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https://www.readbyqxmd.com/read/29145728/understanding-how-emergency-medicine-physicians-survive-and-thrive-in-rural-practice-a-theoretical-model
#1
Ashra Kolhatkar, Andrea Keesey, Bob Bluman, Brenna Lynn, Tandi Wilkinson
INTRODUCTION: The challenges facing emergency medicine (EM) services in Canada reflect the limitations of the entire healthcare system. The emergency department (ED) is uniquely situated in the healthcare system such that shortcomings in hospital- and community-based services are often first revealed there. This is especially true in rural settings, where there are additional site-specific barriers to the provision of EM care. Existing studies look at the factors that influence rural EM physicians in isolation...
November 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29140497/integrating-complementary-and-traditional-practices-in-middle-eastern-supportive-cancer-care
#2
Eran Ben-Arye, Noah Samuels, Michel Daher, Ibrahim Turker, Omar Nimri, Maryam Rassouli, Michael Silbermann
The Middle East is a promising arena in which researchers can explore the interchange between cross-cultural traditional medicine and supportive cancer care, as provided within an integrative oncology setting. Integrative oncology research and clinical practice in this part of the world have been focusing, for the most part, on the use of herbal medicine and mind-body-spiritual modalities, both of which are deeply rooted in traditional medical care. A regional, multinational, and interdisciplinary collaboration is currently being undertaken as part of the academic activities of the Middle-East Research Group in Integrative Oncology (MERGIO)...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29139019/pharmacists-confidence-when-providing-pharmaceutical-care-on-anticoagulants-a-multinational-survey
#3
John Papastergiou, Nadir Kheir, Katerina Ladova, Silas Rydant, Fabio De Rango, Sotiris Antoniou, Reka Viola, Maria Dolores Murillo, Stephane Steurbaut, Filipa Alves da Costa
Background Guidelines on the management of orally anticoagulated patients are continuously evolving, leading to an increased need for pharmacists to be fully integrated in care provision. Objective To identify self-reported gaps in confidence among practicing pharmacists in the area of anticoagulation. Setting Pharmacists in different work settings in different countries. Method Cross-sectional international survey from October 2015 till November 2016 among pharmacists working in different settings to assess their level of confidence when delivering anticoagulants as well as to identify possible educational needs regarding this medication class...
December 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29135752/experiences-and-shared-meaning-of-teamwork-and-interprofessional-collaboration-among-health-care-professionals-in-primary-health-care-settings-a-systematic-review
#4
Carine Sangaleti, Mariana Cabral Schveitzer, Marina Peduzzi, Elma Lourdes Campos Pavone Zoboli, Cassia Baldini Soares
BACKGROUND: During the last decade, teamwork has been addressed under the rationale of interprofessional practice or collaboration, highlighted by the attributes of this practice such as: interdependence of professional actions, focus on user needs, negotiation between professionals, shared decision making, mutual respect and trust among professionals, and acknowledgment of the role and work of the different professional groups. Teamwork and interprofessional collaboration have been pointed out as astrategy for effective organization of health care services as the complexity of healthcare requires integration of knowledge and practices from differente professional groups...
November 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29129668/characterization-of-actions-taken-during-the-delivery-of-medication-therapy-management-a-time-and-motion-approach
#5
Alice C Chang, Jutieh Lincoln, Wendy M Lantaff, Stephanie A Gernant, Heather A Jaynes, William Doucette, Margie E Snyder
OBJECTIVES: To characterize actions performed by pharmacists and support staff during provision of medication therapy management (MTM) and to compare actions performed according to practice characteristics. METHODS: A purposeful sample of 7 MTM practices (2 call centers and 5 community practices) was identified and visited by investigators. Pharmacists and support staff were observed during their routine provision of MTM. Investigators characterized "major" (e.g...
November 9, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29123596/a-scoping-review-of-community-pharmacists-and-patients-at-risk-of-suicide
#6
REVIEW
Andrea Lynn Murphy, Katelyn Hillier, Randa Ataya, Pierre Thabet, Anne Marie Whelan, Claire O'Reilly, David Gardner
Background: Medications are commonly used in suicide attempts. Pharmacists are inextricably linked to medications and may have roles in helping those at risk of suicide. We conducted a scoping review to characterize the existing literature and make recommendations about future research. Methods: We used a 6-step approach based on an existing scoping review methodological framework, including identifying the research question; identifying relevant studies and other literature; study and literature selection; data charting; collating, summarizing and reporting results; and dissemination of results...
November 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/29119653/a-social-ecological-framework-a-model-for-addressing-ethical-practice-in-nursing
#7
P M Davidson, C H Rushton, M Kurtz, B Wise, D Jackson, A Beaman, M Broome
AIMS AND OBJECTIVES: To develop a framework to enable discussion, debate and the formulation of interventions to address ethical issues in nursing practice. BACKGROUND: Social, cultural, political and economic drivers are rapidly changing the landscape of health care in our local environments but also in a global context. Increasingly, nurses are faced with a range of ethical dilemmas in their work. This requires investigation into the culture of health care systems and organisations to identify the root causes and address the barriers and enablers of ethical practice...
