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https://www.readbyqxmd.com/read/29214014/influence-of-perceived-difficulty-of-cases-on-student-osteopaths-diagnostic-reasoning-a-cross-sectional-study
#1
Aurelien L Noyer, Jorge E Esteves, Oliver P Thomson
Background: Diagnostic reasoning refers to the cognitive processes by which clinicians formulate diagnoses. Despite the implications for patient safety and professional identity, research on diagnostic reasoning in osteopathy remains largely theoretical. The aim of this study was to investigate the influence of perceived task difficulty on the diagnostic reasoning of students osteopaths. Methods: Using a single-blinded, cross sectional study design, sixteen final year pre-registration osteopathy students diagnosed two standardized cases under two context conditions (complex versus control)...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29189494/rethinking-remediation-a-model-to-support-the-detailed-diagnosis-of-clinicians-performance-problems-and-the-development-of-effective-remediation-plans
#2
Linda Prescott-Clements, Vicky Voller, Mark Bell, Natasha Nestors, Cees P M van der Vleuten
The successful remediation of clinicians demonstrating poor performance in the workplace is essential to ensure the provision of safe patient care. Clinicians may develop performance problems for numerous reasons, including health, personal factors, the workplace environment, or outdated knowledge/skills. Performance problems are often complex involving multifactorial issues, encompassing knowledge, skills, and professional behaviors. It is important that (where possible and appropriate) clinicians are supported through effective remediation to return them to safe clinical practice...
November 16, 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29166792/staff-views-on-supporting-evidence-based-practice-for-children-with-asd
#3
David Trembath, Rhylee Sulek, Jessica Paynter, Kate Simpson, Deb Keen
PURPOSE: A variety of empirically supported interventions are available for children with autism spectrum disorder (ASD), but previous research suggests that their selection and use within an evidence-based practice (EBP) framework in clinical settings is challenging. To date, research has primarily focused on identifying individual, organisational, and contextual barriers to EBP rather than identifying collaborative solutions to these barriers through consultation with staff. The aim of our study was to explore staff views on supporting EBP in their work with children with ASD...
November 22, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29163313/intuitive-choices-lead-to-intensified-positive-emotions-an-overlooked-reason-for-intuition-bias
#4
Geir Kirkebøen, Gro H H Nordbye
People have, for many well-documented reasons, a tendency to overemphasize their intuitions and to follow them, even when they should not. This "intuition bias" leads to several kinds of specific intuitive biases in judgments and decision making. Previous studies have shown that characteristics of the decision process have a tendency to "leak" into the experience of the choice outcome. We explore whether intuitive choices influence the experience of the choice outcomes differently from "non-intuitive," analytic choices...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29130834/the-relationship-between-intuitive-action-choices-and-moral-reasoning-on-animal-ethics-issues-in-students-of-veterinary-medicine-and-other-relevant-professions
#5
Joy M Verrinder, Clive J C Phillips
With growing understanding of animals' capabilities, and public and organizational pressures to improve animal welfare, moral action by veterinarians and other relevant professionals to address animal issues is increasingly important. Little is known about how their action choices relate to their moral reasoning on animal ethics issues. A moral judgment measure, the VetDIT, with three animal and three non-animal scenarios, was used to investigate the action choices of 619 students in five animal- and two non-animal-related professional programs in one Australian university, and how these related to their moral reasoning based on Personal Interest (PI), Maintaining Norms (MN), or Universal Principles (UP) schemas...
November 13, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/29129669/effect-of-application-score-strategy-on-interviews-offered-to-postgraduate-year-1-pharmacy-residency-applicants
#6
Milena M McLaughlin, Jill S Borchert, Corey Wilson, Ashley O Jensen, Jacob P Gettig
OBJECTIVES: Residency programs may need to spend a large amount of time on the application review process in order to invite the best candidates for interviews. By using a different scoring strategy, this process could be made more efficient while still resulting in selection of the most appropriate candidates to interview. The objective of this study was to explore hypothetical scoring strategies for past residency applicants and to determine the percentage of these applicants that would have received an interview offer compared with the program's standard scoring strategy...
