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Siobhan M Mor, Jacqueline M Norris, Katrina L Bosward, Jenny-Ann L M L Toribio, Michael P Ward, Jaime Gongora, Meg Vost, Peter C Higgins, Paul D McGreevy, Peter J White, Sanaa Zaki
Background: New educational approaches are needed to improve student understanding of the wider sociological and ecological determinants of health as well as professional responsibilities in related areas. Field trips allow students to observe interaction between plant, animal and human communities, making them an ideal tool for teaching One Health concepts. Methods: Veterinary medical students participated in a field trip to a local parklands area, frequented by humans, dogs, horses, and wildlife...
June 2018: One Health
Lukasz M Mazur, Lawrence B Marks, Ron McLeod, Waldemar Karwowski, Prithima Mosaly, Gregg Tracton, Robert D Adams, Lesley Hoyle, Shiva Das, Bhishamjit Chera
There is a need to better prepare radiation therapy (RT) providers to safely operate within the health information technology (IT) sociotechnical system. Simulation-based training has been preemptively used to yield meaningful improvements during providers' interactions with health IT, including RT settings. Therefore, on the basis of the available literature and our experience, we propose principles for the effective design and use of simulated scenarios and describe a conceptual framework for a debriefing approach to foster successful training that is focused on safety mindfulness during RT professionals' interactions with health IT...
April 2018: Advances in Radiation Oncology
Laura M Bogart, Sannisha K Dale, Gary K Daffin, Kinjal N Patel, David J Klein, Kenneth H Mayer, David W Pantalone
OBJECTIVES: Discrimination is associated with worse health. Although interventions have been developed to improve coping with general stressors and chronic illness, no literature to date has reported the development and testing of an intervention specifically to address coping with discrimination. We examined the feasibility, acceptability, and preliminary effects of Still Climbin', a pilot intervention created to improve coping with discrimination experienced by HIV-positive Black sexual minority men, who face significant HIV-related disparities...
June 14, 2018: Cultural Diversity & Ethnic Minority Psychology
Genny Raffaeli, Stefano Ghirardello, Mara Vanzati, Chiara Baracetti, Francesco Canesi, Federica Conigliaro, Valerio Gentilino, Francesco Macchini, Monica Fumagalli, Fabrizio Ciralli, Nicola Pesenti, Sofia Passera, Simona Neri, Stefania Franzini, Ernesto Leva, Laura Plevani, Fabio Mosca, Giacomo Cavallaro
Background: Extracorporeal membrane oxygenation (ECMO) is a complex life-saving support for acute cardio-respiratory failure, unresponsive to medical treatment. Emergency events on ECMO are rare but require immediate and proficient management. Multidisciplinary ECMO team members need to acquire and maintain over time cognitive, technical and behavioral skills, to safely face life-threatening clinical scenarios. Methods: A multistep educational program was delivered in a 4-year period to 32 ECMO team members, based on guidelines from the Extracorporeal Life Support Organization...
2018: Frontiers in Pediatrics
Tara Symonds, Jason A Randall, Deborah L Hoffman, Joanna M Zakrzewska, William Gehringer, John Yk Lee
Background and objective: The Penn Facial Pain Scale (Penn-FPS) was originally developed as a supplemental module to the Brief Pain Inventory Pain Interference Index (BPI-PII) in order to fully assess the impact of trigeminal neuralgia (TN) pain on patients' health-related quality of life (HRQoL). The current objective is to create and establish the content validity of a new stand-alone version of the measure, the Penn-FPS-Revised (Penn-FPS-R). Methods: Twenty participants (15 USA and 5 UK) with confirmed TN engaged in concept elicitation and cognitive debriefing interviews...
2018: Journal of Pain Research
Barbara A Heise, Debra K Wing, Amy H R Hullinger
AIM: The purpose of this study was to examine, on a national level, nursing students' perceptions after experiencing a patient death. BACKGROUND: Death is a highly stressful experience for nursing students. Debriefing, which routinely occurs with a patient's demise in the simulation setting, typically does not happen in actual death situations. METHOD: A mixed-methods design using quantitative and qualitative questions as part of an anonymous survey was sent to the membership of the National Student Nurses' Association...
