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https://www.readbyqxmd.com/read/29120891/clinicians-ability-motivation-and-opportunity-to-acquire-and-transfer-knowledge-an-age-driven-perspective
#1
Silvia Profili, Alessia Sammarra, Roberto Dandi, Daniele Mascia
BACKGROUND: Many countries are seeing a dramatic increase in the average age of their clinicians. The literature often highlights the challenges of high replacement costs and the need for strategies to retain older personnel. Less discussed are the potential pitfalls of knowledge acquisition and transfer that accompany this aging issue. PURPOSE: We propose a conceptual framework for understanding how clinicians' age interact with ability, motivation, and opportunity to predict clinical knowledge transfer and acquisition in health care organizations...
November 8, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29083262/-more-effort-and-more-time-considerations-in-the-establishment-of-interprofessional-education-programs-in-the-workplace
#2
Fiona Kent, Katrina Nankervis, Christina Johnson, Marisa Hodgkinson, Julie Baulch, Terry Haines
The argument for integrating interprofessional education (IPE) activities into the workplace has been made concurrently with the call for collaborative clinical practice. An exploratory case study investigation of existing activities in a large metropolitan health care network was undertaken to inform the development of future IPE initiatives. Purposive sampling invited clinicians involved in the design or delivery of workplace IPE activities to participate in a semi-structured interview to discuss their existing programs and the opportunities and challenges facing future work...
October 30, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29071519/preexposure-prophylaxis-of-hiv-infection-the-role-of-clinical-practices-in-ending-the-hiv-epidemic
#3
REVIEW
Iryna B Zablotska, Catherine C O'Connor
PURPOSE OF REVIEW: The aim of this study is to summarise the recent evidence from high-income settings about providers' ability to deliver on the UNAIDS goal of at least three million people at substantial risk of HIV infection with PrEP by 2020, including awareness and knowledge about PrEP, willingness to prescribe PrEP, current levels of prescribing and service delivery models and issues. RECENT FINDINGS: Awareness about PrEP among health providers is growing, but at different pace depending on provider type...
October 25, 2017: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/29061226/scientific-overview-on-csci-citac-annual-general-meeting-and-2016-young-investigators-forum
#4
Tianwei E Zhou, Kristen I Barton, Elina Cook, Matthew G K Benesch, Nicholas Jette, Christophe Moderie, Katarina Ondrusova, Caitlin Lees, Patrick E Steadman, Tina B Marvasti, Sara Mirali, Peter J Liu, Ege M Babadagli, Kara J Abraham, Kirill J Zaslavsky
The 2016 Annual General Meeting of the Canadian Society of Clinician Investigators (CSCI) and Clinician Investigator Trainee Association of Canada/Association des Cliniciens-Chercheurs en Formation du Canada (CITAC/ACCFC) was a national conference held in Toronto November 21-23, 2016, in conjunction with The University of Toronto Clinician Investigator Program Research Day. The theme for this year's meeting was "Mapping Your Career as a Clinician-Scientist"; emphasizing essential skills for developing a fruitful career as clinician-scientist...