November 9, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29119582/emotions-and-assessment-considerations-for-rater-based-judgements-of-entrustment
#7
Carlos Gomez-Garibello, Meredith Young
CONTEXT: Assessment is subject to increasing scrutiny as medical education transitions towards a competency-based medical education (CBME) model. Traditional perspectives on the roles of assessment emphasise high-stakes, summative assessment, whereas CBME argues for formative assessment. Revisiting conceptualisations about the roles and formats of assessment in medical education provides opportunities to examine understandings and expectations of the assessment of learners. The act of the rater generating scores might be considered as an exclusively cognitive exercise; however, current literature has drawn attention to the notion of raters as measurement instruments, thereby attributing additional factors to their decision-making processes, such as social considerations and intuition...
November 9, 2017: Medical Education
https://www.readbyqxmd.com/read/29111961/factors-that-may-influence-parent-treatment-decision-making-for-young-children-with-autism-spectrum-disorder
#8
Parthenia Dinora, Matthew Bogenschutz, Kathleen Lynch
The number of interventions available for children with Autism Spectrum Disorder (ASD) has expanded greatly in recent years, though relatively little is known about the factors that influence family caregivers as they make treatment decisions for their children. This study involved a statewide survey of parents of young children with ASD to examine the relative weights of the factors that influenced their treatment decisions. Results suggested that caregivers rely on their own intuition for much decision making, though selected professionals are also influential...
November 7, 2017: Journal of Social Work in Disability & Rehabilitation
https://www.readbyqxmd.com/read/29077619/perceptions-of-risk-and-safety-in-the-icu-a-qualitative-study-of-cognitive-processes-relating-to-staffing
#9
Danielle M D'Lima, Eleanor J Murray, Stephen J Brett
OBJECTIVES: The aims of this study were to 1) examine individual professionals' perceptions of staffing risks and safe staffing in intensive care and 2) identify and examine the cognitive processes that underlie these perceptions. DESIGN: Qualitative case study methodology with nurses, doctors, and physiotherapists. SETTING: Three mixed medical and surgical adult ICUs, each on a separate hospital site within a 1,200-bed academic, tertiary London hospital group...
October 26, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29076629/what-does-physicians-clinical-expertise-contribute-to-oncologic-decision-making-a-qualitative-interview-study
#10
Sabine Salloch, Ina Otte, Anke Reinacher-Schick, Jochen Vollmann
BACKGROUND: Physicians' clinical expertise forms an exclusive body of competences, which helps them to find the appropriate diagnostics and treatment for each individual patient. Empirical evidence, however, suggests that there is an inverse relationship between the number of years in practice and the quality of care provided by a physician. Knowledge and adherence to professional standards (such as clinical guidelines) are often used as indicators in previous research. METHODS: Semistructured interviews and the Q method were used for an explorative study on oncologists' views on the interplay between their own clinical expertise, intuition, and the external evidence incorporated in clinical guidelines...
October 27, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29075228/the-differential-effects-of-attentional-focus-in-children-with-moderate-and-profound-visual-impairments
#11
Scott W T McNamara, Kevin A Becker, Lisa M Silliman-French
It has been consistently reported that an external focus of attention leads to better motor performance than an internal focus, but no research to date has explored this effect in a population with visual impairments (VI). External focus statements typically reference something in the environment (e.g., target) that may be difficult to conceptualize for people with VI since they cannot generate a visual representation of the object of focus. Internal focus statements could be more closely identifiable with proprioception that is not impaired in this population...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29060842/rendering-problem-oriented-ccd-for-chronic-diseases
#12
Sungchul Bae, Do-Youn Lee, Il Kon Kim
Clinical Document Architecture (CDA) is an XML-based clinical document standard designed to ensure data exchange as well as semantic interoperability of healthcare information systems. Continuity care of documents (CCD), a template derived from CDA, is designed with the goal of displaying patient records more intuitively for clinicians, especially for when the patient has a long history of medical care.The rate of chronic patients in the general population has increased as longevity has increased substantially in the past few decades, and the trend towards longer and more complex medical records has made it time-consuming to read patient data even in the CCD document...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060823/intuitive-and-interpretable-visual-communication-of-a-complex-statistical-model-of-disease-progression-and-risk
#13
Jieyi Li, Ognjen Arandjelovic
Computer science and machine learning in particular are increasingly lauded for their potential to aid medical practice. However, the highly technical nature of the state of the art techniques can be a major obstacle in their usability by health care professionals and thus, their adoption and actual practical benefit. In this paper we describe a software tool which focuses on the visualization of predictions made by a recently developed method which leverages data in the form of large scale electronic records for making diagnostic predictions...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29034225/the-perception-of-a-three-dimensional-printed-heart-model-from-the-perspective-of-different-stakeholders-a-complex-case-of-truncus-arteriosus