November 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29117244/re-establishing-safer-medical-circumcision-integrated-initiation-ceremonies-for-hiv-prevention-in-a-rural-setting-in-papua-new-guinea-a-multi-method-acceptability-study
#8
Clement Morris Manineng, David MacLaren, Maggie Baigry, Emil Trowalle, Reinhold Muller, Andrew Vallely, Patrick Gesch, Francis Hombhanje, William John McBride
BACKGROUND: Efforts to stem the spread of Human Immunodeficiency Virus (HIV) in Papua New Guinea (PNG) are hampered by multiple interrelated factors including limited health services, extreme diversities in culture and language and highly prevalent gender inequity, domestic violence and poverty. In the rural district of Yangoru-Saussia, a revival of previously ceased male initiation ceremonies (MICs) is being considered for a comprehensive approach to HIV prevention. In this study, we explore the local acceptability of this undertaking including replacing traditional penile cutting practices with medical male circumcision (MMC)...
2017: PloS One
https://www.readbyqxmd.com/read/29117091/the-application-of-observational-practice-and-educational-networking-in-simulation-based-and-distributed-medical-education-contexts
#9
Arthur Welsher, David Rojas, Zain Khan, Laura VanderBeek, Bill Kapralos, Lawrence E M Grierson
INTRODUCTION: Research has revealed that individuals can improve technical skill performance by viewing demonstrations modeled by either expert or novice performers. These findings support the development of video-based observational practice communities that augment simulation-based skill education and connect geographically distributed learners. This study explores the experimental replicability of the observational learning effect when demonstrations are sampled from a community of distributed learners and serves as a context for understanding learner experiences within this type of training protocol...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29114633/surgical-management-of-degenerative-meniscus-lesions-the-2016-esska-meniscus-consensus
#10
P Beaufils, R Becker, S Kopf, M Englund, R Verdonk, M Ollivier, R Seil
Purpose  A degenerative meniscus lesion is a slowly developing process typically involving a horizontal cleavage in a middle-aged or older person. When the knee is symptomatic, arthroscopic partial meniscectomy has been practised for a long time with many case series reporting improved patient outcomes. Since 2002, several randomised clinical trials demonstrated no additional benefit of arthroscopic partial meniscectomy compared to non-operative treatment, sham surgery or sham arthroscopic partial meniscectomy...
June 2017: Joints
https://www.readbyqxmd.com/read/29108693/implementation-of-the-medfrat-to-promote-quality-care-and-decrease-falls-in-community-hospital-emergency-rooms
#11
Catherine A McCarty, Theo A Woehrle, Stephen C Waring, Allise M Taran, Laura A Kitch
ABSTRACTPURPOSE: To identify and implement an evidence-based fall-risk assessment tool for use in emergency departments at Essentia Health, a large, primarily rural health care delivery system with 12 emergency departments. METHODS: The Iowa Model of Evidence-Based Practice to Promote Quality Care was used to guide the process. The Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT) was programmed into the electronic medical record, along with interventions that could be selected for 2 fall-risk levels...
November 3, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29105338/current-knowledge-and-perception-of-bariatric-surgery-among-greek-doctors-living-in-thessaly
#12
Dimitris Zacharoulis, Vissarion Bakalis, Eleni Zachari, Eleni Sioka, Dialecthi Tsimpida, Dimitrios Magouliotis, Vasiliki Tasiopoulou, Christina Chatedaki, George Tzovaras
INTRODUCTION: The purpose of this study was to assess doctors' knowledge, current conceptions, and clinical practice regarding obesity and bariatric surgery. METHODS: A self-administered survey was administered to 500 doctors with varying medical specialties in public and private practice. RESULTS: The response rate was 60%. Most participants (77.3%) were in private practice. Although almost half of the participants could define morbid obesity and obesity-related comorbidities, only 8...
