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https://www.readbyqxmd.com/read/28819998/reliability-and-validity-of-the-script-concordance-test-for-postgraduate-students-of-general-practice
#1
Julie Subra, Bruno Chicoulaa, André Stillmunkès, Pierre Mesthé, Stéphane Oustric, Marie-Eve Rougé Bugat
BACKGROUND: The script concordance test (SCT) is a validated method of examining students' clinical reasoning. Medical students' professional skills are assessed during their postgraduate years as they study for a specialist qualification in general practice. However, no specific provision is made for assessing their clinical reasoning during their postgraduate study. OBJECTIVE: The aim was to demonstrate the reliability and validity of the SCT in general practice and to determine if this tool could be used to assess medical students' progress in acquiring clinical reasoning...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28817952/professional-socialization-a-grounded-theory-of-the-clinical-reasoning-processes-that-rns-and-lpns-use-to-recognize-delirium
#2
Mohamed El Hussein, Sandra Hirst, Joseph Osuji
Delirium is an acute disorder of attention and cognition. It affects half of older adults in acute care settings and is a cause of increasing mortality and costs. Registered nurses (RNs) and licensed practical nurses (LPNs) frequently fail to recognize delirium. The goals of this research were to identify the reasoning processes that RNs and LPNs use to recognize delirium, to compare their reasoning processes, and to generate a theory that explains their clinical reasoning processes. Theoretical sampling was employed to elicit data from 28 participants using grounded theory methodology...
August 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28815796/new-graduate-nurses-preparation-for-recognition-and-prevention-of-failure-to-rescue-a-qualitative-study
#3
Elizabeth K Herron
AIM AND OBJECTIVE: To explore new graduate nurses' experiences with recognition and prevention of failure to rescue. BACKGROUND: Failure to rescue is recognized as a quality of care indicator, a core measure of nursing care in hospitals, and a determinant for staffing in acute care facilities. Clinical reasoning is an essential component in preventing failure to rescue and should be emphasized in nursing education and new graduate orientation. Many nurses graduate without the ability to use clinical reasoning in providing patient care which can lead to adverse patient outcomes...
August 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28815147/triangulating-methodologies-from-software-medicine-and-human-factors-industries-to-measure-usability-and-clinical-efficacy-of-medication-data-visualization-in-an-electronic-health-record-system
#4
Bora Chang, Manoj Kanagaraj, Ben Neely, Noa Segall, Erich Huang
Within the last decade, use of Electronic Health Record (EHR) systems has become intimately integrated into healthcare practice in the United States. However, large gaps remain in the study of clinical usability and require rigorous and innovative approaches for testing usability principles. In this study, validated tools from the core functions that EHRs serve-software, medicine and human factors-were combined to holistically understand and objectively measure usability of medication data displays. The first phase of this study included 132 medical trainee participants who were randomized to one of two simulated EHR environments with either a medication list or a medication timeline visualization...
2017: AMIA Summits on Translational Science Proceedings
https://www.readbyqxmd.com/read/28808173/clinical-reasoning-a-demure-teenager-and-her-dystonic-foot
#5
Patrick W Cullinane, Patrick Browne, Michael J Hennessy, Timothy J Counihan
No abstract text is available yet for this article.
August 15, 2017: Neurology
https://www.readbyqxmd.com/read/28804939/assessing-the-application-of-knowledge-in-clinical-problem-solving-the-structured-professional-reasoning-exercise
#6
M P Escudier, M J Woolford, J A Tricio
INTRODUCTION: Clinical reasoning is a fundamental and core clinical competence of healthcare professionals. The study aimed to investigate the utility of the Structured Professional Reasoning Exercise (SPRE), a new competence assessment method designed to measure dental students' clinical reasoning in simulated scenarios, covering the clinical areas of Oral Disease, Primary Dental Care and Restorative Dentistry, Child Dental Health and Dental Practice and Clinical Governance. MATERIALS AND METHODS: A total of 313 year-5 students sat for the assessment...
