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https://www.readbyqxmd.com/read/27919741/implementation-of-a-clinical-documentation-improvement-curriculum-improves-quality-metrics-and-hospital-charges-in-an-academic-surgery-department
#1
Cynthia Reyes, Alissa Greenbaum, Catherine Porto, John C Russell
BACKGROUND: Accurate clinical documentation (CD) is necessary for many aspects of modern healthcare, including excellent communication, quality metrics reporting, and legal documentation. New requirements have mandated the adoption of ICD-10-CM coding systems, adding another layer of complexity to CD. A clinical documentation improvement (CDI) and ICD-10 training program was created for healthcare providers in our academic surgery department. We aimed to assess the impact of our CDI curriculum by comparing quality metrics, coding and reimbursement before and after implementation of our CDI program...
December 2, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27918850/implementation-and-evaluation-of-a-community-based-interprofessional-learning-activity
#2
Ellen L Luebbers, Mary A Dolansky, Anton Vehovec, Gayle Petty
Implementation of large-scale, meaningful interprofessional learning activities for pre-licensure students has significant barriers and requires novel approaches to ensure success. To accomplish this goal, faculty at Case Western Reserve University, Ohio, USA, used the Ottawa Model of Research Use (OMRU) framework to create, improve, and sustain a community-based interprofessional learning activity for large numbers of medical students (N = 177) and nursing students (N = 154). The model guided the process and included identification of context-specific barriers and facilitators, continual monitoring and improvement using data, and evaluation of student learning outcomes as well as programme outcomes...
December 5, 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27917548/nurses-comfort-level-with-spiritual-assessment-a-study-among-nurses-working-in-diverse-healthcare-settings
#3
Pamela H Cone, Tove Giske
AIMS: To gain knowledge about nurses' comfort level in assessing spiritual matters and to learn what questions nurses use in practice related to spiritual assessment. BACKGROUND: Spirituality is important in holistic nursing care; however, nurses report feeling uncomfortable and ill-prepared to address this domain with patients. Education is reported to impact nurses' ability to engage in spiritual care. DESIGN: This cross-sectional exploratory survey reports on a mixed-method study examining how comfortable nurses are with spiritual assessment...
December 5, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27913069/otolaryngology-sleep-medicine-curriculum-objectives-as-determined-by-sleep-experts
#4
Nathan Cass, Alan Kominsky, Cristina Cabrera-Muffly
PURPOSE: (1) Ascertain the most important concepts and topics for otolaryngology resident education in sleep medicine and surgery, as determined by faculty who teach sleep medicine to otolaryngology residents. (2) Create learning objectives within the area of otolaryngologic sleep medicine in order to design a sleep medicine curriculum for otolaryngology residents. MATERIALS AND METHODS: Two web-based surveys were sent to 163 academic otolaryngologists who teach sleep medicine...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27911937/an-investigation-of-the-outcomes-of-pgy-students-cognition-of-and-persistent-behavior-in-learning-through-the-intervention-of-the-flipped-classroom-in-taiwan
#5
Sheng-Der Hsu, Cheng-Jueng Chen, Wei-Kuo Chang, Yih-Jin Hu
The Postgraduate Year (PGY) Program allows doctors-in-training to learn about the diagnosis, treatment and nursing of various common, general diseases. These items form the core curriculum and are mostly learned through caring for patients and clinical teaching. Doctors-in-training are evaluated for their knowledge through written tests or assignments, based on which the effectiveness of their training is also assessed; however, this generally produces a negative learning attitude among them. So we introduced the flipped classroom into PGY training program to change PGY students' learning behavior...
2016: PloS One
https://www.readbyqxmd.com/read/27905932/adaptation-and-validation-of-the-instrument-clinical-learning-environment-and-supervision-for-medical-students-in-primary-health-care
#6
Eva Öhman, Hassan Alinaghizadeh, Päivi Kaila, Håkan Hult, Gunnar H Nilsson, Helena Salminen
BACKGROUND: Clinical learning takes place in complex socio-cultural environments that are workplaces for the staff and learning places for the students. In the clinical context, the students learn by active participation and in interaction with the rest of the community at the workplace. Clinical learning occurs outside the university, therefore is it important for both the university and the student that the student is given opportunities to evaluate the clinical placements with an instrument that allows evaluation from many perspectives...
December 1, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27902949/use-of-simulation-based-learning-in-undergraduate-nurse-education-an-umbrella-systematic-review
#7
REVIEW
Robyn P Cant, Simon J Cooper
OBJECTIVE: To conduct a systematic review to appraise and review evidence on the impact of simulation-based education for undergraduate/pre-licensure nursing students, using existing reviews of literature. DESIGN: An umbrella review (review of reviews). DATA SOURCES: Cumulative Index of Nursing and Allied Health Literature (CINAHLPlus), PubMed, and Google Scholar. STUDY SELECTION: Reviews of literature conducted between 2010 and 2015 regarding simulation-based education for pre-licensure nursing students...
