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https://www.readbyqxmd.com/read/28936106/long-term-psychological-health-among-individuals-pursuing-emerging-adulthood-type-pathways-in-the-1950s-and-1960s
#1
Alan Reifman, Timothy Oblad, Sylvia Niehuis
We analyzed data from the Wisconsin Longitudinal Study (N = 6390) to investigate how common an emerging adulthood-type lifestyle (e.g., delayed marriage and childbearing, pursuit of higher education) was in the late 1950s and early 1960s, and what the long-term psychological-health correlates were of such a lifestyle. Cluster analyses of marital, childbearing, educational, and occupational variables from 1957 (high school graduation) to 1964 generated six clusters that we labeled: fast-starters (early marriage and childbearing, little education beyond high school, virtually all employed), very-educated/partnered (mean educational attainment well into graduate school and among the earliest to get married), moderately educated/family oriented (mean years of education somewhat shy of a bachelor's degree, early marriage and childbearing), educated singles (late marriage and childbearing, if at all, averaging a bachelor's degree; most prototypical of emerging adulthood), work/military first (little education past high school, late marriage and childbearing), and military/professional aspiration (envisioning career requiring college education and pursuing one)...
June 2017: Journal of Adult Development
https://www.readbyqxmd.com/read/28934979/human-resources-for-health-in-peru-recent-trends-2007-2013-in-the-labour-market-for-physicians-nurses-and-midwives
#2
M Michelle Jimenez, Anthony L Bui, Eduardo Mantilla, J Jaime Miranda
BACKGROUND: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru's recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health's (MOH) system. METHODS: Data from four different datasets, covering 2007-2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages...
September 21, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28905677/ethical-tensions-a-qualitative-systematic-review-of-new-graduate-perceptions
#3
Tori Hazelwood, Carolyn M Murray, Amy Baker, Mandy Stanley
BACKGROUND: New graduate transition into the workforce is challenging and can involve managing ethical tensions. Ethical tensions cause new graduates to doubt their capabilities due to their lack of experience. To support new graduates, we need to know what these ethical tensions are. OBJECTIVES: To explore the ethical tensions perceived to occur in practice for new graduate health professionals. RESEARCH DESIGN: This qualitative systematic review involved a search of five databases (Medline, EMBASE, AMED, CINAHL and Scopus) which resulted in the retrieval of 3554 papers...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28893973/understanding-the-primary-care-paradigm-an-experiential-learning-focus-of-the-early-veterinary-graduate
#4
William H R Dixon, Tierney Kinnison, Stephen A May
At a time where high levels of stress are reported in the veterinary profession, this study explores the challenges that veterinary graduates encounter when they enter general (first opinion) practice. Participants had written reflective accounts of their 'Most Puzzling Cases' for the postgraduate Professional Key Skills module of the Certificate in Advanced Veterinary Practice, offered by the Royal Veterinary College. Reasons that a case was puzzling, or became challenging, were thematically analysed. Fifteen summaries were analysed...
September 11, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28892725/supporting-graduate-nurse-transition-to-practice-through-a-quality-assurance-feedback-loop
#5
Craig Phillips, Amanda Kenny, Adrian Esterman
This mixed-method study focused on new graduate nurses and their transition to practice. Transition to practice can be a time of heightened stress and anxiety, leaving many new graduates disillusioned and dissatisfied with their work. The study explored how satisfaction levels with transition may improve during their first year, using a unique approach of a continuous quality assurance feedback loop. This assurance framework is utilised in hospitality, automotive and supply chain logistics and in health, primarily to monitor patient outcomes...
September 4, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28889170/embedding-volunteer-activity-into-paramedic-education
#6
Linda Ross, Sophia Kabidi
BACKGROUND: Paramedics require a wide range of skills that are beyond clinical or technical skills in order to meet the demands of the role and provide quality and compassionate care to patients. Non-technical or "soft" skills and attributes are generally challenging to teach and develop in the classroom setting. Volunteerism provides an opportunity for students to gain exposure to different communities and develop interpersonal skills. METHODS: This cross-sectional study used one-on-one interviews with 12 third-year Bachelor of Emergency Health (Paramedic) students from Monash University, Australia, who completed a community volunteering program...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28888420/transition-to-residency-the-successful-development-and-implementation-of-a-nonclinical-elective-in-perioperative-management
#7
Heather McDonald, Nada Gawad, Isabelle Raîche, Fraser D Rubens
OBJECTIVE: Few medical school programs in Canada address challenges related to the significant increase in responsibility for patient care between medical school and residency. This is particularly important in surgery and anesthesia due to the high-acuity care required during the perioperative period. The purpose of this study was to develop and assess a program that would help students transition to surgical and anesthesia residencies, in terms of knowledge acquisition, clinical decision-making skills, and subjective preparedness...
