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https://www.readbyqxmd.com/read/29032292/glimpses-into-the-transition-world-new-graduate-nurses-written-reflections
#1
Jo Ann Walton, Natalie Lindsay, Caz Hales, Helen Rook
BACKGROUND: This study was born out of our reflections as educators responsible for helping new graduate nurses transition into their first year of professional practice through a formal education programme. Finding ourselves wondering about many of the questions the students raised with us, we set about looking more closely at what could be gleaned from the students' experience, captured in their written work over the course of a year. OBJECTIVES: To identify the challenges and learning experiences revealed in reflective assignments written by new graduate nurses undertaking a postgraduate course as part of their transition to registered nurse practice...
October 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29027898/surgery-versus-antibiotics-for-uncomplicated-appendicitis-which-would-a-medical-student-want
#2
Alison R Althans, Pierre Tamer, Justin T Brady, Emily Steinhagen, Vanessa P Ho
BACKGROUND: Recent data suggest that treatment of acute, uncomplicated appendicitis (AUA) with antibiotics is as effective as surgery. A 2015 study indicated that more than 50% of patients would choose antibiotic therapy. Medical students represent a unique population of potential patients with greater medical knowledge than the general public and possibly less bias than practicing physicians. Therefore, we aimed to evaluate what the MEDICAL STUDENT'S treatment choice for AUA would be and what factors influence these decisions...
October 13, 2017: Surgical Infections
https://www.readbyqxmd.com/read/28989138/knowledge-attitude-and-practices-regarding-pharmacovigilance-and-adverse-drug-reaction-reporting-among-dental-students-in-a-teaching-hospital-jodhpur-india-a-cross-sectional-study
#3
Kumar G Chhabra, Ashish Sharma, Chaya Chhabra, J Jyothirmai Reddy, Shravani G Deolia, Yogesh Mittal
INTRODUCTION: This is a cross-sectional knowledge, attitude, and practices (KAPs) study on pharmacovigilance (PV) and adverse drug reaction (ADR) reporting among dental students in a teaching hospital in India. AIM: The aim of this study was to assess the KAP of dental students regarding PV, ADR reporting, and barriers toward the same. MATERIALS AND METHODS: A cross-sectional survey using a self-administered, investigator-developed, close-ended questionnaire was conducted in an academic dental hospital in India...
October 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28985136/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky-behaviors-committed-by-doctors-nurses-and-classmates
#4
Sahil Aggarwal, Aaron Kheriaty
The bioethics literature lacks findings about medical students' attitudes toward reporting risky behaviors that can cause error or reduce the perceived quality of health care. A survey was administered to 159 medical students to assess their likelihood to directly approach and to report various providers-a physician, nurse, or medical student-for three behaviors (poor hand hygiene, intoxication, or disrespect of patients). For the same behavior, medical students were significantly more likely to approach a classmate, followed by a nurse and then a doctor (p < ...
September 8, 2017: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/28983679/safety-of-omitting-routine-bleeding-tests-prior-to-image-guided-musculoskeletal-core-needle-biopsy
#5
Yuri Shif, Justin W Kung, Colm J McMahon, Jennifer Ni Mhuircheartaigh, Yu Ching Lin, Megan E Anderson, Jim S Wu
PURPOSE: To evaluate the safety of withholding preprocedure international normalized ratio (INR) and platelet testing in patients undergoing musculoskeletal (MSK) core needle biopsy (CNB). MATERIAL AND METHODS: Initially, a retrospective review of 1,162 consecutive patients undergoing MSK CNB with preprocedural INR and platelet testing was performed. Clinical (age, gender, bleeding disorder, liver disease, anticoagulation use, INR > 2, platelet count <50,000/ul) and biopsy factors (imaging modality, lesion type, biopsy needle gauge, number biopsy samples) were tested for association with bleeding complications...
October 6, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28971391/evaluation-of-pulse-oximetry-knowledge-of-greek-registered-nurses
#6
John Stathoulis, Maria Tsironi, Nikolaos Konofaos, Sofia Zyga, Victoria Alikari, Evangelos C Fradelos, Helen Bakola, George Panoutsopoulos
Proper use and evaluation of the pulse oximeter readings in everyday clinical practice are related to patient safety and quality of provided patient healthcare. Purpose of this study was the evaluation of Greek registered nurses' knowledge in pulse oximetry before and after an educational intervention implemented in a 2-h educational intervention (workshop). Anonymous self-administered validated questionnaire consisted of two parts was used to collect the data, after the written consent of the author, in a sample consisted of 78 participants (12 men and 66 women) and the output data were analyzed with SPSS v...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28970618/a-team-case-based-examination-and-its-impact-on-student-performance-in-a-patient-safety-and-informatics-course
#7
Robert D Beckett, Kierstan Etheridge, Teresa DeLellis
Objective. To describe the redesigned assessment plan for a patient safety and informatics course and assess student pharmacist performance and perceptions. Methods. The final examination of a patient safety course was redesigned from traditional multiple choice and short answer to team-based, open-ended, and case-based. Faculty for each class session developed higher level activities, focused on developing key skills or attitudes deemed essential for practice, for a progressive patient case consisting of nine activities...
