keyword
https://read.qxmd.com/read/38425736/upper-limb-functional-testing-in-athletes-a-delphi-study
#1
JOURNAL ARTICLE
Camille Tooth, Cédric Schwartz, Cools Ann, Jean-Louis Croisier, Amandine Gofflot, Bornheim Stephen, Bénédicte Forthomme
BACKGROUND: Functional testing has recently become more and more popular to assess athletes, both for injury prevention, as well as in an objective of performance. However, the relationship between the results of these tests and performances (or injuries) or their interpretation remains unclear. OBJECTIVE: The aim of this study is to explore the usefulness, the characteristics, and the interpretation of the most frequently used upper-limb functional test. METHODS: Twenty-two experts with an excellent knowledge of upper limb functional tests and an expertise in sports medicine and/or sports training of at least 5 years were recruited...
March 2024: Shoulder & Elbow
https://read.qxmd.com/read/38386461/taking-new-approaches-to-coaching-and-care-can-lift-nursing-numbers
#2
JOURNAL ARTICLE
Kecia M Kelly
Nurses are the backbone of healthcare. Their retention and recruitment are essential to the success and sustainability of healthcare providers. For many years, Portland, Oregon-based Legacy Health enjoyed the luxury of a registered nurse (RN) turnover rate consistently as low as 7.6 percent and a vacancy rate of 2.49 percent. Suddenly, COVID-19 and a confounding exodus of nurses from the profession overran this excellent track record. Today, Legacy Health is rebuilding its RN workforce and staff resilience through new initiatives...
April 2024: Frontiers of Health Services Management
https://read.qxmd.com/read/38288725/a-hospital-wide-group-approach-to-promote-open-dialogues-of-workplace-issues-and-staff-wellbeing-with-schwartz-rounds
#3
JOURNAL ARTICLE
Kelvin Cy Leung, Kiran Lele, Carmelle Peisah
OBJECTIVES: This study aims to explore the feasibility and impact of Schwartz Rounds® led by psychiatrists/mental health professionals in an urban Australian public hospital setting and to develop strategies for optimising participants' experiences. METHODS: Being a mixed-methods study collecting qualitative and quantitative data through post-Rounds evaluation surveys, this study thematically analysed responses from 105 participants attending four consecutive monthly Rounds between February and May 2023 to assess the perceived benefits and challenges of Schwartz Rounds...
January 30, 2024: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/38144671/how-does-a-group-reflection-intervention-schwartz-rounds-work-within-healthcare-undergraduate-settings-a-realist-review
#4
REVIEW
Duncan Hamilton, Cath Taylor, Jill Maben
INTRODUCTION: Schwartz Rounds ("Rounds") are a confidential group reflection forum, increasingly adopted to support pre-registration healthcare students. This realist review aims to understand what the available literature and key informant interviews can tell us about Rounds in this setting, asking what works, for whom, in what circumstances, and why? METHODS: Published literature discussing Rounds in undergraduate settings were analysed using realist methods to describe how, for whom and in which contexts Rounds work...
2023: Perspectives on Medical Education
https://read.qxmd.com/read/38143432/school-nurses-emotional-wellbeing-may-the-schwartz-be-with-you
#5
JOURNAL ARTICLE
Eileen Gavin, Donna Pleus
The purpose of this article is to introduce Schwartz Rounds as a means for school nurses to foster their personal wellbeing by sharing their experiences. Nurse panelists openly discuss their journeys, followed by facilitated small-group conversations led by mental health professionals. To address the unique challenges of school nurses during the COVID-19 pandemic, the New Jersey Nursing Emotional Well-Being Institute initiated virtual Schwartz Rounds. New Jersey State School Nurses Association leaders joined as panelists to discuss the theme of hope for the upcoming school year...
December 25, 2023: NASN School Nurse
https://read.qxmd.com/read/37916227/understanding-the-impact-of-schwartz-rounds-on-pediatric-clinicians-well-being-using-the-positive-emotion-engagement-relationships-meaning-and-accomplishment-perma-model-for-flourishing-a-qualitative-analysis
#6
JOURNAL ARTICLE
Uchechi Oddiri, Shahriar Islam, Wei-Hsin Lu
Objective Schwartz Rounds (SR) is an interdisciplinary, case-based forum that augments compassionate care at the bedside and promotes discussion of the psycho-emotional aspects of patient care. This pilot study analyzed the perspectives of pediatric SR attendees through the lens of human flourishing , as defined by "PERMA" (positive emotion, engagement, relationships, meaning, and accomplishment). Methods This qualitative study was conducted at our Children's Hospital from September 2023 to October 2023. Focus group questions were developed from the Secure Flourishing Index and Community Workplace Flourishing validated tools...
