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Patient centeredness

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https://www.readbyqxmd.com/read/27905662/client-related-factors-associated-with-a-less-than-good-experience-of-midwifery-care-during-childbirth-in-the-netherlands
#1
Carien I Baas, Therese A Wiegers, T Paul de Cock, Jan Jaap H M Erwich, Evelien R Spelten, Michiel R de Boer, Eileen K Hutton
BACKGROUND: A "less than good" experience during childbirth can affect a mother's early interaction with her child and may significantly influence a woman's emotional well-being. In this study, we focus on clients who experienced midwifery care provided during childbirth as "less than good" care. The aim of this study was to understand the relationship between client-related factors and the experience of midwifery care during childbirth to improve this care. METHODS: This study was part of the "DELIVER study" where mothers report on the care they received...
December 1, 2016: Birth
https://www.readbyqxmd.com/read/27885977/preference-to-patient-centeredness-in-undergraduate-audiology-students-in-portugal
#2
Vinaya Manchaiah, David Tomé, Ashley L Dockens, Monica Harn, Purushothaman Ganesan
BACKGROUND: In health care, the model of patient-centered care is growing; and improved outcomes have been linked to patient-centeredness. Practicing audiologists have been found to strongly prefer a patient-centered approach as years in practice increase. It is unknown whether patient-centeredness begins during education and training. PURPOSE: The current study was aimed at understanding the preference to patient-centeredness in undergraduate audiology students in Portugal...
November 2016: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/27843325/the-role-of-the-multidisciplinary-health-care-team-in-the-management-of-patients-with-marfan-syndrome
#3
REVIEW
Yskert von Kodolitsch, Meike Rybczynski, Marina Vogler, Thomas S Mir, Helke Schüler, Kerstin Kutsche, Georg Rosenberger, Christian Detter, Alexander M Bernhardt, Axel Larena-Avellaneda, Tilo Kölbel, E Sebastian Debus, Malte Schroeder, Stephan J Linke, Bettina Fuisting, Barbara Napp, Anna Lena Kammal, Klaus Püschel, Peter Bannas, Boris A Hoffmann, Nele Gessler, Eva Vahle-Hinz, Bärbel Kahl-Nieke, Götz Thomalla, Christina Weiler-Normann, Gunda Ohm, Stefan Neumann, Dieter Benninghoven, Stefan Blankenberg, Reed E Pyeritz
Marfan syndrome (MFS) is a rare, severe, chronic, life-threatening disease with multiorgan involvement that requires optimal multidisciplinary care to normalize both prognosis and quality of life. In this article, each key team member of all the medical disciplines of a multidisciplinary health care team at the Hamburg Marfan center gives a personal account of his or her contribution in the management of patients with MFS. The authors show how, with the support of health care managers, key team members organize themselves in an organizational structure to create a common meaning, to maximize therapeutic success for patients with MFS...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27843304/the-universal-patient-centeredness-questionnaire-scaling-approaches-to-reduce-positive-skew
#4
Oyvind Bjertnaes, Hilde Hestad Iversen, Andrew M Garratt
PURPOSE: Surveys of patients' experiences typically show results that are indicative of positive experiences. Unbalanced response scales have reduced positive skew for responses to items within the Universal Patient Centeredness Questionnaire (UPC-Q). The objective of this study was to compare the unbalanced response scale with another unbalanced approach to scaling to assess whether the positive skew might be further reduced. PATIENTS AND METHODS: The UPC-Q was included in a patient experience survey conducted at the ward level at six hospitals in Norway in 2015...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27817986/examining-the-context-and-helpfulness-of-family-companion-contributions-to-older-adults-primary-care-visits
#5
Jennifer L Wolff, Yue Guan, Cynthia M Boyd, Judith Vick, Halima Amjad, David L Roth, Laura N Gitlin, Debra L Roter
OBJECTIVE: Older adults commonly involve family (broadly defined) in their care. We examined communication behaviors of family companions during older adults' primary care visits, including whether these behaviors vary with respect to how older adults manage their health, preferences for involving family in medical decision-making, and ratings of companion helpfulness. METHODS: Analysis of audio-taped primary care visits of older patients who were accompanied by a family companion (n=30 dyads) and linked patient surveys...
October 25, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27817173/current-perceptions-of-the-term-clinical-pharmacy-and-its-relationship-to-pharmaceutical-care-a-survey-of-members-of-the-european-society-of-clinical-pharmacy
#6
Tobias Dreischulte, Fernando Fernandez-Llimos
Background The definitions that are being used for the terms 'clinical pharmacy' and 'pharmaceutical care' seem to have a certain overlap. Responsibility for therapy outcomes seems to be especially linked to the latter term. Both terms need clarification before a proper definition of clinical pharmacy can be drafted. Objective To identify current disagreements regarding the term 'Clinical Pharmacy' and its relationship to 'Pharmaceutical Care' and to assess to which extent pharmacists with an interest in Clinical Pharmacy are willing to accept responsibility for drug therapy outcomes...