August 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28970411/medication-safety-experiential-learning-for-pharmacy-students-and-staff-in-a-hospital-setting
#8
Linda V Graudins, Michael J Dooley
Medication Safety has been an established pharmacy specialty in Australian hospitals since the early 2000s and is now one of the ten Australian hospital accreditation standards. Although advances have occurred, medication-related patient harm has not been eradicated. Victorian undergraduate pharmacy programs include some aspects of medication safety, however clinical pharmacy experience, along with interpersonal and project management skills, are required to prepare pharmacists to be confident medication safety practitioners...
November 17, 2016: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28969886/pharmacy-student-decision-making-in-over-the-counter-medicine-supply-a-critical-incident-study
#9
Sara S McMillan, Thachaayini Thangarajah, Claire Anderson, Fiona Kelly
BACKGROUND: Various factors influence decision making in over-the-counter (OTC) medicine consultations, yet limited studies have focused, in-depth, on the thought process of pharmacy staff. This includes pharmacy students as pharmacists-in-training. AIM: To explore the factors that influence pharmacy students' decisions in relation to OTC consultations and choice of OTC medicine/s. METHODS: Semi-structured interviews using the critical incident technique were undertaken with ten pharmacy students in Australia, who also worked as part-time pharmacy staff...
September 28, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28964979/the-effectiveness-of-assertiveness-communication-training-programs-for-healthcare-professionals-and-students-a-systematic-review
#10
REVIEW
Mieko Omura, Jane Maguire, Tracy Levett-Jones, Teresa Elizabeth Stone
BACKGROUND: Communication errors have a negative impact on patient safety. It is therefore essential that healthcare professionals have the skills and confidence to speak up assertively when patient safety is at risk. Although the facilitators to and barriers of assertive communication have been the subject of previous reviews, evidence regarding the effectiveness of interventions designed to enhance assertive communication is lacking. Thus, this paper reports the findings from a systematic review of the effectiveness of assertiveness communication training programs for healthcare professionals and students...
September 5, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28959776/better-patient-safety-implementing-exploration-and-exploitation-learning-in-daily-medical-practice
#11
Ayala Kobo Greenhut, Racheli Magnezi, Izhar Ben Shlomo
BACKGROUND: Current medical daily practice relies on guidelines, protocols and procedures (GPPs), which require exploitation. However, diagnosis, treatment, risk management and process improvements require exploration. Physician are often unable to switch between exploitation and exploration. This study tested a new approach to facilitate switching that included (1) a new 'thinking protocol' that encouraged leaping from exploitation to exploration and (2) a GPP that encouraged leaping from exploration to exploitation...
2017: BMJ Open Qual
https://www.readbyqxmd.com/read/28955660/challenges-of-postgraduate-critical-care-nursing-program-in-iran
#12
Nahid Dehghan Nayeri, Esmaeil Shariat, Zahra Tayebi, Majid Ghorbanzadeh
Background: The main philosophy of postgraduate preparation for working in critical care units is to ensure the safety and quality of patients' care. Increasing the complexity of technology, decision-making challenges and the high demand for advanced communication skills necessitate the need to educate learners. Within this aim, a master's degree in critical care nursing has been established in Iran. Current study was designed to collect critical care nursing students' experiences as well as their feedback to the field critical care nursing...
2017: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/28953569/description-and-early-outcomes-of-a-comprehensive-curriculum-redesign-at-the-northwestern-university-feinberg-school-of-medicine
#13
Heather L Heiman, Celia L O'Brien, Raymond H Curry, Marianne M Green, James F Baker, Robert F Kushner, John X Thomas, Thomas C Corbridge, Julia F Corcoran, Joshua M Hauser, Patricia M Garcia
In 2012, the Northwestern University Feinberg School of Medicine launched a redesigned curriculum addressing the four primary recommendations in the 2010 Carnegie Foundation for the Advancement of Teaching report on reforming medical education. This new curriculum provides a more standardized evaluation of students' competency achievement through a robust portfolio review process coupled with standard evaluations of medical knowledge and clinical skills. It individualizes learning processes through curriculum flexibility, enabling students to take electives earlier and complete clerkships in their preferred order...
