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Debriefing

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https://www.readbyqxmd.com/read/28210863/healthcare-professionals-response-to-intrapartum-death-a-cross-sectional-study
#1
Karen McNamara, S Meaney, O O'Connell, M McCarthy, R A Greene, K O'Donoghue
BACKGROUND: Exposure to adverse perinatal events can impact on the way healthcare professionals (HCPs) provide patient care. The aim of this study was to document the experiences of HCPs following exposure to intrapartum death (IPD), to identify opinions surrounding education and suitable support strategies, and to ascertain if involvement with an IPD had any impact on clinical practice. METHODS: A questionnaire study, with open and closed questions, was developed and set in a tertiary maternity hospital...
February 17, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28197718/adaptation-of-the-osteoarthritis-specific-quality-of-life-scale-the-oaqol-for-use-in-germany-hungary-italy-spain-and-turkey
#2
Jeanette Wilburn, Stephen P McKenna, Şehim Kutlay, Tamas Bender, Jürgen Braun, Concepcion Castillo-Gallego, Marta Favero, Pal Geher, Uta Kiltz, Emilio Martin-Mola, Roberta Ramonda, Matthew Rouse, Alan Tennant, Ayşe A Küçükdeveci
The Osteoarthritis Quality of Life scale (OAQoL) is specific to individuals with osteoarthritis. The present study describes the adaptation of the OAQoL for use in the following five European languages: German, Hungarian, Italian, Spanish and Turkish. The study involved three stages in each language; translation, cognitive debriefing (face and content validity) and validation. The validation stage assessed internal consistency (Cronbach's alpha), reproducibility (test-retest reliability using Spearman's rank correlations), convergent and divergent validity (correlations with the Health Assessment Questionnaire, The Western Ontario and McMaster Universities Index of osteoarthritis and Nottingham Health Profile) and known group validity...
February 15, 2017: Rheumatology International
https://www.readbyqxmd.com/read/28176924/high-stakes-and-high-emotions-providing-safe-care-in-canadian-emergency-departments
#3
Samina Ali, Denise Thomson, Timothy A D Graham, Sean E Rickard, Antonia S Stang
BACKGROUND: The high-paced, unpredictable environment of the emergency department (ED) contributes to errors in patient safety. The ED setting becomes even more challenging when dealing with critically ill patients, particularly with children, where variations in size, weight, and form present practical difficulties in many aspects of care. In this commentary, we will explore the impact of the health care providers' emotional reactions while caring for critically ill patients, and how this can be interpreted and addressed as a patient safety issue...
2017: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/28176890/contextualizing-the-relevance-of-basic-sciences-small-group-simulation-with-debrief-for-first-and-second-year-medical-students-in-an-integrated-curriculum
#4
Samara B Ginzburg, Judith Brenner, Michael Cassara, Thomas Kwiatkowski, Joanne M Willey
AIM: There has been a call for increased integration of basic and clinical sciences during preclinical years of undergraduate medical education. Despite the recognition that clinical simulation is an effective pedagogical tool, little has been reported on its use to demonstrate the relevance of basic science principles to the practice of clinical medicine. We hypothesized that simulation with an integrated science and clinical debrief used with early learners would illustrate the importance of basic science principles in clinical diagnosis and management of patients...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28166188/focused-and-corrective-feedback-versus-structured-and-supported-debriefing-in-a-simulation-based-cardiac-arrest-team-training-a-pilot-randomized-controlled-study
#5
Ji-Hoon Kim, Young-Min Kim, Seong Heui Park, Eun A Ju, Se Min Choi, Tai Yong Hong
OBJECTIVE: The aim of the study was to compare the educational impact of two postsimulation debriefing methods-focused and corrective feedback (FCF) versus Structured and Supported Debriefing (SSD)-on team dynamics in simulation-based cardiac arrest team training. METHODS: This was a pilot randomized controlled study conducted at a simulation center. Fourth-year medical students were randomly assigned to the FCF or SSD group, with each team composed of six students and a confederate...
