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Narrative competence

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https://www.readbyqxmd.com/read/29045060/competency-assessment-form-to-improve-feedback
#1
Karen E Hauer, Holly Nishimura, Diego Dubon, Arianne Teherani, Christy Boscardin
BACKGROUND: In-training evaluation reports are a commonly used assessment method for clinical learners that can characterise the development of competence in essential domains of practice. Strategies to increase the usefulness and specificity of written narrative comments about learner performance in these reports are needed to guide their learning. Soliciting narrative comments by competency domain from supervising doctors on in-training evaluation reports could improve the quality of written feedback to students...
October 18, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29030329/effect-of-a-website-that-presents-patients-experiences-on-self-efficacy-and-patient-competence-of-colorectal-cancer-patients-web-based-randomized-controlled-trial
#2
Jürgen M Giesler, Bettina Keller, Tim Repke, Rainer Leonhart, Joachim Weis, Rebecca Muckelbauer, Nina Rieckmann, Jacqueline Müller-Nordhorn, Gabriele Lucius-Hoene, Christine Holmberg
BACKGROUND: Patients often seek other patients' experiences with the disease. The Internet provides a wide range of opportunities to share and learn about other people's health and illness experiences via blogs or patient-initiated online discussion groups. There also exists a range of medical information devices that include experiential patient information. However, there are serious concerns about the use of such experiential information because narratives of others may be powerful and pervasive tools that may hinder informed decision making...
October 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29027661/negotiating-ethical-paradoxes-in-conducting-a-randomized-controlled-trial-aligning-intervention-science-with-participatory-values
#3
Shabnam Javdani, Sukhmani Singh, Corianna E Sichel
In this article, we describe ethical tensions we have faced in the context of our work as intervention scientists, where we aim to promote social justice and change systems that impact girls involved in the juvenile legal system. These ethical tensions are, at their core, about resisting collusion with systems of control while simultaneously collaborating with them. Over the course of designing and implementing a randomized controlled trial (RCT) of an ecological advocacy intervention for girls, called ROSES, ethical paradoxes crystalized and prompted us to engage in critical reflection and action toward the aim of moving away from conducting research on legal-system-involved girls and moving toward a more democratic, participatory process of inquiry with girls...
October 13, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29027040/actor-network-theory-and-the-osce-formulating-a-new-research-agenda-for-a-post-psychometric-era
#4
Margaret Bearman, Rola Ajjawi
The Objective Structured Clinical Examination (OSCE) is a ubiquitous part of medical education, although there is some debate about its value, particularly around possible impact on learning. Literature and research regarding the OSCE is most often situated within the psychometric or competency discourses of assessment. This paper describes an alternative approach: Actor-network-theory (ANT), a sociomaterial approach to understanding practice and learning. ANT provides a means to productively examine tensions and limitations of the OSCE, in part through extending research to include social relationships and physical objects...
October 12, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29023205/the-ethno-racial-segmentation-jobs-the-impacts-of-the-occupational-stereotypes-on-hiring-decisions
#5
André Ndobo, Alice Faure, Jeanne Boisselier, Stella Giannaki
This paper considers both the division of the labor market and the occupational stereotyping as explanatory mechanisms of discrimination in hiring decisions. It hypothesized that recruiters would favor candidates applying for a position that is stereotypically identified with their ethnic category. We solicited 146 recruiters in order to evaluate the hireability of either a native-born or an immigrant candidate, either competent or not competent, for either a prestigious or a low-skill occupation, and to justify their decision in writing...
October 12, 2017: Journal of Social Psychology
https://www.readbyqxmd.com/read/29020858/comment-on-essential-competencies-in-global-health-research-for-medical-trainees-a-narrative-review
#6
Roshni Mansfield, Alice Aylward
No abstract text is available yet for this article.
October 11, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28989547/teaching-mindfulness-to-teachers-a-systematic-review-and-narrative-synthesis
#7
REVIEW
Lisa-Marie Emerson, Anna Leyland, Kristian Hudson, Georgina Rowse, Pam Hanley, Siobhan Hugh-Jones
School teachers report high levels of stress which impact on their engagement with pupils and effectiveness as a teacher. Early intervention or prevention approaches may support teachers to develop positive coping and reduce the experience and impact of stress. This article reviews research on one such approach: mindfulness-based interventions (MBIs) for school teachers. A systematic review and narrative synthesis were conducted for quantitative and qualitative studies that report the effects of MBIs for teachers of children aged 5-18 years on symptoms of stress and emotion regulation and self-efficacy...
