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https://www.readbyqxmd.com/read/29150246/development-of-the-autosomal-dominant-polycystic-kidney-disease-impact-scale-a-new-health-related-quality-of-life-instrument
#1
Dorothee Oberdhan, Jason C Cole, Holly B Krasa, Rebecca Cheng, Frank S Czerwiec, Ron D Hays, Arlene B Chapman, Ronald D Perrone
BACKGROUND: The impact of autosomal dominant polycystic kidney disease (ADPKD) on health-related quality of life (HRQoL) is not well understood due to a lack of instruments specific to the condition. STUDY DESIGN: Content for a new self-administered patient-reported outcome (PRO) questionnaire to assess ADPKD-related HRQoL was developed through clinical expert and patient focus group discussions. The new PRO instrument was administered to study patients with ADPKD to evaluate its reliability and validity...
November 14, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29148607/the-art-of-oral-handovers-a-participant-observational-study-by-undergraduate-students-in-a-hospital-setting
#2
Tove Giske, Sunniva Nese Melås, Kari Anne Einarsen
AIMS AND OBJECTIVES: This study explores the conditions for oral handovers between shifts in a hospital setting, and how these impact patient safety and quality of care. BACKGROUND: Oral handovers transfer patient information and nursing responsibilities between shifts. Short written summaries of patients can complement an oral handover. How to find the balance between a standardised protocol for handovers and tailoring variations to specific patients and situations is debated in the literature...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29144023/resident-versus-faculty-member-simulation-debriefing
#3
Traci Adams, Chad Newton, Hetal Patel, Melanie Sulistio, Andrew Tomlinson, Won Lee
BACKGROUND: Near-peer teaching is effective in graduate medical education, but it has not been compared with faculty member teaching in resident simulation. In this study, we sought to compare debriefing sessions of internal medicine (IM) intern simulation sessions led by academic faculty doctors with those led by senior IM residents in order to measure the effectiveness of near-peer teaching in this setting. Near-peer teaching is effective in graduate medical education, but has not been compared with faculty member teaching in resident simulation METHOD: Internal medicine interns participated in four simulation cases, two of which were debriefed by faculty members and two of which were debriefed by residents...
November 16, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29140491/validation-and-application-of-the-md-anderson-symptom-inventory-for-traditional-chinese-medicine-mdasi-tcm
#4
Zhandong Li, Qiuling Shi, Meng Liu, Liqun Jia, Bin He, Yufei Yang, Jie Liu, Hongsheng Lin, Huei-Kai Lin, Pingping Li, Xin Shelley Wang
Background: The MD Anderson Symptom Inventory (MDASI) is a brief, yet thorough, patient-reported outcomes measure for assessing the severity of common cancer-related symptoms and their interference with daily functioning. We report the development of an MDASI version tailored for use with Traditional Chinese Medicine in China (the MDASI-TCM). Methods: Chinese-speaking patients with mixed cancer types (n = 317) participated in the study. The development and validation process included four steps: 1) identify candidate TCM-specific items, with input from patients, oncologists, and TCM specialists; 2) eliminate candidate TCM items lacking relevance, based on patient report; 3) psychometrically examine the MDASI-TCM's validity and reliability in cancer patients receiving TCM-based care; and 4) cognitively debrief patients to assess the MDASI-TCM's relevance, understandability, and acceptability...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29138219/developing-a-tool-for-observing-group-critical-thinking-skills-in-first-year-medical-students-a-pilot-study-using-physiology-based-high-fidelity-patient-simulations
#5
Khoa Nguyen, Bertha Ben Khallouq, Amanda Schuster, Christopher Beevers, Nyla Dil, Denise Kay, Jonathan D Kibble, David M Harris
Most assessments of physiology in medical school use multiple choice tests that may not provide information about a student's critical thinking (CT) process. There are limited performance assessments, but high-fidelity patient simulations (HFPS) may be a feasible platform. The purpose of this pilot study was to determine whether a group's CT process could be observed over a series of HFPS. An instrument [Critical Thinking Skills Rating Instrument CTSRI)] was designed with the IDEAS framework. Fifteen groups of students participated in three HFPS that consisted of a basic knowledge quiz and introduction, HFPS session, and debriefing...
