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https://www.readbyqxmd.com/read/28072478/the-difficulties-experienced-by-nurses-and-healthcare-staff-involved-in-the-process-of-breaking-bad-news
#1
Clare Warnock, Jean Buchanan, Angela Mary Tod
AIMS: To explore the difficulties experienced by nurses and healthcare professionals when engaging in the process of breaking bad news BACKGROUND: The challenges faced by staff when breaking bad news have previously been researched in relation to particular settings or subjects. This study involved staff from diverse settings and roles to develop broader insights into the range of difficulties experienced in clinical practice. DESIGN: The study used a descriptive survey design involving self-reported written accounts and framework analysis...
January 10, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28027147/breaking-bad-news-in-the-high-concern-low-trust-setting-how-to-get-your-story-heard
#2
Randall N Hyer, Vincent T Covello
No abstract text is available yet for this article.
February 2017: Health Physics
https://www.readbyqxmd.com/read/28003834/discharge-against-medical-advice-at-neonatal-intensive-care-unit-in-gujarat-india
#3
Bhanu Devpura, Pranav Bhadesia, Somashekhar Nimbalkar, Sandeep Desai, Ajay Phatak
Objective. We explored reasons for discharged against medical advice (DAMA) of neonates from a neonatal intensive care unit (NICU) through in-depth interviews of the parents/guardians. Methods. Of 456 babies admitted to NICU during April 2014 to March 2015, 116 babies were DAMA. Parents of randomly selected 50 babies of these 116, residing within 50 kilometers, were approached for in-depth interviews at their homes. Audio recordings were done and manually transcribed, analyzed in detail to explore common threads leading to DAMA...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27992437/prediction-and-characterization-of-high-activity-events-in-social-media-triggered-by-real-world-news
#4
Janani Kalyanam, Mauricio Quezada, Barbara Poblete, Gert Lanckriet
On-line social networks publish information on a high volume of real-world events almost instantly, becoming a primary source for breaking news. Some of these real-world events can end up having a very strong impact on on-line social networks. The effect of such events can be analyzed from several perspectives, one of them being the intensity and characteristics of the collective activity that it produces in the social platform. We research 5,234 real-world news events encompassing 43 million messages discussed on the Twitter microblogging service for approximately 1 year...
2016: PloS One
https://www.readbyqxmd.com/read/27956571/right-brain-breaking-bad-news-communication-education-for-neurology-trainees
#5
Monica E Lemmon, Roy E Strowd
No abstract text is available yet for this article.
December 13, 2016: Neurology
https://www.readbyqxmd.com/read/27922920/communication-about-maternal-breast-cancer-with-children-a-qualitative-study
#6
Xiaoyan Huang, Margaret O'Connor, Yan Hu, Hongyun Gao, Susan Lee
BACKGROUND: Communication with children is a major concern for mothers with breast cancer. Chinese people have specific understanding of cancer and death, which may affect their way of communication. OBJECTIVE: The aim of this study is to explore how Chinese mothers with breast cancer communicate about their illness with their children. METHODS: An interpretive description study was conducted. Forty mothers with nonterminal breast cancer in mainland China were interviewed individually...
December 5, 2016: Cancer Nursing
https://www.readbyqxmd.com/read/27898142/sv%C3%A3-ra-samtal-med-patienter-tr%C3%A3-nas-p%C3%A3-kurs-med-sk%C3%A3-despelare-en-medveten-strategi-hj%C3%A3-lper-b%C3%A3-de-l%C3%A3-kare-och-patient
#7
Anders Danielsson, Hanna Dahlstrand, Franziska Edvinsson, Mattias Tranberg, Anna Wrangsjö, Carl-Johan Fürst
The physician's communication skill influences the patient's mental and physical wellbeing, as well as the physician's own experience of stress. Most patients wish to be informed about their disease, by physicians who are honest, gives time, sustains hope, listens and shows compassion and empathy. Even though there are established guidelines on how to break bad news, the physician must find out and respond to the unique reactions and needs of each individual, in order to communicate successfully. There is no consensus on how to construct and evaluate communication skills training programs for physicians, and more RCT-studies are requested...
