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https://www.readbyqxmd.com/read/29681202/quality-of-life-in-psoriatic-arthritis
#1
Tania Gudu, Laure Gossec
Psoriatic arthritis (PsA) is a multi-organ chronic inflammatory disease which impacts patients both physically and psychologically. The highest priority for patients goes to pain relief, but also to ability to function and participate in social life, fatigue, and psychological distress. Areas covered: In the present article, we will review current knowledge on impairments of health-related quality of life related to PsA, as well as patient priorities and patient-reported outcome measures such as the PsA Impact of Disease or the PsA Quality of Life questionnaires...
April 23, 2018: Expert Review of Clinical Immunology
https://www.readbyqxmd.com/read/29673374/why-is-announcement-training-more-effective-than-conversation-training-for-introducing-hpv-vaccination-a-theory-based-investigation
#2
Teri L Malo, Megan E Hall, Noel T Brewer, Christine R Lathren, Melissa B Gilkey
BACKGROUND: Improving healthcare providers' communication about HPV vaccination is critical to increasing uptake. We previously demonstrated that training providers to use presumptive announcements to introduce HPV vaccination improved uptake, whereas training them to use participatory conversations had no effect. To understand how communication training changed provider perceptions and communication practices, we evaluated intermediate outcomes and process measures from our randomized clinical trial, with a particular focus on identifying mechanisms that might explain the announcement training's impact...
April 19, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29665190/comparison-of-emergency-medicine-malpractice-cases-involving-residents-to-non-resident-cases
#3
Kiersten L Gurley, Shamai A Grossman, Margaret Janes, C Winnie Yu-Moe, Ellen Song, Carrie D Tibbles, Nathan I Shapiro, Carlo L Rosen
BACKGROUND: Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. OBJECTIVES: To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. METHODS: We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013...
April 17, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29629054/health-information-technology-in-ambulatory-care-in-a-developing-country
#4
Ghasem Deimazar, Mehdi Kahouei, Afsane Zamani, Zahra Ganji
Background: Physicians need to apply new technologies in ambulatory care. At present, with regard to the extended use of information technology in other departments in Iran it has yet to be considerably developed by physicians and clinical technicians in the health department. Objective: To determine the rate of use of health information technology in the clinics of specialist- and subspecialist physicians in Semnan city, Iran. Methods: This was a 2016 cross-sectional study conducted in physicians' offices of Semnan city in Iran...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29608394/surrogate-decision-makers-perspectives-on-family-members-prognosis-after-intracerebral-hemorrhage
#5
Darin B Zahuranec, Renee R Anspach, Meghan E Roney, Andrea Fuhrel-Forbis, Daniel M Connochie, Emily P Chen, Bradford B Thompson, Panayiotis N Varelas, Lewis B Morgenstern, Angela Fagerlin
BACKGROUND: Surrogate communication with providers about prognosis in the setting of acute critical illness can impact both patient treatment decisions and surrogate outcomes. OBJECTIVES: To examine surrogate decision maker perspectives on provider prognostic communication after intracerebral hemorrhage (ICH). DESIGN: Semistructured interviews were conducted and analyzed qualitatively for key themes. SETTING/SUBJECTS: Surrogate decision makers for individuals admitted with ICH were enrolled from five acute care hospitals...
April 2, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29608338/exploring-provider-surrogate-communication-during-polst-discussions-for-individuals-with-advanced-dementia
#6
Hyejin Kim, Christine Bradway, Susan E Hickman, Mary Ersek
OBJECTIVES: This qualitative descriptive study explored provider-surrogate communication during Physician Orders for Life-Sustaining Treatment (POLST) discussions for patients with advanced dementia. METHODS: Data from participant observations and audio-recordings of ten POLST discussions were analyzed using directed content analysis within the context of an existing conceptual model of Communication and Surrogate Decision Making. RESULTS: Surrogates primarily focused on making sense of the clinical information about life-sustaining treatments during POLST conversations...
April 2, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29600545/strategies-to-support-pressure-injury-best-practices-by-the-inter-professional-team-a-systematic-review
#7
Grace Suva, Tanvi Sharma, Karen E Campbell, Ronald Gary Sibbald, Diana An, Kevin Woo
Optimal pressure injury (ulcer) management by the inter-professional team requires appropriate health care system and organisational resources, infrastructure, and policies. A systematic review was conducted on pressure injury care-related education and health care system-/organisation-level strategies. A search for relevant articles published between January 2006 and October 2014 was applied to 8 databases. Ultimately, 22 articles pertaining to education and training and 12 articles pertaining to health care system and organisation supports for pressure injury care were included in the systematic review...
