Read by QxMD icon Read

Narrative competence

Maurizio Koch
Microbes are mostly important for the digestion of food, the absorption of some micronutrients, and the production of vitamins. The microbiota stimulates lymphoid structures in the gastrointestinal mucosa and decrease pathogens by competing for nutrients and space. Bacterial translocation is defined as the escape of gut bacteria and their products through the intestinal mucosa to the outside of the intestine as portovenous or systemic circulation. This is induced by a leaky gut barrier. There is evidence for a role of intestinal permeability in the pathogenesis of nonalcoholic fatty liver disease...
November 2016: Journal of Clinical Gastroenterology
Kristine Zimmermann, Leslie R Carnahan, Nadine R Peacock
INTRODUCTION: Women living in rural areas in the United States experience disproportionately high rates of diseases such as obesity and heart disease and are less likely than women living in urban areas to meet daily physical activity (PA) recommendations. The purpose of our research was to understand age-specific perceptions of barriers and facilitators to rural women engaging in PA and to identify strategies to promote PA among these women. METHODS: As part of a community health assessment to learn about women's health issues, 110 adult women participated in 14 focus groups...
September 29, 2016: Preventing Chronic Disease
Jyh-Gang Hsieh, Mutsu Hsu, Ying-Wei Wang
PURPOSE: To use mini-ethnographies narrating patient illness to improve the cultural competence of the medical students. METHODS: Between September 2013 and June 2015, all sixth-year medical students doing their internship at a medical center in eastern Taiwan were trained to write mini-ethnographies for one of the patients in their care. The mini-ethnographies were analyzed by authors with focus on the various aspects of cultural sensitivity and a holistic care approach...
2016: Medical Education Online
Jeannine Millsteed, Janice Redmond, Elizabeth Walker
BACKGROUND/AIM: This study explored how occupational therapists in private practice developed the business skills needed to operate a successful private practice. The literature shows that many small-business owner-managers have poorly developed business skills, and some experience high rates of failure. This indicates that to be successful in private practice, occupational therapists need to gain mastery of management competencies in addition to their professional clinical competencies...
September 20, 2016: Australian Occupational Therapy Journal
Anita V Kusnoor, Linda A Stelljes
BACKGROUND: Interprofessional education (IPE) aims to improve patient outcomes. Interprofessional shadowing improves students' knowledge of different roles and attitudes toward other professionals. AIM: This study evaluates (1) how pre-clinical medical students describe the roles of the healthcare professionals they shadowed, and (2) whether shadowing can be used to introduce medical students to the benefits of interprofessional collaboration, and if so, in what ways...
September 20, 2016: Medical Teacher
Steven L Baumann, Margarett S Alexandre
The plight of the people of Haiti that came to the world's attention following the devastating earthquake there in 2010 has for the most part receded into the background amid other issues despite their continuing economic and health problems. The purpose of this article is to explore the experiences of the first graduate nurse students in Haiti. The program is funded and operated by a nonprofit, nongovernment nursing organization, Promoting Health in Haiti, based in New York City. A narrative was generated by doing focus groups and interviews with 10 of the students in the program...
October 2016: Nursing Science Quarterly
Marilù Giacalone, Cédrick Zaouter, Stefano Mion, Thomas M Hemmerling
The international anaesthesia community is getting older, in line with trends worldwide, and as men and women age there is the risk that psychophysiological decline could have an impact on clinical practice. Impairment of technical and nontechnical skills could have a negative impact on patients' safety and outcomes. The ageing process may not necessarily go hand-in-hand with a predictable pattern of decreased competence as not all aspects of functional decline are affected at the same rate and to the same extent...
November 2016: European Journal of Anaesthesiology
Millicent Alfred, Karolina Ubogaya, Xing Chen, Diana Wint, Priscilla Sandford Worral
BACKGROUND: Patient satisfaction is a driving force for healthcare organizations to enhance patient services. As the Asian population in the United States is increasing at a significant rate, it is important to understand the needs of this population to implement culturally focused services that will lead to increased Asian in-patient satisfaction. OBJECTIVE: The objective of the systematic review was to identify the best available evidence on the effectiveness of culturally focused interventions in increasing satisfaction of hospitalized adult Asian patients...
August 2016: JBI Database of Systematic Reviews and Implementation Reports
Oscar G Jiménez-Solomon, Pablo Méndez-Bustos, Margaret Swarbrick, Samantha Díaz, Sissy Silva, Maura Kelley, Steve Duke, Roberto Lewis-Fernández
OBJECTIVE: People with psychiatric disabilities experience substantial economic exclusion, which hinders their ability to achieve recovery and wellness. The purpose of this article is to describe a framework for a peer-supported economic empowerment intervention grounded in empirical literature and designed to enhance financial wellness. METHOD: The authors followed a 3-step process, including (a) an environmental scan of scientific literature, (b) a critical review of relevant conceptual frameworks, and (c) the design of an intervention logic framework based on (a) and (b), the programmatic experience of the authors, and input from peer providers...
September 2016: Psychiatric Rehabilitation Journal
Kathleen Mary Patchan
This commentary describes the author's experience working at two separate detention centres during her fellowship. She initially describes her experience performing forensic evaluations. The terms 'competency to stand trial' and 'criminal responsibility' are defined. It then describes the author's experience working in an inner city and suburban detention centre. The two environments and patient demographics are compared to a traditional inpatient or outpatient community setting. Fictional patient encounters, based on an amalgamation of actual patients, are discussed...