February 4, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28157808/improved-clinical-performance-and-teamwork-of-pediatric-interprofessional-resuscitation-teams-with-a-simulation-based-educational-intervention
#6
Elaine Gilfoyle, Deanna A Koot, John C Annear, Farhan Bhanji, Adam Cheng, Jonathan P Duff, Vincent J Grant, Cecilia E St George-Hyslop, Nicole J Delaloye, Afrothite Kotsakis, Carolyn D McCoy, Christa E Ramsay, Matthew J Weiss, Ronald D Gottesman
OBJECTIVES: To measure the effect of a 1-day team training course for pediatric interprofessional resuscitation team members on adherence to Pediatric Advanced Life Support guidelines, team efficiency, and teamwork in a simulated clinical environment. DESIGN: Multicenter prospective interventional study. SETTING: Four tertiary-care children's hospitals in Canada from June 2011 to January 2015. SUBJECTS: Interprofessional pediatric resuscitation teams including resident physicians, ICU nurse practitioners, registered nurses, and registered respiratory therapists (n = 300; 51 teams)...
February 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28153661/reduction-of-severe-maternal-morbidity-from-hemorrhage-using-a-state-perinatal-quality-collaborative
#7
Elliott K Main, Valerie Cape, Anisha Abreo, Julie Vasher, Amanda Woods, Andrew Carpenter, Jeffrey B Gould
BACKGROUND: Obstetric hemorrhage is the leading cause of severe maternal morbidity and of preventable maternal mortality in the United States. The California Maternal Quality Care Collaborative developed a comprehensive quality improvement tool kit for hemorrhage based on the national patient safety bundle for obstetric hemorrhage and noted promising results in pilot implementation projects. OBJECTIVE: We sought to determine whether these safety tools can be scaled up to reduce severe maternal morbidity in women with obstetric hemorrhage using a large maternal quality collaborative...
January 30, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28150189/development-of-a-questionnaire-measuring-instrumental-activities-of-daily-living-iadl-in-patients-with-brain-tumors-a-pilot-study
#8
Q Oort, L Dirven, W Meijer, S A M Sikkes, B M J Uitdehaag, J C Reijneveld, M J B Taphoorn
Both dementia and brain tumor patients exhibit cognitive decline during the course of their disease. They might therefore experience similar problems with cognitively complex daily activities (i.e., instrumental activities of daily living (IADL)). The study's objective is to evaluate if the Amsterdam IADL Questionnaire(©) (A-IADL-Q), a 70-item IADL questionnaire developed for and validated in early dementia patients, is also applicable to glioma patients. The evaluation consisted of three steps. Predetermined decision rules defined which activities were retained, altered, added or excluded...
February 1, 2017: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/28147886/development-and-psychometric-evaluation-of-the-self-assessment-of-psoriasis-symptoms-saps-clinical-trial-and-the-saps-real-world-patient-reported-outcomes
#9
April W Armstrong, Benjamin Banderas, Catherine Foley, Jonathan Stokes, Murali Sundaram, Alan L Shields
OBJECTIVE: The Self-Assessment of Psoriasis Symptoms- Clinical Trials (SAPS-CT), and SAPS- Real World (SAPS-RW) were simultaneously created to assess the experience of plaque psoriasis in two unique contexts. METHODS: Qualitative and quantitative research was conducted in four phases: concept elicitation; questionnaire construction; content evaluation; and psychometric evaluation. RESULTS: Following concept elicitation, 18 concepts were selected to inform questionnaire construction of the SAPS-CT and -RW...
