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https://www.readbyqxmd.com/read/28972627/student-competency-perceptions-from-associate-degree-to-bachelor-degree-completion
#1
Kathlynn Northrup-Snyder, Renee' M Menkens, Miriam Dean
BACKGROUND: A curriculum evaluation gap was addressed by exploring the final year of the Oregon Consortium of Nursing Education (OCNE) curriculum through student perception of competency and benchmark proficiency. METHOD: Researchers used a mixed-methods design to explore RN to baccalaureate (RNBS) student self-assessment data on perceived benchmark proficiency. Students' written statements were coded into four attainment categories, ranging from not attained to strong...
October 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28876987/a-novel-approach-to-simulation-based-education-for-veterinary-medical-communication-training-over-eight-consecutive-pre-clinical-quarters
#2
Ryane E Englar
Experiential learning through the use of standardized patients (SPs) is the primary way by which human medical schools teach clinical communication. The profession of veterinary medicine has followed suit in response to new graduates' and their employers' concerns that veterinary interpersonal skills are weak and unsatisfactory. As a result, standardized clients (SCs) are increasingly relied upon as invaluable teaching tools within veterinary curricula to advance relationship-centered care in the context of a clinical scenario...
2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28865659/prioritizing-possibilities-for-child-and-family-health-an-agenda-to-address-adverse-childhood-experiences-and-foster-the-social-and-emotional-roots-of-well-being-in-pediatrics
#3
Christina D Bethell, Michele R Solloway, Stephanie Guinosso, Sandra Hassink, Aditi Srivastav, David Ford, Lisa A Simpson
OBJECTIVE: A convergence of theoretical and empirical evidence across many scientific disciplines reveals unprecedented possibilities to advance much needed improvements in child and family well-being by addressing adverse childhood experiences (ACEs), promoting resilience, and fostering nurturance and the social and emotional roots of healthy child development and lifelong health. In this article we synthesize recommendations from a structured, multiyear field-building and research, policy, and practice agenda setting process to address these issues in children's health services...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28795904/evaluation-of-fourth-year-veterinary-students-client-communication-skills-recommendations-for-scaffolded-instruction-and-practice
#4
Brenda J Stevens, April A Kedrowicz
Effective client communication is important for success in veterinary practice. The purpose of this project was to describe one approach to communication training and explore fourth-year veterinary students' communication skills through an evaluation of their interactions with clients during a general practice rotation. Two raters coded 20 random videotaped interactions simultaneously to assess students' communication, including their ability to initiate the session, incorporate open-ended questions, listen reflectively, express empathy, incorporate appropriate nonverbal communication, and attend to organization and sequencing...
August 10, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28523966/relationship-centered-dementia-care-insights-from-a-community-based-culture-change-coalition
#5
Lorna de Witt, Darla Fortune
This article reports on the work of a community-based culture change coalition affiliated with the Partnerships in Dementia Care Alliance, a research network committed to strengthening dementia care through supporting relationship-centered care approaches. Research to date emphasizes negative aspects of dementia care relationships. Drawing on data the culture change coalition collected as part of their culture change work using participatory action research guided by appreciative inquiry, this article examines what relationship qualities contributed to positive dementia care experiences and how positive relationships were created...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28452250/implementation-of-a-complex-intervention-to-support-leadership-development-in-nursing-homes-a-multimethod-participatory-study
#6
Belinda Dewar, Karen Barrie, Cathy Sharp, Julienne Meyer
Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28447834/perspectives-of-low-income-chronically-ill-patients-on-complex-care-management
#7
Alice Y Mao, Rachel Willard-Grace, Leslie Dubbin, Louise Aronson, Alicia Fernandez, Nancy J Burke, Julia Finch, Elizabeth Davis
INTRODUCTION: Low-income, chronically ill adults disproportionately experience poor health outcomes despite increased health care use and costs. Complex care management (CCM) programs are an innovative approach to improving outcomes for these patients, but little is known about the patients' experiences in CCM programs in safety net primary care settings. METHOD: The authors conducted semistructured interviews with 13 CCM participants in a safety net primary care clinic to explore their perceptions of their health and their experiences with CCM...
