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https://www.readbyqxmd.com/read/28645270/qualitative-modification-and-development-of-patient-and-caregiver-reported-outcome-measures-for-iron-chelation-therapy
#1
Erica G Horodniceanu, Vasudha Bal, Harman Dhatt, John A Carter, Vicky Huang, Kathryn Lasch
BACKGROUND: Compliance, palatability, gastrointestinal (GI) symptom, and treatment satisfaction patient- and observer-reported outcome (PRO, ObsRO) measures were developed/modified for patients with transfusion-dependent anemias or myelodysplastic syndrome (MDS) requiring iron chelation therapy (ICT). METHODS: This qualitative cross-sectional observational study used grounded theory data collection and analysis methods and followed PRO/ObsRO development industry guidance...
June 23, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28644788/initiatives-for-responding-to-medical-trainees-moral-distress-about-end-of-life-cases
#2
M Sara Rosenthal, Maria Clay
Moral distress frequently arises for medical trainees exposed to end-of-life cases. We review the small literature on best practices for reducing moral distress in such cases and propose two areas to target for moral distress reduction: medical education and organizational ethics programs. Students require training in end-of-life dialogues and truthful prognostication, which are not generally available without skilled mentors. But physician-mentors and teachers can suffer from lingering moral residue themselves, which can affect the teaching culture and student expectations...
June 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28640034/using-a-simulation-of-a-frustrated-faculty-member-during-department-chair-searches-a-proof-of-concept-project
#3
Daniel E Shapiro, Lisa M Abbott, Daniel R Wolpaw, Michael J Green, Benjamin H Levi
PROBLEM: Vitae reviews, interviews, presentations, and reference checks are typical components of searches used to screen and select new department chairs/heads, but these strategies may fail to identify leaders who can communicate effectively with faculty in common, tense situations. APPROACH: Between May 2015 and November 2016, the authors piloted simulation scenarios in four department chair searches at Penn State College of Medicine/Penn State Health to assess candidates' skill at handling common, challenging situations with faculty members...
June 20, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28629827/debriefing-values-in-high-fidelity-simulation
#4
EDITORIAL
Antonia Blanié, Morgan Le Guen
No abstract text is available yet for this article.
June 16, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/28629228/use-of-provider-debriefing-to-improve-fast-track-extubation-rates-following-cardiac-surgery-at-an-academic-medical-center
#5
Jordan E Goldhammer, Jillian M Dashiell, Scott Davis, Marc C Torjman, Hitoshi Hirose
When used in appropriate patient populations, fast-track extubation (FTE) anesthetic techniques and intensive care unit (ICU) protocols safely reduce intubation times, ICU length of stay, and resource utilization. The authors hypothesized that perioperative provider debriefing on success or failure of FTE would improve FTE success. This retrospective observational study included consecutive patients undergoing elective coronary artery bypass graft (CABG), valve, or combined CABG/valve surgery between February 2015 and May 2016 (N = 313)...
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28622407/challenges-and-lessons-learned-in-implementing-a-community-academic-partnership-for-drug-prevention-in-a-native-hawaiian-community
#6
Susana Helm, Kanoelani Davis, Anonymous Youth Participants Haumana
OBJECTIVE: The broad purpose of this project is to improve health in Native Hawaiian communities through the prevention of substance use. Our community-academic partnership (CAP) team developed an intervention called Puni Ke Ola for this purpose. This paper provides a brief overview of the intervention, then describes challenges and lessons learned in piloting Puni Ke Ola. METHODS: A single module of the Puni Ke Ola intervention was implemented, after which the intervention leaders (N=3) convened for a debriefing meeting...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28609702/the-effect-of-facial-feedback-on-the-evaluation-of-statements-describing-everyday-situations-and-the-role-of-awareness
#7
Jakob Kaiser, Graham C L Davey
According to theories of embodiment enacting a smile or a frown can positively or negatively influence one's evaluations, even without awareness of one's facial activity. While some previous studies found evidence for facial feedback effects, recent replication attempts could not confirm these findings. Are our decisions throughout the day amenable to the state of our facial muscles? We tested the effect of smiling and frowning on the evaluation of emotional sentences describing everyday situations. While most previous studies based their assessment of awareness on verbal debriefing interviews without explicitly defined criteria, we employed a written debriefing questionnaire in order to avoid potential bias when identifying participants' awareness...