November 3, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29102998/development-of-a-clinical-pharmacy-model-within-an-australian-home-nursing-service-using-co-creation-and-participatory-action-research-the-visiting-pharmacist-vip-study
#13
Rohan A Elliott, Cik Yin Lee, Christine Beanland, Dianne P Goeman, Neil Petrie, Barbara Petrie, Felicity Vise, June Gray
OBJECTIVE: To develop a collaborative, person-centred model of clinical pharmacy support for community nurses and their medication management clients. DESIGN: Co-creation and participatory action research, based on reflection, data collection, interaction and feedback from participants and other stakeholders. SETTING: A large, non-profit home nursing service in Melbourne, Australia. PARTICIPANTS: Older people referred to the home nursing service for medication management, their carers, community nurses, general practitioners (GPs) and pharmacists, a multidisciplinary stakeholder reference group (including consumer representation) and the project team...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29100223/using-pill-identification-calls-to-poison-centers-as-a-marker-of-drug-abuse-at-three-texas-military-bases
#14
Patrick C Ng, Joseph K Maddry, Daniel Sessions, Douglas J Borys, Vikhyat S Bebarta
OBJECTIVES: Opioid abuse is a growing problem in civilian communities, and it has developed in the military as well. Telephone calls to poison centers requesting pill identification (ID) is a marker of drug abuse. This study identifies the number of pill ID calls made to the poison centers from areas containing and surrounding three Texas military bases during an 8-year period. METHODS: We performed a retrospective observational study identifying calls to certified poison centers in Texas from 2002 to 2009 that identified hydrocodone tablets and other pain medications...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29091501/effective-change-management-within-an-australian-community-palliative-care-service
#15
Angie Dredge, Lyle Oates, Heidi Gregory, Scott King
This article attempts to examine and explore the change management process that was undertaken by the community palliative care service at Calvary Health Care Bethlehem, Australia, to challenge the historical practice of prescribing 'emergency subcutaneous medications' for all patients admitted to the service. It discusses how, using a team approach, change management was effectively facilitated to ultimately enhance service provision and consumer satisfaction. Literature (both national and international) was examined to identify the use of emergency medications in the community palliative care setting...
November 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29082768/enhancing-pediatricians-behavioral-health-competencies-through-child-psychiatry-consultation-and-education
#16
Heather J Walter, Gina Kackloudis, Emily K Trudell, Louis Vernacchio, Jonas Bromberg, David R DeMaso, Glenn Focht
The objective of this study was to assess feasibility, utilization, perceived value, and targeted behavioral health (BH) treatment self-efficacy associated with a collaborative child and adolescent psychiatry (CAP) consultation and BH education program for pediatric primary care practitioners (PCPs). Eighty-one PCPs from 41 member practices of a statewide pediatric practice association affiliated with an academic medical center participated in a program comprising on-demand telephonic CAP consultation supported by an extensive BH learning community...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29071550/to-fail-is-human-remediating-remediation-in-medical-education
#17
Adina Kalet, Calvin L Chou, Rachel H Ellaway
INTRODUCTION: Remediating failing medical learners has traditionally been a craft activity responding to individual learner and remediator circumstances. Although there have been moves towards more systematic approaches to remediation (at least at the institutional level), these changes have tended to focus on due process and defensibility rather than on educational principles. As remediation practice evolves, there is a growing need for common theoretical and systems-based perspectives to guide this work...
October 25, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29071128/introducing-visual-participatory-methods-to-develop-local-knowledge-on-hiv-in-rural-south-africa
#18
Chloe Brooks, Lucia D'Ambruoso, Karolina Kazimierczak, Sizzy Ngobeni, Rhian Twine, Stephen Tollman, Kathleen Kahn, Peter Byass
INTRODUCTION: South Africa is a country faced with complex health and social inequalities, in which HIV/AIDS has had devastating impacts. The study aimed to gain insights into the perspectives of rural communities on HIV-related mortality. METHODS: A participatory action research (PAR) process, inclusive of a visual participatory method (Photovoice), was initiated to elicit and organise local knowledge and to identify priorities for action in a rural subdistrict underpinned by the Agincourt Health and Socio-Demographic Surveillance System (HDSS)...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29066908/establishing-community-based-integrated-care-for-elderly-patients-through-interprofessional-teamwork-a-qualitative-analysis
#19
Tomohiro Asakawa, Hidenobu Kawabata, Kengo Kisa, Takayoshi Terashita, Manabu Murakami, Junji Otaki
BACKGROUND: Working in multidisciplinary teams is indispensable for ensuring high-quality care for elderly people in Japan's rapidly aging society. However, health professionals often experience difficulty collaborating in practice because of their different educational backgrounds, ideas, and the roles of each profession. In this qualitative descriptive study, we reveal how to build interdisciplinary collaboration in multidisciplinary teams. METHODS: Semi-structured interviews were conducted with a total of 26 medical professionals, including physicians, nurses, public health nurses, medical social workers, and clerical personnel...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29065025/how-and-why-preclerkship-students-set-learning-goals-and-assess-their-achievement-a-qualitative-exploration
#20
Pawel M Kindler, Joanna Bates, Eric Hui, Kevin W Eva
PURPOSE: Health professionals are expected to routinely assess their weaknesses, set learning goals, and monitor their achievement. Unfortunately, it is well known that these professionals often struggle with effectively integrating external data and self-perceptions. To know how best to intervene, it is critical that the health professionals community understand the cues students and practitioners use to assess their abilities. Here the authors aimed to gain insights into how and why medical students set learning goals, monitor their progress, and demonstrate their learning...
November 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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