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https://www.readbyqxmd.com/read/29333620/in-center-hemodialysis-education-challenges-and-innovations-in-training-of-fellows-in-nephrology
#1
Louise M Moist, Robert M Lindsay
The in-center dialysis unit and practice of dialysis, in the current multi-team approach, requires knowledge and skills in all the domains including medical expert, communicator, collaborator, scholar, health advocate, and leader. We are tasked as a community, to embrace and incentivize new innovations and technology to address these needs for our post graduate trainees. These innovations must address the basic principles of dialysis, quality improvement, technical and procedural skills as well as leadership and administration skills...
January 14, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29330973/the-effect-of-sex-education-and-life-skills-for-preventive-sexual-risk-behaviours-among-university-of-students-in-thailand
#2
Katekaew Seangpraw, Rattana Somrongthong, Monchanok Choowanthanapakorn, Ramesh Kumar
BACKGROUND: Currently, the problem of sexual risk behaviour of adolescents has increased worldwide, including Thailand. This study compared the effectiveness of promoting life skills to prevent sexual risk behaviours among university students in the Phayao Province of Thailand. METHODS: A quasi-experimental design was employed with a pre- and post-test study for a sample of freshmen university students. The students were then split into an intervention group comprised of 300 students, with a second group of 250 students from the same faculty as the control group...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330842/self-perceived-long-term-transfer-of-learning-after-postpartum-hemorrhage-simulation-training
#3
Brena C P Melo, Ana R Falbo, Jette Led Sorensen, Jeroen J G van Merriënboer, Cees van der Vleuten
OBJECTIVE: To explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice. METHODS: In this qualitative study, semi-structured interviews with obstetrics and gynecology healthcare practitioners were conducted between August 7 and September 26, 2015, in Recife, Brazil. The participants were randomly selected from each of two postpartum hemorrhage simulations attended 2 years earlier (one ID and one conventional best practice)...
January 13, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29328357/sensitizing-inpatient-mental-health-staff-to-the-challenges-of-aging
#4
Michelle R Zechner, Joseph C Birkmann, Jennifer Sperduto, Carlos Pratt
Although the aging inpatient population in state psychiatric hospitals is growing significantly, there are few examples of available training to improve staff knowledge and practice. The current article describes a 10-week training series developed through a university and psychiatric hospital collaboration. Training was attended by 135 direct care nursing and rehabilitation staff and focused on improving aging awareness, problem solving, using person-centered therapeutic techniques, and engaging older adults...
January 11, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29325569/the-relevance-of-clinical-ethnography-reflections-on-10%C3%A2-years-of-a-cultural-consultation-service
#5
Melissa Dominicé Dao, Sophie Inglin, Sarah Vilpert, Patricia Hudelson
BACKGROUND: Training health professionals in culturally sensitive medical interviewing has been widely promoted as a strategy for improving intercultural communication and for helping clinicians to consider patients' social and cultural contexts and improve patient outcomes. Clinical ethnography encourages clinicians to explore the patient's explanatory model of illness, recourse to traditional and alternative healing practices, healthcare expectations and social context, and to use this information to negotiate a mutually acceptable treatment plan...
January 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29320790/-learning-in-protected-environment-implementation-in-continuing-medical-education
#6
Lion Sieg, Lars Friedrich, Hendrik Eismann
Actual concepts in continuing medical education in acute or emergency medicine contain skill training as well as simulation training. Methods and mechanisms to reduce crisis, like human factor training, shared mental models or closed-loop communication are incorporated. It is unknown which training method is optimal for individual departments in hospitals or for the individual level of education of the healthcare provider. A concept we provide is the so called "learning in protected environment": this environment protects the course participants and our patients from negative consequences of a conventional hands-on training...
January 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29320789/-simulation-as-a-training-method-for-the-professionalization-of-teams
#7
Markus Flentje, Hendrik Eismann, Lion Sieg, Lars Friedrich, Georg Breuer
Simulation as an educational method can be applied to the training of processes, technical and non-technical skills. This article focuses on the role of simulation in crisis resource management and non-technical skills. A realistic work environment requires well-trained staff regarding simulation technology and communication. A training (unit) is divided into three sections. During the briefing the team is introduced to the scenario. Afterwards, the patient is treated by an interdisciplinary team. Communication under the pressure of action, even if one does not agree with the approach of the colleagues, should be practiced...