November 22, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27876220/breaking-bad-news-to-patients-with-cancer-a-randomized-control-trial-of-a-brief-communication-skills-training-module-incorporating-the-stories-and-preferences-of-actual-patients
#8
James Gorniewicz, Michael Floyd, Koyamangalath Krishnan, Thomas W Bishop, Fred Tudiver, Forrest Lang
OBJECTIVE: This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS: This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structured clinical examination (OSCE) performance of communication skills using Common Ground Assessment and Breaking Bad News measures. RESULTS: Follow-up performance scores of intervention group students improved significantly regarding BBN (colon cancer (CC), p=0...
November 13, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27848418/a-safe-way-to-talk-about-death
#9
(no author information available yet)
Could a learning disability-specific death cafe be the key to initiating conversations about death and dying in a safe way? Paula Hopes writes in Learning Disability Practice about a conference on breaking bad news and noted that while some people with learning disabilities were ready to deal with the issues, healthcare professionals were not. Reasons varied from protecting people with learning disabilities to the assumption that they cannot cope with or understand the information. Ms Hopes says nurses should be advocates for people with learning disabilities and provide them with information to engage them in the process of dying...
November 9, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27833489/perioperative-death-its-implications-and-management
#10
REVIEW
J P Attri, R Makhni, V Chatrath, N Bala, R Kumar, P Jain
Death to most people is a major life event. Nothing in this world prepares us to face and manage the perioperative death although the majority of anesthesiologists will be involved in an intraoperative death during the course of their careers. Whether death on the table was expected or occurred when least expected or may be even later, the anesthesiologist is most likely to be affected emotionally, physically in his personal life, and as well as will have an influence on his professional career. Anesthesiologists as perioperative physicians are likely to experience death on the operating table at some time in their careers...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27824769/palliative-care-in-obstetrics-and-gynecology
#11
Carolyn Lefkowits, Caroline Solomon
Palliative care is specialized care for people with life-limiting illness; it focuses on symptom management and quality of life and ensures that a patient's care is concordant with her goals and values. Unlike end-of-life care, palliative care can be offered concurrently with disease-directed therapies, including when the goal is cure. Obstetrics and gynecology patients for whom palliative care is most appropriate include women with gynecologic cancer and women with a fetus or neonate with a potentially life-limiting illness...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27817247/breaking-bad-news-to-patients-with-spinal-cord-injury-in-turkey-physiatrists-perspective
#12
Ozden Ozyemisci-Taskiran, Isil Irem Budakoglu, Ozlem Coskun, Nesrin Demirsoy
OBJECTIVE: To explore Turkish physiatrists' experiences and opinions about breaking bad news (BBN) to patients with spinal cord injury (SCI). DESIGN: A cross sectional study. SETTING: Turkey. PARTICIPANTS: Sixty-nine physiatrists completed a questionnaire about experiences and opinions regarding BBN and self-assessment of communication skills (CS). RESULTS: Eleven percent of specialists and 53% of residents were trained on basic CS...
November 7, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27782961/using-the-objective-structured-clinical-exam-osce-to-assess-acgme-competencies-in-pediatric-gastroenterology-fellows
#13
Aliza B Solomon, Rachel Reed, Keith Benkov, Joseph Kingsbery, Sarah S Lusman, Lisa B Malter, Jeremiah Levine, Simon Rabinowitz, Martin Wolff, Sondra Zabar, Elizabeth Weinshel
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) has described six core competencies with which trainees should demonstrate proficiency. Using the Objective Structured Clinical Exam (OSCE), we aimed to assess four of these competencies among Pediatric GI fellows (PG). METHODS: Eight first-year PG's from six medical centers in the New York area participated in a four-station OSCE with trained standardized patient (SP) actors. The cases included an "ED Consult" for lower GI bleeding; "Breaking Bad News" focusing on CF nutritional complications; "Second Opinion" for abdominal pain; "Transition of Care" for inflammatory bowel disease...
October 25, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/27769080/first-counseling-revealing-the-diagnosis-of-childhood-cancer-parent-preferences-from-an-indian-perspective
#14
Gem Mohan, Julius X Scott, Rizwana Nasrin, Latha Sneha, Rakesh Manohar, Lalitha Subramanian, Sowmiya Narayani, Aruna Rajendran
BACKGROUND: The first counseling or the exchange between the physician and the parent(s) of children with cancer is of vital importance as it sets the tone for the rest of the treatment. The goal of our study was to find out the preferences among parents of Indian children with cancer regarding communication and breaking of bad news when fully informed about the diagnosis. MATERIALS AND METHODS: A sample of 60 parents who had been counseled within 3 months from diagnosis were interviewed with a prepared questionnaire directed at eliciting their experiences with the physicians who broke the bad news to them and also suggestions to improve the exchange...
