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https://www.readbyqxmd.com/read/28537156/no-cover-for-breaks
#1
Caroline Rendall
Your story about nurses being urged to report shifts that run into each other (online news, 15 May) reminds me of when I worked on a neonatal unit that was regularly short-staffed.
May 24, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28477398/individual-training-at-the-undergraduate-level-to-promote-competence-in-breaking-bad-news-in-oncology
#2
Alexandre Berney, Valérie Carrard, Marianne Schmid Mast, Raphael Bonvin, Friedrich Stiefel, Céline Bourquin
OBJECTIVE: Training medical students in breaking bad news (BBN) in oncology may be key to improve patient care in an area where many physicians tend to be uncomfortable. Given the lack of evidence in the literature, this study aimed to assess empirically the impact of two teaching strategies to prepare students for the task of BBN in oncology: one-to-one simulated patient (SP) training with individual feedback (intervention group) vs. small-group SP training with collective feedback (comparison group)...
May 5, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28448386/barriers-to-goal-concordant-care-for-older-patients-with-acute-surgical-illness-communication-patterns-extrinsic-to-decision-aids
#3
Lauren J Taylor, Sara K Johnson, Michael J Nabozny, Jennifer L Tucholka, Nicole M Steffens, Kristine L Kwekkeboom, Karen J Brasel, Toby C Campbell, Margaret L Schwarze
OBJECTIVE: We sought to characterize patterns of communication extrinsic to a decision aid that may impede goal-concordant care. BACKGROUND: Decision aids are designed to facilitate difficult clinical decisions by providing better treatment information. However, these interventions may not be sufficient to effectively reveal patient values and promote preference-aligned decisions for seriously ill, older adults. METHODS: We conducted a secondary analysis of 31 decision-making conversations between surgeons and frail, older inpatients with acute surgical problems at a single tertiary care hospital...
April 26, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28425886/an-overview-of-teaching-communication-of-bad-news-in-medical-school-should-a-lecture-be-adequate-to-address-the-topic
#4
Filipe Coutinho, Anisha Ramessur
INTRODUCTION: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject. MATERIAL AND METHODS: A 45 minute lecture "Breaking Bad News" was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES' protocol training...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28411519/-breaking-good-news-neurologists-experiences-of-discussing-sudep-with-patients-in-scotland
#5
Tom Nisbet, Sue Turbull, Sharon Mulhern, Saif Razvi
Since the findings of a Fatal Accident Inquiry (FAI) in 2010, clinicians working in Scotland have been advised to discuss the risk of Sudden Unexpected Death in Epilepsy (SUDEP) with patients immediately or soon after a diagnosis of epilepsy is made. A thematic analysis was used to describe the experiences discussing SUDEP of 10 clinicians (six Consultant Neurologists and four Neurology Registrars) working in Scotland. Contrary to previous research, clinicians appear to be routinely discussing SUDEP in a standardized fashion with newly diagnosed patients and the FAI appears to have instigated this change in practice...
May 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28403231/media-effects-on-suicide-methods-a-case-study-on-hong-kong-1998-2005
#6
Qijin Cheng, Feng Chen, Paul S F Yip
BACKGROUND: Previous studies have suggested that mass media's reports of new suicide methods will increase suicides using the same method. The same pattern seems not to apply to a conventional suicide method, unless it was used by a celebrity. OBJECTIVE: 1) to examine media effects on both new and non-new suicide methods during 1998 and 2005 in Hong Kong (HK), when a new method by burning charcoal (CB suicide) was spreading in the region. 2) to examine how CB competed with non-CB methods in terms of media coverage and "recruiting" suicidal persons in the socio-economic context...
2017: PloS One
https://www.readbyqxmd.com/read/28390592/breaking-bad-news-quo-vadis
#7
EDITORIAL
Wolf Langewitz
No abstract text is available yet for this article.