September 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28885879/infusion-room-based-transition-to-practice-model-for-teaching-cancer-systemic-therapy-management
#8
Jennifer M Duff, Merry-Jennifer Markham, Thomas J George, Julia L Close
PURPOSE: Oncology training requirements mandate that fellows demonstrate competence in delivery of cancer therapeutics, understand clinical indications for treatment, and manage toxicities by completion of training. An academic training environment may hinder fellows' engagement in prescribing, monitoring, and adjusting cancer therapy; thus, trainees may complete their fellowship with limited experience in developing such critical skills. To provide hands-on experience in cancer systemic therapy management, we created a novel infusion room-based rotation in the final year of training; here we report the structure, logistics, and evaluation of this innovative program...
September 8, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28882683/structured-operative-autonomy-an-institutional-approach-to-enhancing-surgical-resident-education-without-impacting-patient-outcomes
#9
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Dustin R Long, Haytham Ma Kaafarani, Emil Petrusa, John T Mullen, Keith D Lillemoe, Roy Phitayakorn
BACKGROUND: Though barriers to granting surgical residents autonomy in the operating room are well described, few have proposed practical strategies to overcome them. Our department adopted a multidisciplinary approach to develop a rotation that aimed to grant chief residents structured operative autonomy. In this study, we assess the feasibility of implementation, impact on patient safety and educational benefit to residents following the program's pilot year. STUDY DESIGN: During a one-month rotation, chief residents began cases alone using their own operative block time...
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28864686/epidemiology-of-competence-a-scoping-review-to-understand-the-risks-and-supports-to-competence-of-four-health-professions
#10
Susan Glover Takahashi, Marla Nayer, Lisa Michelle Marie St Amant
OBJECTIVES: This study examined the risks and supports to competence discussed in the literature related to occupational therapists, pharmacists, physical therapists and physicians, using epidemiology as a conceptual model. DESIGN: Articles from a scoping literature review, published from 1975 to 2014 inclusive, were included if they were about a risk or support to the professional or clinical competence of one of four health professions. Descriptive and regression analyses identified potential associations between risks and supports to competence and the location of study, type of health profession, competence life-cycle and the domain(s) of competence (organised around the CanMEDS framework)...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28859004/effects-of-the-nurse-athlete-program-on-the-healthy-lifestyle-behaviors-physical-health-and-mental-well-being-of-new-graduate-nurses
#11
David P Hrabe, Bernadette Mazurek Melnyk, Jacalyn Buck, Loraine T Sinnott
Recognizing that transition from nursing student to point-of-care nurse can be a stressful time period in one's career. A pilot study at a large Midwestern medical center tested the preliminary effects of a health-oriented workshop, the Nurse Athlete, on new graduate nurses' healthy lifestyle beliefs, healthy lifestyle behaviors, depressive and anxiety symptoms, as well as health outcomes. The Nurse Athlete workshop, provided in partnership with Johnson & Johnson's Human Performance Institute (HPI), used materials from HPI's Corporate Athlete program...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28857789/competency-based-medical-education-and-the-ghost-of-kuhn-reflections-on-the-messy-and-meaningful-work-of-transformation
#12
Eric S Holmboe
The transition, if not transformation, to outcomes-based medical education likely represents a paradigm shift struggling to be realized. Paradigm shifts are messy and difficult but ultimately meaningful if done successfully. This struggle has engendered tension and disagreements, with many of these disagreements cast as either-or polarities. There is little disagreement, however, that the health care system is not effectively achieving the triple aim for all patients. Much of the tension and polarity revolve around how more effectively to prepare students and residents to work in and help change a complex health care system...
August 29, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28857582/supporting-veterans-transitions-from-permanent-supportive-housing
#13
Ann Elizabeth Montgomery, Meagan C Cusack, Sonya Gabrielian
OBJECTIVES: Little research has assessed the nature of veterans' departures from permanent supportive housing (PSH), which may be of positive valence (e.g., moving into more independent housing). This study aimed to identify participants appropriate for "graduation" from PSH and how to support their transitions. METHOD: This mixed methods study used qualitative data from PSH program staff, 445 PSH participants' responses to a survey assessing their experiences and administrative records, and qualitative data from a subsample of 10 participants who graduated from the program...
August 31, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28857486/educational-priorities-of-students-in-the-entrustable-professional-activity-era
#14
Roy E Strowd, Allison McBride, Jon Goforth, Joseph Cristiano, Nicholas Hartman, Gregory Waters, James Beardsley, James E Johnson, Kim Askew
BACKGROUND: The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected of graduating medical students were recently published. Although perceptions of educators, residents and programme directors have been described, the voice of senior medical students is lacking. METHODS: A single-institution cross-sectional study of senior medical students was performed. Student perceptions were collected and compared with: (1) national guidelines (i...