September 9, 2016: International Review of Psychiatry
David J Spielman, Adam Kennedy
Since the 1980s, many developing countries have introduced policies to promote seed industry growth and improve the delivery of modern science to farmers, often with a long-term goal of increasing agricultural productivity in smallholder farming systems. Public, private, and civil society actors involved in shaping policy designs have, in turn, developed competing narratives around how best to build an innovative and sustainable seed system, each with varying goals, values, and levels of influence. Efforts to strike a balance between these narratives have often played out in passionate discourses surrounding seed rules and regulations...
September 2016: Agricultural Systems
J Teare, M Horne, Gill Clements, M A Mohammed
AIM: To compare and contrast job descriptions for nursing roles in out-of-hours (OOH) services to obtain a general understanding of what is required for a nurse working in this job. BACKGROUND: OOH services provide nursing services to patients either through telephone or face to face contact in care centres. Many of these services are newly created giving job opportunities to nurses working in this area. It is vital that nurses know what their role entails but also that patients and other professionals know how OOH nurses function in terms of competence and clinical role...
August 17, 2016: Journal of Clinical Nursing
Rebecca Purc-Stephenson, Annelise Lyseng
BACKGROUND: Having a mother diagnosed with breast cancer can be a distressing time for a child. This review examines the impact maternal breast cancer has on the psychosocial functioning of children and what factors possibly moderate this relationship. METHODS: Using PRISMA guidelines, five electronic databases were systematically searched for published studies examining maternal breast cancer and the psychosocial functioning of children. RESULTS: A total of 15 studies contributed to the analysis...
September 2016: Cancer Treatment Reviews
Beata Dobrowolska, Alvisa Palese
Developing caring competences is considered to be one of the most important aims of undergraduate nursing education and the role of clinical placement is recognised as special in this regard. Students' reflection on caring, their experience and obstacles in being caring is recommended as a key strategy in the process of teaching and studying the nursing discipline. Therefore, the aim of this study was to describe the concept of caring, its manifestations and possible obstacles while caring, as perceived by first-year nursing students before and after their first clinical placement...
July 29, 2016: Nursing Inquiry
Eliseo Diez-Itza, Verónica Martínez, Aránzazu Antón
BACKGROUND: Williams syndrome (WS) is a genetic disorder associated with intellectual disability and characterised by displaying an atypical neuropsychological profile, with peaks and valleys, where language skills seem better preserved than non-verbal intelligence. METHOD: This study researches the narrative competence of nine Spanish-speaking adults with WS. Oral narratives were elicited from a silent film, and narrative coherence was analysed as a function of sequential order of the events narrated at three structure levels, while narrative cohesion was assessed through the frequency of use and type of discourse markers...
August 2016: Psicothema
Stefani Pfeiffer, Yuchia Chen, Duujian Tsai
PURPOSE OF REVIEW: The article reviews the most recent developments in integrating humanities into medical education. Global implications and future trends are illustrated. RECENT FINDINGS: The main concern of medical humanities education is teaching professionalism; one important aspect that has emerged is the goal of nurturing emotion through reflexivity. Relating effectively to all stakeholders and being sensitive to inequitable power dynamics are essential for professional social accountability in modern medical contexts...
September 2016: Current Opinion in Psychiatry
Yee-Shui Bernice Law, E Angela Chan
Paid employment within clinical setting, such as externships for undergraduate student, are used locally and globally to better prepare and retain new graduates for actual practice and facilitate their transition into becoming registered nurses. However, the influence of paid employment on the post-registration experience of such nurses remains unclear. Through the use of narrative inquiry, this study explores how the experience of pre-registration paid employment shapes the post-registration experience of newly graduated registered nurses...
September 2016: Nurse Education in Practice
Elizabeth A Carlson, Sarah K Ruiz
The development of adult personality disorder symptoms, including transactional processes of relationship representational and behavioral experience from infancy to early adolescence, was examined using longitudinal data from a risk sample (N = 162). Significant preliminary correlations were found between early caregiving experience and adult personality disorder symptoms and between representational and behavioral indices across time and adult symptomatology. Significant correlations were also found among diverse representational assessments (e...
August 2016: Development and Psychopathology
Dame Tina Lavender
Quality of care during labour and childbirth and in the immediate postnatal period is important in ensuring healthy maternal and newborn survival. A narrative review of existing quality frameworks in the context of evidence-based interventions for essential care demonstrates the complexities of quality of care and the domains required to provide high quality of care. The role of the care provider is pivotal to optimum care; however, providers need appropriate training and supervision, which should include assessment of core competencies...
June 25, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Laura Fitzgerald, Wendy Benzerga, Munamato Mirira, Tigistu Adamu, Tracey Shissler, Raymond Bitchong, Mandla Malaza, Makhosini Mamba, Paul Mangara, Kelly Curran, Thembisile Khumalo, Phumzile Mlambo, Emmanuel Njeuhmeli, Vusi Maziya
BACKGROUND: The government of the Kingdom of Swaziland recognizes that it must urgently scale up HIV prevention interventions, such as voluntary medical male circumcision (VMMC). Swaziland has adopted a 2-phase approach to male circumcision scale-up. The catch-up phase prioritizes VMMC services for adolescents and adults, while the sustainability phase involves the establishment of early infant male circumcision (EIMC). Swaziland does not have a modern-day tradition of circumcision, and the VMMC program has met with client demand challenges...
July 2016: Global Health, Science and Practice
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"