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https://www.readbyqxmd.com/read/29777659/adopting-the-quadruple-aim-the-university-of-rochester-medical-center-experience-%C3%A2-%C3%A2-%C3%A2-moving-from-physician-burnout-to-physician-resilience
#1
Allen P Anandarajah, Timothy E Quill, Michael R Privitera
BACKGROUND: The high rates of burnout among medical professionals in the US are well documented. The reasons for burnout and the factors that contribute to physician resilience among healthcare providers in academic centers however are less well studied. METHODS: Healthcare providers at a large academic center were surveyed to measure degree of burnout and callousness and identify associated factors. Additional questions evaluated the features linked to resilience...
May 16, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29777617/simulation-in-urology-to-train-non-technical-skills-in-ward-rounds
#2
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
https://www.readbyqxmd.com/read/29776841/-medical-simulation-as-a-tool-in-the-training-of-perinatal-professionals
#3
B Tosello, J Blanc, C Kelway, V Pellegrin, E Quarello, F Comte, C Zakarian, C D'Ercole
Though technology plays an increasingly important role in modern health systems, human performance remains a major determinant of safety, effectiveness and efficiency of patient care. This is especially true in the delivery room. Thus, the training of professionals must aim not only for the acquisition of theory and practical skills on an individual basis, but also for the learning of teamwork systematically. Training health professionals with simulation enhances their theoretical knowledge and meets formal requirements in literacy, technical skills and communication...
May 15, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29775493/the-importance-of-reflecting-on-practice-how-personal-professional-development-activities-affect-perceived-teamwork-and-performance
#4
Annalena Welp, Anya Johnson, Helena Nguyen, Lin Perry
AIMS AND OBJECTIVES: To examine the relationships between participation in personal professional development activities (e.g. coaching, mentoring), teamwork and performance; to investigate the mediating and moderating effects of reflective thinking and perceived usefulness of development activities. BACKGROUND: Professional development is associated with better performance and attitudes towards one's work. The current study adds to this research by focusing on understanding this effect and the conditions under which this occurs...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29775080/mindfulness-meditation-and-interprofessional-cardiopulmonary-resuscitation-a-mixed-methods-pilot-study
#5
Diana J Kelm, Jennifer L Ridgeway, Becca L Gas, Monali Mohan, David A Cook, Darlene R Nelson, Roberto P Benzo
PROBLEM: Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The effect of mindfulness meditation training on healthcare providers during acute care tasks such as cardiopulmonary resuscitation remains unknown. Mindfulness meditation has the potential to improve provider well-being and reduce stress in individuals involved in resuscitation teams, which could then translate into better team communication and delivery of care under stress...
May 18, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29775039/update-on-neonatal-cardiopulmonary-resuscitation
#6
(no author information available yet)
An update of the national recommendations on neonatal resuscitation elaborated by the Neonatal Resuscitation Work Area of the Fetal-Neonatal Studies Committee (CEFEN) of the Argentine Society of Pediatrics (SAP) is presented. These recommendations are original and in their elaboration, we have taken into account the best available evidence gathered by the International Liaison Committee on Resuscitation (ILCOR) as well as an exhaustive review of publications and discussions in the area to define controversial issues...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29774267/-the-men-who-made-the-breakthrough-how-the-british-press-represented-patrick-steptoe-and-robert-edwards-in-1978
#7
Katharine Dow
This article examines how the British press represented Patrick Steptoe and Robert Edwards in the story of the birth of the first 'test-tube baby', Louise Brown. In 1978, the British press represented the birth of Louise Brown as both a success and a source of hope. The main pairs of protagonists in this story were Steptoe and Edwards and Lesley and John Brown, who metonymically represented British science and infertile couples, respectively. In the dominant 'success' narrative of the birth of Louise Brown as depicted in the British press in 1978, Edwards and Steptoe seemed to embody 'British' values of industriousness, perseverance, altruism, ingenuity and teamwork...
