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https://www.readbyqxmd.com/read/29450028/implementation-of-a-novel-synchronous-multi-site-all-day-high-fidelity-simulation
#1
Paul Abraham, Franck Verdonk, Clement Buleon, Antoine Tesniere, Marc Lilot
Integration of simulation in educational curricula for anesthesia and intensive care residents is a hot topic. There is a great interest for simulation centers to share their experiences through multi-site synchronous simulation sessions. The present study results from an experience conducted at three sites in France (Paris, Lyon, and Caen), which involved 16 instructors and 25 residents facing the same scenario across 1 day. Synchronous simulations were performed at each site with local and shared debriefing via teleconference...
2018: Advances in Simulation
https://www.readbyqxmd.com/read/29449317/it-takes-a-village-to-move-a-hospital-simulation-improves-intensive-care-team-preparedness-for-a-move-to-a-new-site
#2
Conall Francoeur, Sarah Shea, Margaret Ruddy, Patricia Fontela, Farhan Bhanji, Saleem Razack, Ronald Gottesman, Tanya Di Genova
OBJECTIVES: To evaluate in-situ simulation to prepare a PICU to move to a new, redesigned unit. METHODS: The study setting is an academic PICU. This is a cross-sectional study using in-situ simulations of common PICU admissions. Postsimulation, participants completed a survey comparing the perception of preparedness pre- and postsimulation (via a 10-point Likert scale). Participants were resurveyed 6 months postmove to assess whether effects persisted. Qualitative data were obtained via thematic review of the survey comment section and from postsimulation debriefing...
February 15, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29448854/mental-health-care-providers-talk-about-their-experiences-preventing-suicide-in-people-with-substance-use-disorders-in-south-africa-implications-for-clinical-practice
#3
Daniel Goldstone, Jason Bantjes
OBJECTIVE: This study explored mental health care providers' experiences of preventing suicide in people with substance use disorders and their perceptions of factors related to clinical practice that contributed to these experiences. METHODS: In-depth, semistructured interviews were conducted with 18 mental health care providers working in South Africa. Thematic analysis was used to analyse the data inductively with Atlas.ti software. RESULTS: Participants described feeling hopeless, helpless, powerless and guilty and needed to debrief from their experiences of preventing suicide...
February 15, 2018: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/29447058/training-and-post-disaster-interventions-for-the-psychological-impacts-on-disaster-exposed-employees-a-systematic-review
#4
Samantha K Brooks, Rebecca Dunn, Richard Amlôt, Neil Greenberg, G James Rubin
BACKGROUND: When organisations are exposed to traumatic situations, such as disasters, often staff are not prepared for the potential psychological impact which can negatively affect their wellbeing. AIMS: To conduct a systematic review of the literature on psychological interventions aimed at improving staff wellbeing during or after disasters. METHOD: Four electronic literature databases were searched. Reference lists of relevant articles were hand-searched...
February 15, 2018: Journal of Mental Health
https://www.readbyqxmd.com/read/29436144/phase-1-3-of-the-cross-cultural-development-of-an-eortc-questionnaire-for-the-assessment-of-sexual-health-in-cancer-patients-the-eortc-shq-22
#5
Anne Sophie Oberguggenberger, Eva Nagele, Elisabeth C Inwald, Krzysztof Tomaszewski, Anne Lanceley, Andy Nordin, Carien L Creutzberg, Karin Kuljanic, Dimitrios Kardamakis, Claudia Schmalz, Juan Arraras, Anna Costantini, Thierry Almont, Chie Wei-Chu, Sara Dehandschutter, Zoe Winters, Elfriede Greimel
To develop and pretest an European Organization for the Research and Treatment of Cancer Sexual Health Questionnaire (EORTC SHQ-22) for the assessment of physical, psychological, and social aspects of sexual health (SH) in male and female cancer patients and survivors. Questionnaire construction started with creating a list of relevant SH issues based on a comprehensive literature review. Issues were subsequently evaluated for relevance and prioritization by 78 healthcare professionals (HCP) and 107 patients from 12 countries during in-depth interviews (phase 1)...
February 13, 2018: Cancer Medicine
https://www.readbyqxmd.com/read/29433368/teaching-childbirth-with-high-fidelity-simulation-is-it-better-observing-the-scenario-during-the-briefing-session
#6
Marcos J Cuerva, Carlos S Piñel, Lourdes Martin, Jose A Espinosa, Octavio J Corral, Nicolás Mendoza
The design of optimal courses for obstetric undergraduate teaching is a relevant question. This study evaluates two different designs of simulator-based learning activity on childbirth with regard to respect to the patient, obstetric manoeuvres, interpretation of cardiotocography tracings (CTG) and infection prevention. This randomised experimental study which differs in the content of their briefing sessions consisted of two groups of undergraduate students, who performed two simulator-based learning activities on childbirth...
