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Narrative competence

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https://www.readbyqxmd.com/read/28527474/fifteen-years-of-experience-from-a-medical-school-clinical-skills-laboratory
#1
José Miguel Pêgo, João José Cerqueira, João Bessa, Vitor Hugo Pereira, Sara Gomes, José Mariz, Rita Sousa, Pedro Morgado, Nuno Sousa
INTRODUCTION: Medical Education has evolved being defined as a continuum of the medical training from the pre- to the post-graduate period and through a lifetime of medical practice that is mirrored in the competencies framework that several international institutions have established. This creates a challenge to educational institutions (pre- and post-graduate) that traditionally take separate pathways. MATERIAL AND METHODS: The present report is a description of the efforts carried by the School of Medicine of the University of Minho to implement a strategy of teaching/learning methods that follows modern standards towards constructive alignment of the medical curriculum, from the pre- to the post-graduate...
February 27, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28524365/revision-of-the-competency-standards-for-occupational-therapy-driver-assessors-an-overview-of-the-evidence-for-the-inclusion-of-cognitive-and-perceptual-assessments-within-fitness-to-drive-evaluations
#2
REVIEW
Sally M Fields, Carolyn A Unsworth
BACKGROUND/AIM: Determination of fitness-to-drive after illness or injury is a complex process typically requiring a comprehensive driving assessment, including off-road and on-road assessment components. The competency standards for occupational therapy driver assessors (Victoria, Australia) define the requirements for performance of a comprehensive driving assessment, and we are currently revising these. Assessment of cognitive and perceptual skills forms an important part of the off-road assessment...
May 19, 2017: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/28504028/essential-competencies-in-global-health-research-for-medical-trainees-a-narrative-review
#3
Mary T White, Caley A Satterfield, Jason T Blackard
INTRODUCTION: Participation in short-term educational experiences in global health (STEGHs) among medical trainees is increasingly accompanied by interest in conducting research while abroad. Because formal training in both global health and research methods is currently under-represented in most medical curricula, trainees are often unfamiliar with the knowledge, attitudes, and skills necessary to design and conduct research successfully. This narrative review identifies essential global health research competencies for medical trainees engaged in STEGHs...
May 14, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28493429/trust-and-risk-a-model-for-medical-education
#4
Arvin Damodaran, Boaz Shulruf, Philip Jones
CONTEXT: Health care delivery, and therefore medical education, is an inherently risky business. Although control mechanisms, such as external audit and accreditation, are designed to manage risk in clinical settings, another approach is 'trust'. The use of entrustable professional activities (EPAs) represents a deliberate way in which this is operationalised as a workplace-based assessment. Once engaged with the concept, clinical teachers and medical educators may have further questions about trust...
May 10, 2017: Medical Education
https://www.readbyqxmd.com/read/28474751/a-willingness-to-go-there-nurses-and-spiritual-care
#5
Mary E Minton, Mary J Isaacson, Brandon Michael Varilek, Jessica L Stadick, Shannon O'Connell-Persaud
AIMS AND OBJECTIVES: Describe rural and urban palliative/hospice care nurses' communication strategies while providing spiritual care for patients and families at end-of-life. BACKGROUND: Nurses aim to provide holistic care consisting of physical, psychological, and spiritual components. However, it is well documented that spiritual care is largely missing from nursing care. Internationally, spiritual care is a growing topic of interest, yet many nurses feel unprepared to deliver spiritual care...
May 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28467230/ethnic-identity-negotiation-among-sami-youth-living-in-a-majority-sami-community-in-norway
#6
Kristine Nystad, Anna Rita Spein, Asta Mitkija Balto, Benedicte Ingstad
BACKGROUND: This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES: To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS: A qualitative design was followed using open-ended, in-depth interviews conducted in 2010 with 22 Sami adolescents aged 13-19 years, all reporting Sami self-identification...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28459910/acute-pain-management-in-hospitalized-adult-patients-with-opioid-dependence-a-narrative-review-and-guide-for-clinicians
#7
REVIEW
Joshua N Raub, Theresa E Vettese
Pain management is a core competency of hospital medicine, and effective acute pain management should be a goal for all hospital medicine providers. The prevalence of opioid use in the United States, both therapeutic and non-medical in origin, has dramatically increased over the past decade. Although nonopioid medications and nondrug treatments are essential components of managing all acute pain, opioids continue to be the mainstay of treatment for severe acute pain in both opioid-naïve and opioid-dependent patients...