February 2, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28134064/utilization-of-functional-exercises-to-build-regional-emergency-preparedness-among-rural-health-organizations-in-the-us
#10
Jannah M Obaid, Ginger Bailey, Heidi Wheeler, Laura Meyers, Sharon J Medcalf, Keith F Hansen, Kristine K Sanger, John J Lowe
Rural communities face barriers to disaster preparedness and considerable risk of disasters. Emergency preparedness among rural communities has improved with funding from federal programs and implementation of a National Incident Management System. The objective of this project was to design and implement disaster exercises to test decision making by rural response partners to improve regional planning, collaboration, and readiness. Six functional exercises were developed and conducted among three rural Nebraska (USA) regions by the Center for Preparedness Education (CPE) at the University of Nebraska Medical Center (Omaha, Nebraska USA)...
January 30, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28131150/using-simulation-in-nursing-phd-education-facilitating-application-of-responsible-conduct-of-research-principles
#11
Margaret F Clayton, Katherine Supiano, Rebecca Wilson, Madeline Lassche, Gwen Latendresse
Simulation is a standard clinical nursing educational approach; however, simulation is rarely used in nonclinical nursing education. In doctor of philosophy (PhD) programs, ethical content about responsible conduct of research (RCR) is traditionally didactic, presented early in the program of study. Ethics content merits review before students begin the dissertation phase; thus, the purpose of this project was to design and implement simulated scenarios to help students apply RCR principles prior to beginning independent research...
January 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28131120/huddles-and-debriefings-improving-communication-on-labor-and-delivery
#12
REVIEW
Emily McQuaid-Hanson, May C M Pian-Smith
Interprofessional teams work together on the labor and delivery unit, where clinical care is often unscheduled, rapidly evolving, and fast paced. Effective communication is key for coordinated delivery of optimal care and for fostering a culture of community and safety in the workplace. The preoperative huddle allows for information sharing, cross-checking, and preparation before the start of surgery. Postoperative debriefings allow the operative team to engage in ongoing process improvement. Debriefings after adverse events allow for shared understanding, mutual healing, and help mitigating the harm to potential "second victims...
March 2017: Anesthesiology Clinics
https://www.readbyqxmd.com/read/28125248/development-of-the-cogniphobia-scale-for-headache-disorders-cs-hd-a-pilot-study
#13
Elizabeth K Seng, Jaclyn E Klepper
Cogniphobia refers to the specific fear and avoidance of cognitive exertion, which is believed to precipitate or exacerbate headache. This parallels a well-documented phenomenon, kinesiophobia (fear of movement), in chronic pain. The existing measure of cogniphobia (C-Scale) was developed in persons with posttraumatic headache, and item content may not generalize to the broader headache population. This study aimed to develop and begin the initial examination of the psychometrics of a novel measure of cogniphobia for headache disorders: The Cogniphobia Scale for Headache Disorders (CS-HD)...
January 26, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28118474/waterborne-disease-case-investigation-public-health-nursing-simulation
#14
Gina K Alexander, Sharon B Canclini, Jon Fripp, William Fripp
BACKGROUND: The lack of safe drinking water is a significant public health threat worldwide. Registered nurses assess the physical environment, including the quality of the water supply, and apply environmental health knowledge to reduce environmental exposures. The purpose of this research brief is to describe a waterborne disease simulation for students enrolled in a public health nursing (PHN) course. METHOD: A total of 157 undergraduate students completed the simulation in teams, using the SBAR (Situation-Background-Assessment-Recommendation) reporting tool...
January 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28116591/prism-a-patient-reported-outcome-instrument-accurately-measures-symptom-change-in-refractory-gastroesophageal-reflux-disease
#15
Garth Fuller, Roger Bolus, Cynthia Whitman, Jennifer Talley, M Haim Erder, Alain Joseph, Debra G Silberg, Brennan Spiegel
BACKGROUND: Most patients with gastroesophageal reflux disease (GERD) experience relief following treatment with proton pump inhibitors (PPIs) (Vakil et al. in Am J Gastroenterol 101:1900-1920, 2006; Everhart and Ruhl in Gastroenterology 136:376-386, 2009). As many as 17-44% of patients, however, exhibit only partial response to therapy. Most extant GERD patient-reported outcome (PRO) instruments fail to meet development best practices as described by the FDA (Talley and Wiklund in Qual Life Res 14:21-33, 2005; Van Pinxteren et al...