August 30, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28853223/prediabetes-awareness-among-south-eastern-europe-physicians
#15
Visnja Kokic, Slaven Kokic, Mladen Krnic, Marin Petric, Ana Marija Liberati, Petra Simac, Tatjana Milenkovic, Vesna Capkun, Dario Rahelic, Kristina Blaslov
INTRODUCTION: Prediabetes (PD) represents a transitional state where the glucose levels are higher than normal but not enough for diabetes mellitus (DM) diagnosis. Since there is a growing number of population suffering from PD, its early detection and treatment could prevent the development of DM and its complications. We aimed to assess the overall knowledge on PD among medical professionals of different variety. MATERIALS AND METHODS: A questionnaire based study addressing PD and type 2 DM knowledge among South-Eastern Europe general practitioners, post graduates (PG) physicians and superior specialists was conducted...
August 29, 2017: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/28830499/longitudinal-evaluation-of-a-pilot-e-portfolio-based-supervision-programme-for-final-year-medical-students-views-of-students-supervisors-and-new-graduates
#16
Gillian H S Vance, Bryan Burford, Ethan Shapiro, Richard Price
BACKGROUND: Little is known about how best to implement portfolio-based learning in medical school. We evaluated the introduction of a formative e-portfolio-based supervision pilot for final year medical students by seeking views of students, supervisors and graduates on use and educational effects. METHODS: Students and supervisors were surveyed by questionnaire, with free text comments invited. Interviews were held with new graduates in their first Foundation Programme placement...
August 22, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28817516/after-the-gap-analysis-education-and-practice-changes-to-prepare-nurses-of-the-future
#17
Audrey Marie Beauvais, Meredith Wallace Kazer, Barbara Aronson, Suzanne E Conlon, Pamela Forte, Kathleen S Fries, Judith M Hahn, Russell Hullstrung, Meg Levvis, Paula McCauley, Patricia Padula Morgan, Linda Perfetto, Lisa M Rebeschi, Sheila B Solernou, Patricia Span, Lisa J Sundean
AIM: The purpose of the study was to describe the Connecticut Nursing Collaborative-Action Coalition's work in identifying and addressing gaps between nursing education and practice based on the Institute of Medicine's Future of Nursing report. BACKGROUND: Massachusetts Nurse of the Future (NOF) Competencies highlight the knowledge, skills, and attitudes/behaviors required for professional nurses. Integrating these concepts into the educational system will prepare the nursing workforce to respond to current/future health care needs and population health issues...
September 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28817239/novel-dissection-of-the-central-nervous-system-to-bridge-gross-anatomy-and-neuroscience-for-an-integrated-medical-curriculum
#18
Rebecca J Hlavac, Rachel Klaus, Kourtney Betts, Shilo M Smith, Maureen E Stabio
Medical schools in the United States continue to undergo curricular change, reorganization, and reformation as more schools transition to an integrated curriculum. Anatomy educators must find novel approaches to teach in a way that will bridge multiple disciplines. The cadaveric extraction of the central nervous system (CNS) provides an opportunity to bridge gross anatomy, neuroanatomy, and clinical neurology. In this dissection, the brain, brainstem, spinal cord, cauda equina, optic nerve/tract, and eyes are removed in one piece so that the entire CNS and its gateway to the periphery through the spinal roots can be appreciated...
August 17, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28815609/the-academic-practice-gap-strategies-for-an-enduring-problem
#19
C L Huston, B Phillips, P Jeffries, C Todero, J Rich, P Knecht, S Sommer, M P Lewis
The academic-practice gap in nursing is well documented. Academe is criticized for producing nurses insufficiently prepared to fully participate in patient care. Practice settings are criticized for having unrealistic expectations of new graduates. This article is based on a review of the literature and an exploration of contemporary practices used to bridge academic and practice partnerships. Differences in outcome expectations for new graduates between academe and practice are outlined and consequences of the gap for new graduates, patients, and employers are discussed...
August 16, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28810976/women-s-health-knowledge-and-skills-among-transitional-year-internship-trained-military-medical-officers-serving-as-independent-health-care-providers
#20
Ryan J Heitmann, Crystal B Hammons, Alison L Batig
BACKGROUND: Women comprise 14.5% of active duty service members. Delivery of women's health services is a critical component to personal, medical, and mission readiness. Our objective was to evaluate the knowledge, skills, and practices pertaining to basic elements of women's/reproductive health issues among transitional internship-trained general medical officers in the Army, Navy, and Air Force. MATERIALS AND METHODS: This is a cross-sectional survey study of transitional internship-trained graduates from 2012 to 2015 who transitioned to an operational assignment as an independent provider after internship graduation...
July 2017: Military Medicine
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