August 14, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/28793124/construction-and-validation-of-nursing-diagnoses-for-people-in-palliative-care
#7
Rudval Souza da Silva, Álvaro Pereira, Maria Miriam Lima da Nóbrega, Fernanda Carneiro Mussi
Objective: to construct and validate nursing diagnoses for people in palliative care based on the Dignity-Conserving Care Model and the International Classification for Nursing Practice. Method: a two-stage methodological study: 1) construction of the database of clinically and culturally relevant terms for the nursing care for people in palliative care and 2) construction of nursing diagnoses from the database of terms, based on the guidelines of the International Council of Nurses...
August 3, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28792257/strategies-for-interprofessional-facilitators-and-clinical-supervisors-that-may-enhance-the-emotional-intelligence-of-therapy-students
#8
Nigel Gribble, Richard K Ladyshewsky, Richard Parsons
Emotional intelligence (EI) is a critical skill for occupational therapy, physiotherapy, and speech pathology students (therapy students). This article reports the findings from an analysis of interviews with therapy students (n = 24) to determine the aspects of clinical placements that therapy students perceived as influencing the changes in EI scores. This article reports the findings of the qualitative phase of a longitudinal, retrospective mixed methods design. Interviewees were selected using purposive sampling...
August 9, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28767922/pemphigus-foliaceus-as-a-differential-diagnosis-in-vesicobullous-lesions
#9
Louise de Almeida Ferreira Fonseca, Célia Antônia Xavier de Moraes Alves, Ivan Aprahamian, Clóvis Antônio Lopes Pinto
Given the challenge of clinical diagnosis of bullous skin lesions, this report aimed to discuss the histological changes, the presentation and clinical reasoning for diagnosis of these lesions. At the same time, the importance of the pathology was reviewed to identify these clinical scenarios. In this case report, we highlighted the clinical progression of a case of pemphigus foliaceus. RESUMO Considerando o desafio do diagnóstico clínico de lesões cutâneas de apresentação bolhosa, o presente trabalho procurou discutir as alterações histológicas, a apresentação e o raciocínio clínico para o diagnóstico de tais lesões...
April 2017: Einstein
https://www.readbyqxmd.com/read/28767806/extracranial-carotid-stenosis-evidence-based-review
#10
Carolina Dutra Queiroz Flumignan, Ronald Luiz Gomes Flumignan, Túlio Pinho Navarro
Extracranial cerebrovascular disease is one of the most important causes of death and disability worldwide and its treatment is based on clinical and surgical strategies, the latter being performed by conventional or endovascular techniques. The management of stenosis of the carotid bifurcation is mainly aimed at preventing stroke and has been the subject of extensive investigation. The role of clinical treatment has been re-emphasized, but carotid endarterectomy remains the first-line treatment for symptomatic patients with 50% to 99% stenosis and for asymptomatic patients with 60% to 99% stenosis...
May 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28762992/individualized-patient-centered-care-a-physician-assistant-curriculum-in-information-mastery-clinical-reasoning-and-shared-decision-making
#11
David C Richard, Todd M Felix, Jay A Zimmermann, Nancy E Adams, Amy C Knehans, F Samuel Faber
No abstract text is available yet for this article.
July 28, 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28760921/clinical-reasoning-a-22-year-old-man-with-diplopia
#12
Chelsea Meyer, DonRaphael P Wynn, Stefan M Pulst, Ricky Chen, Kathleen Digre
No abstract text is available yet for this article.
August 1, 2017: Neurology
https://www.readbyqxmd.com/read/28760425/influence-of-selenium-supplementation-on-patients-with-inflammation-a-pilot-double-blind-randomized-study
#13
Renata Germano Borges de Oliveira Nascimento Freitas, Roberto José Negrão Nogueira, Silvia Maria Franciscato Cozzolino, Ana Carolina Junqueira Vasques, Gabriel Hessel
OBJECTIVE: The aim of the study was to analyze the effect of selenium supplementation on patients with inflammation receiving PN. METHODS: This double-blind randomized study included 20 hospitalized patients experiencing an inflammatory process while being fed by PN, who were monitored in three stages: first 72 h (0), day 7 (1), and day 14 (2) of PN. The supplemented patients group (G+S) received 60 μg/d (0.75 μmol) of selenium as selenious acid which was added to the PN bag...
