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use of the title doctor in the clinical practice

Mostafa Langarizadeh, Fatemeh Moghbeli, Ali Aliabadi
Introduction: Advanced technology has increased the use of telemedicine and Information Technology (IT) in treating or rehabilitating diseases. An increased use of technology increases the importance of the ethical issues involved. The need for keeping patients' information confidential and secure, controlling a number of therapists' inefficiency as well as raising the quality of healthcare services necessitates adequate heed to ethical issues in telemedicine provision. Aim: The goal of this review is gathering all articles that are published through 5 years until now (2012-2017) for detecting ethical issues for providing telemedicine services and Information technology...
October 2017: Medical Archives
Sarah E Hughes, Frances L Rapport, Isabelle Boisvert, Catherine M McMahon, Hayley A Hutchings
INTRODUCTION: In the UK, it is estimated that a disabling hearing loss (HL) affects 1 in 6 people. HL has functional, economic and social-emotional consequences for affected individuals. Intervention for HL focuses on improving access to the auditory signal using hearing aids or cochlear implants. However, even if sounds are audible and speech is understood, individuals with HL often report increased effort when listening.Listening effort (LE) may be measured using self-reported measures such as patient-reported outcome measures (PROMs)...
June 6, 2017: BMJ Open
C J Cabilan, Mary Boyde
BACKGROUND: Nurse-initiated medications are one of the most important strategies used to facilitate timely care for people who present to Emergency Departments (EDs). The purpose of this paper was to systematically review the evidence of nurse-initiated medications to guide future practice and research. METHODS: A systematic review of the literature was conducted to locate published studies and Grey literature. All studies were assessed independently by two independent reviewers for relevance using titles and abstracts, eligibility dictated by the inclusion criteria, and methodological quality...
May 2017: Australasian Emergency Nursing Journal: AENJ
Yunfang Liu, Zhiping Yang, Daiming Fan
BACKGROUND: Research achievement is essential for promotion in most Chinese medical institutions, causing enormous pressure among clinicians. We believe ours is the first nationwide questionnaire survey about clinicians' attitude to the current title promotion system. The aim of this study is to investigate the present title promotion mechanism and put forward policy recommendations. METHODS: We surveyed doctors from regions with different economic development, from a variety of geographical locations, with different degrees of professional title, and working at different levels of hospital in 31 districts in China...
October 2016: Lancet
Subhashis Basu, Jon Poole, Anil Adisesh
BACKGROUND: Despite its relevance to medical practice, occupational medicine has been poorly represented in undergraduate training. This article describes a model for the teaching of occupational medicine to student doctors. METHODS: The model comprises two didactic lectures, a student-selected component (SSC) of five interactive two-hour sessions and one occupational medicine objective structured clinical examination (OSCE) station in the final MB ChB clinical exam...
October 2016: Clinical Teacher
Flaviu Rusu, Dan L Dumitrascu
BACKGROUND AND AIM: The irritable bowel syndrome (IBS) is a functional gastrointestinal disorder frequently encountered in clinical practice in Eastern Europe. Epidemiological data are diverging on this condition. Our objective was to assess the prevalence of IBS in the former communist countries from Eastern Europe (EE). METHODS: We performed a systematic review study using data from PubMed. Many languages, some having only local spreading, are spoken in EE, so we decided to look only for papers indexed in PubMed, which have at least an English summary or title...
2015: Clujul Medical (1957)
Kou Kou, Xiang-Yu Hou, Jian-Dong Sun, Kevin Chu
OBJECTIVES: The incidence and mortality of traumatic brain injury (TBI) has increased rapidly in the last decade in China. Appropriate ambulance service can reduce case-fatality rates of TBI significantly. This study aimed to explore the factors (age, gender, education level, clinical experience, professional title, organization, specialty before prehospital care, and training frequency) that could influence prehospital doctors' knowledge level and practices in TBI management in China, Hubei Province...
December 2015: Prehospital and Disaster Medicine
Suzanne L Edwards, Ana L Sergio Da Silva, Frances L Rapport, Judy McKimm, Rhys Williams
INTRODUCTION: Recruitment and retention of doctors to rural and remote areas is a well-known problem to which very few countries are immune. Planning effective interventions to enable appropriate recruitment to rural areas requires an understanding of the specificities of each country and region, understanding 'what works' and 'why' in each specific context and then consideration of what that might mean in the context of neighbouring countries. In order to inform local policy makers and stakeholders, this study aimed to investigate 'how and why students elect to study in Wales, UK' and, more importantly, 'what influences students' choices about either staying, or leaving Wales, after graduation'...
July 2015: Rural and Remote Health
Jean K Soler, Derek Corrigan, Przemyslaw Kazienko, Tomasz Kajdanowicz, Roxana Danger, Marcin Kulisiewicz, Brendan Delaney
BACKGROUND: Analysis of encounter data relevant to the diagnostic process sourced from routine electronic medical record (EMR) databases represents a classic example of the concept of a learning healthcare system (LHS). By collecting International Classification of Primary Care (ICPC) coded EMR data as part of the Transition Project from Dutch and Maltese databases (using the EMR TransHIS), data mining algorithms can empirically quantify the relationships of all presenting reasons for encounter (RfEs) and recorded diagnostic outcomes...
2015: BMC Family Practice
I-Hao Cheng, Ann Drillich, Peter Schattner
BACKGROUND: Refugees and asylum seekers often struggle to use general practice services in resettlement countries. AIM: To describe and analyse the literature on the experiences of refugees and asylum seekers using general practice services in countries of resettlement. DESIGN AND SETTING: Literature review using systematic search and narrative data extraction and synthesis methodologies. International, peer-reviewed literature published in English language between 1990 and 2013...