February 12, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29432058/a-framework-for-establishing-connections-in-physiotherapy-practice
#7
Maxi Miciak, Maria Mayan, Cary Brown, Anthony S Joyce, Douglas P Gross
The therapeutic relationship between practitioner and patient is embedded in the clinical interaction. Research using self-report tools has illustrated that positively evaluated therapeutic relationships can have favorable impacts on patient satisfaction with services and clinical outcomes. However, little is known about how physiotherapists develop the connections, or positive attachments, that help establish the therapeutic relationship. This study aimed to identify the various ways that physiotherapists establish meaningful connections with their patients...
February 12, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29431294/rapid-tranquilization-an-audit-of-irish-mental-health-nursing-practice
#8
Michael Nash, Caitriona McDonagh, Aisling Culhane, Imelda Noone, Agnes Higgins
Rapid tranquillization is a pharmacological intervention sometimes employed in mental health care for the management of acute behavioural disturbance. It is a form of restrictive practice, which, along with seclusion and restraint, is a conventional and controversial intervention in the therapeutic management of risk in mental health settings. This study surveyed mental health nurses practice in rapid tranquillization. A self-report questionnaire was utilized which addressed aspects such as definitions of rapid tranquillization, presence of rapid tranquillization policy, types of incidents where it is used and postintervention monitoring...
February 12, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29423828/standardized-patients-in-clinical-psychology-and-psychotherapy-a-scoping-review-of-barriers-and-facilitators-for-implementation
#9
REVIEW
Franziska Kühne, Destina Sevde Ay, Mara Jasmin Otterbeck, Florian Weck
OBJECTIVES: The use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy. METHODS: Following current guidelines, a scoping review was conducted...
February 8, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29423569/time-costs-for-genetic-counseling-in-preconception-carrier-screening-with-genome-sequencing
#10
Frances L Lynch, Patricia Himes, Marian J Gilmore, Elissa M Morris, Jennifer L Schneider, Tia L Kauffman, Elizabeth Shuster, Jacob A Reiss, John F Dickerson, Michael C Leo, James V Davis, Carmit K McMullen, Benjamin S Wilfond, Katrina A B Goddard
Advances in technology and the promise of personalized health care are driving greater use of genome sequencing (GS) for a variety of clinical scenarios. As health systems consider adopting GS, they need to understand the impact of GS on the organization and cost of care. While research has documented a dramatic decrease in the cost of sequencing and interpreting GS, few studies have examined how GS impacts genetic counseling workloads. This study examined the time needed to provide genetic counseling for GS in the context of preconception carrier screening...
February 8, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29422222/rating-teams-non-technical-skills-in-the-emergency-department-a-qualitative-study-of-nurses-experience
#11
Joanne E Porter, Robyn P Cant, Simon J Cooper
INTRODUCTION: Non-technical skills (NTS) teamwork training can enhance clinicians' understanding of roles and improve communication. We evaluated a quality improvement project rating teams' NTS performance to determine the value of formal rating and debriefing processes. METHODS: In two Australian emergency departments the NTS of resuscitation teams were rated by senior nurses and medical staff. Key measures were leadership, teamwork, and task management using a valid instrument: Team Emergency Assessment Measure (TEAM™)...
February 5, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29417075/meta-evaluation-of-published-studies-on-evaluation-of-health-disaster-preparedness-exercises-through-a-systematic-review
#12
Hojjat Sheikhbardsiri, Mohammad H Yarmohammadian, Hamid Reza Khankeh, Mahmoud Nekoei-Moghadam, Ahmad Reza Raeisi
OBJECTIVE: Exercise evaluation is one of the most important steps and sometimes neglected in designing and taking exercises, in this stage of exercise, it systematically identifying, gathering, and interpreting related information to indicate how an exercise has fulfilled its objectives. The present study aimed to assess the most important evaluation techniques applied in evaluating health exercises for emergencies and disasters. METHODS: This was meta-evaluation study through a systematic review...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29411953/exploring-the-use-of-high-fidelity-simulation-training-to-enhance-clinical-skills
#13
Lucy Ann Kirkham
The use of interprofessional simulation training to enhance nursing students' performance of technical and non-technical clinical skills is becoming increasingly common. Simulation training can involve the use of role play, virtual reality or patient simulator manikins to replicate clinical scenarios and assess the nursing student's ability to, for example, undertake clinical observations or work as part of a team. Simulation training enables nursing students to practise clinical skills in a safe environment...
February 7, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29407259/pre-departure-preparation-and-co-curricular-activities-for-students-intercultural-exchange-a-mixed-methods-study
#14
E Angela Chan, Justina Yat Wa Liu, Keith Hin Kee Fung, Pak Lik Tsang, John Yuen
BACKGROUND: Nurses are required to be culturally competent to provide quality care to an increasingly diverse and ageing population. International exchange programmes were developed to support the traditional nursing curriculum. These programmes have often overlooked the importance of pre-departure preparation and co-curricular activities to the development of intercultural competency. OBJECTIVES: To explore the influence of pre-departure and co-curricular activities on the intercultural learning experiences of both exchange and host students in a short-term international summer programme...