December 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/29130296/supporting-dietitians-to-work-in-aboriginal-health-qualitative-evaluation-of-a-community-of-practice-mentoring-circle
#6
Annabelle M Wilson, Robyn Delbridge, Claire Palermo
AIM: This paper explores the experience of dietitians participating in a Community of Practice designed to support their work with Aboriginal communities. METHODS: The Community of Practice for dietitians working with Aboriginal communities ran for 12 months, starting in May 2014. Six-weekly mentoring sessions were held using Skype, with conversation aided by a facilitator. In-depth, semi-structured interviews were held with all participants at the conclusion of the Community of Practice...
November 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29117095/rapport-management-opening-the-door-for-effective-debriefing
#7
Marc Auerbach, Adam Cheng, Jenny W Rudolph
No abstract text is available yet for this article.
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29117055/improving-patient-experience-through-nursing-satisfaction
#8
Amanda McNicholas, Abby McCall, Alanna Werner, Ronda Wounderly, Erin Marinchak, Pamela Jones
Patient experience is a vital component of quality health care. In our institution we sought to improve both nursing satisfaction and collaboration, in conjunction with improving patient experience, predicting the two are directly proportional. We hypothesized that a more satisfied nursing team would result in an overall improvement in patient experience. To explore this hypothesis, we implemented multiple process changes to create an advanced practitioner-directed floor (APDF) on our 28-bed trauma, medical-surgical unit...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29116657/international-validation-of-the-european-organisation-for-research-and-treatment-of-cancer-qlq-brecon23-quality-of-life-questionnaire-for-women-undergoing-breast-reconstruction
#9
Z E Winters, M Afzal, C Rutherford, B Holzner, G Rumpold, R A da Costa Vieira, S Hartup, K Flitcroft, V Bjelic-Radisic, A Oberguggenburger, M Panouilleres, M Mani, G Catanuto, M Douek, J Kokan, P Sinai, M T King
BACKGROUND: The aim was to carry out phase 4 international field-testing of the European Organisation for Research and Treatment of Cancer (EORTC) breast reconstruction (BRECON) module. The primary objective was finalization of its scale structure. Secondary objectives were evaluation of its reliability, validity, responsiveness, acceptability and interpretability in patients with breast cancer undergoing mastectomy and reconstruction. METHODS: The EORTC module development guidelines were followed...
November 8, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29112023/behavior-of-anesthesiology-residents-in-a-situation-of-intravenous-route-occlusion-during-syringe-pump-use-in-a-simulated-intensive-care-unit
#10
Takayuki Kariya, Tetsuya Miyashita, Hitoshi Sato, Hiromasa Kawakami, Takahisa Goto
INTRODUCTION: Unintentional catecholamine flush caused by inappropriate release of an intravenous occlusion during use of a syringe pump in the intensive care unit (ICU) can have dangerous consequences in patients receiving critical care. We investigated whether anesthesiology residents understood how to deal with syringe pump occlusion in a simulated ICU setting. METHODS: We set up a mannequin that virtually simulated a sedated patient under mechanical ventilation after cardiac surgery, with epinephrine and dopamine being infused by syringe pumps to maintain blood pressure at 100/50 mm Hg...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29110695/unifying-interdisciplinary-education-designing-and-implementing-an-intern-simulation-educational-curriculum-to-increase-confidence-in-critical-care-from-pgy1-to-pgy2
#11
Mark J Bullard, Jo Anna Leuck, Lisa D Howley
BACKGROUND: A longitudinal, multidisciplinary critical care simulation curriculum was developed and implemented within a teaching hospital to address the need for consistent, safe, efficient, and unified critical care training within graduate medical education. Primary goals were to increase learner confidence in critical care topics and procedural skills across all specialties. Secondary goals included improving communication skills and obtaining a high level of learner satisfaction...
November 6, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29100919/identifying-nontechnical-skill-deficits-in-trainees-through-interdisciplinary-trauma-simulation
#12
Sarah Sullivan, Krystle Campbell, Joshua C Ross, Ryan Thompson, Alyson Underwood, Anne LeGare, Ingie Osman, Suresh K Agarwal, Hee Soo Jung
OBJECTIVE: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions. DESIGN: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators...
October 31, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29100520/the-emergence-of-ethical-issues-in-the-provision-of-online-sexual-health-outreach-for-gay-bisexual-two-spirit-and-other-men-who-have-sex-with-men-perspectives-of-online-outreach-workers
#13
Sophia Fantus, Rusty Souleymanov, Nathan J Lachowsky, David J Brennan
BACKGROUND: Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men (GB2M). This exploratory study examined ethical issues identified by online outreach workers who conduct online sexual health outreach for GB2M. METHODS: Semi-structured individual interviews were conducted between November 2013 and April 2014 with online providers and managers (n = 22) to explore the benefits, challenges, and ethical implications of delivering online outreach services in Ontario, Canada...