June 2017: Reproductive Biomedicine & Society Online
https://www.readbyqxmd.com/read/29771228/clinical-leadership-training-an-evaluation-of-the-welsh-fellowship-programme
#8
Suzanne Phillips, Alison Bullock
Purpose UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation. Design/methodology/approach Focused on the participants ( n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29771227/team-development-among-physician-leaders-at-the-cleveland-clinic
#9
Tracy H Porter, James K Stoller, Scott J Allen
Purpose Since 1990, the Cleveland Clinic has trained physicians in team skills through various iterations of a program called Leading in Healthcare (LHC). In the present study, the authors utilize a case study approach to gain insight into the LHC curriculum, and more specifically, the team project. The purpose of this paper is to better understand the Cleveland Clinic's position on the issue and its approach to education - specifically among physicians. Design/methodology/approach The authors utilized a case study approach with four key program architects...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29765260/attitude-and-perception-of-undergraduate-medical-students-toward-the-problem-based-learning-in-chitwan-medical-college-nepal
#10
Ram Lochan Yadav, Rano Mal Piryani, Gopendra Prasad Deo, Dev Kumar Shah, Laxmi Kumari Yadav, Md Nazrul Islam
Background: Problem-based learning (PBL) was introduced into Basic Medical Sciences early in the 1980s at Tribhuvan University (TU), Nepal, followed by other universities where didactic lecture method was still followed as the main teaching strategy. Despite gaining its popularity worldwide as integrated teaching learning method, PBL is not given importance in Nepal. This study aimed to assess the attitude and perceptions of undergraduate medical students regarding learning outcomes of PBL and to know their views about role and qualities of effective tutors for its successful implementation...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29761708/the-potential-of-interprofessional-education-to-translate-physiology-curricula-effectively-into-future-team-based-healthcare
#11
Scott Edwards, Patricia E Molina, Kathleen H McDonough, Donald E Mercante, Tina Patel Gunaldo
Incorporating active interprofessional education (IPE) opportunities into the classroom setting is a potentially effective mechanism to enhance student learning both in the basic sciences and for future interprofessional collaboration. We integrated an IPE exercise into a graduate-level human physiology course at our health sciences center that enrolled physician assistant (PA), physical therapy (PT), and graduate studies students. Our activity adopted and targeted the four Interprofessional Education Collaborative (IPEC) competency domains of values/ethics (VE), roles/responsibilities, interprofessional communication, and teams and teamwork (TT)...
June 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29758128/nurses-perceptions-of-patient-safety-culture-in-three-hospitals-in-saudi-arabia
#12
Nahed Alquwez, Jonas Preposi Cruz, Ahmed Mohammed Almoghairi, Raid Salman Al-Otaibi, Khalid Obaid Almutairi, Jerico G Alicante, Paolo C Colet
PURPOSE: To assess the present patient safety culture of three general hospitals in Saudi Arabia, as perceived by nurses. DESIGN: This study utilized a descriptive, cross-sectional design. METHODS: A convenience sample of 351 nurses working in three general hospitals in the central region of Saudi Arabia was surveyed in this study using the Hospital Survey of Patients' Safety Culture (HSOPSC) from October 2016 to April 2017. RESULTS: From the 12 composites of the HSOPSC, the nurses perceived only the following two patient safety areas as strengths: teamwork within units and organizational learning-continuous improvement...
May 14, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29757048/interprofessional-education-involving-didactic-teamstepps%C3%A2-and-interactive-healthcare-simulation-a-systematic-review
#13
Lauren A Welsch, Johanna Hoch, Rebecca Deal Poston, V Andrea Parodi, Muge Akpinar-Elci
The didactic portion of TeamSTEPPS®, which focuses on teaching teamwork and communication, coupled with interactive simulation methods provides a unique interprofessional education (IPE) learning environment. Across the literature there are a wide variety of such programs described, but there is not a consensus on the most effective methodology. A systematic review was therefore undertaken to synthesize, critically appraise, and evaluate existing literature on IPE programs that utilize didactic TeamSTEPPS in conjunction with interactive healthcare simulation...
May 14, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29754113/interprofessional-simulation-in-undergraduate-nursing-program-an-integrative-review
#14
REVIEW
Leodoro J Labrague, Denise M McEnroe-Petitte, Dennis C Fronda, Arwa Atef Obeidat
OBJECTIVES: Interprofessional (IP) competencies are critical for successful collaborative practice. Nurse education, through interprofessional simulation, plays a critical role in preparing nursing students achieve these competencies. Although considerable research has been conducted on this topic, a broader perspective is lacking. This review systematically appraised and synthesized evidence examining the effects of interprofessional simulation on nursing students' outcomes. DESIGN: An integrative review method guided this review...