March 30, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29590400/perceptions-and-attitudes-regarding-antibiotic-resistance-in-germany-a-cross-sectoral-survey-amongst-physicians-veterinarians-farmers-and-the-general-public
#8
Sandra Schneider, Florian Salm, Szilvia Vincze, Anne Moeser, Inga Petruschke, Katja Schmücker, Norman Ludwig, Regina Hanke, Christin Schröder, Alexander Gropmann, Michael Behnke, Antina Lübke-Becker, Lothar H Wieler, Stefan Hagel, Mathias W Pletz, Jochen Gensichen, Petra Gastmeier
Background: Drivers of antibiotic (AB) resistance (ABR) include outpatient treatment, hospital care and animal husbandry. During the first phase of the One Health project RAI (Responsible Antibiotic Use via Information and Communication) surveys were conducted in these sectors. Objectives: To compare perceptions and attitudes towards ABR among general practitioners (GPs), hospital physicians, veterinarians, pig farmers and the general public. Methods: Cross-sectional questions on AB use and ABR were integrated in group-specific surveys of GPs, hospital physicians, veterinarians, pig farmers and the German general population...
March 26, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29589406/improved-cardiorespiratory-fitness-following-moderate-exercise-may-encourage-inactive-people-for-doable-and-sustainable-behavioral-change
#9
Gábor Pavlik, Eva Bakács, Eszter Csajági, Tibor Bakács, Judit Noe, Robert Kirschner
BACKGROUND: Global physical inactivity pandemic is responsible for more than 5 million deaths annually through its effects on non-communicable diseases. This requires urgent intervention. OBJECTIVE: To investigate associations of physical activity with cardiovascular fitness in a cross-sectional retrospective observational study. Data were collected for 21 years from 2530 healthy volunteers and athletes representing the entire spectrum of physical activity from the totally inactive sedentary persons to the highly trained national athletes...
March 27, 2018: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29587805/patient-centered-recruitment-and-retention-for-a-randomized-controlled-study
#10
Sumedha Chhatre, Ashlie Jefferson, Ratna Cook, Caitlin R Meeker, Ji Hyun Kim, Kayla Marie Hartz, Yu-Ning Wong, Adele Caruso, Diane K Newman, Knashawn H Morales, Ravishankar Jayadevappa
BACKGROUND: Recruitment and retention strategies for patient-centered outcomes research are evolving and research on the subject is limited. In this work, we present a conceptual model of patient-centered recruitment and retention, and describe the recruitment and retention activities and related challenges in a patient-centered comparative effectiveness trial. METHODS: This is a multicenter, longitudinal randomized controlled trial in localized prostate cancer patients...
March 27, 2018: Trials
https://www.readbyqxmd.com/read/29587725/associations-between-emotional-intelligence-empathy-and-personality-in-japanese-medical-students
#11
Keiko Abe, Masayuki Niwa, Kazuhiko Fujisaki, Yasuyuki Suzuki
BACKGROUND: It is known that empathic communication is important for physicians to achieve higher patient satisfaction and health outcomes. Emotional intelligence (EI), empathy and personality in medical students predict students' individual disposition and their emotional and empathic perceptions. This study aimed to investigate: 1) The association between empathy, EI and personality, and 2) Gender differences in the association between empathy, EI and personality. METHOD: Participants were 357 1st year medical students from 2008 to 2011 at one medical school in Japan...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29579492/palliative-sedation-and-moral-distress-a-qualitative-study-of-nurses
#12
M E Lokker, S J Swart, J A C Rietjens, L van Zuylen, R S G M Perez, A van der Heide
BACKGROUND: Clinical nursing practice may involve moral distress, which has been reported to occur frequently when nurses care for dying patients. Palliative sedation is a practice that is used to alleviate unbearable and refractory suffering in the last phase of life and has been linked to distress in nurses. AIM: The aim of this study was to explore nurses' reports on the practice of palliative sedation focusing on their experiences with pressure, dilemmas and morally distressing situations...
April 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29575388/the-ecology-of-patient-and-caregiver-participation-in-consultations-involving-advanced-cancer
#13
Jennifer Freytag, Richard L Street, Guibo Xing, Paul R Duberstein, Kevin Fiscella, Daniel J Tacredi, Joshua J Fenton, Richard L Kravitz, Ronald M Epstein
OBJECTIVE: To identify predictors of participation of patients with advanced cancer in clinical encounters with oncologists and to assess the impact of patient and caregiver participation on perceptions of physician support. METHODS: This is a secondary data analysis from the Values and Options in Cancer Care (VOICE) study, a cluster randomized clinical trial of a patient-centered communication intervention. Patients and caregivers completed pre- and post-visit health and communication measures...
March 25, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29571275/insulin-non-persistence-among-people-with-type-2-diabetes-how-to-get-your-patients-to-stay-on-insulin-therapy
#14
Theresa L Garnero, Nichola J Davis, Magaly Perez-Nieves, Irene Hadjiyianni, Dachuang Cao, Jasmina I Ivanova, Mark Peyrot
Continuing use of medication is key to effective treatment and positive health outcomes, particularly in chronic conditions such as diabetes. However, in primary care, non-persistence (i.e. discontinuing or interrupting treatment) with insulin therapy is a common problem among patients with type 2 diabetes. To help primary care physicians manage patients who are non-persistent or likely not to be persistent, this review aimed to provide an overview of modifiable and non-modifiable factors associated with insulin non-persistence as well as practical strategies to address them...