November 5, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27804312/patients-perspectives-on-the-use-of-the-montgomery-asberg-depression-rating-scale-self-assessment-version-in-primary-care
#7
Carl Wikberg, Agneta Pettersson, Jeanette Westman, Cecilia Björkelund, Eva-Lisa Petersson
OBJECTIVE: The aim of the current study was to better understand how patients with depression perceive the use of MADRS-S in primary care consultations with GPs. DESIGN: Qualitative study. Focus group discussion and analysis through Systematic Text Condensation. SETTING: Primary Health Care, Region Västra Götaland, Sweden. SUBJECTS: Nine patients with mild/moderate depression who participated in a RCT evaluating the effects of regular use of the Montgomery-Åsberg Depression Self-assessment scale (MADRS-S) during the GP consultations...
November 2, 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27790708/improving-communication-and-resolution-following-adverse-events-using-a-patient-created-simulation-exercise
#8
Thomas H Gallagher, Jason M Etchegaray, Brandelyn Bergstedt, Amelia M Chappelle, Madelene J Ottosen, Emily W Sedlock, Eric J Thomas
OBJECTIVE: The response to adverse events can lack patient-centeredness, perhaps because the involved institutions and other stakeholders misunderstand what patients and families go through after care breakdowns. STUDY SETTING: Washington and Texas. STUDY DESIGN: The HealthPact Patient and Family Advisory Council (PFAC) created and led a five-stage simulation exercise to help stakeholders understand what patients experience following an adverse event...
October 28, 2016: Health Services Research
https://www.readbyqxmd.com/read/27789958/enhancing-adult-therapeutic-interpersonal-relationships-in-the-acute-health-care-setting-an-integrative-review
#9
REVIEW
Rachel Kornhaber, Kenneth Walsh, Jed Duff, Kim Walker
Therapeutic interpersonal relationships are the primary component of all health care interactions that facilitate the development of positive clinician-patient experiences. Therapeutic interpersonal relationships have the capacity to transform and enrich the patients' experiences. Consequently, with an increasing necessity to focus on patient-centered care, it is imperative for health care professionals to therapeutically engage with patients to improve health-related outcomes. Studies were identified through an electronic search, using the PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO databases of peer-reviewed research, limited to the English language with search terms developed to reflect therapeutic interpersonal relationships between health care professionals and patients in the acute care setting...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27784994/patient-centeredness-and-quality-management-in-dutch-diabetes-care-organizations-after-a-1-year-intervention
#10
Marjo Je Campmans-Kuijpers, Lidwien C Lemmens, Caroline A Baan, Guy Ehm Rutten
BACKGROUND: More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its possibilities to improve after a tailored intervention...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27772642/intensive-hemodialysis-and-treatment-complications-and%C3%A2-tolerability
#11
Jose A Morfin, Richard J Fluck, Eric D Weinhandl, Sheru Kansal, Peter A McCullough, Paul Komenda
Hemodialysis (HD) treatment can be difficult to tolerate. Common complications are intradialytic hypotension (IDH) and long time to recovery after an HD session. IDH, as defined by nadir systolic blood pressure < 90mmHg and intradialytic decline > 30mmHg, occurs in almost 8% of HD sessions. IDH may be caused by aggressive ultrafiltration in response to interdialytic weight gain, can lead to myocardial stunning and cardiac arrhythmias, and is associated with increased risk for death. Long recovery time after a treatment session is also common...
November 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27769800/the-association-of-cumulative-discrimination-on-quality-of-care-patient-centered-care-and-dissatisfaction-with-care-in-adults-with-type-2-diabetes
#12
David M Cykert, Joni S Williams, Rebekah J Walker, Kimberly S Davis, Leonard E Egede
AIMS: Discrimination is linked to negative health outcomes, but little research has investigated how the cumulative effect of discrimination impacts perceptions of care. This study investigated the influence of cumulative perceived discrimination on quality of care, patient-centeredness, and dissatisfaction with care in adults with type 2 diabetes. METHODS: Six hundred two patients from two primary care clinics in Charleston, SC. Linear regression models assessed associations between perceived discrimination and quality of care, patient-centered care, and dissatisfaction with care...
September 30, 2016: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/27767352/section-editor-s-notebook-patient-centeredness-in-radiology-what-s-next
#13
Howard P Forman
No abstract text is available yet for this article.
November 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27761735/can-we-still-stop-the-migration-of-physicians-from-austria-an-evaluation-of-clinical-internships-by-students-of-the-medical-university-of%C3%A2-vienna
#14
Tamara Seitz, Bela R Turk, Henriette Löffler-Stastka
The increasing emigration of graduates of the Medical University of Vienna presents a serious problem. This study examined students' evaluation of clinical rotations, their self-rated performance, and where they felt the most deficits exist. Medical students answered an online questionnaire surveying the following aspects: an evaluation of their internship; supervision; integration in the team and improvement of field-specific knowledge; the qualities of taking a patient's medical history by empathy; patient-centeredness; structure; target orientation; and the ability to integrate field-specific knowledge into anamnesis...