May 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28456855/beyond-vulnerability-how-the-dual-role-of-patient-health-care-provider-can-inform-health-professions-education
#8
Paula Rowland, Ayelet Kuper
In order to prepare fully competent health care professionals, health professions education must be concerned with the relational space between patients and providers. Compassion and compassionate care are fundamental elements of this relational space. Traditionally, health professions educators and leaders have gone to two narrative sources when attempting to better under constructs of compassion: patients or providers. Rarely have there been explorations of the perspectives of those who consider themselves as both patients and providers...
April 29, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28453828/examining-the-nature-of-interprofessional-interventions-designed-to-promote-patient-safety-a-narrative-review
#9
Scott Reeves, Emma Clark, Sally Lawton, Melissa Ream, Fiona Ross
Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, sources of evidence and reported outcomes. Data sources: Two major databases (MEDLINE and CINAHL) were searched from 2005 to 2015. Study selection: A total of 1552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review...
April 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28414981/claims-in-vapour-device-e-cigarette-regulation-a-narrative-policy-framework-analysis
#10
Renée O'Leary, Ron Borland, Tim Stockwell, Marjorie MacDonald
BACKGROUND: The electronic cigarette or e-cigarette (vapour device) is a consumer product undergoing rapid growth, and governments have been adopting regulations on the sale of the devices and their nicotine liquids. Competing claims about vapour devices have ignited a contentious debate in the public health community. What claims have been taken up in the state arena, and how have they possibly influenced regulatory outcomes? METHODS: This study utilized Narrative Policy Framework to analyze the claims made about vapour devices in legislation recommendation reports from Queensland Australia, Canada, and the European Union, and the 2016 deeming rule legislation from the United States, and examined the claims and the regulatory outcomes in these jurisdictions...
April 14, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28402017/asthma-education-for-school-staff
#11
REVIEW
Kayleigh M Kew, Robin Carr, Tim Donovan, Morris Gordon
BACKGROUND: Teachers and school staff should be competent in managing asthma in schools. Demonstrated low levels of asthma knowledge mean that staff may not know how best to protect a child with asthma in their care, or may fail to take appropriate action in the event of a serious attack. Education about asthma could help to improve this knowledge and lead to better asthma outcomes for children. OBJECTIVES: To assess the effectiveness and safety of asthma education programmes for school staff, and to identify content and attributes underpinning them...
April 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28401817/contesting-facts-about-wind-farms-in-australia-and-the-legitimacy-of-adverse-health-effects
#12
Shannon Clark, Linda Courtenay Botterill
The development of wind energy in Australia has been subject to ongoing public debate and has been characterised by concerns over the health impacts of wind turbines. Using discursive psychology, we examine 'wind turbine syndrome' as a contested illness and analyse how people build and undermine divergent arguments about wind-farm health effects. This article explores two facets of the dispute. First, we consider how participants construct 'facts' about the health effects of wind farms. We examine rhetorical resources used to construct wind farms as harmful or benign...
February 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28399846/palliative-sedation-challenging-the-professional-competency-of-health-care-providers-and-staff-a-qualitative-focus-group-and-personal-written-narrative-study
#13
Danièle Leboul, Régis Aubry, Jean-Michel Peter, Victor Royer, Jean-François Richard, Frédéric Guirimand
BACKGROUND: Despite recent advances in palliative medicine, sedating a terminally ill patient is regarded as an indispensable treatment to manage unbearable suffering. With the prospect of widespread use of palliative sedation, the feelings and representations of health care providers and staff (carers) regarding sedation must be carefully explored if we are to gain a better understanding of its impact and potential pitfalls. The objective of the study was to provide a comprehensive description of the opinions of carers about the use of sedation practices in palliative care units (PCU), which have become a focus of public attention following changes in legislation...
April 11, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28391304/professional-supervision-as-storied-experience-narrative-analysis-findings-for-australian-based-registered-music-therapists
#14
Jeanette D Kennelly, Felicity A Baker, Barbara A Daveson
Background: Limited research exists to inform a music therapist's supervision story from their pre-professional training to their practice as a professional. Evidence is needed to understand the complex nature of supervision experiences and their impact on professional practice. Objective: This qualitative study explored the supervisory experiences of Australian-based Registered Music Therapists, according to the: 1) themes that characterize their experiences, 2) influences of the supervisor's professional background, 3) outcomes of supervision, and 4) roles of the employer, the professional music therapy association, and the university in supervision standards and practice...