April 27, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28411521/the-experience-of-epilepsy-in-later-life-a-qualitative-exploration-of-illness-representations
#8
Haris Yennadiou, Emma Wolverson
The objective of this study was to explore how older people living with epilepsy appraise their condition through their lived-experience. The common-sense model of illness representations (CSMIR) provides a framework to explain how individuals make sense of and manage health threats. Semi-structured in-depth interviews based on the CSMIR were conducted with ten people with epilepsy who were above the age of 65. The results were analyzed using Interpretative Phenomenological Analysis. Three overarching themes emerged from the analysis: 'the power of epilepsy', 'they say you can live a normal life but you can't' and 'attempts to adjust and cope'...
May 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28401837/new-insight-on-intergenerational-attachment-from-a-relationship-based-analysis
#9
Heidi N Bailey, George M Tarabulsy, Greg Moran, David R Pederson, Sandi Bento
Research on attachment transmission has focused on variable-centered analyses, where hypotheses are tested by examining linear associations between variables. The purpose of this study was to apply a relationship-centered approach to data analysis, where adult states of mind, maternal sensitivity, and infant attachment were conceived as being three components of a single, intergenerational relationship. These variables were assessed in 90 adolescent and 99 adult mother-infant dyads when infants were 12 months old...
May 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/28255234/effectiveness-of-person-centered-care-on-people-with-dementia-a-systematic-review-and-meta-analysis
#10
REVIEW
Sun Kyung Kim, Myonghwa Park
BACKGROUND: Person-centered care is a holistic and integrative approach designed to maintain well-being and quality of life for people with dementia, and it includes the elements of care, the individual, the carers, and the family. AIM: A systematic literature review and meta-analysis were undertaken to investigate the effectiveness of person-centered care for people with dementia. METHODS: Literature searches were undertaken using six databases including Medline, EMBASE, CINAHL, PsycINFO, Cochrane Database, and KoreaMed using the following keywords: cognition disorder, dementia, person-centered care, patient-centered care, client-centered care, relationship-centered care, and dementia care...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28001436/teaching-resident-self-assessment-through-triangulation-of-faculty-and-patient-feedback
#11
Drew M Keister, Susan E Hansen, Julie Dostal
PROBLEM: To accurately determine one's ability in any clinical competency, an individual must be able to self-assess performance and identify personal limitations. Existing research demonstrates that physicians of all levels are unreliable self-assessors. This poses a concern in medical practice, which requires continuous updates to clinical competencies and awareness of personal limitations. Few published studies examine graduate medical education curricula designed to develop self-assessment skills...
December 21, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27874840/an-integrated-narrative-nursing-model-towards-a-new-healthcare-paradigm
#12
Giovanna Artioli, Chiara Foà, Chiara Taffurelli
In the traditional biomedical model of clinical practice, which assumes a medicine focused on disease, diseases are considered as biological or psycho-physiological universal entities. This explanation, although necessary, is not enough. Several authors have recently become interested in the use of narrative practices in the medical care setting, underlining the increasing importance of "a patient-centered approach", a "relationship -centered care" and "narrative medicine". Even in Nursing, the challenge was to combine two models that seemed incompatible: the Evidence-Based Nursing Model and the Narrative-Based Nursing Model...
November 22, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27843893/evaluating-the-efficacy-of-the-support-for-life-program-for-people-with-dementia-and-their-families-and-carers-to-enable-them-to-live-well-a-protocol-for-a-cluster-stepped-wedge-randomized-controlled-trial
#13
Dianne Goeman, Tracy Comans, Joanne C Enticott, Emma Renehan, Elizabeth Beattie, Susan Kurrle, Susan Koch
INTRODUCTION: Assistance provided to support people living with dementia and carers is highly valued by them. However, current support systems in Australia are disjointed, inaccessible to all, poorly coordinated, and focus on dysfunction rather than ability. Support workers for people with dementia are in short supply, and there is little consistency in their roles. To address this large service gap and unmet need, we have developed an evidence-based optimized model of holistic support for people with dementia and their carers and families...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27809645/experiences-and-perspectives-on-advance-care-planning-among-individuals-living-with-serious-physical-disabilities
#14
Suzanne E Mitchell, Gabriela M Weigel, Sabrina K A Stewart, Morgan Mako, John F Loughnane
BACKGROUND: Despite frequent encounters with the healthcare system and high risk for secondary conditions, it is unclear how frequently individuals living with serious physical disabilities document advance directives (AD) or engage in advance care planning (ACP). Their perspectives on these topics are largely unknown. OBJECTIVE: We aimed to characterize the perspectives of individuals with serious physical disabilities receiving care from two different healthcare delivery settings on the value of AD and ACP...
