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Narrative competence

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https://www.readbyqxmd.com/read/27910108/a-day-in-the-life-of-a-m%C3%A3-ni%C3%A3-re-s-patient-understanding-the-lived-experiences-and-mental-health-impacts-of-m%C3%A3-ni%C3%A3-re-s-disease
#1
Sarah L Bell, Jessica Tyrrell, Cassandra Phoenix
Concepts of social practice are increasingly being used to understand experiences of everyday life, particularly in relation to consumption and healthy lifestyles. This article builds on this in the context of lives disrupted and reshaped by chronic illness. It uses social practice theory to examine the lived experiences of individuals with Ménière's disease; a long-term progressive vestibular disorder, defined by episodes of severe and debilitating vertigo, aural fullness, tinnitus and sensorineural hearing loss...
December 2, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27888427/taiwanese-medical-students-narratives-of-intercultural-professionalism-dilemmas-exploring-tensions-between-western-medicine-and-taiwanese-culture
#2
Ming-Jung Ho, Katherine Gosselin, Madawa Chandratilake, Lynn V Monrouxe, Charlotte E Rees
In an era of globalization, cultural competence is necessary for the provision of quality healthcare. Although this topic has been well explored in non-Western cultures within Western contexts, the authors explore how Taiwanese medical students trained in Western medicine address intercultural professionalism dilemmas related to tensions between Western medicine and Taiwanese culture. A narrative interview method was employed with 64 Taiwanese medical students to collect narratives of professionalism dilemmas...
November 26, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27883878/effect-of-the-postpartum-hospital-environment-on-the-attainment-of-mothers-and-fathers-goals
#3
Jenny Gaboury, Shalisa Capaday, Jennifer Somera, Margaret Purden
OBJECTIVE: To describe mothers' and fathers' goals in the postpartum period and how the hospital environment enables or hinders the attainment of these goals. DESIGN: A qualitative descriptive design was used to explore participants' perceptions. SETTING: Mothers and fathers were recruited on the postpartum unit of an urban hospital. PARTICIPANTS: Ten mothers and eight fathers participated. METHODS: Semistructured interviews were conducted with mothers and fathers individually...
November 21, 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/27874843/high-fidelity-simulation-experience-in-emergency-settings-doctors-and-nurses-satisfaction-levels
#4
Diletta Calamassi, Tiziana Nannelli, Andrea Guazzini, Laura Rasero, Stefano Bambi
BACKGROUND AND AIM OF THE WORK: Lots of studies describe High Fidelity Simulation (HFS) as an experience well-accepted by the learners. This study has explored doctors and nurses satisfaction levels during HFS sessions, searching the associations with the setting of simulation events (simulation center or on the field simulation). Moreover, we studied the correlation between HFS experience satisfaction levels and the socio-demographic features of the participants. METHODS: Mixed method study, using the Satisfaction of High-Fidelity Simulation Experience (SESAF) questionnaire through an online survey...
November 22, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27866323/measuring-compassion-in-healthcare-a-comprehensive-and-critical-review
#5
REVIEW
Shane Sinclair, Lara B Russell, Thomas F Hack, Jane Kondejewski, Richard Sawatzky
BACKGROUND: There is international concern about the lack of compassion in healthcare systems. A valid and reliable tool for measuring compassion in healthcare systems and educational institutions is required. This comprehensive and critical narrative synthesis identified and compared existing measures of compassionate care in clinical settings. METHODS: PubMed, MEDLINE, CINAHL and PsycINFO databases and grey literature were searched to identify studies that report information on instruments that measure compassion or compassionate care in clinicians, nurses, healthcare students and patients...
November 19, 2016: Patient
https://www.readbyqxmd.com/read/27860051/the-professional-psychiatric-mental-health-nurse-skills-competencies-and-supports-required-to-adopt-recovery-orientated-policy-in-practice
#6
E Cusack, F Killoury, L E Nugent
: WHAT IS KNOWN ON THE SUBJECT?: Nationally and internationally there has been a movement away from the traditional medical model towards a more holistic recovery-oriented approach to mental health care delivery. At every level of service provision the emphasis is firmly on recovery and on facilitating active partnership working and involvement of service users, their carers and family members. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This is the first study to identify on a national level specific areas of care that are addressed most or least by psychiatric and mental health nurses in care planning for mental health service users in Ireland...
November 18, 2016: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/27852139/the-handedness-of-historiated-spiral-columns
#7
Robert Couzin
Trajan's Column in Rome (AD 113) was the model for a modest number of other spiral columns decorated with figural, narrative imagery from antiquity to the present day. Most of these wind upwards to the right, often with a congruent spiral staircase within. A brief introductory consideration of antique screw direction in mechanical devices and fluted columns suggests that the former may have been affected by the handedness of designers and the latter by a preference for symmetry. However, for the historiated columns that are the main focus of this article, the determining factor was likely script direction...
