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https://www.readbyqxmd.com/read/29150313/safety-practices-perceptions-and-behaviors-in-radiation-oncology-a-national-survey-of-radiation-therapists
#1
Kristina Demas Woodhouse, David Hashemi, Kathryn Betcher, Abigail Doucette, Allison Weaver, Brian Monzon, Seth A Rosenthal, Neha Vapiwala
PURPOSE: Radiation therapy is complex and demands high vigilance and precise coordination. Radiation therapists (RTTs) directly deliver radiation and are often the first to discover an error. Yet, few studies have examined the practices of RTTs regarding patient safety. We conducted a national survey to explore the perspectives of RTTs related to quality and safety. METHODS AND MATERIALS: In 2016, an electronic survey was sent to a random sample of 1500 RTTs in the United States...
June 15, 2017: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29140640/using-workers-compensation-claims-data-to-characterize-occupational-injuries-in-the-commercial-grain-elevator-industry
#2
Sai K Ramaswamy, Gretchen A Mosher
Workplace injuries in the grain handling industry are common, yet little research has characterized worker injuries in grain elevators across all hazard types. Learning from past injuries is essential for preventing future occurrences, but the lack of injury information for the grain handling industry hinders this effort. The present study addresses this knowledge gap by using data from over 7000 workers' compensation claims reported from 2008 to 2016 by commercial grain handling facilities in the U.S. to characterize injury costs and severity...
July 31, 2017: Journal of Agricultural Safety and Health
https://www.readbyqxmd.com/read/29140258/does-effort-and-reward-at-work-predict-changes-in-cognitive-function-first-longitudinal-results-from-the-representative-german-socio-economic-panel
#3
Natalie Riedel, Johannes Siegrist, Natalia Wege, Adrian Loerbroks, Peter Angerer, Jian Li
It has been suggested that work characteristics, such as mental demands, job control, and occupational complexity, are prospectively related to cognitive function. However, current evidence on links between psychosocial working conditions and cognitive change over time is inconsistent. In this study, we applied the effort-reward imbalance model that allows to build on previous research on mental demands and to introduce reward-based learning as a principle with beneficial effect on cognitive function. We aimed to investigate whether high effort, high reward, and low over-commitment in 2006 were associated with positive changes in cognitive function in terms of perceptual speed and word fluency (2006-2012), and whether the co-manifestation of high effort and high reward would yield the strongest association...
November 15, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29119469/learning-to-prescribe-intravenous-fluids-a%C3%A2-scoping-review
#4
REVIEW
Richard F R McCrory, Gerard Joseph Gormley, Alexander Peter Maxwell, Tim Dornan
INTRODUCTION: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. This lack of preparedness contributes to treatment-related patient harm. This scoping review maps the current state of published evidence about how junior doctors prescribe IV fluid therapy and learn how to do it. METHODS: We searched five electronic databases and grey literature from 1994 until June 2016 for articles describing any aspect of IV fluid prescribing practice or its education...
November 8, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29116978/-you-re-not-trying-to-save-somebody-from-death-learning-as-becoming-in-palliative-care
#5
Frances Kilbertus, Rola Ajjawi, Douglas B Archibald
PURPOSE: Learning can be conceptualized as a process of "becoming," considering individuals, workplace participation, and professional identity formation. How postgraduate trainees learn palliative care, encompassing technical competence, compassion, and empathy, is not well understood or explained by common conceptualizations of learning as "acquisition" and "participation." Learning palliative care, a practice that has been described as a cultural shift in medicine challenging the traditional role of curing and healing, provided the context to explore learning as "becoming...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29115750/preparing-direct-care-nurses-to-function-as-research-coordinators-in-a-heart-failure-study
#6
Nina M Trocky
BACKGROUND: Nurses interviewed heart failure patients admitted to two rural hospitals, to learn what was important to them concerning their disease. Data from this study would inform a subsequent heart failure intervention study. The researchers gained a better appreciation of the role of direct care nurses in research coordination, recruitment and data collection. AIM: To describe lessons learned during this research about using direct care nurses as research coordinators...
September 19, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/29094626/workplace-learning-through-collaboration-in-primary-healthcare-a-beme-realist-review-of-what-works-for-whom-and-in-what-circumstances-beme-guide-no-46
#7
Fien Mertens, Esther de Groot, Loes Meijer, Johan Wens, Mary Gemma Cherry, Myriam Deveugele, Roger Damoiseaux, Ann Stes, Peter Pype
BACKGROUND: Changes in healthcare practice toward more proactive clinical, organizational and interprofessional working require primary healthcare professionals to learn continuously from each other through collaboration. This systematic review uses realist methodology to consolidate knowledge on the characteristics of workplace learning (WPL) through collaboration by primary healthcare professionals. METHODS: Following several scoping searches, five electronic bibliographic databases were searched from January 1990 to December 2015 for relevant gray and published literature written in English, French, German and Dutch...
