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https://www.readbyqxmd.com/read/28333568/the-nature-of-competition-in-dietetics-education-a-narrative-review
#1
Jillian Ruhl, Daphne Lordly
The impact on student development associated with being part of a competitive program is an emerging finding in dietetics research. As such, a narrative review of relevant literature was conducted pertaining to competition in post-secondary programs and the educational experience of students with respect to developing a career in dietetics. The review was guided by 2 questions: How is competition experienced by students? What strategies can reduce competition among dietetics students within the educational experience? A refined literature screening process justified including 32 articles in the review...
March 23, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28327136/perceptions-of-interprofessional-collaboration-of-general-practitioners-and-community-pharmacists-a-qualitative-study
#2
Christin Löffler, Carolin Koudmani, Femke Böhmer, Susanne D Paschka, Jennifer Höck, Eva Drewelow, Martin Stremme, Bernd Stahlhacke, Attila Altiner
BACKGROUND: Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists' and general practitioners' views on barriers to interprofessional collaboration in the German health care system...
March 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28325120/hydrosalpinx-tubal-surgery-or-in-vitro-fertilisation-an-everlasting-dilemma-nowadays-a-narrative-review
#3
A Daniilidis, D Balaouras, D Chitzios, T Theodoridis, E Assimakopoulos
The decision on how to treat tubal diseases, specifically hydrosalpinx, is a difficult one. Ιt involves surgical, medical, social, emotional and economic factors. This narrative review aims to increase awareness of tubal disease diagnosis and treatment, to compare between tubal surgery and in vitro fertilisation (IVF) for tubal factor infertility, and to investigate the effect of the combination of both. This way, we can be more effective, safe and provide our patients with better treatment results. The review analysed randomised studies, trials and meta-analysis, which give new aspects on the treatment methods for tubal pathology before IVF...
March 21, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28323612/from-particularities-to-context-refining-our-thinking-on-illness-narratives
#4
Annie Le, Kara Miller, Juliet McMullin
This paper examines how illness narratives are used in medical education and their implications for clinicians' thinking and care of patients. Ideally, collecting and reading illness narratives can enhance clinicians' sensitivity and contextual thinking. And yet these narratives have become part of institutionalizing cultural competency requirements in ways that tend to favor standardization. Stereotyping and reductionistic thinking can result from these pedagogic approaches and obscure structural inequities...
March 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28295948/nurses-experiences-of-delivering-care-in-acute-inpatient-mental-health-settings-a-narrative-synthesis-of-the-literature
#5
REVIEW
Marianne Wyder, Carolyn Ehrlich, David Crompton, Leianne McArthur, Caroline Delaforce, Fiona Dziopa, Shulamit Ramon, Elizabeth Powell
Inpatient psychiatric care requires a balance between working with consumers' priorities and goals, managing expectations of the community, legal, professional and service responsibilities. In order to improve service delivery within acute mental health units, it is important to understand the constraints and facilitating factors for good care. We conducted a systematic narrative synthesis, where findings of qualitative studies are synthesised to generate new insights. 21 articles were identified. Our results show that personal qualities, professional skills as well as environmental factors all influence the ability to provide recovery focused care...
March 14, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28263724/resilience-in-mothers-of-very-low-birth-weight-infants-hospitalized-in-the-nicu
#6
Beverly Rossman, Michelle M Greene, Amanda L Kratovil, Paula P Meier
OBJECTIVE: To develop the theme of Resilience of mothers of very-low-birth-weight infants in the NICU from a qualitative study on maternal role attainment. DESIGN: Secondary analysis using retrospective interpretation, that is, the further development and refinement of content related to resilience that was identified in the original data. SETTING: A tertiary NICU in Chicago. PARTICIPANTS: Twenty-three English-speaking, predominantly single (74%), minority (Black [57%], Hispanic [17%]), low-income (78%), primiparous (78%) mothers of very-low-birth-weight infants...
March 2, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28262974/when-research-unravels-one-community-psychologist-s-tale-of-becoming-a-nepantlera
#7
Janelle M Silva
This is an autoethnography of one community psychologist's reflections on the abrupt conclusion of a project that resulted in the dismantlement of a Latinx Student Union at a public middle school in the Pacific Northwest. Gloria Anzaldúa's (Borderlands/La Frontera: The new mestiza, Aunt Lute Books, San Francisco, 2002) notion of nepantla is used to situate how an individual's personal identities often intersects with their professional identities in ways that collide within the research environment. Drawing on the "heart work" core competencies within the field of community psychology (The Community Psychologist, 45, 2012, 8; American Journal of Community Psychology, 55, 2015, 266) and extending the dialogue of feminist community psychologists engaged in narrative work (American Journal of Community Psychology, 37, 2006, 157; American Journal of Community Psychology, 37, 2006, 267; Feminist research practice: A primer, Sage, Los Angeles, 2014; American Journal of Community Psychology, 28, 2000, 883), the author addresses why it is important for researchers of Color engaged in community collaborations to reflect on projects that have unraveled to understand how their positionality shifts within social contexts...