October 2023: Curēus
https://read.qxmd.com/read/37898340/international-expert-recommendations-on-image-acquisition-for-in%C3%A2-vivo-reflectance-confocal-microscopy-of-cutaneous-tumors
#7
JOURNAL ARTICLE
Genevieve Ho, Melissa Gill, Jane Grant-Kels, Rodrigo J Schwartz, Giovanni Pellacani, Salvador Gonzalez, Christi Alessi-Fox, Pascale Guitera
BACKGROUND: No international recommendations exist for a minimum imaging requirement per lesion using reflectance confocal microscopy (RCM). This may be beneficial given the increasing use of remote RCM interpretation internationally. OBJECTIVE: To develop international expert recommendations for image acquisition using tissue-coupled RCM for diagnosis of cutaneous tumors. METHODS: Using a modified Delphi approach, a core group developed the scope and drafted initial recommendations before circulation to a larger group, the Cutaneous Imaging Expert Resource Group of the American Academy of Dermatology...
March 2024: Journal of the American Academy of Dermatology
https://read.qxmd.com/read/37598679/disparate-outcomes-biologic-and-therapeutic-differences-in-pediatric-versus-adult-patients-with-ewing-sarcoma
#8
JOURNAL ARTICLE
Victoria Wytiaz, Eric Schwartz, John D Rice, Lili Zhao, Rama Jasty, Scott Schuetze, Rashmi Chugh
INTRODUCTION: Ewing Sarcoma (ES) is a small blue round cell sarcoma affecting a wide age spectrum. Clinical advances predominately stem from pediatric research consortia clinical trials. In most series, adults have poorer outcomes when compared to children. The aim of this study was to perform a detailed evaluation of factors potentially accounting for this difference. METHODS: A single institution retrospective chart review was conducted on patients with ES diagnosed from 2005-15, identified using a free-text search engine with the keywords "Ewing sarcoma" as well as a corresponding pathologic database...
August 18, 2023: Oncology
https://read.qxmd.com/read/37572632/storytelling-and-affiliation-between-healthcare-staff-in-schwartz-round-interactions-a-conversation-analytic-study
#9
JOURNAL ARTICLE
Sarah Atkins, Alison Pilnick, Jill Maben, Laura Thompson
It is well known that the demands of working in healthcare can take a psychological toll on staff. Schwartz Centre Rounds are an intervention aimed at supporting staff wellbeing through providing a forum to talk about the emotional, social and ethical complexities of such work, employing facilitated storytelling and group discussion to try and achieve this. However, while prior research, through extensive interviews and surveys, has found Schwartz Rounds to be effective in fostering compassion and wellbeing amongst participants, the talk that occurs within Schwartz Rounds themselves has not been explored...
July 26, 2023: Social Science & Medicine
https://read.qxmd.com/read/37563756/safety-and-efficacy-of-the-sientra-silicone-gel-round-and-shaped-breast-implants-6-year-results-of-the-us-post-approval-study
#10
JOURNAL ARTICLE
M Bradley Calobrace, Michael R Schwartz, David L Kaufman, Ashley E Gordon, Robert Cohen, Jennifer Harrington, Denise Dajles, Kamakshi Zeidler
BACKGROUND: After approval of Sientra silicone gel breast implants in March of 2012, the U.S. Food and Drug Administration required completion of a 10-year U.S. post-approval study. We present results from the first 6 years of this study. METHODS: An ongoing, open-label, prospective, multicenter study is being conducted to evaluate the long-term clinical performance of Sientra implants in patients receiving breast augmentation, reconstruction, and revision in the post-market environment...
August 11, 2023: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/37516892/best-practice-guidance-for-antibiotic-audit-and-feedback-interventions-in-primary-care-a-modified-delphi-study-from-the-joint-programming-initiative-on-antimicrobial-resistance-primary-care-antibiotic-audit-and-feedback-network-jpiamr-paan
#11
JOURNAL ARTICLE
Kevin L Schwartz, Alice X T Xu, Sarah Alderson, Lars Bjerrum, Jamie Brehaut, Benjamin C Brown, Heiner C Bucher, An De Sutter, Nick Francis, Jeremy Grimshaw, Ronny Gunnarsson, Sigurd Hoye, Noah Ivers, Donna M Lecky, Morten Lindbæk, Jeffrey A Linder, Paul Little, Benedikte Olsen Michalsen, Denise O'Connor, Celine Pulcini, Pär-Daniel Sundvall, Pia Touboul Lundgren, Jan Y Verbakel, Theo J Verheij
BACKGROUND: Primary care is a critical partner for antimicrobial stewardship efforts given its high human antibiotic usage. Peer comparison audit and feedback (A&F) is often used to reduce inappropriate antibiotic prescribing. The design and implementation of A&F may impact its effectiveness. There are no best practice guidelines for peer comparison A&F in antibiotic prescribing in primary care. OBJECTIVE: To develop best practice guidelines for peer comparison A&F for antibiotic prescribing in primary care in high income countries by leveraging international expertise via the Joint Programming Initiative on Antimicrobial Resistance-Primary Care Antibiotic Audit and Feedback Network...
