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clinical reasoning education

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https://www.readbyqxmd.com/read/29330999/reasons-of-self-discharge-from-nursery-of-a-tertiary-care-hospital
#1
Rabia Abbas, Khawaja Ahmad Irfan Waheed, Talal Waqar, Muhammad Anwar, Rafia Gul, Sikandar Hayat, Syeda Tehseen Fatima, Muhammad Azhar
BACKGROUND: Patients who leave against medical advice (LAMA) from a health facility is a recognized problem. In neonatology practice this issue is particularly sensitive as repercussions can be severe. The purpose of this study was to evaluate the factors influencing the decision of parents to self-discharge their babies against medical advice. METHODS: This descriptive case series was conducted in the Department of Neonatology, of the Children's Hospital and the Institute of Child Health, Lahore from January to June 2015...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330890/audit-of-referrals-for-concern-regarding-labial-appearance-at-the-royal-children-s-hospital-2000-2012
#2
Sarah K McQuillan, Yasmin Jayasinghe, Sonia R Grover
AIM: To audit the clinical features and outcomes for all patients referred to our centre with concerns regarding labial appearance. METHODS: Young females referred to a paediatric/adolescent gynaecology tertiary centre between 2000 and 2012 with concerns regarding their labial appearance were retrospectively identified. Adolescents presenting with anomalies were excluded. Retrospective chart review was undertaken to identify reasons for referral, patient characteristics, outcome of referral and concurrent health problems...
January 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29323668/professional-responsibilities-regarding-the-provision-publication-and-dissemination-of-patient-phenotypes-in-the-context-of-clinical-genetic-and-genomic-testing-points-to-consider-a-statement-of-the-american-college-of-medical-genetics-and-genomics-acmg
#3
Lynn W Bush, Anita E Beck, Leslie G Biesecker, James P Evans, Ada Hamosh, Ingrid A Holm, Christa L Martin, C Sue Richards, Heidi L Rehm
Disclaimer: This Points to Consider document is designed as an educational resource to provide best practices for medical genetic clinicians, laboratories, and journals regarding the provision, publication, and dissemination of patient phenotypes in the context of genomic testing, clinical genetic practice, and research. While the goal of the document is the improvement of patient care, the considerations and practices described should not be considered inclusive of all proper considerations and practices or exclusive of others that are reasonably directed to obtaining the same goal...
January 11, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29320340/lung-cancer-screening-uncertainty-among-patients-undergoing-ldct
#4
Daniel L Hall, Inga T Lennes, Alaina Carr, Justin R Eusebio, Gloria Y Yeh, Elyse R Park
OBJECTIVES: Lung cancer is the leading cause of cancer death, yet lung screening remains underutilized. Lung cancer screening uncertainty (LCSU), including referral clarity and the perceived accuracy of screening, may hinder utilization and represent an unmet psychosocial need. This study sought to identify correlates of LCSU among lung screening patients. METHODS: Current and former smokers (N = 169) completed questionnaires assessing LCSU, sociodemographic variables, objective and subjective numeracy, stress, and anxiety, as part of a cross-sectional study of lung screening patients at an academic hospital...
January 1, 2018: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29318343/short-term-progression-of-cardiometabolic-risk-factors-in-relation-to-age-at-type-2-diabetes-diagnosis-a-longitudinal-observational-study-of-100-606-individuals-from-the-swedish-national-diabetes-register
#5
Andri O Steinarsson, Araz Rawshani, Soffia Gudbjörnsdottir, Stefan Franzén, Ann-Marie Svensson, Naveed Sattar
AIMS/HYPOTHESIS: The reasons underlying a greater association of premature mortality with early-onset type 2 diabetes relative to late-onset disease are unclear. We evaluated the clinical characteristics at type 2 diabetes diagnosis and the broad trajectories in cardiometabolic risk factors over the initial years following diagnosis in relation to age at diagnosis. METHODS: Our cohort consisted of 100,606 individuals with newly diagnosed type 2 diabetes enrolled in the Swedish National Diabetes Register from 2002 to 2012...
January 9, 2018: Diabetologia
https://www.readbyqxmd.com/read/29313100/burr-hole-trepanation-for-chronic-subdural-hematomas-is-surgical-education-safe
#6
Nicolai Maldaner, Marketa Sosnova, Johannes Sarnthein, Oliver Bozinov, Luca Regli, Martin N Stienen
BACKGROUND: There is a paucity of data concerning the safety and efficacy of surgical education for neurosurgical residents in the evacuation of chronic subdural hematomas (cSDH) by burr hole trepanation. METHODS: This is a retrospective analysis of prospectively collected data on consecutive patients receiving burr hole trepanation for uni- or bilateral cSDH. Patients operated by a supervised neurosurgery resident (teaching cases) were compared to patients operated by a board-certified faculty neurosurgeon (BCFN; non-teaching cases)...