October 19, 2017: Clinical and Investigative Medicine. M├ędecine Clinique et Experimentale
https://www.readbyqxmd.com/read/29060181/a-new-hand-function-assessment-method-using-an-infrared-imaging-device
#5
Qinag Fang, Xudong Gu
Many post-stroke patients suffer various degrees of hand function and fine motor skills impairment. Both passive and active hand rehabilitation training are beneficial in improving strength and dexterity of hands. However, hand rehabilitation programs should be prescribed, based on an accurate assessment of hand function. Here we propose a novel method for hand function assessment that can accurately measure multiple joint angles of a hand simultaneously using a portable infrared imaging device. Different from the traditional assessment methods that are often based on clinicians' subjective observation and ordinal charts, this method provides an accurate, fast and objective evaluation using infrared imaging sensors...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29052316/does-an-intervention-designed-to-improve-self-management-social-support-and-awareness-of-palliative-care-address-needs-of-persons-with-heart-failure-family-caregivers-and-clinicians
#6
Margaret Sebern, Nasir Sulemanjee, Mark J Sebern, Mauricio Garnier-Villarreal, Carol J Whitlatch
AIMS AND OBJECTIVES: The study aims were to conduct a formative evaluation of the iPad-Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers, and clinicians. Together, persons with HF and family caregivers are referred to as partners. BACKGROUND: There is growing awareness of the caregiver's contributions to HF self-management, social support, and reciprocal benefits of interventions that involve both partners...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29039271/social-multiplier-effects-academics-and-practitioners-perspective-on-the-benefits-of-a-tuberculosis-operational-research-capacity-building-program-in-indonesia
#7
Ari Probandari, Yodi Mahendradhata, Bagoes Widjanarko, Bachti Alisjahbana
BACKGROUND: The Tuberculosis Operational Research Group (TORG) implemented a capacity-building model involving academics and practitioners (i.e. clinicians or program staff) in an operational research (OR) team in Indonesia. OBJECTIVE: This study explored academics' and practitioners' perspectives regarding the benefits of participating in a tuberculosis (TB) OR capacity-building program in Indonesia. METHODS: We conducted a qualitative study involving in-depth interviews with 36 academics and 23 practitioners undertaking the TORG capacity-building program...
2017: Global Health Action
https://www.readbyqxmd.com/read/29022130/compass-for-hope-evaluating-the-effectiveness-of-a-parent-training-and-support-program-for-children-with-asd
#8
Grace M Kuravackel, Lisa A Ruble, Robert J Reese, Amanda P Ables, Alexis D Rodgers, Michael D Toland
Despite the growing number of studies that demonstrate the importance of empowering parents with knowledge and skills to act as intervention agents for their children with autism spectrum disorder (ASD), there are limited examples of parent-mediated interventions that focus on problem behaviors. Additionally, access to ASD-trained clinicians and research supported delivery options for families in rural areas is severely limited. COMPASS for Hope (C-HOPE) is an 8-week parent intervention program that was developed with the option of telehealth or face-to-face delivery...
October 11, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28990575/a-systematic-review-of-the-concept-and-clinical-applications-of-bone-marrow-aspirate-concentrate-in-tendon-pathology
#9
Mohamed A Imam, James Holton, Saman Horriat, Ahmed S Negida, Florian Grubhofer, Rohit Gupta, Ali Narvani, Martyn Snow
Tendon pathologies are a group of musculoskeletal conditions frequently seen in clinical practice. They can be broadly classified into traumatic, degenerative and overuse-related tendinopathies. Rotator cuff tears, Achilles tendinopathy and tennis elbow are common examples of these conditions. Conventional treatments have shown inconsistent outcomes and might fail to provide satisfactory clinical improvement. With the growing trend towards the use of mesenchymal stem cells (MSCs) in other branches of medicine, there is an increasing interest in treating tendon pathologies using the bone marrow MSC...
2017: SICOT-J
https://www.readbyqxmd.com/read/28985729/a-novel-bedside-cardiopulmonary-physical-diagnosis-curriculum-for-internal-medicine-postgraduate-training
#10
Brian Thomas Garibaldi, Timothy Niessen, Allan Charles Gelber, Bennett Clark, Yizhen Lee, Jose Alejandro Madrazo, Reza Sedighi Manesh, Ariella Apfel, Brandyn D Lau, Gigi Liu, Jenna VanLiere Canzoniero, C John Sperati, Hsin-Chieh Yeh, Daniel J Brotman, Thomas A Traill, Danelle Cayea, Samuel C Durso, Rosalyn W Stewart, Mary C Corretti, Edward K Kasper, Sanjay V Desai
BACKGROUND: Physicians spend less time at the bedside in the modern hospital setting which has contributed to a decline in physical diagnosis, and in particular, cardiopulmonary examination skills. This trend may be a source of diagnostic error and threatens to erode the patient-physician relationship. We created a new bedside cardiopulmonary physical diagnosis curriculum and assessed its effects on post-graduate year-1 (PGY-1; interns) attitudes, confidence and skill. METHODS: One hundred five internal medicine interns in a large U...