July 29, 2023: Antimicrobial Resistance and Infection Control
https://read.qxmd.com/read/37469196/how-to-organise-and-run-schwartz-rounds
#12
JOURNAL ARTICLE
Debbie Duncan
Schwartz rounds are a group-based model of reflective practice originally designed to assist medical staff to develop more compassion in their care. The aim of Schwartz rounds is to help healthcare professionals such as nurses 'reconnect' with why they first entered the caring profession. • Schwartz rounds are designed to assist multidisciplinary healthcare professionals with the emotional, social and ethical aspects of caregiving. • Schwartz rounds can also be used to support resilience training and boost workforce morale...
July 20, 2023: Nursing Management (Harrow)
https://read.qxmd.com/read/37421258/apheresis-medicine-education-during-the-early-phase-of-the-covid-19-pandemic
#13
JOURNAL ARTICLE
Angela Treml, Sarita A Joshi, Laura Dilly Stephens, Nicole D Zantek, Yvette C Tanhehco, Holli M Mason, Yanhua Li, Poyyapakkam Srivaths, Adela D Mattiazzi, Joseph Schwartz, Gay Wehrli
BACKGROUND: The COVID-19 pandemic introduced challenges and disruption across healthcare, including apheresis medicine (AM). In this study, we report findings from a survey conducted among American Society for Apheresis Physician Committee (ASFA-PC) members to describe the impact of the COVID-19 pandemic on AM education practices. STUDY DESIGN AND METHODS: A voluntary, anonymous, 24-question, institutional review board-approved survey regarding AM teaching during the pandemic was distributed to ASFA-PC members in the United States between December 1, 2020, and December 15, 2020...
July 8, 2023: Transfusion
https://read.qxmd.com/read/37380149/high-spatial-resolution-skull-base-imaging-with-photon-counting-computed-tomography-and-energy-integrating-computed-tomography-a-comparative-phantom-study
#14
JOURNAL ARTICLE
Jayasai R Rajagopal, Fides R Schwartz, Justin B Solomon, David S Enterline, Ehsan Samei
Photon-counting computed tomography (PCCT) offers better high-resolution and noise performance than energy integrating detector (EID) CT. In this work, we compared both technologies for imaging of the temporal bone and skull base. A clinical PCCT system and 3 clinical EID CT scanners were used to image the American College of Radiology image quality phantom using a clinical imaging protocol with matched CTDIvol (CT dose index-volume) of 25 mGy. Images were used to characterize the image quality of each system across a series of high-resolution reconstruction options...
March 9, 2023: Journal of Computer Assisted Tomography
https://read.qxmd.com/read/37340547/the-impact-of-organizational-compassion-in-health-care-on-clinicians-a-scoping-review
#15
JOURNAL ARTICLE
Teresa Pestian, Eli Awtrey, Jason Kanov, Naomi Winick, Rachel Thienprayoon
BACKGROUND: The unprecedented exodus of workers from the healthcare system is a patient safety crisis. Organizational compassion in health care is the proactive, systematic, and continuous identification, alleviation, and prevention of all sources of suffering. AIMS: This scoping review aimed to describe the evidence regarding the impact of organizational compassion on clinicians, identify gaps, and provide recommendations for future research. METHODS: A comprehensive librarian-assisted database search was conducted...
June 20, 2023: Worldviews on Evidence-based Nursing
https://read.qxmd.com/read/37019482/value-of-schwartz-rounds-in-promoting-the-emotional-well-being-of-healthcare-workers-a-qualitative-study
#16
JOURNAL ARTICLE
Lillian Ng, Kiralee Schache, Marie Young, Joanna Sinclair
OBJECTIVES: Schwartz Rounds are forums that enable healthcare staff to reflect on emotional and social dimensions of their work. In this study, we aimed to explore the experiences of Schwartz Rounds on emotional aspects of care and practice within a clinical environment. DESIGN: Using qualitative methods, we interviewed participants individually and in focus groups. Interviews were recorded, transcribed and analysed by thematic analysis. SETTING: The study was based at a public health service Te Whatu Ora Counties Manukau in Auckland, New Zealand's largest, most ethnically diverse population...