November 2, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29093046/developing-digital-and-media-literacies-in-children-and-adolescents
#8
REVIEW
Kristen Hawley Turner, Tessa Jolls, Michelle Schira Hagerman, William O'Byrne, Troy Hicks, Bobbie Eisenstock, Kristine E Pytash
In today's global culture and economy, in which individuals have access to information at their fingertips at all times, digital and media literacy are essential to participate in society. But what specific competencies must young citizens acquire? How do these competencies influence pedagogy? How are student knowledge, attitudes, and behaviors changed? What are the best ways to assess students' digital and media literacy? These questions underscore what parents, educators, health professionals, and community leaders need to know to ensure that youth become digitally and media literate...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/29076580/workplace-culture-and-the-practice-experience-of-midwifery-students-a-meta-synthesis
#9
Fiona Arundell, Judy Mannix, Athena Sheehan, Kath Peters
AIM: To describe midwifery students' practice experience and to explore facilitators and barriers to positive clinical learning experiences. BACKGROUND: Practice experience is a vital component of every midwifery course. Course dissatisfaction and attrition of midwifery students has been attributed to sub-optimal practice experiences. Events or actions experienced by midwifery students that trigger dissatisfaction and attrition need to be identified. EVALUATION: A meta-synthesis was based on that developed by Noblit and Hare...
October 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29074517/how-do-workplaces-working-practices-and-colleagues-affect-uk-doctors-career-decisions-a-qualitative-study-of-junior-doctors-career-decision-making-in-the-uk
#10
Sharon Spooner, Emma Pearson, Jonathan Gibson, Kath Checkland
OBJECTIVES: This study draws on an in-depth investigation of factors that influenced the career decisions of junior doctors. SETTING: Junior doctors in the UK can choose to enter specialty training (ST) programmes within 2 years of becoming doctors. Their specialty choices contribute to shaping the balance of the future medical workforce, with views on general practice (GP) careers of particular interest because of current recruitment difficulties. This paper examines how experiences of medical work and perceptions about specialty training shape junior doctors' career decisions...
October 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/29068817/broadening-the-scope-of-feedback-to-promote-its-relevance-to-workplace-learning
#11
Renée M van der Leeuw, Pim W Teunissen, Cees P M van der Vleuten
The common goal in medical education is to support the health care workforce, both present and future, in becoming and remaining competent professionals. Both during and after medical training, learning takes place in the clinical workplace. Yet, how feedback is defined in medical education and how it is practiced in clinical training situations, combined with a research focus on "what works," limits its potential for learning. This article explores the theoretical background of learning in interaction and current trends in medical education to broaden the scope of feedback and promote its relevance to workplace learning...
October 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29068736/emotional-labour-learning-from-the-past-understanding-the-present
#12
Chris Elliott
The number of nurses considering leaving the profession has continued to rise, and in many areas there is a nursing shortfall. For many of those leaving the profession, the decision results from workplace stress. This article examines the concept of emotional labour, which has been linked to compassion fatigue and subsequent burnout. Emotional labour is the term used to describe the process of displaying outward emotion that may not match our internal emotion; this dissonance can lead to highly stressful situations...
October 26, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29058564/developing-standards-for-an-integrated-approach-to-workplace-facilitation-for-interprofessional-teams-in-health-and-social-care-contexts-a-delphi-study
#13
Anne Martin, Kim Manley
Integration of health and social care forms part of health and social care policy in many countries worldwide in response to changing health and social care needs. The World Health Organization's appeal for systems to manage the global epidemiologic transition advocates for provision of care that crosses boundaries between primary, community, hospital, and social care. However, the focus on structural and process changes has not yielded the full benefit of expected advances in care delivery. Facilitating practice in the workplace is a widely recognised cornerstone for developments in the delivery of health and social care as collaborative and inclusive relationships enable frontline staff to develop effective workplace cultures that influence whether transformational change is achieved and maintained...
October 23, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29056611/medical-students-perceptions-of-their-learning-environment-during-a-mandatory-research-project
#14
Riitta Möller, Sari Ponzer, Maria Shoshan
Objectives: To explore medical students´ perceptions of their learning environment during a mandatory 20-week scientific research project. Methods: This cross-sectional study was conducted between 2011 and 2013. A total of 651 medical students were asked to fill in the Clinical Learning Environment, Supervision, and Nurse Teacher (CLES+T) questionnaire, and 439 (mean age 26 years, range 21-40, 60% females) returned the questionnaire, which corresponds to a response rate of 67%...
