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Narrative competence

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https://www.readbyqxmd.com/read/29198730/designing-a-randomized-controlled-trial-to-evaluate-a-community-based-narrative-intervention-for-improving-colorectal-cancer-screening-for-african-americans
#1
Erin M Ellis, Deborah O Erwin, Lina Jandorf, Frances Saad-Harfouche, Pathu Sriphanlop, Nikia Clark, Cassandre Dauphin, Detric Johnson, Lynne B Klasko-Foster, Clarissa Martinez, Jamilia Sly, Drusilla White, Gary Winkel, Marc T Kiviniemi
OBJECTIVE: To describe the methodology of a 2-arm randomized controlled trial that compared the effects of a narrative and didactic version of the Witness CARES (Community Awareness, Reach, & Empowerment for Screening) intervention on colorectal cancer screening behavior among African Americans, as well as the cognitive and affective determinants of screening. METHODS: Witness CARES targeted cognitive and affective predictors of screening using a culturally competent, community-based, narrative or didactic communication approach...
November 30, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29190140/validity-evidence-for-a-residency-admissions-standardized-assessment-letter-for-pediatrics
#2
Nadia M Bajwa, Rachel Yudkowsky, Dominique Belli, Nu Viet Vu, Yoon Soo Park
Construct: This study aims to provide validity evidence for the standardized Assessment Letter for Pediatrics as a measure of competencies expected of a 1st-year pediatrics resident as part of a pediatric residency admissions process. BACKGROUND: The Narrative Letter of Recommendation is a frequently used tool in the residency admissions process even though it has poor interrater reliability, lacks pertinent content, and does not correlate with residency performance. A newer tool, the Standardized Letter, has shown validity evidence for content and interrater reliability in other specialties...
November 30, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29189702/nurse-training-in-self-management-of-patients-with-cardiovascular-diseases-a-multicentre-observational-study
#3
Rachele La Sala, Rita Bruna Dicembrino, Simona Dall'Argine, Monica Baiguera, Lorena Gazzotti, Elena Gubin, Alessia Rondini, Ilaria Mamei
BACKGROUND AND AIM: The therapeutic education and self-management carried out by nurses, are winning elements in cardiovascular secondary prevention, but because they are complex matters, they require special training by the professionals. The target of the study has been to assess the effects in clinical practice of a training program for nurses in the management of patients with cardiovascular diseases, leaning towards a self-oriented patient management and therapeutic patient education...
November 30, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29165022/the-behavioral-health-role-in-nursing-facility-social-work
#4
Dennis R Myers, Robin K Rogers, Harold H LeCrone, Katherine Kelley
Types of compromised resident behaviors licensed nursing facility social workers encounter, the behavioral health role they enact, and effective practices they apply have not been the subject of systematic investigation. Analyses of 20 in-depth interviews with Bachelor of Social Work (BSW)/Master of Social Work (MSW) social workers averaging 8.8 years of experience identified frequently occurring resident behaviors: physical and verbal aggression/disruption, passive disruption, socially and sexually inappropriateness...
September 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29161137/pragmatic-competence-of-children-with-autism-spectrum-disorder-impact-of-theory-of-mind-verbal-working-memory-adhd-symptoms-and-structural-language
#5
Inmaculada Baixauli-Fortea, Ana Miranda Casas, Carmen Berenguer-Forner, Carla Colomer-Diago, Belén Roselló-Miranda
The primary aim of this study is to increase the existing knowledge about the pragmatic skills of children with autism spectrum disorders (ASD). Specifically, the study has two objectives. The first is to provide a profile of characteristics based on The Children's Communication Checklist (CCC-2) pragmatics scales (inappropriate initiation, stereotyped language, use of context, nonverbal communication, and general pragmatics) and narrative task indicators. To this end, children with ASD will be compared to children with typical development (TD), controlling the effects of sex and structural language (speech, syntax, semantics, coherence)...
November 21, 2017: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/29159842/struggle-and-failure-on-clinical-placement-a-critical-narrative-review
#6
REVIEW
Rachel Davenport, Sally Hewat, Alison Ferguson, Sue McAllister, Michelle Lincoln
BACKGROUND: Clinical placements are crucial to the development of skills and competencies in speech-language pathology (SLP) education and, more generally, a requirement of all health professional training programmes. Literature from medical education provides a context for understanding how the environment can be vital to all students' learning. Given the increasing costs of education and demands on health services, students who struggle or fail on clinical placement place an additional burden on educators...
