concerns, with often minor but sometimes serious symptoms. General practice has many features which differentiate it from specialty care setting, but during the last four decades little attention was paid to clinical reasoning in general practice. Therefore, we aimed to critically review the clinical reasoning models with a focus on the clinical reasoning in general practice or clinical reasoning of general practitioners to find out to what extent the existing models explain the clinical reasoning specially in primary care and also identity the gaps of the model for use in primary care settings...
October 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28973961/adapting-tai-chi-for-upper-limb-rehabilitation-post-stroke-a-feasibility-study
#12
Shujuan Pan, Dahlia Kairy, Hélène Corriveau, Michel Tousignant
Background: Tai chi (TC) has been reported as being beneficial for improving balance post stroke, yet its utility in upper limb rehabilitation remains unknown. Methods: Twelve chronic stroke survivors with persistent paresis of an upper limb underwent 60 minutes of adapted TC twice a week for eight weeks, with a 4-week follow up. A 10-min TC home program was recommended for the days without sessions. TC level of performance, attendance to the sessions, duration of self-practice at home, and adapted TC movements used were recorded...
September 30, 2017: Medicines (Basel, Switzerland)
https://www.readbyqxmd.com/read/28969309/duration-of-general-anaesthetic-exposure-in-early-childhood-and-long-term-language-and-cognitive-ability
#13
C Ing, M K Hegarty, J W Perkins, A J O Whitehouse, C J DiMaggio, M Sun, H Andrews, G Li, L S Sun, B S von Ungern-Sternberg
Background: The anaesthetic dose causing neurotoxicity in animals has been evaluated, but the relationship between duration of volatile anaesthetic (VA) exposure and neurodevelopment in children remains unclear. Methods: Data were obtained from the Western Australian Pregnancy Cohort (Raine) Study, with language (Clinical Evaluation of Language Fundamentals: Receptive [CELF-R] and Expressive [CELF-E] and Total [CELF-T]) and cognition (Coloured Progressive Matrices [CPM]) assessed at age 10 yr...
September 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28965537/strengthening-the-primary-care-workforce-to-deliver-community-case-management-for-child-health-in-rural-indonesia
#14
Agus Setiawan, Angela Dawson
Objectives The aim of the present study was to report on the implementation of community case management (CCM) to reduce infant mortality in a rural district, namely Kutai Timur, Kalimantan Indonesia.Methods An interpretive qualitative methodology was used. In-depth interviews were conducted with 18 primary healthcare workers (PHCWs), and PHCWs were observed during a consultation with mothers to gain insight into the delivery of the new protocol and workforce issues. The field notes and interview transcripts were analysed thematically...
October 2, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28965503/assessing-bpsd-with-the-support-of-the-npi-nh-a-discourse-analysis-of-clinical-reasoning
#15
Catharina Melander, Stefan Sävenstedt, Malin Olsson, Britt-Marie Wälivaara
BACKGROUND: The ability of nursing staff to assess and evaluate behavioral and psychological symptoms of dementia (BPSD) to determine when intervention is needed is essential. In order to assist with the assessment process, the current use of the Neuropsychiatric Inventory Nursing Home version (NPI-NH) is internationally accepted. Even though the NPI-NH is thoroughly validated and has several advantages, there are also various challenges when implementing this system in practice. Thus, the aim of this study was to explore clinical reasoning employed by assistant nurses when utilizing the NPI-NH as a tool to assess frequency and severity of BPSD in individuals with advanced dementia...
October 2, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28961330/atrial-dyssynchrony-and-left-atrial-stiffness-are-risk-markers-for-cryptogenic-stroke-in-patients-with-patent-foramen-ovale
#16
Ragab A Mahfouz, Waleed S Alawady, Abdelhakem Salem, Adel S Abdelghafar
OBJECTIVE: The clinical and echocardiographic parameters associated with the risk predictors of cryptogenic stroke (CS) in patients with patent foramen ovale (PFO) still diverse and with a great debate. We hypothesized that left atrial stiffness (LASt) and atrial dyssynchrony may increase the risk of CS in patients with PFO. METHODS: A total of 129 consecutive patients presented without clinical reasoning of stroke were recruited. Transesophageal echocardiographic assessment was performed to investigate the presence of PFO...
September 29, 2017: Echocardiography
https://www.readbyqxmd.com/read/28960745/real-world-mri-experience-with-non-conditional-and-conditional-cardiac-rhythm-devices-after-magnasafe
#17
Steve Mason, Jeffrey S Osborn, Ritesh Dhar, Allison Tonkin, Jon-David Ethington, Viet Le, Jose Benuzillo, Donald L Lappe, Kirk U Knowlton, T Jared Bunch, Jeffrey L Anderson
INTRODUCTION: The recent MagnaSafe Registry demonstrated safety of non-thoracic magnetic resonance imaging (MRI) with non-conditional cardiac implantable electronic devices (CIEDs). However, independent validation and extension to thoracic MRIs are needed. METHODS AND RESULTS: We prospectively examined 178 consecutive patients with CIEDs who underwent 212 MRI scans (62 with implantable cardioverter/defibrillators) for clinical reasons between February 2014 and August 2016...
September 28, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28947587/clinical-reasoning-a-case-of-altered-mental-status-not-otherwise-specified
#18
Dionne E Swor, Frank R Sharp, Glen C Jickling
No abstract text is available yet for this article.
September 26, 2017: Neurology
https://www.readbyqxmd.com/read/28927667/development-and-validation-of-a-tool-to-evaluate-the-evolution-of-clinical-reasoning-in-trauma-using-virtual-patients
#19
David Fleiszer, Michael L Hoover, Nancy Posel, Tarek Razek, Simon Bergman
CONTEXT: Undergraduate medical students at a large academic trauma center are required to manage a series of online virtual trauma patients as a mandatory exercise during their surgical rotation. PURPOSE: Clinical reasoning during undergraduate medical education can be difficult to assess. The purpose of the study was to determine whether we could use components of the students' virtual patient management to measure changes in their clinical reasoning over the course of the clerkship year...
September 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28926146/nurses-clinical-reasoning-practices-that-support-safe-medication-administration-an-integrative-review-of-the-literature
#20
REVIEW
Emily Rohde, Elizabeth Domm
AIM AND OBJECTIVES: To review current literature about nurses' clinical reasoning practices that support safe medication administration. BACKGROUND: The literature about medication administration frequently focuses on avoiding medication errors. Nurses' clinical reasoning used during medication administration to maintain medication safety receives less attention in the literature. As health care professionals, nurses work closely with patients, assessing and intervening to promote mediation safety prior to, during and after medication administration...
September 19, 2017: Journal of Clinical Nursing
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