November 17, 2016: Laterality
https://www.readbyqxmd.com/read/27846805/developing-cultural-competence-in-general-practitioners-an-integrative-review-of-the-literature
#8
Kelly Watt, Penny Abbott, Jenny Reath
BACKGROUND: Cultural competence is a broad concept with multiple theoretical underpinnings and conflicting opinions on how it should be materialized. While it is recognized that cultural competence should be an integral part of General Practice, literature in the context of General Practice is limited. The aim of this article is to provide a comprehensive summary of the current literature with respect to the following: the elements of cultural competency that need to be fostered and developed in GPs and GP registrars; how is cultural competence being developed in General Practice currently; and who facilitates the development of cultural competence in General Practice...
November 15, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27812124/factors-determining-quality-of-care-in-family-planning-services-in-africa-a-systematic-review-of-mixed-evidence
#9
Gizachew Assefa Tessema, Judith Streak Gomersall, Mohammad Afzal Mahmood, Caroline O Laurence
BACKGROUND: Improving use of family planning services is key to improving maternal health in Africa, and provision of quality of care in family planning services is critical to support higher levels of contraceptive uptake. The objective of this systematic review was to synthesize the available evidence on factors determining the quality of care in family planning services in Africa. METHODS: Quantitative and qualitative studies undertaken in Africa, published in English, in grey and commercial literature, between 1990 and 2015 were considered...
2016: PloS One
https://www.readbyqxmd.com/read/27797977/realist-synthesis-of-educational-interventions-to-improve-nutrition-care-competencies-and-delivery-by-doctors-and-other-healthcare-professionals
#10
Victor Mogre, Albert J J A Scherpbier, Fred Stevens, Paul Aryee, Mary Gemma Cherry, Tim Dornan
OBJECTIVE: To determine what, how, for whom, why, and in what circumstances educational interventions improve the delivery of nutrition care by doctors and other healthcare professionals work. DESIGN: Realist synthesis following a published protocol and reported following Realist and Meta-narrative Evidence Synthesis: Evolving Standards (RAMESES) guidelines. A multidisciplinary team searched MEDLINE, CINAHL, ERIC, EMBASE, PsyINFO, Sociological Abstracts, Web of Science, Google Scholar and Science Direct for published and unpublished (grey) literature...
October 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27766501/pharmaceutical-care-as-narrative-practice-rethinking-patient-centered-care-through-a-pharmacist-s-perspective
#11
Janine Naß, Mita Banerjee, Thomas Efferth, Anita Wohlmann
Illness is a disruptive experience that requires high-quality care. The best evidence-based medical treatment risks losing some of its efficacy, however, when patients feel misunderstood when faced with the complexity of their experiences. They might stop treatment, refuse to disclose relevant information or seek unsound alternatives. A narrative-based approach to health care understands the patient's case history as a narrative that can be read or analyzed like a story. In other words, this approach honors individual illness experiences through the stories that patients tell...
October 20, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27756168/-they-don-t-understand-that-we-also-exist-south-african-participants-in-competitive-disability-sport-and-the-politics-of-identity
#12
Leslie Swartz, Jason Bantjes, Bradley Knight, Greg Wilmot, Wayne Derman
PURPOSE: To describe how athletes with disabilities talk about their experiences of participating in competitive disability sport in South Africa. METHOD: In-depth semi-structured interviews were conducted with 20 athletes with disabilities. Data were analysed via thematic content analysis using an inductive data driven process. RESULTS: Participants described their involvement in competitive sport as a positive experience; they described it as a catalyst for the recasting of identities and reframing an understanding of physical impairment, a context for empowerment and resistance of disablist attitudes, and an arena in which a sense of inclusion and belonging is experienced...
October 19, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27741171/gut-microbiota-and-the-liver-a-tale-of-2-cities-a-narrative-view-in-2-acts
#13
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
https://www.readbyqxmd.com/read/27685431/age-associated-perceptions-of-physical-activity-facilitators-and-barriers-among-women-in-rural-southernmost-illinois
#14
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
https://www.readbyqxmd.com/read/27662824/an-anthropological-approach-to-teach-and-evaluate-cultural-competence-in-medical-students-the-application-of-mini-ethnography-in-medical-history-taking
#15
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
https://www.readbyqxmd.com/read/27651182/learning-management-by-self-employed-occupational-therapists-in-private-practice
#16
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
https://www.readbyqxmd.com/read/27647042/interprofessional-learning-through-shadowing-insights-and-lessons-learned
#17
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
https://www.readbyqxmd.com/read/27641282/graduate-nurse-education-in-haiti-lessons-taught-and-learned
#18
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
https://www.readbyqxmd.com/read/27635955/impact-of-age-on-anaesthesiologists-competence-a-narrative-review
#19
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
https://www.readbyqxmd.com/read/27635753/effectiveness-of-culturally-focused-interventions-in-increasing-the-satisfaction-of-hospitalized-asian-patients-a-systematic-review
#20
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
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