June 10, 2017: Consciousness and Cognition
https://www.readbyqxmd.com/read/28608738/development-and-initial-psychometric-evaluation-of-patient-reported-outcome-questionnaires-to-evaluate-the-symptoms-and-impact-of-hidradenitis-suppurativa
#8
Alexa B Kimball, Murali Sundaram, Benjamin Banderas, Catherine Foley, Alan L Shields
BACKGROUND: Two patient-reported outcome (PRO) questionnaires, the Hidradenitis Suppurativa Symptom Assessment (HSSA) and Hidradenitis Suppurativa Impact Assessment (HSIA), were developed to measure signs, symptoms, and impacts of HS in treatment efficacy studies. METHODS: In accordance with FDA guidelines and published best practices, four stages of research were conducted to create the questionnaires: concept elicitation, questionnaire construction, content evaluation, and psychometric evaluation...
June 13, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28604084/an-initial-psychometric-evaluation-of-the-german-promis-v1-2-physical-function-item-bank-in-patients-with-a-wide-range-of-health-conditions
#9
Gregor Liegl, Matthias Rose, Helena Correia, H Felix Fischer, Sibel Kanlidere, Annett Mierke, Alexander Obbarius, Sandra Nolte
OBJECTIVES: To translate the PROMIS Physical Function (PF) item bank version 1.2 into German and to investigate psychometric properties of resulting full bank and seven derived short forms. DESIGN: Cross-sectional psychometric study. SETTING: Inpatient and outpatient clinics of the Department of Psychosomatic Medicine at Charité-Universitätsmedizin Berlin, Germany. SUBJECTS: A total of 10 adult patients with various chronic diseases participated in cognitive debriefing interviews...
June 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28601318/debriefing-the-forgotten-phase-of-the-surgical-safety-checklist
#10
Marisa A Bartz-Kurycki, Kathryn T Anderson, Jocelyn E Abraham, Kendall M Masada, Jiasen Wang, Akemi L Kawaguchi, Kevin P Lally, KuoJen Tsao
BACKGROUND: The debriefing phase of the surgical safety checklist (SSC) provides the operative team an opportunity to share pertinent intraoperative information and communicate postoperative plans. Prior quality improvement initiatives at our institution focused on the preincision phase of the SSC; however, the debriefing phase has not been evaluated. We aimed to assess adherence to the debrief checklist at our institution and identify areas for improvement. MATERIALS AND METHODS: An observational study was conducted from 2014 to 2016 with a convenience sample of pediatric surgery cases at an academic children's hospital over 8-wk periods annually to evaluate the debriefing checklist across 14 subspecialties...
June 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28598707/twelve-tips-for-undertaking-reflexive-global-health-experiences-in-medicine
#11
Rabia Khan, Brian Hodges, Maria Athina Tina Martimianakis, Donald Cole
BACKGROUND: While interest and opportunities for global health experiences (GHE) continue to grow, the preparation of students and health professionals alike to engage in these GHEs remains limited. AIMS: This article provides tips for reflexivity prior to undertaking a GHE and suggests ways to debrief the experience in order to ensure that trainees and professionals that engage in GHEs can both help their intended communities and also get the most out of the experience...
June 9, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28585979/impact-of-interprofessional-simulation-on-nursing-students-attitudes-toward-teamwork-and-collaboration
#12
Linda Krueger, Kim Ernstmeyer, Ellen Kirking
BACKGROUND: The purpose of this study was to examine the influence of a multipatient, interprofessional simulation session on nursing students' attitudes toward nurse-physician collaboration using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. METHOD: Final-semester nursing students, along with medical resident and students from other health programs, participated in a simulation exercise that included a period of prebriefing, simulation, and debriefing...
June 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28578682/secondary-distress-in-violence-researchers-a-randomised-trial-of-the-effectiveness-of-group-debriefings
#13
Heidi Grundlingh, Louise Knight, Dipak Naker, Karen Devries
BACKGROUND: Secondary distress including emotional distress, vicarious trauma (VT) and secondary traumatic stress (STS) due to exposure to primary trauma victims have been described in helping professionals and in violence researchers. To our knowledge, there are few prevalence studies, and no tailored interventions have been tested to reduce secondary distress in violence researchers. The study aims to (1) describe the epidemiology of secondary distress experienced by violence researchers; to (2) assess the effectiveness of group debriefings in mitigating secondary distress; to (3) assess risk and protective factors...
June 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28577417/structured-debriefing-what-difference-does-it-make
#14
Inger Åse Reierson, Thor Arne Haukedal, Hanne Hedeman, Ida Torunn Bjørk
Debriefing in simulation is a cornerstone of learning. However, in-depth studies examining simulation debriefing are scarce. This study explored four key debriefing attributes-feedback, reflection, knowledge development, and psychological safety-prior and subsequent to the implementation of a new pedagogical intervention in a pre-clinical scenario simulation course. The scenarios focused on patients with deteriorating conditions and took place at bachelor's nursing degree level. The new intervention for the debriefing sessions contained a detailed observation tool describing specific, correct nursing actions for deteriorating patients; video playback watched only by students acting as nurses, and debriefing organized into two sections...