June 7, 2018: Nursing Education Perspectives
Adam Garber, Purnima M Rao, Chandrew Rajakumar, George A Dumitrascu, Genevieve Rousseau, Glenn D Posner
This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation with a nurse educator maintained the quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN and anesthesiology residents and labor and delivery nurses to hone crisis resource management skills and to recognize and manage rare/critical medical events in an obstetrical setting...
April 7, 2018: Curēus
Yann Auxéméry
BACKGROUND: People who witness a horrific event are at risk of suffering from acute psychological disorders, potentially leading to chronic post-traumatic symptoms and severe medico-psycho-social complications. Traumatised individuals suffer from psychological damage that is initially indescribable: they are often unable to ask for care in the immediate aftermath of an event. Afterwards, traumatic events and their post-traumatic consequences are still often hidden or minimised by patients for reasons linked to the disorder itself (inexpressibility, shame, depressive thoughts, fear of stigmatisation, etc...
June 7, 2018: L'Encéphale
Alexander Knobel, Daniel Overheu, Matthias Gruessing, Ingke Juergensen, Johannes Struewer
BACKGROUND: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. METHODS: The training intervention is a regular (monthly), video debriefed, team-based trauma simulation. Training takes place in the fully functional resuscitation bay (in-situ) of the Department of Traumatology at the Klinikum Oldenburg (Level 1, primary teaching hospital for the Carl von Ossietzky University Oldenburg) involving a complete trauma team...
June 7, 2018: BMC Medical Education
Ema Waliyanti, Fatwa Sari Tetra Dewi, Supriyati Supriyati, Renske Fles
Introduction: Nasopharyngeal cancer ranks first among head and neck cancer. About 60-95% of nasopharyngeal cancer patients seek for treatment at advanced stage. Attitudes and behavior of cancer patients in choosing healthcare is affected by the level of socio-economic and cultural backgrounds. Surgery and treatment costs are also the reasons patients to late seek treatment. This study aims to explore what contributes the treatment seeking behavior of nasopharyngeal cancer patients. It conducted in the Yogyakarta, Indonesia...
2018: Pan African Medical Journal
Kerry P Appleton, Suzanne Nelson, Shawn Wedlund
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
Norbert Marschner, Jochen Wilke, Daniel Reschke, Florian Kaiser, Claudia Schmoor, Renate Grugel, Emil Boller
AIMS: This prospective, epidemiologic study was designed to translate the original Spanish Bone Metastases Quality-of-Life-10 (BOMET-QoL-10) questionnaire and undertake a validation of the translated German version of BOMET-QoL-10 in Germany to assess health-related quality of life (HRQoL) in patients with bone metastases (BM). METHODS: The translation process included forward and backward translations, and a linguistic validation. Patients aged ≥18 years with histological confirmation of cancer, diagnosed with BM, life expectancy ≥6 months, and fluency in German were eligible for this study (enrolled consecutively in 33 outpatient centers in Germany)...
June 6, 2018: Journal of Medical Economics
Hanna Putter-Katz, Aviah Gvion, Deena Wechsler-Kashi, Limor A-B Said, Hadas Yaacobi, Irit Feldman, Orit Shalomson, Amitai Ziv
The current study aimed to evaluate simulation-based medical education (SBME) training and its contribution to the learning process of students in a communication sciences and disorders (CSD) program. The training was integrated in different stages of the program, over 4 years, with different students. The content and complexity of each of the simulation activities targeted specific skills, tailored to the students' learning phase. Students completed a nine-item survey at the end of the first and second semesters of the second year, evaluating the simulation training program structure and students' self-efficacy relating to the building of relationships between care givers and patients...