October 20, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/29026755/attitude-toward-learning-of-community-medicine-a-cross-sectional-study-among-medical-school-students
#15
Japhereena Murugavel, Vinoth Gnana Chellaiyan, Dhivyatharani Krishnamoorthy
BACKGROUND: Community medicine strives to protect and promote the health and well-being of the community through primary health care approach. However the preference of community medicine as career among medical school students and curriculum of community medicine is pivotal. AIM: The study intended to find the attitude towards learning of community medicine and also to assess the preference of post graduation specialty among medical school students. MATERIALS AND METHODS: A cross sectional study conducted at a teaching hospital located in Tamil Nadu, South India...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29020522/teaching-learning-and-performance-in-the-surgical-workplace-insights-from-the-examination-of-intraoperative-interactions
#16
Gary Sutkin, Eliza Beth Littleton, Steven L Kanter, Anna T Cianciolo, Xiaodong Phoenix Chen, Alexandra Cope, Timothy Koschmann
This Conversations Starter article presents a selected research abstract from the 2017 Association of American Medical Colleges Central Region Group on Educational Affairs annual spring meeting. The abstract is paired with the integrative commentary of three experts who shared their thoughts stimulated by the study. These thoughts explore the value of examining intraoperative interactions among attending surgeons and residents for enhancing instructional scaffolding; entrustment decision making; and distinguishing teaching, learning, and performance in the workplace...
October 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28991053/building-professionalism-through-management-training-new-england-public-health-training-center-s-low-cost-high-impact-model
#17
Kathleen MacVarish, Hope Kenefick, Anne Fidler, Bradley Cohen, Yuri Orellana, Karla Todd
CONTEXT: Evolving practices, accreditation, and priorities established in Public Health 3.0 are adding to the long-identified need for management training among public health practitioners. PROGRAM: The New England Public Health Training Center is addressing this need with a flexible, open-source, 16-topic training program. The program is designed to build competencies for current and future managers, preparing them for their day-to-day tasks and for the kinds of adaptation suggested by Public Health 3...
October 5, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28984375/context-matters-when-striving-to-promote-active-and-lifelong-learning-in-medical-education
#18
Joris J Berkhout, Esther Helmich, Pim W Teunissen, Cees P M van der Vleuten, A Debbie C Jaarsma
WHERE DO WE STAND NOW?: In the 30 years that have passed since The Edinburgh Declaration on Medical Education, we have made tremendous progress in research on fostering 'self-directed and independent study' as propagated in this declaration, of which one prime example is research carried out on problem-based learning. However, a large portion of medical education happens outside of classrooms, in authentic clinical contexts. Therefore, this article discusses recent developments in research regarding fostering active learning in clinical contexts...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28984354/cpd-of-the-future-a-partnership-between-quality-improvement-and-competency-based-education
#19
Joan Sargeant, Brian M Wong, Craig M Campbell
CONTEXT: Many of those involved in continuing professional development (CPD) over the past 10 years have engaged in discussions about its goals and activities. Whereas in the past CPD was viewed as an education intervention directed towards the medical expert role, recent research highlights the need to expand the scope of CPD and to promote its more explicit role in improving patient care and health outcomes. Recent developments in quality improvement (QI) and competency-based medical education (CBME), guided by appropriate theories of learning and change, can shed light on how the field might best advance...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28981901/improving-work-outcome-in-supported-employment-for-serious-mental-illness-results-from-2-independent-studies-of-errorless-learning
#20
Robert S Kern, Roberto Zarate, Shirley M Glynn, Luana R Turner, Kellie M Smith, Sharon S Mitchell, Catherine A Sugar, Morris D Bell, Robert P Liberman, Alex Kopelowicz, Michael F Green
Background: Heterogeneity in work outcomes is common among individuals with serious mental illness (SMI). Objective: In 2 studies, we sought to examine the efficacy of adding errorless learning, a behavioral training intervention, to evidence-based supported employment to improve SMI work outcomes. Work behavior problems were targeted for intervention. We also explored associations between early work behavior and job tenure. Methods: For both studies (VA: n = 71; community mental health center: n = 91), randomization occurred at the time of job obtainment with participants randomized (1:1) to either errorless learning plus ongoing supported employment or ongoing supported employment alone and then followed for 12 months...
July 26, 2017: Schizophrenia Bulletin
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