March 1, 2017: Journal of Music Therapy
https://www.readbyqxmd.com/read/28382678/recognising-and-responding-to-in-hospital-clinical-deterioration-an-integrative-review-of-interprofessional-practice-issues
#15
REVIEW
Emily Allen, Doug Elliott, Debra Jackson
AIMS AND OBJECTIVES: To identify, appraise and synthesise current evidence regarding organisation-wide interprofessional practice issues that facilitate or inhibit effective recognition and response to clinical deterioration, using a theoretical Rapid Response System (RRS) model. BACKGROUND: Recognition and response to clinical deterioration, in adult general medical-surgical ward patients, is embedded as a routine interprofessional practice in acute healthcare organisations worldwide...
April 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28378076/training-value-of-laparoscopic-colorectal-videos-on-the-world-wide-web-a-pilot-study-on-the-educational-quality-of-laparoscopic-right-hemicolectomy-videos
#16
V Celentano, M Browning, C Hitchins, M C Giglio, M G Coleman
INTRODUCTION: Instructive laparoscopy videos with appropriate exposition could be ideal for initial training in laparoscopic surgery, but unfortunately there are no guidelines for annotating these videos or agreed methods to measure the educational content and the safety of the procedure presented. Aim of this study is to systematically search the World Wide Web to determine the availability of laparoscopic colorectal surgery videos and to objectively establish their potential training value...
April 4, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28376787/medical-students-experience-of-emotions-and-success-in-neurological-studies-what-do-they-tell-us
#17
Hanna Ansakorpi, Marja-Liisa Sumelahti, Raimo Kaasila
BACKGROUND: There is a need to develop effective educational experience in neurology to improve the students' skills in diagnosing and managing patients with neurological symptoms or disease. The aim of this study was to investigate the medical students' attitudes and emotions towards neurology before and after the four week clinical course at two Finnish Universities in order to find elements to improve effective learning by decreasing the emotional stress in medical studies. METHODS: In this two-stage study, 58 medical students participated in an internet survey with open-ended questions after completing a clinical neurology course...
April 4, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28371888/tobacco-nicotine-education-and-training-for-health-care-professional-students-and-practitioners-a-systematic-review
#18
Lisa Ye, Catherine Goldie, Tanvi Sharma, Sheila John, Megan Bamford, Patricia M Smith, Peter Selby, Annette Sh Schultz
Introduction: The objective of this systematic review was to investigate what education and training characteristics prepares and supports health-care professionals (HCPs) in the delivery of competent and effective care to clients who use tobacco-nicotine. Methods: A search of eight bibliographic databases for English-language peer-reviewed publications from January 2006 to March 2015. Studies were included if they met the a priori inclusion criteria, which consisted of: 1) quantitative study design, and 2) focus on tobacco-nicotine education or training for HCP students and practitioners...
March 29, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28371492/i-tawt-i-taw-a-puddy-tat-gestures-in-canary-row-narrations-by-high-functioning-youth-with-autism-spectrum-disorder
#19
Laura B Silverman, Inge-Marie Eigsti, Loisa Bennetto
This study examined whether individuals with autism spectrum disorder (ASD) produce co-speech gestures similarly to typically developing (TD) peers. Participants were 20 youth ages 10-18 years with high-functioning ASD and 21 TD controls matched on age, gender, verbal IQ, and handedness. Gestures were elicited using a classic narrative-retelling task, in which participants watched a Tweety and Sylvester cartoon and retold the cartoon to a confederate. Analyses compared gesture rate, type, and viewpoint (character, observer, dual) across groups...
April 1, 2017: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/28356722/from-therapeutic-patient-education-principles-to-educative-attitude-the-perceptions-of-health-care-professionals-a-pragmatic-approach-for-defining-competencies-and-resources
#20
Benoit Pétré, Remi Gagnayre, Vincent De Andrade, Olivier Ziegler, Michèle Guillaume
Educative attitude is an essential, if implicit, aspect of training to acquire competency in therapeutic patient education (TPE). With multiple (or nonexistent) definitions in the literature, however, the concept needs clarification. The primary aim of this study was to analyze the representations and transformations experienced by health care professionals in the course of TPE training in order to characterize educative attitude. We conducted an exploratory qualitative study using several narrative research-based tools with participants of two TPE continuing education courses...
2017: Patient Preference and Adherence
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