January 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29315458/implementation-and-effectiveness-of-a-video-based-debriefing-programme-for-neonatal-resuscitation
#8
C Skåre, T E Calisch, E Saeter, T Rajka, A M Boldingh, B Nakstad, D E Niles, J Kramer-Johansen, T M Olasveengen
BACKGROUND: Approximately 5%-10% of newly born babies need intervention to assist transition from intra- to extrauterine life. All providers in the delivery ward are trained in neonatal resuscitation, but without clinical experience or exposure, training competency is transient with a decline in skills within a few months. The aim of this study was to evaluate whether neonatal resuscitations skills and team performance would improve after implementation of video-assisted, performance-focused debriefings...
January 7, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29311368/education-research-difficult-conversations-in-neurology-lessons-learned-from-medical-students
#9
Monica E Lemmon, Charlene Gamaldo, Rachel Marie E Salas, Ankita Saxena, Tiana E Cruz, Renee D Boss, Roy E Strowd
OBJECTIVE: To characterize features of medical student exposure to difficult conversations during a neurology core clerkship. METHODS: This was a cross-sectional concurrent nested mixed methods study, and all students rotating through a required neurology clerkship between 2014 and 2015 were enrolled. Data collection included an electronic communication tracker, baseline and end-of-clerkship surveys, and 4 facilitated focus groups. Students were asked to log exposure to patient-clinician conversations about (1) new disability, (2) poor prognosis, (3) prognostic uncertainty (4), terminal diagnosis, and (5) end-of-life care...
January 9, 2018: Neurology
https://www.readbyqxmd.com/read/29310605/a-randomized-controlled-trial-of-a-skills-training-for-oncologists-and-a-communication-aid-for-patients-to-stimulate-shared-decision-making-about-palliative-systemic-treatment-choice-study-protocol
#10
I Henselmans, E M A Smets, J C J M de Haes, M G W Dijkgraaf, F Y de Vos, H W M van Laarhoven
BACKGROUND: Systemic treatment for advanced cancer offers uncertain and sometimes little benefit while the burden can be high. Hence, treatment decisions require Shared Decision Making (SDM). The CHOICE trial examines the separate and combined effect of oncologist training and a patient communication aid on SDM in consultations about palliative systemic treatment. METHODS: A RCT design with four parallel arms will be adopted. Patients with metastatic or irresectable cancer with a median life expectancy <12 months who meet with a medical oncologist to discuss the start or continuation of palliative systemic treatment are eligible...
January 8, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29306751/simulated-patient-training-using-inter-rater-reliability-to-evaluate-simulated-patient-consistency-in-nursing-education
#11
Sharon MacLean, Fiona Geddes, Michelle Kelly, Phillip Della
BACKGROUND: Simulated patients (SPs) are frequently used for training nursing students in communication skills. An acknowledged benefit of using SPs is the opportunity to provide a standardized approach by which participants can demonstrate and develop communication skills. However, relatively little evidence is available on how to best facilitate and evaluate the reliability and accuracy of SPs' performances. AIM: The aim of this study is to investigate the effectiveness of an evidenced based SP training framework to ensure standardization of SPs...
December 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29306586/communication-skills-teaching-in-brazilian-medical-schools-what-lessons-can-be-learned
#12
Rafaela Liberali, Dennis Novack, Pamela Duke, Suely Grosseman
OBJECTIVE: To assess current practices in communication skills (CS) teaching in Brazilian medical schools (MS), looking for similarities and differences with other countries. METHODS: This study was performed with 162 out of the 237 accredited Brazilian MS (68.35%). The quantitative data were analyzed using descriptive statistics and qualitative data using content analysis. RESULTS: 104 MS (64.2%) reported formal CS training. CS were more commonly taught in the pre-clinical years, by physicians and psychologists...
December 28, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29306374/challenges-in-mammography-education-and-training-today-the-perspectives-of-radiography-teachers-mentors-and-students-in-five-european-countries
#13
B Strøm, J A Pires Jorge, N Richli Meystre, A Henner, T Kukkes, E Metsälä, C Sà Dos Reis
INTRODUCTION: This study aims to explore current challenges in mammography education from the perspectives of radiography teachers, mentors and students. METHODS: A qualitative study including two focus groups interviews, with radiography teachers/mentors (n = 5) and student radiographers (n = 5) exploring their perspectives on challenges in mammography education today. The content analysis methodology proposed by Graneheim and Lundman was applied to the interviews...
February 2018: Radiography
https://www.readbyqxmd.com/read/29304317/strategies-to-improve-management-of-shoulder-dystocia-under-the-ahrq-safety-program-for-perinatal-care
#14
Jill McArdle, Asta Sorensen, Christina I Fowler, Samantha Sommerness, Katrina Burson, Leila Kahwati
OBJECTIVE: To assess implementation of safety strategies to improve management of births complicated by shoulder dystocia in labor and delivery units. DESIGN: Mixed-methods implementation evaluation. SETTING/LOCAL PROBLEM: Labor and delivery units (N = 18) in 10 states participating in the Safety Program for Perinatal Care (SPPC). Shoulder dystocia is unpredictable, requiring rapid and coordinated action. PARTICIPANTS: Key informants were labor and delivery unit staff who implemented SPPC safety strategies...