September 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28948592/-the-effects-of-auditory-hallucination-simulation-on-empathy-knowledge-social-distance-and-attitudes-toward-patients-with-mental-illness-among-undergraduate-students-a-systemic-review-and-meta-analysis
#14
Ming-Feng Lee, Ching-Lan Esther Lin
BACKGROUND: The negative attitudes of the general public toward mental illness frequently influence the integration of mental illness patients into the community. Auditory hallucination simulation may be considered as a creative teaching strategy to improve the attitudes of learners toward mental illness. However, the empirical effects of auditory hallucination simulation to change the negative attitudes toward mental illness remains uncertain. PURPOSE: To compare and analyze, using a systematic review and meta-analysis, the effectiveness of auditory hallucination simulation in improving empathy, knowledge, social distance, and attitudes toward mental illness in undergraduates...
October 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28942096/evaluation-of-students-knowledge-about-paediatric-dosage-calculations
#15
Nurcan Özyazıcıoğlu, Ayla İrem Aydın, Semra Sürenler, Hava Gökdere Çinar, Dilek Yılmaz, Burcu Arkan, Gülseren Çıtak Tunç
Medication errors are common and may jeopardize the patient safety. As paediatric dosages are calculated based on the child's age and weight, risk of error in dosage calculations is increasing. In paediatric patients, overdose drug prescribed regardless of the child's weight, age and clinical picture may lead to excessive toxicity and mortalities while low doses may delay the treatment. This study was carried out to evaluate the knowledge of nursing students about paediatric dosage calculations. This research, which is of retrospective type, covers a population consisting of all the 3rd grade students at the bachelor's degree in May, 2015 (148 students)...
September 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28932765/informed-strangers-witnessing-and-responding-to-unethical-care-as-student-nurses
#16
Joyce Engel, Jenn Salfi, Samantha Micsinszki, Andrea Bodnar
Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning...
January 2017: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/28928573/a-comparative-study-for-the-analgesic-efficacy-and-safety-profile-of-fentanyl-versus-clonidine-as-an-adjuvant-to-epidural-ropivacaine-0-75-in-lower-abdominal-surgeries
#17
Shuchi Nigam, Shivani Rastogi, Amit Tyagi, Rajlakshmi Bhandari
CONTEXT: Different adjuvants are coadministered with local anesthetics to improve the speed of onset and duration of analgesia, and to reduce the dose, the selection of which is often left to the choice of an anesthesiologist. AIM: The aim of this study was to compare the analgesic efficacy and safety profile of fentanyl and clonidine as an adjuvant to epidural ropivacaine anesthesia. SETTING AND DESIGN: With institutional ethical committee clearance, a prospective, randomized, placebo-controlled double-blind clinical study was conducted at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28924337/outcomes-of-ex-press-and-trabeculectomy-in-a-glaucoma-population-of-african-origin-one-year-results
#18
Youssef Dib Bustros, Robert Fechtner, Albert S Khouri
AIM: To compare the efficacy and safety of Ex-PRESS glaucoma filtration surgery to trabeculectomy in African origin patients. MATERIALS AND METHODS: A retrospective chart review was performed on 56 African American patients undergoing Ex-PRESS glaucoma shunt (E) or trabeculectomy (T) between 2004 and 2012. Data collected included intraocular pressure (IOP) and glaucoma medication use at baseline and postoperative week 1, Month (M) 1, M3, M6, M12. Postoperative interventions including laser suture lysis (LSL) and 5FU injections were analyzed...
May 2017: Journal of Current Glaucoma Practice
https://www.readbyqxmd.com/read/28917136/nursing-students-socialisation-into-practical-skills
#19
Mona Ewertsson, Sangeeta Bagga-Gupta, Karin Blomberg
Socialisation is a significant factor that shapes nursing students' learning in clinical settings. Little is known about the ways in which students learn practical skills during their clinical practice and how they are socialised into these skills. This knowledge is important for creating an optimal environment for ensuring a high standard of care and patient safety. This study aims to address this knowledge gap. An ethnographic approach was used. Data were collected by participant observations during nursing students' clinical practice in an emergency department at a university hospital in Sweden, and during informal conversations with students and their preceptors...
September 5, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28914621/ce-original-research-exploring-how-nursing-schools-handle-student-errors-and-near-misses
#20
Joanne Disch, Jane Barnsteiner, Susan Connor, Fabiana Brogren
: Background: Little attention has been paid to how nursing students learn about quality and safety, and to the tools and policies that guide nursing schools in helping students respond to errors and near misses. PURPOSE: This study sought to determine whether prelicensure nursing programs have a policy for reporting and following up on student clinical errors and near misses, a tool for such reporting, a tool or process (or both) for identifying trends, strategies for follow-up with students after errors and near misses, and strategies for follow-up with clinical agencies and individual faculty members...
October 2017: American Journal of Nursing
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