November 21, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29157761/competence-assessment-instruments-in-perianesthesia-nursing-care-a-scoping-review-of-the-literature
#7
Yunsuk Jeon, Riitta-Liisa Lakanmaa, Riitta Meretoja, Helena Leino-Kilpi
PURPOSE: To identify competence assessment instruments in perianesthesia nursing care and to describe the validity and reliability of the instruments. DESIGN: A scoping review in a systematic manner. METHODS: A search in CINAHL, MEDLINE, and ERIC was carried out to identify empirical studies from 1994 to 2015. A narrative synthesis approach was undertaken to analyze the data. FINDINGS: Nine competence assessment instruments in perianesthesia nursing care were identified...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29154509/technology-assisted-rehabilitation-interventions-following-pediatric-brain-injury
#8
Shari L Wade, Megan E Narad, Emily L Shultz, Brad G Kurowski, Aimee E Miley, Jessica M Aguilar, Anna-Lynne R Adlam
INTRODUCTION: Following traumatic brain injury (TBI), children experience a variety of physical, motor, speech, and cognitive deficits that can have a long-term detrimental impact. The emergence and popularity of new technologies has led to research into the development of various apps, gaming systems, websites, and robotics that might be applied to rehabilitation. The objective of this narrative review was to describe the current literature technologically-assisted interventions for the rehabilitation of motor, neurocognitive, behavioral, and family impairments following pediatric TBI...
November 20, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/29139190/a-man-before-his-time-russell-s-insights-into-nicotine-smoking-treatment-and-curbing-the-smoking-problem
#9
Ann McNeill, Debbie Robson
BACKGROUND AND AIMS: This narrative review aimed to provide a brief overview of five key research 'classics' produced by the innovative and radical thought leader, Professor Michael Anthony Hamilton Russell (1932-2009), drawing upon his other work wherever feasible. METHODS: Narrative review. From more than 250 publications, we selected papers we considered seminal texts, published in 1971, 1976, 1978, 1979 and 1991. RESULTS: Russell was among the first researchers to explain that smoking was a dependence disorder caused by the drug nicotine decades before this was recognized formally...
November 15, 2017: Addiction
https://www.readbyqxmd.com/read/29135378/same-sex-parenting-identification-of-social-representations-in-a-sample-of-portuguese-professionals
#10
Paula Xavier, Isabel Alberto, Francisco Mendes
Although international scientific research and the position of professional associations reiterate that the parents' sexual orientation is not a criterion of parenting quality, the social recognition of same-sex parenting remains difficult in Portugal. Given the importance of forensic issues in this field, this study aims to identify the representations of psychologists, social workers, lawyers/attorneys, and judges regarding same-sex parenting. The study involves five homogeneous focus groups with a total of 19 professionals...
November 14, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/29135364/mothers-neural-and-behavioral-responses-to-their-infants-distress-cues-the-role-of-secure-base-script-knowledge
#11
Ashley M Groh, Katherine C Haydon
This research examined mothers' secure base script knowledge-reflected in the ability to generate narratives in which attachment-relevant problems are recognized, competent help is offered, and problems are resolved-and its significance for early-stage processing of infants' distress cues, using event-related potentials in an emotion oddball task. Mothers with lower secure base script knowledge exhibited (a) a heightened P3b response-reflective of greater allocation of cognitive resources-to their infants' distressed (but not happy) target facial expressions; (b) a larger P3b response to their infants' distressed (compared with happy) target facial expressions, which is indicative of allocating disproportional attentional resources to processing their infants' distress; and (c) poorer accuracy in identifying their infants' distressed target facial expressions...
November 1, 2017: Psychological Science
https://www.readbyqxmd.com/read/29119582/emotions-and-assessment-considerations-for-rater-based-judgements-of-entrustment
#12
Carlos Gomez-Garibello, Meredith Young
CONTEXT: Assessment is subject to increasing scrutiny as medical education transitions towards a competency-based medical education (CBME) model. Traditional perspectives on the roles of assessment emphasise high-stakes, summative assessment, whereas CBME argues for formative assessment. Revisiting conceptualisations about the roles and formats of assessment in medical education provides opportunities to examine understandings and expectations of the assessment of learners. The act of the rater generating scores might be considered as an exclusively cognitive exercise; however, current literature has drawn attention to the notion of raters as measurement instruments, thereby attributing additional factors to their decision-making processes, such as social considerations and intuition...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29116978/-you-re-not-trying-to-save-somebody-from-death-learning-as-becoming-in-palliative-care
#13
Frances Kilbertus, Rola Ajjawi, Douglas B Archibald
PURPOSE: Learning can be conceptualized as a process of "becoming," considering individuals, workplace participation, and professional identity formation. How postgraduate trainees learn palliative care, encompassing technical competence, compassion, and empathy, is not well understood or explained by common conceptualizations of learning as "acquisition" and "participation." Learning palliative care, a practice that has been described as a cultural shift in medicine challenging the traditional role of curing and healing, provided the context to explore learning as "becoming...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29116977/the-evolving-purposes-of-medical-revalidation-in-the-united-kingdom-a-qualitative-study-of-professional-and-regulatory-narratives