September 2017: Nutrition
https://www.readbyqxmd.com/read/28758547/design-of-a-sensorized-guiding-catheter-for-in-situ-laser-fenestration-of-endovascular-stent
#14
Roberta Piazza, Sara Condino, Aldo Alberti, Raffaella Nice Berchiolli, Gioachino Coppi, Marco Gesi, Vincenzo Ferrari, Mauro Ferrari
PURPOSE: The in situ fenestration of a standard endograft is currently limited by difficulties in targeting the fenestration site under fluoroscopic control and by the lack of a safe method to perforate the graft. Evidence in the literature suggests the use of a 3 D electromagnetic navigator to accurately guide the endovascular instruments to the target and a laser to selectively perforate the graft. The aim of this work is to provide design guidelines to develop a sensorized catheter to guide the laser tool to the fenestration site and conduct preliminary testing of the feasibility of the proposed solution...
December 2017: Computer Assisted Surgery (Abingdon, England)
https://www.readbyqxmd.com/read/28758233/exploring-examinee-behaviours-as-validity-evidence-for-multiple-choice-question-examinations
#15
Luke T Surry, Dario Torre, Steven J Durning
CONTEXT: Clinical-vignette multiple choice question (MCQ) examinations are used widely in medical education. Standardised MCQ examinations are used by licensure and certification bodies to award credentials that are meant to assure stakeholders as to the quality of physicians. Such uses are based on the interpretation of MCQ examination performance as giving meaningful information about the quality of clinical reasoning. There are several assumptions foundational to these interpretations and uses of standardised MCQ examinations...
July 31, 2017: Medical Education
https://www.readbyqxmd.com/read/28753136/implementation-of-a-personalized-cost-effective-physical-therapy-approach-coach2move-for-older-adults-barriers-and-facilitators
#16
Arjan J W van de Sant, Nienke M de Vries, Thomas J Hoogeboom, Maria W G Nijhuis-van der Sanden
BACKGROUND AND PURPOSE: This article reports on a recent randomized clinical trial that showed a personalized approach to physical therapy (Coach2Move) by a physical therapist specialized in geriatrics (PTG) to be more cost-effective than usual physical therapy care in people with mobility problems (n = 130, mean age = 78 years). METHODS: We used an explanatory mixed-methods sequential design alongside the randomized clinical trial to gain insight into (a) the contrast between the 2 interventions, (b) the fidelity of the Coach2Move delivery; (c) PTGs' experiences of Coach2Move; and (d) possible barriers and facilitators for future implementation...
July 27, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28746422/patients-with-duchenne-and-becker-muscular-dystrophies-are-not-more-asymmetrical-than-healthy-controls-on-timed-performance-of-upper-limb-tasks
#17
M C Artilheiro, C S C Sá, F M Fávero, F A Caromano, M C Voos
This study aimed to investigate possible asymmetries and relationships between performance of dominant and non-dominant upper limbs (UL) in patients with Duchenne and Becker muscular dystrophies (DMD/BMD), to compare UL performance of patients and healthy subjects and to investigate the relationship between timed performance of UL and age, motor function and muscle strength in DMD/BMD patients. Sixteen patients with DMD and 3 with BMD were evaluated with Jebsen-Taylor Test (timed performance), Vignos scale and Dimension 3 of Motor Function Measure (motor function), and Medical Research Council scale (muscle strength) on a single session...
July 24, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28742553/more-on-the-causes-of-errors-in-clinical-reasoning
#18
Jayshil J Patel, Paul Bergl
No abstract text is available yet for this article.
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28742552/more-on-the-causes-of-errors-in-clinical-reasoning
#19
Pat Croskerry
No abstract text is available yet for this article.
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28739668/clinical-reasoning-a-man-with-rapidly-ascending-paralysis
#20
Jon Rosenberg, Stephen Aradi, Amy Pruitt
No abstract text is available yet for this article.
July 25, 2017: Neurology
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