January 31, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29395030/medical-student-perceptions-of-a-mistreatment-program-during-the-surgery-clerkship
#15
Brittany N Hasty, Sarah E Miller, Sylvia Bereknyei Merrell, Dana T Lin, Edward S Shipper, James N Lau
BACKGROUND: Medical student mistreatment remains a concern, particularly in the surgery clerkship. This is a single academic institution's report of medical student perceptions of a mistreatment program embedded in the surgery clerkship. METHODS: Students who completed the surgery clerkship and the mistreatment program volunteered to be interviewed individually or in focus groups. The interviews were transcribed and qualitatively analyzed. RESULTS: Twenty-four medical students were interviewed and nine transcripts were obtained...
January 4, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29388669/information-support-and-follow-up-offered-to-women-who-experienced-severe-maternal-morbidity
#16
Mary Furniss, Molly Conroy, Sara Filoche, E Jane MacDonald, Stacie E Geller, Beverley Lawton
OBJECTIVE: To determine what information, support, and follow-up were offered to women who had experienced severe maternal morbidity (SMM). METHODS: The present retrospective case review included patients who experienced SMM (admission to intensive care during pregnancy or up to 42 days postpartum) who had previously been reviewed for potential preventability as part of a nationwide New Zealand study performed between January 1 and December 31, 2014. Data were audited to ascertain documented evidence of an event debrief or explanation; referral to social support and/or mental health services; a detailed discharge letter; and a follow-up appointment with a specialist...
February 1, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29388234/telepresent-focused-assessment-with-sonography-for-trauma-examination-training-versus-traditional-training-for-medical-students-a-simulation-based-pilot-study
#17
Scott Poland, Jennifer A Frey, Ahmad Khobrani, Jason E Ondrejka, Michael U Ruhlin, Richard L George, M David Gothard, Rami A Ahmed
OBJECTIVES: Telepresent education is becoming an important modality in medical education, as it provides a means for instructors to lead education sessions via videoconferencing technologies. This study aimed to compare the effectiveness of telepresent ultrasound training versus traditional in-person ultrasound training. METHODS: Medical student cohorts were educated by either traditional in-person instruction or telementoring on how to perform a focused assessment with sonography for trauma (FAST) examination...
February 1, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29383867/human-simulation-based-learning-to-prevent-medication-error-a-systematic-review
#18
REVIEW
Laura Sarfati, Florence Ranchon, Nicolas Vantard, Vérane Schwiertz, Virginie Larbre, Stéphanie Parat, Amélie Faudel, Catherine Rioufol
RATIONALE, AIMS AND OBJECTIVES: In the past 2 decades, there has been an increasing interest in simulation-based learning programs to prevent medication error (ME). To improve knowledge, skills, and attitudes in prescribers, nurses, and pharmaceutical staff, these methods enable training without directly involving patients. However, best practices for simulation for healthcare providers are as yet undefined. By analysing the current state of experience in the field, the present review aims to assess whether human simulation in healthcare helps to reduce ME...
January 31, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29383082/filling-the-gap-simulation-based-crisis-resource-management-training-for-emergency-medicine-residents
#19
Jessica R Parsons, Amanda Crichlow, Srikala Ponnuru, Patricia A Shewokis, Varsha Goswami, Sharon Griswold
Introduction: In today's team-oriented healthcare environment, high-quality patient care requires physicians to possess not only medical knowledge and technical skills but also crisis resource management (CRM) skills. In emergency medicine (EM), the high acuity and dynamic environment makes CRM skills of physicians particularly critical to healthcare team success. The Accreditation Council of Graduate Medicine Education Core Competencies that guide residency program curriculums include CRM skills; however, EM residency programs are not given specific instructions as to how to teach these skills to their trainees...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383065/a-randomized-trial-of-smart-goal-enhanced-debriefing-after-simulation-to-promote-educational-actions
#20
Amish Aghera, Matt Emery, Richard Bounds, Colleen Bush, R Brent Stansfield, Brian Gillett, Sally A Santen
Introduction: Goal setting is used in education to promote learning and performance. Debriefing after clinical scenario-based simulation is a well-established practice that provides learners a defined structure to review and improve performance. Our objective was to integrate formal learning goal generation, using the SMART framework (Specific, Measurable, Attainable, Realistic, and Time-bound), into standard debriefing processes (i.e., "SMART Goal Enhanced Debriefing") and subsequently measure the impact on the development of learning goals and execution of educational actions...
January 2018: Western Journal of Emergency Medicine
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