April 5, 2023: BMJ Open
https://read.qxmd.com/read/37017967/implementation-facilitation-to-promote-emergency-department-initiated-buprenorphine-for-opioid-use-disorder
#17
MULTICENTER STUDY
Gail D'Onofrio, E Jennifer Edelman, Kathryn F Hawk, Marek C Chawarski, Michael V Pantalon, Patricia H Owens, Shara H Martel, Richard Rothman, Mustapha Saheed, Robert P Schwartz, Ethan Cowan, Lynne Richardson, Edwin Salsitz, Michael S Lyons, Caroline Freiermuth, Christine Wilder, Lauren Whiteside, Judith I Tsui, Jared W Klein, Edouard Coupet, Patrick G O'Connor, Abigail G Matthews, Sean M Murphy, Kristen Huntley, David A Fiellin
IMPORTANCE: Emergency department (ED)-initiated buprenorphine for the treatment of opioid use disorder (OUD) is underused. OBJECTIVE: To evaluate whether provision of ED-initiated buprenorphine with referral for OUD increased after implementation facilitation (IF), an educational and implementation strategy. DESIGN, SETTING, AND PARTICIPANTS: This multisite hybrid type 3 effectiveness-implementation nonrandomized trial compared grand rounds with IF, with pre-post 12-month baseline and IF evaluation periods, at 4 academic EDs...
April 3, 2023: JAMA Network Open
https://read.qxmd.com/read/36951209/competencies-for-video-telemedicine-with-older-adult-patients
#18
JOURNAL ARTICLE
Becky B Powers, Rose Maria Van Zuilen, Andrea Wershof Schwartz, Stuti Dang, Jaye E McLaren, Dat Hoang-Gia, Lauren R Moo
BACKGROUND: Telemedicine has recently become a part of mainstream clinical practice. Many curricula have been developed to teach general and specialty-specific video telemedicine skills; however, a lack of defined best practices for translating comprehensive interprofessional geriatric care to the virtual setting presents a unique challenge to educators and clinicians. This manuscript introduces and describes the development of competencies for video telemedicine with older adults for all health professionals who treat them...
April 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/36727516/methods-to-enhance-causal-inference-for-assessing-impact-of-clinical-informatics-platform-implementation
#19
JOURNAL ARTICLE
Michael Gaies, Mary K Olive, Gabe E Owens, John R Charpie, Wenying Zhang, Sara K Pasquali, Darren Klugman, John M Costello, Steven M Schwartz, Mousumi Banerjee
BACKGROUND: Hospitals are increasingly likely to implement clinical informatics tools to improve quality of care, necessitating rigorous approaches to evaluate effectiveness. We leveraged a multi-institutional data repository and applied causal inference methods to assess implementation of a commercial data visualization software in our pediatric cardiac intensive care unit. METHODS: Natural experiment in the University of Michigan (UM) Cardiac Intensive Care Unit pre and postimplementation of data visualization software analyzed within the Pediatric Cardiac Critical Care Consortium clinical registry; we identified N=21 control hospitals that contributed contemporaneous registry data during the study period...
February 2023: Circulation. Cardiovascular Quality and Outcomes
https://read.qxmd.com/read/36596580/asra-pain-medicine-consensus-guidelines-on-the-management-of-the-perioperative-patient-on-cannabis-and-cannabinoids
#20
JOURNAL ARTICLE
Shalini Shah, Eric S Schwenk, Rakesh V Sondekoppam, Hance Clarke, Mark Zakowski, Rachel S Rzasa-Lynn, Brent Yeung, Kate Nicholson, Gary Schwartz, W Michael Hooten, Mark Wallace, Eugene R Viscusi, Samer Narouze
BACKGROUND: The past two decades have seen an increase in cannabis use due to both regulatory changes and an interest in potential therapeutic effects of the substance, yet many aspects of the substance and their health implications remain controversial or unclear. METHODS: In November 2020, the American Society of Regional Anesthesia and Pain Medicine charged the Cannabis Working Group to develop guidelines for the perioperative use of cannabis. The Perioperative Use of Cannabis and Cannabinoids Guidelines Committee was charged with drafting responses to the nine key questions using a modified Delphi method with the overall goal of producing a document focused on the safe management of surgical patients using cannabinoids...
March 2023: Regional Anesthesia and Pain Medicine
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