2018: Journal of Allied Health
Jennifer Doherty-Restrepo, Michelle Odai, Meisha Harris, Tiffany Yam, Kelly Potteiger, Alicia Montalvo
CONTEXT: Debriefing (discussion led by a facilitator) in simulation-based education enhances dual learning for facilitators and students. Debriefing guides students to critically reflect on their performance in a simulation setting, thus allowing improvement in cognitive and clinical skills. Research has examined the effectiveness of simulation-based education on knowledge, skills, and confidence; however, less research has examined students' perception of debriefing. OBJECTIVE: To compare peer- and faculty-facilitated debriefing on students' confidence and perceptions of simulation effectiveness...
2018: Journal of Allied Health
Jian Kong, Zengjian Wang, Jaclyn Leiser, Domenic Minicucci, Robert Edwards, Irving Kirsch, Ajay D Wasan, Courtney Lang, Jessica Gerber, Siyi Yu, Vitaly Napadow, Ted J Kaptchuk, Randy L Gollub
Objectives: Expectation can significantly modulate pain and treatment effects. This study aims to investigate if boosting patients' expectancy can enhance the treatment of knee osteoarthritis (KOA), and its underlying brain mechanism. Methods: Seventy-four KOA patients were recruited and randomized to three groups: boosted acupuncture (with a manipulation to enhance expectation), standard acupuncture, or treatment as usual (TAU). Each patient underwent six treatments before being debriefed, and four additional treatments after being debriefed...
2018: NeuroImage: Clinical
Derek Ballas, Megan Cesta, G Dante Roulette, Margaret Rusnak, Rami Ahmed
The following is a training platform to allow robotic surgeons to develop the skills necessary to lead an interprofessional team in emergency undocking of a robotic system. In traditional robotic training for surgeons, a brief web based overview of performing an emergency undocking is provided during initial introductory training to the robotics system. During such a process, there is no training in delineation of interdisciplinary roles for operating room (OR) personnel. The training presented here uses formative simulation and debriefing followed by a lecture...
May 20, 2018: Journal of Visualized Experiments: JoVE
Kaitlyn E Whitcomb, Sean C Woodland, Gary M Burlingame
The use of feedback based on outcome and process measures to inform treatment is gaining ground as one form of evidence-based treatment. However, little is known regarding how therapists actually use feedback, particularly from process measures, to affect treatment. This two-part qualitative study used session-by-session and treatment-episode narratives from group therapists to define how they acted on process feedback from a member-completed measure of the therapeutic relationship: the Group Questionnaire (GQ)...
June 2018: Psychotherapy
Colin J Morley
Stabilisation and resuscitation of babies at birth is one of the most frequently performed procedures and requires considerable skill. If it is not done well, the baby may suffer prolonged hypoxia and bradycardia. Over the last few years there has been a growing interest in carefully evaluating an infant's condition at birth and the details of what is happening during resuscitation. Clinical assessment of an infant at this time is difficult and often inaccurate. Assessments of heart rate, colour, chest excursions, mask leak, tidal volume, inflation and expiration times, endotracheal intubation, and spontaneous breathing are imprecise...
2018: Neonatology
Michele Lozito, Kimberly Whiteman, Brenda Swanson-Biearman, Mary Barkhymer, Kimberly Stephens
Although health care workers feel pressure to reduce adverse events in the perioperative department, a lack of education, communication, and leadership can prevent hospital personnel from reporting good catches. The purpose of this evidence-based quality improvement project was to improve the culture of safety in our perioperative department by implementing the Good Catch Campaign. An interprofessional team led staff member education after implementing a standardized electronic reporting system and debriefing process to occur after good catches...
June 2018: AORN Journal
Samantha Calder-Sprackman, Thara Kumar, Caroline Gerin-Lajoie, Megan Kilvert, Kari Sampsel
Introduction/Innovation ConceptEmergency medicine (EM) requires physicians to deal with acutely ill patients in a fast-paced and dynamic environment, which creates a barrier to debriefing after critical events. These unique challenges can negatively impact wellness. We sought to adapt and implement a peer-support wellness program called 'Ice Cream Rounds' in an EM residency setting. METHODS: A needs assessment survey was conducted among EM residents at The University of Ottawa to gauge interest and obtain resident input regarding program design...
May 30, 2018: CJEM
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