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https://www.readbyqxmd.com/read/28096666/barriers-and-facilitators-influencing-self-management-among-copd-patients-a-mixed-methods-exploration-in-primary-and-affiliated-specialist-care
#1
Chantal F Hillebregt, Auke J Vlonk, Marc A Bruijnzeels, Onno Cp van Schayck, Niels H Chavannes
Self-management is becoming increasingly important in COPD health care although it remains difficult to embed self-management into routine clinical care. The implementation of self-management is understood as a complex interaction at the level of patient, health care provider (HCP), and health system. Nonetheless there is still a poor understanding of the barriers and effective facilitators. Comprehension of these determinants can have significant implications in optimizing self-management implementation and give further directions for the development of self-management interventions...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28087212/associations-between-thin-slice-ratings-of-affect-and-rapport-and-perceived-patient-centeredness-in-primary-care-comparison-of-audio-and-video-recordings
#2
Stephen G Henry, Louis A Penner, Susan Eggly
OBJECTIVE: To investigate associations between ratings of "thin slices" from recorded clinic visits and perceived patient-centeredness; to compare ratings from video recordings (sound and images) versus audio recordings (sound only). METHODS: We analyzed 133 video-recorded primary care visits and patient perceptions of patient-centeredness. Observers rated thirty-second thin slices on variables assessing patient affect, physician affect, and patient-physician rapport...
December 19, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28076254/watchful-waiting-strategy-may-reduce-low-value-diagnostic-testing
#3
Larissa May, Peter Franks, Anthony Jerant, Joshua Fenton
BACKGROUND: PCPs need effective communication strategies to address patient requests for low-value testing while sustaining patient-provider partnerships. Watchful waiting - allowing a negotiated period of time to pass before making a firm testing decision - shows promise as a tool for addressing patient requests for low-value testing. METHODS: Observational analysis of data from a randomized controlled trial of a communication intervention designed to boost patient-centeredness and reduce low-value test ordering among 61 resident primary care physicians...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28065435/patient-involvement-and-language-barriers-problems-of-agreement-or-understanding
#4
Anne Marie Dalby Landmark, Jan Svennevig, Jennifer Gerwing, Pål Gulbrandsen
OBJECTIVE: This study aims to explicate efforts for realizing patient-centeredness (PCC) and involvement (SDM) in a difficult decision-making situation. It investigates what communicative strategies a physician used and the immediate, observable consequences for patient participation. METHODS: From a corpus of videotaped hospital encounters, one case in which the physician and patient used Norwegian as lingua franca was selected for analysis using conversation analysis (CA)...
December 14, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28062650/euthanasia-embedded-in-palliative-care-responses-to-essentialistic-criticisms-of-the-belgian-model-of-integral-end-of-life-care
#5
Jan L Bernheim, Kasper Raus
The Belgian model of 'integral' end-of-life care consists of universal access to palliative care (PC) and legally regulated euthanasia. As a first worldwide, the Flemish PC organisation has embedded euthanasia in its practice. However, some critics have declared the Belgian-model concepts of 'integral PC' and 'palliative futility' to fundamentally contradict the essence of PC. This article analyses the various essentialistic arguments for the incompatibility of euthanasia and PC. The empirical evidence from the euthanasia-permissive Benelux countries shows that since legalisation, carefulness (of decision making) at the end of life has improved and there have been no significant adverse 'slippery slope' effects...
January 6, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28035056/factors-associated-with-medical-student-test-anxiety-in-objective-structured-clinical-examinations-a-preliminary-study
#6
Kyong-Jee Kim
Objectives: To investigate attributes of medical students associated with their test anxiety on Objective Structured Clinical Examinations (OSCEs). Methods: A cross-sectional study using a self-administered questionnaire was conducted of all Year 3 and 4 students at a private medical school in South Korea in 2014. This 53-item questionnaire consisted of factors pertaining to test anxiety on the OSCE identified from a review of relevant literature, which included students' motivational beliefs and achievement emotions, perceived values of the OSCE, and attitude and orientation towards patients...