January 8, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29308971/knowledge-attitudes-and-practices-kap-toward-seasonal-influenza-vaccine-among-young-workers-in-south-china
#7
Yu Ma, Tiegang Li, Wanqi Chen, Jiandong Chen, Meixia Li, Zhicong Yang
BACKGROUND: Vaccination against seasonal influenza is usually very protective. However, coverage in service workers is low due to the large population density and high turnover. The aim of this study was to document the knowledge, attitudes and practices towards the influenza vaccine among young service workers. METHODS: A face-to-face interview and questionnaire were administered at the Guangzhou Center for Disease Control and Prevention (GZCDC) clinic. The questionnaires were analyzed to evaluate knowledge, attitudes and willingness to vaccinate in the service industry population...
January 8, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29308955/a-qualitative-study-of-clinical-reasoning-in-physiotherapy-with-preterm-infants-and-their-parents-action-and-interaction
#8
Ragnhild B Håkstad, Aud Obstfelder, Gunn Kristin Øberg
BACKGROUND: Physiotherapists (PTs) in primary health care provide services to preterm infants and their parents after hospital discharge. The service should be collaborative and individualized to meet the family's needs. In this study, we analyze pediatric PTs' collaborative work in the clinical setting and investigate the PTs' emerging clinical reasoning (CR) in interaction with the infant and parent(s). METHODS: The study is based on observations of 20 physical therapy sessions and 20 interviews with PTs...
January 8, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29307208/implementation-issues-relevant-to-outpatient-neurology-palliative-care
#9
Benzi M Kluger, Michael J Persenaire, Samantha K Holden, Laura T Palmer, Hannah Redwine, Julie Berk, C Alan Anderson, Christopher M Filley, Jean Kutner, Janis Miyasaki, Julie Carter
BACKGROUND: There is growing interest in the application of palliative care principles to improve care for patients and families affected by neurologic diseases. We developed an interdisciplinary outpatient clinic for patients and families affected by neurologic disorders to better address the problems faced by our highest need patients. We have developed and improved this program over the past three years and share several of our most important lessons as well as ongoing challenges and areas where we see our clinic evolving in the future...
November 29, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29306102/development-and-psychometric-testing-of-a-clinical-reasoning-evaluation-simulation-tool-crest-for-assessing-nursing-students-abilities-to-recognize-and-respond-to-clinical-deterioration
#10
Sok Ying Liaw, Ahtherai Rashasegaran, Lai Fun Wong, Christopher Charles Deneen, Simon Cooper, Tracy Levett-Jones, Hongli Sam Goh, Jeanette Ignacio
BACKGROUND: The development of clinical reasoning skills in recognising and responding to clinical deterioration is essential in pre-registration nursing education. Simulation has been increasingly used by educators to develop this skill. OBJECTIVE: To develop and evaluate the psychometric properties of a Clinical Reasoning Evaluation Simulation Tool (CREST) for measuring clinical reasoning skills in recognising and responding to clinical deterioration in a simulated environment...
December 12, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29306100/nursing-students-perceptions-of-a-video-based-serious-game-s-educational-value-a-pilot-study
#11
Hege M Johnsen, Mariann Fossum, Pirashanthie Vivekananda-Schmidt, Ann Fruhling, Åshild Slettebø
BACKGROUND: Despite an increasing number of serious games (SGs) in nursing education, few evaluation studies specifically address their educational value in terms of face, content, and construct validity. OBJECTIVES: To assess nursing students' perceptions of a video-based SG in terms of face, content, and construct validity. In addition, the study assessed perceptions of usability, individual factors, and preferences regarding future use. DESIGN: A pilot study was conducted...
December 28, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29304840/factors-influencing-adherence-to-tuberculosis-treatment-in-asmara-eritrea-a-qualitative-study
#12
Frezghi Hidray Gebreweld, Meron Mehari Kifle, Fitusm Eyob Gebremicheal, Leban Lebahati Simel, Meron Mebrahtu Gezae, Shewit Sibhatu Ghebreyesus, Yordanos Tesfamariam Mengsteab, Nebiat Ghirmay Wahd
BACKGROUND: Non-adherence to tuberculosis (TB) treatment is an important barrier for TB prevention and control. Poor adherence may result in prolonged disease infectiousness, drug resistance, relapse and death. The aim of this study was to assess factors influencing adherence to tuberculosis treatment in selected health facilities in Asmara, Eritrea. METHODS: A qualitative study which included in-depth interviews with 12 TB patients, three focus group discussions in selected health facilities in which one group comprised eight patients and key informant interviews with three health workers...
January 5, 2018: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29304831/randomized-controlled-pilot-study-of-an-educational-video-plus-telecare-for-the-early-outpatient-management-of-musculoskeletal-pain-among-older-emergency-department-patients
#13
Timothy F Platts-Mills, Allison G Hollowell, Gary F Burke, Sheryl Zimmerman, Joseph A Dayaa, Benjamin R Quigley, Montika Bush, Morris Weinberger, Mark A Weaver
BACKGROUND: Musculoskeletal pain is a common reason for emergency department (ED) visits. Following discharge from the ED, patients, particularly older patients, often have difficulty controlling their pain and managing analgesic side effects. We conducted a pilot study of an educational video about pain management with and without follow-up telephone support for older adults presenting to the ED with musculoskeletal pain. METHODS: ED patients aged 50 years and older with musculoskeletal pain were randomized to: (1) usual care, (2) a brief educational video only, or (3) a brief educational video plus a protocol-guided follow-up telephone call from a physician 48-72 hours after discharge (telecare)...