November 22, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27902664/team-based-learning-improves-staff-nurses-knowledge-of-open-and-closed-chest-cardiac-surgical-resuscitation
#8
Marion E McRae, Alice Chan, Ai Jin Lee, Renee Hulett, Bernice Coleman
BACKGROUND: There are few reports of the use of 1-session team-based learning (TBL) in hospital settings and none to teach cardiac surgical resuscitation (CSR). OBJECTIVE: The aim of this study was to investigate whether 1-session TBL is an effective method to increase nursing knowledge of CSR. METHODS: The participating subjects viewed a PowerPoint presentation about CSR prior to the learning session. Participants completed a 16-item individual readiness assessment test...
January 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27901055/mediboost-a-patient-stratification-tool-for-interpretable-decision-making-in-the-era-of-precision-medicine
#9
Gilmer Valdes, José Marcio Luna, Eric Eaton, Charles B Simone, Lyle H Ungar, Timothy D Solberg
Machine learning algorithms that are both interpretable and accurate are essential in applications such as medicine where errors can have a dire consequence. Unfortunately, there is currently a tradeoff between accuracy and interpretability among state-of-the-art methods. Decision trees are interpretable and are therefore used extensively throughout medicine for stratifying patients. Current decision tree algorithms, however, are consistently outperformed in accuracy by other, less-interpretable machine learning models, such as ensemble methods...
November 30, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27899109/challenges-for-strengthening-the-health-workforce-in-the-lao-people-s-democratic-republic-perspectives-from-key-stakeholders
#10
Yi Qian, Fei Yan, Wei Wang, Shayna Clancy, Kongsap Akkhavong, Manithong Vonglokham, Somphou Outhensackda, Truls Østbye
BACKGROUND: The Lao People's Democratic Republic is facing a critical shortage and maldistribution of health workers. Strengthening of the health workforce has been adopted as one of the five priorities of the National Health Sector Strategy (2013-2025). This study aims to identify, explore, and better understand the key challenges for strengthening the Laotian health workforce. METHODS: This study applied exploratory and descriptive qualitative methods and adapted a working life-span framework...
November 29, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27897764/nursing-students-perceptions-of-effective-problem-based-learning-tutors
#11
Nancy Matthew-Maich, Lynn Martin, Cynthia Hammond, Amy Palma, Maria Pavkovic, Darlene Sheremet, Carmen Roche
Aim To explore baccalaureate nursing students' perceptions of what makes an effective tutor in problem-based learning courses, and the influence of effective teaching on students' learning and experience. Method Students enrolled in all four years of a baccalaureate nursing programme completed online surveys (n=511) and participated in focus groups (n=19). Data were analysed and combined using content analysis. Findings The data were summarised using five themes, the '5 Ps' of effective teaching in problem-based learning...
November 16, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27896973/patterns-in-biomedical-data-how-do-we-find-them
#12
Anna O Basile, Anurag Verma, Marta Byrska-Bishop, Sarah A Pendergrass, Christian Darabos, H Lester Kirchner
Given the exponential growth of biomedical data, researchers are faced with numerous challenges in extracting and interpreting information from these large, high-dimensional, incomplete, and often noisy data. To facilitate addressing this growing concern, the "Patterns in Biomedical Data-How do we find them?" session of the 2017 Pacific Symposium on Biocomputing (PSB) is devoted to exploring pattern recognition using data-driven approaches for biomedical and precision medicine applications. The papers selected for this session focus on novel machine learning techniques as well as applications of established methods to heterogeneous data...
2016: Pacific Symposium on Biocomputing
https://www.readbyqxmd.com/read/27896145/interprofessional-multiple-step-simulation-course-improves-pediatric-resident-and-nursing-staff-management-of-pediatric-patients-with-diabetic-ketoacidosis
#13
Linnea M Larson-Williams, Amber Q Youngblood, Dawn Taylor Peterson, J Lynn Zinkan, Marjorie L White, Hussein Abdul-Latif, Leen Matalka, Stephen N Epps, Nancy M Tofil
AIM: To investigate the use of a multidisciplinary, longitudinal simulation to educate pediatric residents and nurses on management of pediatric diabetic ketoacidosis. METHODS: A multidisciplinary, multiple step simulation course was developed by faculty and staff using a modified Delphi method from the Pediatric Simulation Center and pediatric endocrinology department. Effectiveness of the simulation for the residents was measured with a pre- and post-test and a reference group not exposed to simulation...