October 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28984426/caregiver-knowledge-and-skills-to-safely-care-for-pediatric-tracheostomy-ventilation-at-home
#11
Reshma Amin, Chris Parshuram, Jeannie Kelso, Audrey Lim, Dimas Mateos, Ian Mitchell, Hema Patel, Madan Roy, Faiza Syed, Rita Troini, David Wensley, Louise Rose
OBJECTIVE: Caregivers of children using home mechanical ventilation (HMV) via tracheostomy require appropriate knowledge and skills. Existing training curricula are locally developed and content variable. We sought to develop a competency checklist to inform initial training and subsequent assessment of knowledge and skills of family caregivers. METHODS: We used a 2-step process. Candidate items were generated by synthesis of a scoping review, existing checklists, with additional items suggested by an eight member inter-professional group representing pediatric HMV programs across Canada...
October 6, 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/28964979/the-effectiveness-of-assertiveness-communication-training-programs-for-healthcare-professionals-and-students-a-systematic-review
#12
REVIEW
Mieko Omura, Jane Maguire, Tracy Levett-Jones, Teresa Elizabeth Stone
BACKGROUND: Communication errors have a negative impact on patient safety. It is therefore essential that healthcare professionals have the skills and confidence to speak up assertively when patient safety is at risk. Although the facilitators to and barriers of assertive communication have been the subject of previous reviews, evidence regarding the effectiveness of interventions designed to enhance assertive communication is lacking. Thus, this paper reports the findings from a systematic review of the effectiveness of assertiveness communication training programs for healthcare professionals and students...
September 5, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28959139/a-case-study-on-building-capacity-to-improve-clinical-mentoring-and-maternal-child-health-in-rural-tanzania-the-path-to-implementation
#13
Melissa T Ojemeni, Paulomi Niles, Salum Mfaume, Ntuli A Kapologwe, Linda Deng, Renae Stafford, Marie Jose Voeten, Kokusiima Theonestina, Wendy Budin, Nok Chhun, Allison Squires
BACKGROUND: Tanzania is a low income, East African country with a severe shortage of human resources for health or health workers. This shortage threatens any gains the country is making in improving maternal health outcomes. This paper describes a partnership between Touch Foundation and NYU Rory Meyers College of Nursing - Global, aimed at improving clinical mentorship and capacity among nurses and midwives at two rural hospitals in the Tanzanian Lake Zone Region. Clinical mentoring capacity building and supportive supervision of staff has been shown to be a facilitator of retaining nurses and would be possible to acquire and implement quickly, even in a context of low resources and limited technology...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28942908/integrating-function-directed-treatments-into-palliative-care
#14
REVIEW
Andrea L Cheville, Melissa Morrow, Sean Robinson Smith, Jeffrey R Basford
The growing acceptance of palliative care has created opportunities to increase the use of rehabilitation services among populations with advanced disease, particularly those with cancer. Broader delivery has been impeded by the lack of a shared definition for palliative rehabilitation and a mismatch between patient needs and established rehabilitation service delivery models. We propose the definition that, in the advanced cancer population, palliative rehabilitation is function-directed care delivered in partnership with other clinical disciplines and aligned with the values of patients who have serious and often incurable illnesses in contexts marked by intense and dynamic symptoms, psychological stress, and medical morbidity to realize potentially time-limited goals...