October 19, 2016: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/27751601/a-research-coding-method-for-the-basic-patient-centered-interview
#15
Katelyn A Grayson-Sneed, Sandi W Smith, Robert C Smith
OBJECTIVE: To develop a more reliable coding method of medical interviewing focused on data-gathering and emotion-handling. METHODS: Two trained (30h) undergraduates rated videotaped interviews from 127 resident-simulated patient (SP) interactions. Trained on 45 videotapes, raters coded 25 of 127 study set tapes for patient-centeredness. Guetzkow's U, Cohen's Kappa, and percent of agreement were used to measure raters' reliability in unitizing and coding residents' skills for eliciting: agenda (3 yes/no items), physical story (2), personal story (6), emotional story (15), using indirect skills (4), and general patient-centeredness (3)...
October 11, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27747478/patient-reported-outcomes-pro-focused-on-adverse-events-pro-aes-in-adjuvant-and-metastatic-breast-cancer-clinical-and-translational-implications
#16
Stefan Stefanovic, Markus Wallwiener, Uros Karic, Christoph Domschke, Luka Katic, Florin-Andrei Taran, Aleksandra Pesic, Andreas Hartkopf, Peyman Hadji, Martin Teufel, Florian Schuetz, Christof Sohn, Peter Fasching, Andreas Schneeweiss, Sara Brucker
PURPOSE: The capture of adequate treatment outcomes and quality of life (QOL) of advanced breast cancer patients in clinical routine represents a great challenge. Patient-reported outcomes (PROs) are data elements directly reported by patients about experiences with care, including symptoms, functional status, or quality of life. There is growing interest in the medical community for the evaluation and implementation of PROs of adverse events (PRO-AEs). Recent interest in PROs in health care has evolved in the context of patient centeredness...
October 17, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27697980/effects-of-a-provincial-wide-implementation-of-screening-for-distress-on-healthcare-professionals-confidence-and-understanding-of-person-centered-care-in-oncology
#17
Rie Tamagawa, Shannon Groff, Jennifer Anderson, Sarah Champ, Andrea Deiure, Jennifer Looyis, Peter Faris, Linda Watson
BACKGROUND: Although published studies report that screening for distress (SFD) improves the quality of care for patients with cancer, little is known about how SFD impacts healthcare professionals (HCPs). OBJECTIVES: This quality improvement project examined the impact of implementing the SFD intervention on HCPs' confidence in addressing patient distress and awareness of person-centered care. PATIENTS AND METHODS: This project involved pre-evaluation and post-evaluation of the impact of implementing SFD...
October 2016: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/27637656/patient-centeredness-in-total-joint-replacement-beyond-the-slogan
#18
REVIEW
Hussein A Zeineddine, Mouhanad M El-Othmani, Zain Sayeed, Monique C Chambers, Khaled J Saleh
Patient-centered care (PCC) is gaining considerable momentum among health care professionals and policy-making authorities. The need for PCC stems from the innumerable benefits of adopting such a system. The practice of PCC in orthopedic surgery in general, and in total joint replacement in particular, is still in its youth. However, present literature already establishes the need for applying PCC in total joint replacement. Extensive research and effort should be invested to better grasp and define the dimensions of PCC as they relate to total joint replacement...
October 2016: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/27626079/preferences-to-patient-centeredness-in-pre-service-speech-and-hearing-sciences-students-a-cross-sectional-study
#19
Ashley L Dockens, Monica L Bellon-Harn, Vinaya Manchaiah
BACKGROUND AND OBJECTIVES: Patient-centeredness is a critical approach to rehabilitation in allied health professions and is an imperative component of evidence-based practice. However, it is unknown if patient-centeredness is valued by students enrolled in allied health. This study was aimed at determining preferences to patient-centeredness in pre-service speech and hearing students in the field of speech and hearing sciences. SUBJECTS AND METHODS: Pre-service speech and hearing students (n=93) completed the Patient-Practitioner Orientation Scale (PPOS) and were grouped according to low, medium, or high exposure to curriculum content...
September 2016: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/27621272/implementing-the-painrelieveit-randomized-controlled-trial-in-hospice-care-mechanisms-for-success-and-meeting-pcori-methodology-standards
#20
Miriam O Ezenwa, Marie L Suarez, Jesus D Carrasco, Theresa Hipp, Anayza Gill, Jacob Miller, Robert Shea, David Shuey, Zhongsheng Zhao, Veronica Angulo, Timothy McCurry, Joanna Martin, Yingwei Yao, Robert E Molokie, Zaijie Jim Wang, Diana J Wilkie
This purpose of this article is to describe how we adhere to the Patient-Centered Outcomes Research Institute's (PCORI) methodology standards relevant to the design and implementation of our PCORI-funded study, the PAINRelieveIt Trial. We present details of the PAINRelieveIt Trial organized by the PCORI methodology standards and components that are relevant to our study. The PAINRelieveIt Trial adheres to four PCORI standards and 21 subsumed components. The four standards include standards for formulating research questions, standards associated with patient centeredness, standards for data integrity and rigorous analyses, and standards for preventing and handling missing data...
September 12, 2016: Western Journal of Nursing Research
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