#14
Giovanni Biglino, Sarah Moharem-Elgamal, Matthew Lee, Robert Tulloh, Massimo Caputo
The case of an 11-year-old male patient with truncus arteriosus is presented. The patient has a right aortic arch, a repaired truncus arteriosus, pulmonary artery stenosis, as well as conduit stenosis, with a complex surgical plan being discussed. In order to gather additional insight into the patient's anatomy prior to the surgery and to facilitate communication with the patient's parents, a three-dimensional (3D) model of his heart and main vessels was created from computed tomography data. Feedback was collected from different stakeholders...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29029684/validation-of-the-three-web-quality-dimensions-of-a-minimally-invasive-surgery-e-learning-platform
#15
Juan Francisco Ortega-Morán, J Blas Pagador, Luisa Fernanda Sánchez-Peralta, Patricia Sánchez-González, José Noguera, Daniel Burgos, Enrique J Gómez, Francisco M Sánchez-Margallo
INTRODUCTION: E-learning web environments, including the new TELMA platform, are increasingly being used to provide cognitive training in minimally invasive surgery (MIS) to surgeons. A complete validation of this MIS e-learning platform has been performed to determine whether it complies with the three web quality dimensions: usability, content and functionality. METHODS: 21 Surgeons participated in the validation trials. They performed a set of tasks in the TELMA platform, where an e-MIS validity approach was followed...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28985725/factors-influencing-the-clinical-decision-making-of-midwives-a-qualitative-study
#16
Darie O A Daemers, Evelien B M van Limbeek, Hennie A A Wijnen, Marianne J Nieuwenhuijze, Raymond G de Vries
BACKGROUND: Although midwives make clinical decisions that have an impact on the health and well-being of mothers and babies, little is known about how they make those decisions. Wide variation in intrapartum decisions to refer women to obstetrician-led care suggests that midwives' decisions are based on more than the evidence based medicine (EBM) model - i.e. clinical evidence, midwife's expertise, and woman's values - alone. With this study we aimed to explore the factors that influence clinical decision-making of midwives who work independently...
October 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28971392/psychodynamic-leadership-approach-and-leader-member-exchange-lmx-a-psychiatric-perspective-on-two-leadership-theories-and-implications-for-training-future-psychiatrist-leaders
#17
Christos Plakiotis
An increased emphasis in recent years on psychiatrists as healthcare leaders has not only drawn attention to the skills they can bring to this role but has also raised questions about how to best train and prepare them to assume leadership responsibilities. Such training should not be conducted in isolation from, and oblivious to, the wide-ranging expertise in human behaviour and relationships that psychiatrists can bring to the leadership arena. The aim of this theoretical paper is to draw attention to how psychiatrists can use their existing knowledge and skill set to inform their understanding of leadership theory and practice...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28970442/pain-assessment-of-elderly-patients-with-cognitive-impairment-in-the-emergency-department-implications-for-pain-management-a-narrative-review-of-current-practices
#18
REVIEW
Joshua Jones, Tin Fei Sim, Jeff Hughes
Elderly people are susceptible to both falls and cognitive impairment making them a particularly vulnerable group of patients when it comes to pain assessment and management in the emergency department (ED). Pain assessment is often difficult in patients who present to the ED with a cognitive impairment as they are frequently unable to self-report their level of pain, which can have a negative impact on pain management. This paper aims to review how cognitive impairment influences pain assessment in elderly adults who present to the ED with an injury due to a fall...
June 1, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28956412/clinical-judgment-is-a-schema-conceptual-proposals-and-training-perspectives
#19
Marc Nagels
Clinical judgment is a critical concept for the development of nursing and nursing education. Its theoretical origins are multiple and its definition is not yet consensus. The analysis of the scientific and professional literature shows heterogeneous and dispersed points of views, notably on the role of intuition, on its cognitive and metacognitive dimensions, and on its proximity to other concepts. Between professional stakes and epistemological constructions, clinical judgment is still an emerging concept...
August 17, 2017: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28944638/-unknown-title
#20
(no author information available yet)
Clinical judgment is a critical concept for the development of nursing and nursing education. Its theoretical origins are multiple and its definition is not yet consensus. The analysis of the scientific and professional literature shows heterogeneous and dispersed points of views, notably on the role of intuition, on its cognitive and metacognitive dimensions, and on its proximity to other concepts. Between professional stakes and epistemological constructions, clinical judgment is still an emerging concept...
August 17, 2017: Recherche en Soins Infirmiers
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