March 6, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28237049/treatment-motivation-among-caregivers-and-adolescents-with-substance-use-disorders
#8
T Cornelius, V A Earnshaw, D Menino, L M Bogart, S Levy
Substance use disorders (SUDs) in adolescence have negative long-term health effects, which can be mitigated through successful treatment. Caregivers play a central role in adolescent treatment involvement; however, studies have not examined treatment motivation and pressures to enter treatment in caregiver/adolescent dyads. Research suggests that internally motivated treatment (in contrast to coerced treatment) tends to lead to better outcomes. We used Self-determination theory (SDT) to examine intersecting motivational narratives among caregivers and adolescents in SUD treatment...
April 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28169576/applying-the-integrated-behavior-change-model-to-understanding-physical-activity-among-older-adults-a-qualitative-study
#9
Urska Arnautovska, Frances O'Callaghan, Kyra Hamilton
We explored older adults' experiences of physical activity (PA) and related decision-making processes underlying PA. Twenty Australians (Mage= 73.8 years) participated in semi-structured interviews. Data were analyzed using thematic analysis and identified themes were matched deductively within motivational, volitional, and implicit processes of the integrated behavior change model for PA. Motivational influences such as participants' time orientation towards health and perceptions of what PA should be like were frequently featured in participants' narratives...
February 7, 2017: Journal of Sport & Exercise Psychology
https://www.readbyqxmd.com/read/28157420/taking-care-bringing-life-a-post-structuralist-feminist-analysis-of-maternal-discourses-of-mothers-and-dais-in-india
#10
Vinita Agarwal
My post-structuralist feminist reading of the antenatal and birthing practices of women (N = 25) living in a basti in India makes visible how the meanings of maternal experiences constituted as our ways open discursive spaces for the mothers and dais as procreators to: challenge (i.e., question the authority of), co-opt (i.e., conditionally adopt), and judge (i.e., employ sanctioned criteria to regulate) competing knowledge production forms. In critiquing maternal knowledge as feminist discourse, the women's strategies contribute theoretically to an integrative construction of care by reclaiming displaced knowledge discourses and diversity in meaning production...
February 3, 2017: Health Communication
https://www.readbyqxmd.com/read/28140707/preparing-for-practice-nursing-intern-and-faculty-perceptions-on-clinical-experiences
#11
Hanan AlThiga, Sharifah Mohidin, Yoon Soo Park, Ara Tekian
PURPOSE: Clinical experience and exposure to real patients are required elements of nursing education. Trainees in nursing are expected to be prepared adequately for the hard-working environment, increasing patient complexity, and higher-level competencies. This study investigates differences between nursing interns and clinical faculty on actual and perceived importance of educational preparation and development of clinical competencies, focusing on the nursing curriculum and transition to practice...
January 31, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28116565/pulling-together-and-pulling-apart-influences-of-convergence-and-divergence-on-distributed-healthcare-teams
#12
L Lingard, C Sue-Chue-Lam, G R Tait, J Bates, J Shadd, V Schulz
Effective healthcare requires both competent individuals and competent teams. With this recognition, health professions education is grappling with how to factor team competence into training and assessment strategies. These efforts are impeded, however, by the absence of a sophisticated understanding of the the relationship between competent individuals and competent teams . Using data from a constructivist grounded theory study of team-based healthcare for patients with advanced heart failure, this paper explores the relationship between individual team members' perceived goals, understandings, values and routines and the collective competence of the team...
January 23, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28110113/a-photo-voice-perspective-on-factors-contributing-to-the-resilience-of-hiv-positive-yoruba-adolescent-girls-in-nigeria
#13
Catherine O Adegoke, Miemsie G Steyn
There is a growing discourse worldwide on the impact of the Human Immunodeficiency Virus (HIV) on "at risk youths". In response, five HIV-positive Nigerian adolescent girls were qualitatively investigated in collaboration with a non-governmental organisation (NGO) in Ibadan, an urban settlement in Nigeria in 2013. Using a secondary data analysis from a photo voice component of the research, combined with narratives, we show that participants possess the capacity to overcome their adversities from the effects of HIV infection and remain resilient...