March 2015: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Tamara Kredo, Folasade B Adeniyi, Moses Bateganya, Elizabeth D Pienaar
BACKGROUND: The high levels of healthcare worker shortage is recognised as a severe impediment to increasing patients' access to antiretroviral therapy. This is particularly of concern where the burden of disease is greatest and the access to trained doctors is limited.This review aims to better inform HIV care programmes that are currently underway, and those planned, by assessing if task-shifting care from doctors to non-doctors provides both high quality and safe care for all patients requiring antiretroviral treatment...
2014: Cochrane Database of Systematic Reviews
Amanda Nicholson, Chris H Coldwell, Sharon R Lewis, Andrew F Smith
BACKGROUND: The organization of elective surgical services has changed in recent years, with increasing use of day surgery, reduced hospital stay and preoperative assessment (POA) performed in an outpatient clinic rather than by a doctor in a hospital ward after admission. Nurse specialists often lead these clinic-based POA services and have responsibility for assessing a patient's fitness for anaesthesia and surgery and organizing any necessary investigations or referrals. These changes offer many potential benefits for patients, but it is important to demonstrate that standards of patient care are maintained as nurses take on these responsibilities...
November 12, 2013: Cochrane Database of Systematic Reviews
(no author information available yet)
BACKGROUND: In response to the increasing demand for better chronic disease management and improved health care efficiency in Ontario, nursing roles have expanded in the primary health care setting. OBJECTIVES: To determine the effectiveness of specialized nurses who have a clinical role in patient care in optimizing chronic disease management among adults in the primary health care setting. DATA SOURCES AND REVIEW METHODS: A literature search was performed using OVID MEDLINE, OVID MEDLINE In-Process and Other Non-Indexed Citations, OVID EMBASE, EBSCO Cumulative Index to Nursing & Allied Health Literature (CINAHL), the Wiley Cochrane Library, and the Centre for Reviews and Dissemination database...
2013: Ontario Health Technology Assessment Series
Jean K Soler, Inge Okkes, Sibo Oskam, Kees Van Boven, Predrag Zivotic, Milan Jevtic, Frank Dobbs, Henk Lamberts
BACKGROUND: This is a study of the relationships between common reasons for encounter (RfEs) and common diagnoses (episode titles) within episodes of care (EoCs) in family practice populations in four countries. METHOD: Participating family doctors (FDs) recorded details of all their patient contacts in an EoC structure using the International Classification of Primary Care (ICPC), including RfEs presented by the patient, and the FDs' diagnostic labels. The relationships between RfEs and episode titles were studied using Bayesian methods...
2012: Informatics in Primary Care
A Bowling, G Rowe, N Lambert, M Waddington, K R Mahtani, C Kenten, A Howe, S A Francis
BACKGROUND: There is recognition of the importance of measuring patients' experiences, expectations and satisfaction. OBJECTIVES: To assess the literature on the concept and measurement of patients' expectations for health care, and to develop and test a measure of patients' expectations, using adult patients in community, general practice and hospital outpatient departments in Greater London, Norwich and Essex, UK. DATA SOURCES: Major electronic databases including the British Nursing Index, EMBASE, MEDLINE, PsycINFO and the Applied Social Sciences Index and Abstracts were searched between 2000 and 2009...
July 2012: Health Technology Assessment: HTA
J S Y Chor, S K Pada, I Stephenson, W B Goggins, P A Tambyah, M Medina, N Lee, T-F Leung, K L K Ngai, S K Law, T H Rainer, S Griffiths, P K S Chan
BACKGROUND: In December 2009, the World Health Organization (WHO) issued updated guidelines on the prevention of H1N1 influenza virus in healthcare settings. In 2010, the WHO pandemic influenza alert level was still at phase 6. AIM: To study the practice of infection control measures during the 2009 influenza H1N1 pandemic among healthcare workers (HCWs) in three countries. METHODS: A standardized, self-administered anonymous questionnaire survey was conducted in 2010 among doctors, nurses and allied HCWs in 120 hospital-based clinical departments in Hong Kong, Singapore and the UK...
June 2012: Journal of Hospital Infection
Lisa Astalos Chism
The doctor of nursing practice (DNP) degree has been recommended by the American Association of College of Nursing (AACN) as the terminal degree in nursing practice by 2015 (AACN, 2004). However, confusion regarding this degree still exists. To promote understanding of this degree, the pertinent history of doctoral education in nursing is reviewed. In addition, a clear definition of the degree, including the competencies of the DNP degree, is provided. A comparison of the PhD in nursing and the DNP degree is also reviewed to provide further clarification...
October 2009: Advanced Emergency Nursing Journal
J-P Bouchard
BACKGROUND: In France, as in the European Union, the number of psychologists continues to increase and constitutes by far the most important source of professionals in this field. The requests for services of psychologists in many various domains have also increased in an unprecedented way over a number of years. In spite of this development, which should continue to increase considerably, the initial training of psychologists remains uneven and disparate and often remote from, even unsuitable to, the legitimate expectations of users...
February 2009: L'Enc├ęphale
Gina Agarwal, Valorie A Crooks
BACKGROUND: The availability of patient information to practitioners forms the basis of informational continuity of care. Changes in family practice that now encourage multiphysician clinics have meant that informational continuity of care has become crucial because it is likely that a patient will not continuously see the same doctor. Therefore a review of the nature of informational continuity is useful. AIM: To answer the question 'How is informational continuity developed in general practice?'...
November 2008: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Tracy Klein
Nurse practitioner credentialing involves evaluation of scope of practice for appropriate fit within the facility and consistent with state practice law. This summary review provides information regarding resources to better understand nurse practitioner credentialing, scope, and practice issues. Topics for work place future consideration include the trend toward specialty practice and use of the title doctor in the clinical setting.
October 2008: Nursing Administration Quarterly
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