November 4, 2016: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27893905/critical-care-interprofessional-education-exploring-conflict-and-power-lessons-learned
#14
Mary Louanne Friend, Richard D Friend, Cassandra Ford, Patrick J Ewell
BACKGROUND: The purpose of this mixed-methods study was to evaluate the effects of an innovative critical care interprofessional education intervention on prelicensure nursing and medical students at a large public university. The class provided opportunities for students to (a) explore stereotypes about each respective profession, (b) examine the occurrence and effects of interprofessional conflict in high-acuity areas, and (c) explore conflict resolution techniques while learning how to perform critical care procedures as a team...
December 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27893903/to-blog-or-not-to-blog-what-do-nursing-faculty-think
#15
Krista Jones, Mary Kate Garrity, Kathryn J VanderZwan, Iris Epstein, Arlene Burla de la Rocha
BACKGROUND: Nurse educators find themselves tasked with developing content that both is aesthetically appealing and engages today's technological learners while empowering them to apply their knowledge in clinical and classroom settings. Students engaging with social networking systems reported increased satisfaction with collaborative peer-to-peer learning experiences, socialization, self-reflection, peer critique, problem-solving skills, collation of evidence-based resources, and instructor performance...
December 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27893380/area-determination-of-diabetic-foot-ulcer-images-using-a-cascaded-two-stage-svm-based-classification
#16
Lei Wang, Peder Pedersen, Emmanuel Agu, Diane Strong, Bengisu Tulu
It is standard practice for clinicians and nurses to primarily assess patients' wounds via visual examination. This subjective method can be inaccurate in wound assessment and also represents a significant clinical workload. Hence, computer-based systems, especially implemented on mobile devices, can provide automatic, quantitative wound assessment and can thus be valuable for accurately monitoring wound healing status. Out of all wound assessment parameters, the measurement of the wound area is the most suitable for automated analysis...
November 23, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/27892900/integrating-telepresence-robots-into-nursing-simulation
#17
Alexandra Rudolph, Jacqueline Vaughn, Nancy Crego, Remi Hueckel, Michele Kuszajewski, Margory Molloy, Raymond Brisson, Ryan J Shaw
This article provides an overview of the use of telepresence robots in clinical practice and describes an evaluation of an educational project in which distance-based nurse practitioner students used telepresence robots in clinical simulations with on-campus Accelerated Bachelor of Science in Nursing students. The results of this project suggest that the incorporation of telepresence in simulation is an effective method to promote engagement, satisfaction, and self-confidence in learning.
October 11, 2016: Nurse Educator
https://www.readbyqxmd.com/read/27891329/effects-of-lead-in-various-preparatory-stages-of-nagabhasma-on-function-and-histopathology-of-cornu-ammonis-of-hippocampus
#18
Lydia S Quadros, Hemalatha Bangera, Sushma R Kotian, Kumar M R Bhat
INTRODUCTION: Heavy metals are frequently used in the preparations of traditional/folk medicines. One such preparation in Ayurveda is Nagabhasma, in which lead is the main ingredient. Lead is non-essential element to the human body and is known toxic substance to many organ systems. However, it is claimed that, the highly toxic metallic lead will be converted into health beneficial organo-metallic compound when raw lead is subjected to various traditional methods of purification during preparation as mentioned in the ancient medicinal system...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27891179/compensation-of-feature-selection-biases-accompanied-with-improved-predictive-performance-for-binary-classification-by-using-a-novel-ensemble-feature-selection-approach
#19
Ursula Neumann, Mona Riemenschneider, Jan-Peter Sowa, Theodor Baars, Julia Kälsch, Ali Canbay, Dominik Heider
MOTIVATION: Biomarker discovery methods are essential to identify a minimal subset of features (e.g., serum markers in predictive medicine) that are relevant to develop prediction models with high accuracy. By now, there exist diverse feature selection methods, which either are embedded, combined, or independent of predictive learning algorithms. Many preceding studies showed the defectiveness of single feature selection results, which cause difficulties for professionals in a variety of fields (e...
2016: BioData Mining
https://www.readbyqxmd.com/read/27882796/technology-enhanced-learning-in-transnational-higher-education
#20
Nirmala Arunasalam
Some university schools of nursing in Australia and the UK have developed collaborative links with Malaysia to deliver part-time Transnational Higher Education (TNHE) post-registration top-up nursing degree courses. It enables nurses trained to diploma level to upgrade to a degree qualification. The views of 18 Malaysian nurses who had studied with one Australian and two UK TNHE universities were explored using a hermeneutic phenomenological approach. Participants recruited via convenience and snowball sampling methods were interviewed in English and Bahasa Malaysia (Malaysian language)...
November 24, 2016: British Journal of Nursing: BJN
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