January 2, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29302570/a-qualitative-study-on-women-s-experiences-of-intrapartum-nursing-care-at-tamale-teaching-hospital-tth-ghana
#15
Agani Afaya, Vida N Yakong, Richard A Afaya, Solomon M Salia, Peter Adatara, Anthony K Kuug, Flex K Nyande
Introduction: Labor and delivery process is an exciting, anxiety-provoking, but rewarding time for a woman and her family after successful delivery of a newborn. The intrapartum period is the time where mothers expect more care. Taking care of a mother through delivery with no side effects is the task of a professional midwife who is trained with the skill to take the responsibility of caring for mothers and babies. Therefore, the aim of this study was to explore mother's experiences regarding quality of intrapartum nursing/midwifery care...
December 2017: Journal of Caring Sciences
https://www.readbyqxmd.com/read/29302085/nordic-pharmacy-schools-experience-in-communication-skills-training
#16
Karin Svensberg, Ingunn Björnsdottir, Andy Wallman, Sofia Kälvemark Sporrong
Objective. To assess communication skills training at Nordic pharmacy schools and explore ways for improvement. Methods. E-mail questionnaires were developed and distributed with the aim to explore current practice and course leaders' opinions regarding teaching of patient communication skills at all the 11 master level Nordic (Denmark, Finland, Iceland, Norway and Sweden) pharmacy schools. The questionnaires contained both closed- and open-ended questions. Results. There was a variation of patient communication skills training among schools...
November 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29301735/integrating-patient-centered-electronic-health-record-communication-training-into-resident-onboarding-curriculum-development-and-post-implementation-survey-among-housestaff
#17
Maria Alcocer Alkureishi, Wei Wei Lee, Sandra Webb, Vineet Arora
BACKGROUND: Electronic health record (EHR) use can enhance or undermine the ability of providers to deliver effective, humanistic patient-centered care. Given patient-centered care has been found to positively impact patient health outcomes, it is critical to provide formal education on patient-centered EHR communication skills. Unfortunately, despite increasing worldwide EHR adoption, few institutions educate trainees on EHR communication best practices. OBJECTIVE: The goal of this research was to develop and deliver mandatory patient-centered EHR training to all incoming housestaff at the University of Chicago...
January 4, 2018: JMIR Medical Education
https://www.readbyqxmd.com/read/29301524/what-does-complex-mean-in-palliative-care-triangulating-qualitative-findings-from-3-settings
#18
Emma Carduff, Sarah Johnston, Catherine Winstanley, Jamie Morrish, Scott A Murray, Juliet Spiller, Anne Finucane
BACKGROUND: Complex need for patients with a terminal illness distinguishes those who would benefit from specialist palliative care from those who could be cared for by non-specialists. However, the nature of this complexity is not well defined or understood. This study describes how health professionals, from three distinct settings in the United Kingdom, understand complex need in palliative care. METHODS: Semi-structured qualitative interviews were conducted with professionals in primary care, hospital and hospice settings...
January 4, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29301168/design-and-development-of-a-novel-distance-learning-telementoring-system-using-off-the-shelf-materials-and-software
#19
James C Rosser, Jeffrey P Fleming, Timothy B Legare, Katherine M Choi, Jamie Nakagiri, Elliot Griffith
OBJECTIVE: To design and develop a distance learning (DL) system for the transference of laparoscopic surgery knowledge and skill constructed from off-the-shelf materials and commercially available software. INTRODUCTION: Minimally invasive surgery offers significant benefits over traditional surgical procedures, but adoption rates for many procedures are low. Skill and confidence deficits are two of the culprits. DL combined with simulation training and telementoring may address these issues with scale...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29300886/how-family-doctors-perceived-their-readiness-and-preparedness-to-identify-and-respond-to-intimate-partner-abuse-a-qualitative-study
#20
Traci Po-Yan Leung, Lisa Phillips, Christina Bryant, Kelsey Hegarty
Background: There are few existing studies which have investigated the meanings of 'readiness' and 'preparedness' among family doctors working with female patients who experience intimate partner abuse (IPA). Objectives: We aimed to explore how doctors perceived the concepts of readiness and preparedness to identify and respond to IPA against female patients. Methods: We adopted purposive sampling and conducted individual semi-structured interviews with 19 doctors (11 females and 8 males) practising in primary care...
December 28, 2017: Family Practice
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