November 3, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29098596/interprofessional-simulation-training-to-promote-working-with-families-and-networks-in-mental-health-services
#14
Christopher Kowalski, Chris Attoe, Isabelle Ekdawi, Claire Parry, Sabrina Phillips, Sean Cross
OBJECTIVE: Working with the families and networks of patients with mental illness has significant benefits. There are, however, numerous barriers to this way of working, meaning that it is not universally privileged in mental healthcare services. This study evaluated the impact of an interprofessional simulation (IPS) course on working with families and networks on participants' confidence, attitudes, and perceived future clinical practice. METHODS: A one-day IPS course pairing high-fidelity scenarios with reflective debriefs was developed...
November 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29097448/using-simulation-to-develop-care-models-for-rapid-response-and-code-teams-at-a-satellite-facility
#15
Amy R L Rule, Julie Snider, Cheryl Marshall, Kathleen Kramer, Gary L Geis, Ken Tegtmeyer, Craig H Gosdin
BACKGROUND: Our institution recently completed an expansion of an acute care inpatient unit within a satellite hospital that does not include an on-site ICU or PICU. Because of expected increases in volume and acuity, new care models for Rapid Response Teams (RRTs) and Code Blue Teams were necessary. OBJECTIVES: Using simulation-based training, our objectives were to define the optimal roles and responsibilities for team members (including ICU physicians via telemedicine), refine the staffing of RRTs and code Teams, and identify latent safety threats (LSTs) before opening the expanded inpatient unit...
November 2, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29094625/ethical-dilemmas-during-international-clinical-rotations-in-global-health-settings-findings-from-a-training-and-debriefing-program
#16
Michael J Peluso, Stacey Kallem, Mei Elansary, Tracy L Rabin
PURPOSE: This study describes the impact of an open-access, case-based global health ethics workshop and describes the breadth of dilemmas faced by students to inform future interventions. METHODS: Eighty-two medical students who undertook electives at 16 international sites between 2012 and 2015 received web-based surveys at three time points, incorporating quantitative and free-text probes of knowledge, skills, and attitudes related to global health clinical ethics dilemmas...
November 2, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29094530/exploring-the-use-of-student-led-simulated-practice-learning-in-pre-registration-nursing-programmes
#17
Jo Brown, Guy Collins, Olivia Gratton
Simulated practice learning is used in pre-registration nursing programmes to replicate situations that nursing students are likely to encounter in clinical practice, but in a safe and protected academic environment. However, lecturer-led simulated practice learning has been perceived as detached from contemporary nursing practice by some nursing students. Therefore, a pilot project was implemented in the authors' university to explore the use of student-led simulated practice learning and its potential benefits for nursing students...
September 20, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29091241/teaching-strategies-to-increase-nursing-student-acceptance-and-management-of-unconscious-bias
#18
Paula L Schultz, Janet Baker
BACKGROUND: Medical providers' unconscious biases may contribute to health disparities. Awareness and self-reflection strategies commonly used to teach cultural competence in academic settings are generally ineffective in reducing unconscious bias or motivating change. METHOD: This article describes the innovative teaching strategies implemented in a graduate setting (N = 75) to increase nursing learners' acceptance and management of unconscious bias. Strategies used guided the debriefing and feedback that incorporated implicit association testing, interactive audience polling, categorized management strategies, and perspective taking...
November 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29091237/a-qualitative-analysis-of-metacognition-in-simulation
#19
Jayne M Josephsen
BACKGROUND: Metacognition enables understanding, analysis, and regulation of one's cognition when engaged in learning. Metacognition, epistemic questioning, and self-regulated learning are foundational to the development of critical reasoning and self-reflective practice. METHOD: This pilot qualitative study used observations and interviews to identify metacognitive strategies used by a convenience sample of nursing students prior to and during simulation and debriefing...
November 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29084349/bridging-understanding-in-nursing-and-radiography-students-an-interprofessional-experience
#20
April L Mouser, Linda Wallace, Bridget Whitmore, Heidi Sebastian
Health professionals must improve interprofessional communication and collaboration to ensure quality patient care. Through socialization, simulation, and case-based learning, improved collaboration among health professions is possible. Students from two programs, nursing and radiography, were involved in interprofessional activities, including case studies, simulation, and debriefing. The students completed a pre- and postsurvey to assess attitudes and knowledge of each profession. Data were analyzed in SPSS using paired t tests...
October 30, 2017: Nursing Forum
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