April 29, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28573361/exploring-anesthesiologists-understanding-of-situational-awareness-a-qualitative-study
#15
Julia A Haber, Rachel H Ellaway, Rosaleen Chun, Jocelyn M Lockyer
PURPOSE: This study explored how anesthesiologists understand situational awareness (SA) and how they think SA is learned, taught, and assessed. METHODS: Semi-structured interviews were performed with practicing anesthesiologists involved in teaching. This qualitative study was conducted using constructivist grounded theory techniques (i.e., line-by-line coding, memoing, and constant comparison) in a thematic analysis of interview transcripts. Group meetings were held to develop and review themes emerging from the data...
June 1, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/28566217/integration-of-hands-on-team-training-into-existing-curriculum-improves-both-technical-and-nontechnical-skills-in-laparoscopic-cholecystectomy
#16
Robert C Caskey, Lily Owei, Raghavendra Rao, Elijah W Riddle, Ari D Brooks, Daniel T Dempsey, Jon B Morris, Christopher J Neylan, Noel N Williams, Kristoffel R Dumon
OBJECTIVE: Nontechnical skills are an essential component of surgical education and a major competency assessed by the ACGME milestones project. However, the optimal way to integrate nontechnical skills training into existing curricula and then objectively evaluate the outcome is still unknown. The aim of this study was to determine the effect laparoscopic team-based task training would have on the nontechnical skills needed for laparoscopic surgery. DESIGN: 9 PGY-1 residents underwent an established training curriculum for teaching the knowledge and technical skills involved in laparoscopic cholecystectomy...
May 26, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28562461/student-perceptions-of-stressors-and-the-value-of-coaching-in-a-baccalaureate-nursing-articulation-program
#17
Mary Knowlton
Regionally Increasing Baccalaureate Nurses (RIBN) is a unique articulation program in North Carolina. The fourth year of RIBN is challenging; students are enrolled as full-time university students while starting part-time employment as new graduate nurses. The aim of this descriptive pilot study was to explore the anticipated and actual stressors related to the fourth year experience and evaluate the impact of monthly coaching sessions. Key stressors identified were academic workload, professional awareness/role transition/workforce adjustment, time management, and obligations to support individuals...
May 29, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28562455/simzones-an-organizational-innovation-for-simulation-programs-and-centers
#18
Christopher J Roussin, Peter Weinstock
The complexity and volume of simulation-based learning programs have increased dramatically over the last decade, presenting several major challenges for those who lead and manage simulation programs and centers. The authors present five major issues affecting the organization of simulation programs: (1) supporting both single- and double-loop learning experiences; (2) managing the training of simulation teaching faculty; (3) optimizing the participant mix, including individuals, professional groups, teams, and other role-players, to ensure learning; (4) balancing in situ, node-based, and center-based simulation delivery; and (5) organizing simulation research and measuring value...
May 30, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28558697/does-an-electronic-cognitive-aid-have-an-effect-on-the-management-of-severe-gynaecological-turp-syndrome-a-prospective-randomised-simulation-study
#19
Michael St Pierre, Georg Breuer, Dieter Strembski, Christopher Schmitt, Bjoern Luetcke
BACKGROUND: Lack of familiarity with the content of current guidelines is a major factor associated with non-compliance by clinicians. It is conceivable that cognitive aids with regularly updated medical content can guide clinicians' task performance by evidence-based practices, even if they are unfamiliar with the actual guideline. Acute hyponatraemia as a consequence of TURP syndrome is a rare intraoperative event, and current practice guidelines have changed from slow correction to rapid correction of serum sodium levels...
May 30, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28557945/how-entrustment-is-informed-by-holistic-judgments-across-time-in-a-family-medicine-residency-program-an-ethnographic-nonparticipant-observational-study
#20
Margaretha H Sagasser, Cornelia R M G Fluit, Chris van Weel, Cees P M van der Vleuten, Anneke W M Kramer
PURPOSE: Entrustment has mainly been conceptualized as delegating discrete professional tasks. Because residents provide most of their patient care independently, not all resident performance is visible to supervisors; the entrustment process involves more than granting discrete tasks. This study explored how supervisors made entrustment decisions based on residents' performance in a long-term family medicine training program. METHOD: A qualitative nonparticipant observational study was conducted in 2014-2015 at competency-based family medicine residency programs in the Netherlands...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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