January 5, 2018: Trials
https://www.readbyqxmd.com/read/29302553/breastfeeding-practice-and-knowledge-among-women-attending-primary-health-care-centers-in-riyadh-2016
#14
Norah Faleh Al-Mutairi, Yousef Abdullah Al-Omran, P J Parameaswari
Introduction: Breast milk is the best natural essential nutrition to newborns and infants. However, the practice of breastfeeding (BF) has declined in Saudi Arabia. Objective: The objective of this study was to assess the knowledge and practice of BF with their determinants among mothers in Riyadh. Materials and Methods: In this cross-sectional study, 252 mothers attending the well-baby clinics in Riyadh from March 2016 to May 2017 were selected randomly with their consent and studied by a standardized questionnaire...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29300683/innovations-in-adult-influenza-vaccination-in-china-2014-2015-leveraging-a-chronic-disease-management-system-in-a-community-based-intervention
#15
Bo Yi, Suizan Zhou, Ying Song, Enfu Chen, Xuyin Lao, Jian Cai, Carolyn M Greene, Luzhao Feng, Jiandong Zheng, Hongjie Yu, Hongjun Dong
OBJECTIVES: To evaluate a community-based intervention that leveraged the non-communicable disease management system to increase seasonal influenza vaccination coverage among older adults in Ningbo, China. METHODS: From October 2014 - March 2015, we piloted the following on one street in Ningbo, China: educating community healthcare workers (C-HCWs) about influenza and vaccination; requiring C-HCWs to recommend influenza vaccination to older adults during routine chronic disease follow-up; and opening 14 additional temporary vaccination clinics...
January 4, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29289636/development-and-validation-of-dutch-version-of-lasater-clinical-judgment-rubric-in-hospital-practice-an-instrument-design-study
#16
Jettie Vreugdenhil, Bea Spek
BACKGROUND: Clinical reasoning in patient care is a skill that cannot be observed directly. So far, no reliable, valid instrument exists for the assessment of nursing students' clinical reasoning skills in hospital practice. Lasater's clinical judgment rubric (LCJR), based on Tanner's model "Thinking like a nurse" has been tested, mainly in academic simulation settings. OBJECTIVES: The aim is to develop a Dutch version of the LCJR (D-LCJR) and to test its psychometric properties when used in a hospital traineeship context...
December 23, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29285857/update-on-research-and-application-of-problem-based-learning-in-medical-science-education
#17
Chuifeng Fan, Biying Jiang, Xiuying Shi, Enhua Wang, Qingchang Li
Problem-based learning (PBL) is a unique form of pedagogy dedicated to developing students' self-learning and clinical practice skills. After several decades of development, although applications vary, PBL has been recognized all over the world and implemented by many medical schools. This review summarizes and updates the application and study of PBL in medical education through the literature published between 1993 and early 2017. It focuses on understanding real medical PBL courses and ways to improve PBL to achieve better learning outcomes...
December 29, 2017: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/29284026/a-monte-carlo-simulation-approach-for-estimating-the-health-and-economic-impact-of-interventions-provided-at-a-student-run-clinic
#18
Daniel J Arenas, Lanair A Lett, Heather Klusaritz, Anne M Teitelman
BACKGROUND: Student Run Clinics (SRCs) are a common aspect of medical education, present at more than half of US medical schools, and noted for providing care to communities that might otherwise lack access, including the uninsured and underinsured. To date, few studies have rigorously quantified the health and economic benefits of SRCs, and the present study remedies that. METHODS AND FINDINGS: We used Monte Carlo simulations to estimate the health impact of common preventive health interventions applied to individuals in quality-adjusted life-years (QALYs)...
2017: PloS One
https://www.readbyqxmd.com/read/29282069/health-system-s-response-for-physician-workforce-shortages-and-the-upcoming-crisis-in-ethiopia-a-grounded-theory-research
#19
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew
BACKGROUND: A rapid transition from severe physician workforce shortage to massive production to ensure the physician workforce demand puts the Ethiopian health care system in a variety of challenges. Therefore, this study discovered how the health system response for physician workforce shortage using the so-called flooding strategy was viewed by different stakeholders. METHODS: The study adopted the grounded theory research approach to explore the causes, contexts, and consequences (at the present, in the short and long term) of massive medical student admission to the medical schools on patient care, medical education workforce, and medical students...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29280755/using-relational-reasoning-strategies-to-help-improve-clinical-reasoning-practice
#20
Denis Dumas, Dario M Torre, Steven J Durning
Clinical reasoning-the steps up to and including establishing a diagnosis and/or therapy-is a fundamentally important mental process for physicians. Unfortunately, mounting evidence suggests that errors in clinical reasoning lead to substantial problems for medical professionals and patients alike, including suboptimal care, malpractice claims, and rising health care costs. For this reason, cognitive strategies by which clinical reasoning may be improved-and that many expert clinicians are already utilizing-are highly relevant for all medical professionals, educators, and learners...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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