#14
Abigail Tazzyman, Jane Ferguson, Kieran Walshe, Alan Boyd, John Tredinnick-Rowe, Charlotte Hillier, Samantha Regan De Bere, Julian Archer
PURPOSE: Previous research found professionalism and regulation to be competing discourses when plans for medical revalidation in the United Kingdom were being developed in 2011. The purpose of this study was to explore how these competing discourses developed and how the perceived purposes of revalidation evolved as the policy was implemented. METHOD: Seventy-one interviews with 60 UK policy makers and senior health care leaders were conducted during the development and implementation of revalidation: 31 in 2011, 26 in 2013, and 14 in 2015...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29097906/reflections-of-a-community-based-participatory-researcher-from-the-intersection-of-disability-advocacy-engineering-and-the-academy
#15
Dora M Raymaker
This article uses an evocative autoethnographic approach to explore the experience of being an insider-researcher in a community-based participatory research setting. Taking a holistic perspective and using the form of narrative story-telling, I examine the dynamics between the typically marginalizing (but sometimes empowering) experience of being an autistic woman and the typically privileging (but sometimes oppressive) experience of being an engineering professional, during a time of career upheaval. Themes of motivations and mentors, adversity from social services and the academy, belonging, the slipperiness of intersectional positioning, feedback cycles of opportunity, dichotomies of competence and inadequacy, heightened stakes, and power and resistance are explored through the narrative...
September 2017: Action Research
https://www.readbyqxmd.com/read/29075375/gender-differences-in-attending-physicians-feedback-to-residents-a-qualitative-analysis
#16
Anna S Mueller, Tania M Jenkins, Melissa Osborne, Arjun Dayal, Daniel M O'Connor, Vineet M Arora
BACKGROUND : Prior research has shown a gender gap in the evaluations of emergency medicine (EM) residents' competency on the Accreditation Council for Graduate Medical Education (ACGME) milestones, yet the practical implications of this are not fully understood. OBJECTIVE : To better understand the gender gap in evaluations, we examined qualitative differences in the feedback that male and female residents received from attending physicians. METHODS : This study used a longitudinal qualitative content analysis of narrative comments by attending physicians during real-time direct observation milestone evaluations of residents...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29069451/poor-recovery-of-households-from-out-of-pocket-payment-for-assisted-reproductive-technology
#17
Silke J Dyer, Latiefa Vinoos, John E Ataguba
STUDY QUESTION: How do households recover financially from direct out-of-pocket payment for government subsidized ART? SUMMARY ANSWER: After a mean of 3.8 years, there was poor recovery from initiated financial coping strategies with the poorest households being disproportionatley affected. WHAT IS KNOWN ALREADY: Out-of-pocket payment for health services can create financial burdens for households and inequities in access to care. A previous study conducted at a public-academic institution in South Africa documented that patient co-payment for one cycle of ART resulted in catastrophic expenditure for one in five households, and more frequently among the poorest, requiring diverse financial coping strategies to offset costs...
October 21, 2017: Human Reproduction
https://www.readbyqxmd.com/read/29067515/-the-longest-way-round-is-the-shortest-way-home-an-overhaul-of-surgical-ward-rounds
#18
REVIEW
Kunal Shetty, Stephanie Xiu Wern Poo, Kumuthan Sriskandarajah, Michail Sideris, George Malietzis, Ara Darzi, Thanos Athanasiou
BACKGROUND: Ward rounds, a keystone of hospital surgical practice, have recently been under the spotlight. Poor-quality ward rounds can lead to a greater number of adverse events, thereby cascading to an increased financial strain on our already burdened healthcare systems. Faced with mounting pressures from both outside and inside health organizations, concerted efforts are required to restore it back into prominence where it can no longer take a backseat to the other duties of a surgeon...
October 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29065745/response-to-comment-on-essential-competencies-in-global-health-research-for-medical-trainees-a-narrative-review
#19
Mary T White, Caley A Satterfield, Jason T Blackard
No abstract text is available yet for this article.
October 24, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29065319/nurses-experiences-of-managing-patient-deterioration-following-a-post-registration-education-programme-a-critical-incident-analysis-study
#20
Clare Butler
The aim of this study was to explore nurses' experiences assessing and managing deteriorating patients in practice following completion of a relevant post-registration education programme. Recognising the increasing acuity of ward patients, nurses are faced with patients who are at an increased risk of deterioration. Patients who are acutely ill or deteriorating often exhibit periods of physiological deterioration; however there is evidence illustrating that these clinical changes are frequently missed, misinterpreted or mismanaged in practice...
October 13, 2017: Nurse Education in Practice
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