September 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28937451/cognitive-and-psychosocial-functioning-of-preschool-aged-children-with-cancer
#15
Victoria W Willard, Lauren E Cox, Kathryn M Russell, Ansley Kenney, Niki Jurbergs, Andrew E Molnar, Jennifer L Harman
OBJECTIVE: Most children with cancer are diagnosed in early childhood, potentially resulting in missed developmental opportunities. The most common diagnoses-brain tumors, leukemia-are also associated with increased risk of neurocognitive deficits. Unfortunately, research regarding the functioning of preschool-aged children with cancer is limited. Our objective is to describe the cognitive and psychosocial functioning of preschool-aged children with cancer who completed a clinical evaluation at a hospital-based psychology clinic...
October 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28910693/combining-child-social-skills-training-with-a-parent-early-intervention-program-for-inhibited-preschool-children
#16
Elizabeth X Lau, Ronald M Rapee, Robert J Coplan
BACKGROUND: Previous studies have demonstrated the efficacy of early intervention for anxiety in preschoolers through parent-education. The current study evaluated a six-session early intervention program for preschoolers at high risk of anxiety disorders in which a standard educational program for parents was supplemented by direct training of social skills to the children. METHODS: Seventy-two children aged 3-5 years were selected based on high behavioural inhibition levels and concurrently having a parent with high emotional distress...
October 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28886670/canadian-treatment-guidelines-on-psychosocial-treatment-of-schizophrenia-in-children-and-youth
#17
Tania Lecomte, Sabina Abidi, Iliana Garcia-Ortega, Irfan Mian, Kevin Jackson, Kim Jackson, Ross Norman
OBJECTIVE: A panel of experts, including researchers, clinicians and people with lived experience, was brought together to develop the new Canadian schizophrenia guidelines for the psychosocial treatment of children and youth with schizophrenia or psychotic disorders. METHOD: The ADAPTE process, which relies on adapting existing high-quality guidelines, was used. Existing guidelines for children and youth (mostly from the National Institute for Health and Care Excellence [NICE]), as well as CPA adult guidelines, were reviewed and discussed in terms of their adaptability to the Canadian context and their level of recommendation for children and youth...
September 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28859818/what-works-to-improve-and-manage-fecal-incontinence-in-care-home-residents-living-with-dementia-a-realist-synthesis-of-the-evidence
#18
REVIEW
Marina Buswell, Claire Goodman, Brenda Roe, Bridget Russell, Christine Norton, Rowan Harwood, Mandy Fader, Danielle Harari, Vari M Drennan, Jo Rycroft Malone, Michelle Madden, Frances Bunn
The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories of what should work were identified. These addressed clinician-led support, assessment, and review; the contribution of teaching and support for care home staff on how to reduce and manage FI; addressing the causes and prevention of constipation; how cognitive and physical capacity of the resident affects outcomes; how the potential for recovery, reduction, and management of FI is understood by those involved; and how the care of people living with dementia and FI is integral to the work patterns of the care home and its staff...
September 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28858884/evaluating-the-impact-of-the-medical-education-partnership-initiative-at-the-university-of-zimbabwe-college-of-health-sciences-using-the-most-significant-change-technique
#19
Susan C Connors, Shemiah Nyaude, Amelia Challender, Eva Aagaard, Christine Velez, James Hakim
PROBLEM: In medical education, evaluating outcomes from programs intended to transform attitudes or influence career trajectories using conventional methods of monitoring is often difficult. To address this problem, the authors adapted the most significant change (MSC) technique to gain a more comprehensive understanding of the impact of the Medical Education Partnership Initiative (MEPI) program at the University of Zimbabwe College of Health Sciences. APPROACH: In 2014-2015, the authors applied the MSC to systematically examine the personal significance and level of positive transformation that individuals attributed to their MEPI participation...
September 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28853236/the-language-of-data-program-use-of-gaming-to-promote-critical-appraisal-skills
#20
Bradi B Granger, Jennifer Rogers, Corinne Miller, Karen Martin, DaiWai M Olson
This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1741-6787.
August 29, 2017: Worldviews on Evidence-based Nursing
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