March 23, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29560068/evaluation-of-a-novel-handoff-communication-strategy-for-patients-admitted-from-the-emergency-department
#15
Christopher J Smith, Russell J Buzalko, Nathan Anderson, Joel Michalski, Jordan Warchol, Stephen Ducey, Chad E Branecki
Introduction: Miscommunication during inter-unit handoffs between emergency and internal medicine physicians may jeopardize patient safety. Our goal was to evaluate the impact of a structured communication strategy on the quality of admission handoffs. Methods: We conducted a mixed-methods, pre-test/post-test study at a 560-bed academic health center with 60,000 emergency department (ED) patient visits per year. Admission-handoff best practices were integrated into a modified SBAR format, resulting in the Situation, Background, Assessment, Responsibilities & Risk, Discussion & Disposition, Read-back & Record (SBAR-DR) model...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29547475/qualitative-content-analysis-of-coworkers-safety-reports-of-unprofessional-behavior-by-physicians-and-advanced-practice-professionals
#16
William Martinez, James W Pichert, Gerald B Hickson, Casey H Braddy, Amy J Brown, Thomas F Catron, Ilene N Moore, Morgan R Stampfle, Lynn E Webb, William O Cooper
OBJECTIVES: The aims of the study were to develop a valid and reliable taxonomy of coworker reports of alleged unprofessional behavior by physicians and advanced practice professionals and determine the prevalence of reports describing particular types of unprofessional conduct. METHODS: We conducted qualitative content analysis of coworker reports of alleged unprofessional behavior by physicians and advanced practice professionals to create a standardized taxonomy...
March 15, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29536939/defining-the-critical-role-of-nurses-in-diagnostic-error-prevention-a-conceptual-framework-and-a-call-to-action
#17
REVIEW
Kelly T Gleason, Patricia M Davidson, Elizabeth K Tanner, Diana Baptiste, Cynda Rushton, Jennifer Day, Melinda Sawyer, Deborah Baker, Lori Paine, Cheryl R Dennison Himmelfarb, David E Newman-Toker
Nurses have always been involved in the diagnostic process, but there remains a pervasive view across physicians, nurses, and allied health professionals that medical diagnosis is solely a physician responsibility. There is an urgent need to adjust this view and for nurses to take part in leading efforts addressing diagnostic errors. The purpose of this article is to define a framework for nursing engagement in the diagnostic process that can serve as a catalyst for nurses to engage in eliminating preventable harms from diagnostic error...
November 27, 2017: Diagnosis
https://www.readbyqxmd.com/read/29535239/barriers-and-facilitators-to-expanding-roles-of-medical-assistants-in-patient-centered-medical-homes-pcmhs
#18
Jeanne M Ferrante, Eric K Shaw, Jennifer E Bayly, Jenna Howard, M Nell Quest, Elizabeth C Clark, Connie Pascal
BACKGROUND: Many primary care practices participating in patient-centered medical home (PCMH) transformation initiatives are expanding the work roles of their medical assistants (MAs). Little is known about attitudes of MAs or barriers and facilitators to these role changes. METHODS: Secondary data analysis of qualitative cross-case comparison study of 15 New Jersey primary care practices participating in a PCMH project during 2012 to 2013. Observation field notes and in-depth and key informant interviews (with physicians, office managers, staff and care coordinators) were iteratively analyzed using grounded theory...
March 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29530323/economics-of-mri-operations-after-implementation-of-interpersonal-skills-training
#19
Joseph A Ladapo, Charles E Spritzer, Xuan V Nguyen, Judy Pool, Elvira Lang
PURPOSE: Examine the cost of MRI operations before and after implementation of interpersonal skills training to reduce unanticipated patient-related events in an academic medical center. METHODS: Teams at four MRI sites (two hospital-based, two freestanding) were trained in evidence-based communication skills in February to April 2015. Training was designed to enable staff members to help patients mobilize their innate coping skills in response to any distress they experienced during their MRI visit...
March 9, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29518017/adherence-to-oral-anticancer-medications-evolving-interprofessional-roles-and-pharmacist-workforce-considerations
#20
Gennaro A Paolella, Andrew D Boyd, Scott M Wirth, Sandra Cuellar, Neeta K Venepalli, Stephanie Y Crawford
Interprofessional care is exhibited in outpatient oncology practices where practitioners from a myriad of specialties (e.g., oncology, nursing, pharmacy, health informatics and others) work collectively with patients to enhance therapeutic outcomes and minimize adverse effects. Historically, most ambulatory-based anticancer medication therapies have been administrated in infusion clinics or physician offices. Oral anticancer medications (OAMs) have become increasingly prevalent and preferred by patients for use in residential or other non-clinic settings...
March 8, 2018: Pharmacy (Basel, Switzerland)
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