2017: Mindfulness
https://www.readbyqxmd.com/read/28987893/a-systematic-review-of-online-learning-programs-for-nurse-preceptors
#8
REVIEW
Xi Vivien Wu, Yah Shih Chan, Kimberlyn Hui Shing Tan, Wenru Wang
BACKGROUND: Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competency, and enhance problem solving skills. Managing the dual roles of a registered nurse and preceptor poses tremendous challenges to many preceptors. Online learning is recognized as an effective learning approach for enhancing nursing knowledge and skills. OBJECTIVE: The systematic review aims to review and synthesise the online learning programs for preceptors...
September 28, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28985479/mechanical-ventilation-in-adults-with-acute-respiratory-distress-syndrome-summary-of-the-experimental-evidence-for-the-clinical-practice-guideline
#9
Lorenzo Del Sorbo, Ewan Goligher, Daniel F McAuley, Gordon D Rubenfeld, Laurent J Brochard, Luciano Gattinoni, Arthur S Slutsky, Eddy Fan
RATIONALE: The ATS/ESICM/SCCM guidelines on mechanical ventilation in adult patients with acute respiratory distress syndrome provide treatment recommendations derived from a thorough analysis of the clinical evidence on six clinical interventions. However, each of the recommendations contains areas of uncertainty and controversy, which may affect their appropriate clinical application. OBJECTIVES: To provide a critical review of the experimental evidence surrounding the pathophysiology of ventilator-induced lung injury to help clinicians apply the clinical recommendations to individual patients...
October 6, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28985378/professional-competence-in-a-health-promotion-program-in-the-netherlands
#10
Caroline J M Rijkers-de Boer, Anke Heijsman, Fenna van Nes, Tineke A Abma
Health promotion for senior citizens ('seniors') is an increasingly important factor in health and welfare policy, having important implications for occupational therapy. The health promotion program 'Healthy and Active Aging' originated in the US, has been modified and adapted to the Dutch context and has been implemented in community contexts. This study aimed to generate an in-depth understanding of the Healthy and Active Aging program and to use this knowledge to inform professional practice. A naturalistic case study methodology was followed, using document analysis, observations, interviews and a group interview as data gathering methods...
July 12, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28982353/indigenous-health-designing-a-clinical-orientation-program-valued-by-learners
#11
Tania Huria, Suetonia Palmer, Lutz Beckert, Cameron Lacey, Suzanne Pitama
BACKGROUND: Indigenous health programs are seen as a curriculum response to addressing health disparities and social accountability. Several interrelated teaching approaches to cultural competency curricula have been recommended, however evidence of the impact of these on learner outcomes including engagement and self-reported competencies is limited. We aimed to explore undergraduate medical student perspectives of an indigenous health orientation program to inform curriculum strategies that promote learning and development of clinical skills...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28974172/-how-strange-is-the-patient-to-me
#12
André Karger, Heide Lindtner-Rudolph, Robert Mroczynski, Alexander Ziem, Ljiljana Joksimovic
'How strange is the patient to me?' Physicians' attitudes and expectations toward treating patients with a migration background Objectives: Undergraduate and postgraduate training in cultural competence remains a challenging issue. It might be useful to integrate culturally sensitive learning objectives in existing curricula. As part of a needs assessment, this qualitative study examined the prototypical experiences in clinical routines with patients with a migration background. METHODS: Twenty physicians took part in half-structured narrative interviews, which were then analyzed by linguistic-ethnographic conversation analysis...
September 2017: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
https://www.readbyqxmd.com/read/28973154/the-oral-narrative-comprehension-and-production-abilities-of-verbal-preschoolers-on-the-autism-spectrum
#13
Marleen F Westerveld, Jacqueline M A Roberts
Purpose: This study described the oral narrative comprehension and production skills of verbal preschool-age children on the autism spectrum and investigated correlations between oral narrative ability and norm-referenced language test performance. Method: Twenty-nine preschool-age children (aged 4;0-5;9 years;months) with autism, who obtained an age-equivalent score of at least 36 months on the expressive communication subscale of the Vineland Adaptive Behavior Scales-Second Edition (Sparrow, Cicchetti, & Balla, 2005), participated...
September 21, 2017: Language, Speech, and Hearing Services in Schools
https://www.readbyqxmd.com/read/28958986/how-the-understanding-research-evidence-web-based-video-series-from-the-national-collaborating-centre-for-methods-and-tools-contributes-to-public-health-capacity-to-practice-evidence-informed-decision-making-mixed-methods-evaluation
#14
Linda Chan, Jeannie Mackintosh, Maureen Dobbins
BACKGROUND: The National Collaborating Centre for Methods and Tools (NCCMT) offers workshops and webinars to build public health capacity for evidence-informed decision-making. Despite positive feedback for NCCMT workshops and resources, NCCMT users found key terms used in research papers difficult to understand. The Understanding Research Evidence (URE) videos use plain language, cartoon visuals, and public health examples to explain complex research concepts. The videos are posted on the NCCMT website and YouTube channel...