February 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27729860/understanding-the-impact-of-erbb-activating-events-and-signal-transduction-on-antigen-processing-and-presentation-mhc-expression-as-a-model
#15
REVIEW
Anna E Kersh, Maiko Sasaki, Lee A Cooper, Haydn T Kissick, Brian P Pollack
Advances in molecular pathology have changed the landscape of oncology. The ability to interrogate tissue samples for oncogene amplification, driver mutations, and other molecular alterations provides clinicians with an enormous level of detail about their patient's cancer. In some cases, this information informs treatment decisions, especially those related to targeted anti-cancer therapies. However, in terms of immune-based therapies, it is less clear how to use such information. Likewise, despite studies demonstrating the pivotal role of neoantigens in predicting responsiveness to immune checkpoint blockade, it is not known if the expression of neoantigens impacts the response to targeted therapies despite a growing recognition of their diverse effects on immunity...
2016: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/27615740/localization-of-cortical-primary-motor-area-of-the-hand-using-navigated-transcranial-magnetic-stimulation-bold-and-arterial-spin-labeling-fmri
#16
Elisa Kallioniemi, Minna Pitkänen, Mervi Könönen, Ritva Vanninen, Petro Julkunen
BACKGROUND: Although the relationship between neuronavigated transcranial magnetic stimulation (nTMS) and functional magnetic resonance imaging (fMRI) has been widely studied in motor mapping, it is unknown how the motor response type or the choice of motor task affect this relationship. NEW METHOD: Centers of gravity (CoGs) and response maxima were measured with blood-oxygen-level dependent (BOLD) and arterial spin labeling (ASL) fMRI during motor tasks against nTMS CoGs and response maxima, which were mapped with motor evoked potentials (MEPs) and silent periods (SPs)...
November 1, 2016: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/27472798/transformations-reflections-on-a-longitudinal-relationship-centered-medical-school-curriculum
#17
Kaitlin Ostrander
No abstract text is available yet for this article.
July 2016: Family Medicine
https://www.readbyqxmd.com/read/27428581/my-father-myself
#18
Ilany Kogan
This essay presents material from the second analysis of an offspring of two Holocaust survivors, each of whom lost a child during the war. The first analysis (Kogan ) focused primarily on the patient's relationship with her mother. This second analysis revolves around the elaboration of the complex and painful father-daughter relationship, centering on the events surrounding the death of the patient's father. The discussion includes an exploration of the father's deferred action on account of his Holocaust trauma, which he passed on to the next generation; the break in the idealized paternal representation; and the daughter's identification with her father's disavowed aggressive aspects...
July 2016: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/27419186/defining-clinical-excellence-in-adult-infectious-disease-practice
#19
REVIEW
Natasha M Chida, Khalil G Ghanem, Paul G Auwaerter, Scott M Wright, Michael T Melia
Clinical excellence should be recognized, particularly in the current climate that appropriately prioritizes relationship-centered care. In order to develop a recognition model, a definition of clinical excellence must be created and agreed upon. A paradigm recently suggested by C. Christmas describes clinical excellence through the following domains: diagnostic acumen, professionalism and humanism, communication and interpersonal skills, skillful negotiation of the healthcare system, knowledge, taking a scholarly approach to clinical practice, and having passion for clinical medicine...
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27387164/a-countercultural-heritage-rediscovering-the-relationship-centered-and-social-justice-roots-of-family-medicine-a-perspective-from-the-keystone-iv-conference
#20
Richard C Waters, Mark Stoltenberg, Lauren S Hughes
The 2015 G. Gayle Stephens Keystone conference convened a cohort of primary care professionals to discuss what promises personal physicians will make to their patients going forward. New physicians were prompted to rediscover the foundational values of and historic context for family medicine. At the heart of this rediscovery was learning of the writings and teachings of Dr. G. Gayle Stephens, a founder of family medicine who emphasized the essentiality of relationship-centered care and social justice to the new specialty...
July 2016: Journal of the American Board of Family Medicine: JABFM
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