December 29, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/28024431/how-patient-educators-help-students-to-learn-an-exploratory-study
#7
Phoebe T M Cheng, Angela Towle
INTRODUCTION: Benefits of the active involvement of patients in educating health professionals are well-recognized but little is known about how patient educators facilitate student learning. METHOD: This exploratory qualitative study investigated the teaching practices and experiences that prepared patient educators for their roles in a longitudinal interprofessional Health Mentors program. Semi-structured interviews were conducted with eleven experienced health mentors...
December 26, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28012682/disclosing-genetic-risk-of-alzheimer-s-disease-to-cognitively-impaired-patients-and-visit-companions-findings-from-the-reveal-study
#8
Yue Guan, Debra L Roter, Lori H Erby, Jennifer L Wolff, Laura N Gitlin, J Scott Roberts, Robert C Green, Kurt D Christensen
OBJECTIVE: To describe the impact of genetic information on Alzheimer's disease (AD) risk communication to patients with mild cognitive impairment (MCI) and their visit companions. METHODS: Participants of the fourth REVEAL Study trial were randomized to receive AD risk assessments with or without genotype results. We coded 79 audio recorded risk disclosure sessions with the Roter Interaction Analysis System. Multilevel analyses explored differences in communication when disclosed risks were based on age and MCI diagnosis alone or in addition to APOE genotype status...
December 14, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28000300/nurse-perceived-quality-of-care-in-intensive-care-units-and-associations-with-work-environment-characteristics-a-multicentre-survey-study
#9
Dewi Stalpers, Dimitri van der Linden, Marian J Kaljouw, Marieke J Schuurmans
AIMS: To examine nurse-perceived quality of care, controlling for overall job satisfaction among critical care nurses and to explore associations with work environment characteristics. BACKGROUND: Nurse-perceived quality of care and job satisfaction have been positively linked to quality outcomes for nurses and patients. Much evidence exists on factors contributing to job satisfaction. Understanding specific factors that affect nurse-perceived quality potentially enables for improvements of nursing care quality...
December 21, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27989493/consequences-of-the-presence-and-absence-of-empathy-during-consultations-in-primary-care-a-focus-group-study-with-patients
#10
Frans Derksen, Tim Olde Hartman, Annelies van Dijk, Annette Plouvier, Jozien Bensing, Antoine Lagro-Janssen
OBJECTIVE: There is general consensus that explicit expression of empathy in patient-GP communication is highly valued. Yet, little is known so far about patients' personal experiences with and expectations of empathy. Insight into these experiences and expectations can help to achieve more person-centeredness in GP practice care. METHODS: Participants were recruited by a press report in local newspapers. INCLUSION CRITERIA: adults, a visit to the GP in the previous year...
December 13, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27984357/perceptions-of-teamwork-in-the-interprofessional-bedside-rounding-process
#11
Genevieve Beaird, John M Dent, Jessica Keim-Malpass, Abigail Guo Jian Muller, Nicole Nelson, Valentina Brashers
Patient perceptions of teamwork have been a relatively undiscovered domain. Our study investigated the use of the Patients' Insights and Views of Teamwork (PIVOT) survey on an acute cardiology unit in an academic teaching hospital with patients receiving Rounding with Heart, an interprofessional bedside rounding initiative, and others receiving traditional rounding processes. Sixty-three subjects were surveyed during their hospital stay. We found a significant difference (p = .006) in PIVOT scores between those receiving interprofessional rounding and those not receiving this rounding structure...
December 9, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27971186/attributes-defining-patient-engagement-and-centeredness-in-health-care-research-and-practice-a-framework-developed-by-the-ispor-patient-centered-special-interest-group
#12
M L Hanna, E M Oehrlein, E M Perfetto, V Astratinei, T Berner, L B Burke, R Camp, A Hareendran, R Harrington, F Houÿez, D L Patrick, A Scott, R von Gizycki, R Wheeler
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27905662/client-related-factors-associated-with-a-less-than-good-experience-of-midwifery-care-during-childbirth-in-the-netherlands
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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...
December 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
#19
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...
December 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
#20
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...
December 2016: Health Services Research
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