January 23, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28116028/characteristics-of-real-time-non-critical-incident-debriefing-practices-in-the-emergency-department
#16
Nur-Ain Nadir, Suzanne Bentley, Dimitrios Papanagnou, Komal Bajaj, Stephan Rinnert, Richard Sinert
INTRODUCTION: Benefits of post-simulation debriefings as an educational and feedback tool have been widely accepted for nearly a decade. Real-time, non-critical incident debriefing is similar to post-simulation debriefing; however, data on its practice in academic emergency departments (ED), is limited. Although tools such as TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) suggest debriefing after complicated medical situations, they do not teach debriefing skills suited to this purpose...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28109695/korean-translation-and-validation-of-the-whoqol-dis-for-people-with-spinal-cord-injury-and-stroke
#17
Kuem Ju Lee, Hye In Jang, Hyun Choi
BACKGROUND: The QOL assessment to measure disabilities has needed to survey studies for a variety of fields. Until now, no Korean translation of the World Health Organization Quality of Life-disability (WHOQOL-DIS) module existed. OBJECTIVE/HYPOTHESIS: We translated and cross-culturally adapted the WHOQOL-DIS module into Korean, testing its reliability and validity with Korean spinal cord injury and stroke patients. METHODS: The translation occurred using the methodology recommended by WHO...
January 1, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28104738/feasibility-acceptability-and-clinical-utility-of-the-cultural-formulation-interview-mixed-methods-results-from-the-dsm-5-international-field-trial
#18
Roberto Lewis-Fernández, Neil Krishan Aggarwal, Peter C Lam, Hanga Galfalvy, Mitchell G Weiss, Laurence J Kirmayer, Vasudeo Paralikar, Smita N Deshpande, Esperanza Díaz, Andel V Nicasio, Marit Boiler, Renato D Alarcón, Hans Rohlof, Simon Groen, Rob C J van Dijk, Sushrut Jadhav, Sanjeev Sarmukaddam, David Ndetei, Monica Z Scalco, Kavoos Bassiri, Sergio Aguilar-Gaxiola, Hendry Ton, Joseph Westermeyer, Johann M Vega-Dienstmaier
BACKGROUND: There is a need for clinical tools to identify cultural issues in diagnostic assessment. AIMS: To assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice. METHOD: Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires...
January 19, 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28104293/debriefing-decreases-mental-workload-in-surgical-crisis-a-randomized-controlled-trial
#19
Sylvain Boet, Bharat Sharma, Ashlee-Ann Pigford, Emily Hladkowicz, Neil Rittenhouse, Teodor Grantcharov
BACKGROUND: Mental workload is the amount of mental effort involved in performing a particular task. Crisis situations may increase mental workload, which can subsequently negatively impact operative performance and patient safety. This study aims to measure the impact of learning through debriefing and a systematic approach to crisis on trainees' mental workload in a simulated surgical crisis. METHODS: Twenty junior surgical residents participated in a high-fidelity, simulated, postoperative crisis in a surgical ward environment (pretest)...
January 16, 2017: Surgery
https://www.readbyqxmd.com/read/28103120/compassionate-options-for-pediatric-ems-cope-addressing-communication-skills
#20
Aaron W Calhoun, Erica R H Sutton, Anita P Barbee, Beth McClure, Carrie Bohnert, Richard Forest, Peter Taillac, Mary E Fallat
INTRODUCTION: Each year, 16,000 children suffer cardiopulmonary arrest, and in one urban study, 2% of pediatric EMS calls were attributed to pediatric arrests. This indicates a need for enhanced educational options for prehospital providers that address how to communicate to families in these difficult situations. In response, our team developed a cellular phone digital application (app) designed to assist EMS providers in self-debriefing these events, thereby improving their communication skills...
January 19, 2017: Prehospital Emergency Care
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