April 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28106594/big-data-and-nursing-implications-for-the-future
#14
Maxim Topaz, Lisiane Pruinelli
Big data is becoming increasingly more prevalent and it affects the way nurses learn, practice, conduct research and develop policy. The discipline of nursing needs to maximize the benefits of big data to advance the vision of promoting human health and wellbeing. However, current practicing nurses, educators and nurse scientists often lack the required skills and competencies necessary for meaningful use of big data. Some of the key skills for further development include the ability to mine narrative and structured data for new care or outcome patterns, effective data visualization techniques, and further integration of nursing sensitive data into artificial intelligence systems for better clinical decision support...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28095705/what-s-the-story-a-computational-analysis-of-narrative-competence-in-autism
#15
Michelle Lee, Gary E Martin, Abigail Hogan, Deanna Hano, Peter C Gordon, Molly Losh
Individuals with autism spectrum disorder demonstrate narrative (i.e. storytelling) difficulties which can significantly impact their ability to form and maintain social relationships. However, existing research has not comprehensively documented these impairments in more open-ended, emotionally evocative situations common to daily interactions. Computational linguistic measures offer a promising complement to traditional hand-coding methods of narrative analysis and in this study were applied together with hand coding of narratives elicited with emotionally salient scenes from the Thematic Apperception Test...
January 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28087554/how-prepared-are-uk-medical-graduates-for-practice-a-rapid-review-of-the-literature-2009-2014
#16
Lynn V Monrouxe, Lisa Grundy, Mala Mann, Zoe John, Eleni Panagoulas, Alison Bullock, Karen Mattick
OBJECTIVE: To understand how prepared UK medical graduates are for practice and the effectiveness of workplace transition interventions. DESIGN: A rapid review of the literature (registration #CRD42013005305). DATA SOURCES: Nine major databases (and key websites) were searched in two timeframes (July-September 2013; updated May-June 2014): CINAHL, Embase, Educational Resources Information Centre, Health Management Information Consortium, MEDLINE, MEDLINE in Process, PsycINFO, Scopus and Web of Knowledge...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28079419/what-do-we-know-about-emotional-labour-in-nursing-a-narrative-review
#17
Sondra Badolamenti, Alessandro Sili, Rosario Caruso, Roberta FidaFida
Nurses have to manage their emotions and the expression of emotion to perform best care, and their behaviours pass through emotional labour (EL). However, EL seems to be an under-appreciated aspect of caring work and there is no synthetic portrait of literature about EL in the nursing profession. This review was conducted to synthesise and to critically analyse the literature in the nursing field related to EL. Twenty-seven papers were included and analysed with a narrative approach, where two main themes were found: EL strategies and EL antecedents and consequences...
January 12, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28076588/-essential-competencies-in-training-in-obstetrics
#18
Sebastião Junior Henrique Duarte, Richardson Miranda Machado
Objective: Analyze international reports related to training in obstetrics and present guidelines to help leading educational institutions to develop curriculum guidelines for the teaching of obstetrics and advanced nursing practice in this specialty. Methods: A narrative review was conducted of documents from the World Health Organization and the International Confederation of Midwives. The search used the descriptors midwifery and education. All official reports that guide midwife education policies, published from 2009 to 2015 in English and Spanish, and available online, were included...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28062944/what-pauline-doesn-t-know-using-guided-fiction-writing-to-educate-health-professionals-about-cultural-competence
#19
Lise Saffran
Research linking reading literary fiction to empathy supports health humanities programs in which reflective writing accompanies close readings of texts, both to explore principles of storytelling (narrative arc and concrete language) and to promote an examination of biases in care. Little attention has been paid to the possible contribution of guided fiction-writing in health humanities curricula toward enhancing cultural competence among health professionals, both clinical and community-based. Through an analysis of the short story "Pie Dance" by Molly Giles, juxtaposed with descriptions of specific writing exercises, this paper explains how the demands of writing fiction promote cultural competency...
January 7, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28049379/should-we-assess-clinical-performance-in-single-patient-encounters-or-consistent-behaviors-of-clinical-performance-over-a-series-of-encounters-a-qualitative-exploration-of-narrative-trainee-profiles
#20
Marjolein Oerlemans, Patrick Dielissen, Angelique Timmerman, Paul Ram, Bas Maiburg, Jean Muris, Cees van der Vleuten
BACKGROUND: A variety of tools have been developed to assess performance which typically use a single clinical encounter as a source for making competency inferences. This strategy may miss consistent behaviors. We therefore explored experienced clinical supervisors' perceptions of behavioral patterns that potentially exist in postgraduate general practice trainees expressed as narrative profiles to aid the grading of clinical performance. METHODS: We conducted semistructured interviews with clinical supervisors who had frequently observed clinical performance in trainees...
January 4, 2017: Medical Teacher
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