November 2016: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/27753115/readability-of-pediatric-otolaryngology-information-by-children-s-hospitals-and-academic-institutions
#15
Kevin Wong, Jessica R Levi
OBJECTIVES/HYPOTHESIS: Evaluate the readability of pediatric otolaryngology-related patient education materials from leading online sources. STUDY DESIGN: Cross-sectional analysis. METHODS: All pediatric otolaryngology-related articles from the online patient health libraries of the top 10 US News & World Report-ranked children's hospitals, top 5 Doximity-ranked pediatric otolaryngology fellowships, and the American Academy of Otolaryngology-Head and Neck Surgery were collected...
October 18, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27605076/going-straight-to-the-source-a-pilot-study-of-bereaved-parent-facilitated-communication-training-for-pediatric-subspecialty-fellows
#16
Jennifer M Snaman, Erica C Kaye, Melody J Cunningham, April Sykes, Deena R Levine, Daniel Mahoney, Justin N Baker
BACKGROUND: Medical trainees consistently report suboptimal instruction and poor self-confidence in communication skills. Despite this deficit, few established training programs provide comprehensive, pediatric-specific communication education, particularly in the provision of "bad news." To our knowledge, no programs currently use bereaved parent educators to facilitate communication training for pediatric subspecialty trainees. PROCEDURE: The authors designed and implemented a pilot communication training seminar in which bereaved parent educators and faculty facilitators led small groups in interactive, role-play scenarios...
September 8, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27585597/end-of-life-care-in-patients-with-advanced-lung-cancer
#17
REVIEW
Richard B L Lim
Despite advances in the detection, pathological diagnosis and therapeutics of lung cancer, many patients still develop advanced, incurable and progressively fatal disease. As physicians, the duties to cure sometimes, relieve often and comfort always should be a constant reminder to us of the needs that must be met when caring for a patient with lung cancer. Four key areas of end-of-life care in advanced lung cancer begin with first recognizing 'when a patient is approaching the end of life'. The clinician should be able to recognize when the focus of care needs to shift from an aggressive life-sustaining approach to an approach that helps prepare and support a patient and family members through a period of progressive, inevitable decline...
October 2016: Therapeutic Advances in Respiratory Disease
https://www.readbyqxmd.com/read/27563519/performance-analysis-of-crf-based-learning-for-processing-wot-application-requests-expressed-in-natural-language
#18
Young Yoon
BACKGROUND: In this paper, we investigate the effectiveness of a CRF-based learning method for identifying necessary Web of Things (WoT) application components that would satisfy the users' requests issued in natural language. For instance, a user request such as "archive all sports breaking news" can be satisfied by composing a WoT application that consists of ESPN breaking news service and Dropbox as a storage service. FINDINGS: We built an engine that can identify the necessary application components by recognizing a main act (MA) or named entities (NEs) from a given request...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27561119/the-impact-of-high-profile-sexual-abuse-cases-in-the-media-on-a-pediatric-emergency-department
#19
Dustin D Flannery, Clare L Stephens, Amy D Thompson
High-profile media cases of sexual abuse may encourage disclosures of abuse from victims of unrelated assaults and also influence parental concerns, leading to increased emergency department visits. In the region of the study authors' institution, there are two recent high-profile sexual abuse cases with media coverage: Earl Bradley, a Delaware pediatrician, and Jerry Sandusky, a Pennsylvania college football coach. This is a retrospective cohort study of children evaluated for sexual abuse at a pediatric emergency department...
August 2016: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/27552394/living-in-the-shadows-plight-of-the-undocumented
#20
Roy Aranda
The word "immigration" has become a household buzzword. The welcome sign on the Statue of Liberty that reads, "Give me your tired, your poor, your huddled masses yearning to breathe free," however, is fading and has been replaced by many complicated conditions. What to do with the very large number of undocumented immigrants living in the United States and arriving at the United States every day commands considerable attention and has been the subject of breaking stories in the news. Working in the field of immigration demands an awareness of and sensitivity to diversity and cultural competence...
August 2016: Journal of Clinical Psychology
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