September 28, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28937795/using-mystery-patient-drills-to-assess-hospital-ebola-preparedness-in-new-york-city-2014-2015
#15
Mary Foote, Roshni Daver, Celia Quinn
In response to the Ebola virus disease (EVD) outbreak in West Africa, rapid measures were taken to ensure readiness at frontline New York City (NYC) healthcare facilities, including mandating monthly EVD mystery patient drills to test screening protocols. This study analyzed after-action reports to describe the use of mystery patient drills to test rapid identification and isolation of potential EVD cases in NYC emergency departments. NYC hospitals were required to develop protocols for EVD screening and isolation, and to conduct drills with an actor presenting to the emergency department with symptoms suggestive of EVD...
September 22, 2017: Health Security
https://www.readbyqxmd.com/read/28920456/child-sexual-abuse-prevention-opportunities-parenting-programs-and-the-reduction-of-risk
#16
Julia Rudolph, Melanie J Zimmer-Gembeck, Dianne C Shanley, Russell Hawkins
To date, child sexual abuse (CSA) prevention has relied largely on child-focused education, teaching children how to identify, avoid, and disclose sexual abuse. The purpose of this article is to explore how prevention opportunities can include parents in new and innovative ways. We propose that parents can play a significant role as protectors of their children via two pathways: (i) directly, through the strong external barriers afforded by parent supervision, monitoring, and involvement; and (ii) indirectly, by promoting their children's self-efficacy, competence, well-being, and self-esteem, which the balance of evidence suggests will help them become less likely targets for abuse and more able to respond appropriately and disclose abuse if it occurs...
January 1, 2017: Child Maltreatment
https://www.readbyqxmd.com/read/28910335/medical-leaders-or-masters-a-systematic-review-of-medical-leadership-in-hospital-settings
#17
REVIEW
Mathilde A Berghout, Isabelle N Fabbricotti, Martina Buljac-Samardžić, Carina G J M Hilders
Medical leadership is increasingly considered as crucial for improving the quality of care and the sustainability of healthcare. However, conceptual clarity is lacking in the literature and in practice. Therefore, a systematic review of the scientific literature was conducted to reveal the different conceptualizations of medical leadership in terms of definitions, roles and activities, and personal-and context-specific features. Eight databases were systematically searched for eligible studies, including empirical studies published in peer-reviewed journals that included physicians carrying out a manager or leadership role in a hospital setting...
2017: PloS One
https://www.readbyqxmd.com/read/28905272/what-is-a%C3%A2-good-doctor
#18
REVIEW
Verena Steiner-Hofbauer, Beate Schrank, Anita Holzinger
Changes in medical curricula have led to a shift of focus in medical education. The goal was to implement a more practical approach to teaching and thereby create better doctors. However, the question of what makes a good doctor is not easy to answer. This article gives an overview on the literature about this topic. A systematized review and narrative synthesis were conducted including 20 articles about the features of good doctors. Qualitative and quantitative studies as well as questionnaires were included...
September 13, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28890451/in-the-matter-of-stories
#19
Hilde Lindemann
This essay lays out some of the many resources that a background in literary studies has to offer bioethics. After identifying four useful characteristics of stories, it briefly discusses some kinds of moral work that stories can be put to, including countering ethically undesirable stories and modeling ethically troubling situations. Stories can be invoked in our moral reasoning, compared and parsed, and used to teach moral lessons. They can help us discern which moral concepts are operative in a specific instance...
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/28885944/the-value-of-live-tissue-training-for-combat-casualty-care-a-survey-of-canadian-combat-medics-with-battlefield-experience-in-afghanistan
#20
Michael Kim, Ian Torrie, Robert Poisson, Nicholas Withers, Stephen Bjarnason, Luis Teodoro DaLuz, Dylan Pannell, Andrew Beckett, Homer C Tien
INTRODUCTION: The optimum method for training military personnel for combat casualty care is unknown. In particular, there is debate regarding the incremental benefit of live animal tissue training (LTT) over inanimate human patient simulators (HPSs). Although both LTT and HPS are currently used for predeployment training, the efficacy of these models has not been established. MATERIALS AND METHODS: Canadian Armed Forces combat medics, deployed to Afghanistan between 2006 and 2011, were surveyed retrospectively regarding their experience with combat casualty care and predeployment training...
September 2017: Military Medicine
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