May 4, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29752645/a-tale-of-two-countries-innovation-and-collaboration-aimed-at-changing-the-culture-of-medicine-in-uruguay
#15
Juan J Dapueto, Mercedes Viera, Charles Samenow, William H Swiggart, Jeffrey Steiger
This is a case study of a program to address professionalism at the Universidad de la República in Uruguay. We describe a five-year ongoing international collaboration. Relevant characteristics of the context, the program components, activities, and results were analyzed. The expected outcomes were to introduce standards of professional practices in the curricula of medical students and residents and the implementation of a program that might lead to a significant change in the culture of medicine in the University...
May 11, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29750061/changing-patient-safety-culture-in-china-a-case-study-of-an-experimental-chinese-hospital-from-a-comparative-perspective
#16
Xiao Ping Xu, Dong Ning Deng, Yong Hong Gu, Chui Shan Ng, Xiao Cai, Jun Xu, Xin Shi Zhang, Dong Ge Ke, Qian Hui Yu, Chi Kuen Chan
Background: The World Health Organization highlights that patient safety interventions are not lacking but that the local context affects their successful implementation. Increasing attention is being paid to patient safety in Mainland China, yet few studies focus on patient safety in organizations with mixed cultures. This paper evaluates the current patient safety culture in an experimental Chinese hospital with a Hong Kong hospital management culture, and it aims to explore the application of Hong Kong's patient safety strategies in the context of Mainland China...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/29746221/interprofessional-population-health-advocacy-developing-and-implementing-a-panel-management-curriculum-in-five-veterans-administration-primary-care-practices
#17
Maya Dulay, Judith L Bowen, William G Weppner, Abigail Eastburn, Anne P Poppe, Pete Spanos, Danielle Wojtaszek, Destiny Printz, Catherine P Kaminetzky
Health care systems expect primary care clinicians to manage panels of patients and improve population health, yet few have been trained to do so. An interprofessional panel management (PM) curriculum is one possible strategy to address this training gap and supply future primary care practices with clinicians and teams prepared to work together to improve the health of individual patients and populations. This paper describes a Veterans Administration (VA) sponsored multi-site interprofessional PM curriculum development effort...
May 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29741959/near-misses-in-financial-trading-skills-for-capturing-and-averting-error
#18
Meghan Leaver, Alex Griffiths, Tom Reader
OBJECTIVE: The aims of this study were (a) to determine whether near-miss incidents in financial trading contain information on the operator skills and systems that detect and prevent near misses and the patterns and trends revealed by these data and (b) to explore if particular operator skills and systems are found as important for avoiding particular types of error on the trading floor. BACKGROUND: In this study, we examine a cohort of near-miss incidents collected from a financial trading organization using the Financial Incident Analysis System and report on the nontechnical skills and systems that are used to detect and prevent error in this domain...
May 1, 2018: Human Factors
https://www.readbyqxmd.com/read/29739651/nurses-reflections-about-caring-for-critically-ill-non-sedated-and-mechanically-ventilated-critically-ill-patients
#19
Ranveig Lind, Hilde-Irén Liland, Berit S Brinchmann, Inga Akeren
OBJECTIVE: The objective was to explore ICU nurses' experiences of caring for non-sedated, critically ill mechanically ventilated patients, when following a study protocol as part of a clinical trial. DESIGN: The study had a qualitative design with twelve nurses participating in two focus groups. The interviews were analysed using a thematic approach. FINDINGS: One overall theme emerged, "Cautious optimism", which suggests positive experiences but with a negative undertone...
May 5, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29735328/gynaecologic-cancer-surgery-and-preservation-of-fertility
#20
E Bentivegna, A Maulard, G Miailhe, S Gouy, P Morice
For gynecological cancers, even at an early stage, the standard treatment is "radical excision" involving hysterectomy (radical or not) with bilateral salpingo-oophorectomy. But for young patients with early stage disease, many recent studies have focused on preservation of subsequent fertility by keeping at least one ovary and the uterus. The main objective of this fertility-sparing surgery is to preserve fertility, if this can be accomplished without increasing the oncological risks. Whether the initial site of the cancer is the cervix, uterine fundus or ovary, the oncologic validation of fertility-sparing treatment requires several evaluation criteria: a rigorous clinical, radiological and surgical staging to verify that the pathology is truly at an early initial stage; expert pathologic interpretation of biopsy specimens to validate the histological criteria of "good prognosis"; provision of complete and understandable patient education verifying the true objectives for this fertility-sparing treatment (whose intent is to retain a potential for subsequent fertility without guaranteeing it) and provision of an explanation of the oncological constraints and implications of fertility-sparing surgery in the event of a possible pregnancy...
May 4, 2018: Journal of Visceral Surgery
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