April 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28387153/breaking-bad-news-in-spinal-cord-injury-a-qualitative-study-assessing-the-perspective-of-spinal-cord-injury-survivors-in-turkey
#8
Ozden Ozyemisci-Taskiran, Ozlem Coskun, Isil Irem Budakoglu, Nesrin Demirsoy
Prior abstract publication: 2(nd) Medical Rehabilitation Congress; Nov 4-7, 2010; Ankara, Turkey Objective: This study aims to investigate the process of breaking bad news from the perspective of spinal cord injury survivors. DESIGN: A cross sectional, qualitative study Setting: Community Participants: Fourteen spinal cord injury survivors Interventions: Subjects participated in a semi-structured interview about 'when', 'where' 'by whom' and 'how' they received and 'would' prefer to receive bad news...
April 7, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28351246/the-problem-with-breaks
#9
Laura Lily Needham
It is interesting to read about the new break initiative at Guy's and St Thomas's hospital (news online, 20 March). I would have been happy with a quick slurp of a coffee between tasks. It's almost impossible to stop what you are doing, make a cuppa and finish it uninterrupted.
March 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28294008/nurses-are-human-beings-too
#10
Jimmy Neeson
Your story 'Thousands of nurses leave NHS posts to maintain work-life balance' (online news, 3 March) made me think. Maybe it would be better if employers didn't break the Working Time Directive, making us swap from a 12-hour night shift to a 14-hour day with no day off in-between, or two long days in a row with not enough time to go home, shower, sleep and get ready for work between them.
March 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28286527/interactive-palliative-and-end-of-life-care-modules-for-pediatric-residents
#11
Mindy K Ross, Ami Doshi, London Carrasca, Patricia Pian, JoAnne Auger, Amira Baker, James A Proudfoot, Mark S Pian
Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency's second-year curriculum...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28277140/interactive-case-based-learning-improves-resident-knowledge-and-confidence-in-reproductive-endocrinology-and-infertility
#12
Kara N Goldman, Ashley W Tiegs, Kristen Uquillas, Margaret Nachtigall, M Elizabeth Fino, Abigail F Winkel, Veronica Lerner
Resident physicians' scores on the REI section of the CREOG exam are traditionally low, and nearly 40% of house staff nation-wide perceive their REI knowledge to be poor. We aimed to assess whether an interactive case-based group-learning curriculum would narrow the REI knowledge gap by improving understanding and retention of core REI concepts under the time constraints affecting residents. A three-hour case-based workshop was developed to address four primary CREOG objectives. A multiple-choice test was administered immediately before and after the intervention and 7 weeks post-workshop, to evaluate both knowledge and confidence...
February 21, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28240043/actrims-2017-late-breaking-news
#13
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28225878/the-p-a-c-i-e-n-t-e-protocol-an-instrument-for-breaking-bad-news-adapted-to-the-brazilian-medical-reality
#14
Carolina Rebello Pereira, Marco Antônio Marchetti Calônego, Lino Lemonica, Guilherme Antonio Moreira de Barros
OBJECTIVE: There are plenty of published tools for breaking bad medical news; however, none of them is culturally appropriate to our reality or published in the Brazilian literature. This study proposes a genuinely Brazilian communication tool and evaluates its acceptance among doctors and nurses. METHOD: This was a prospective study. The data were collected after specific training of doctors and nurses on the bad news communication techniques based on the P-A-C-I-E-N-T-E ("patient," in Portuguese) Protocol...
January 1, 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28221699/beehive-fences-as-a-multidimensional-conflict-mitigation-tool-for-farmers-coexisting-with-elephants
#15
Lucy E King, Fredrick Lala, Hesron Nzumu, Emmanuel Mwambingu, Iain Douglas-Hamilton
Increasing habitat fragmentation and human population growth in Africa has resulted in an escalation in human-elephant conflict between small-scale farmers and free-ranging African elephants (Loxodonta Africana). In 2012 Kenya Wildlife Service (KWS) implemented the national 10-year Conservation and Management Strategy for the Elephant in Kenya, which includes an action aimed at testing whether beehive fences can be used to mitigate human-elephant conflict. From 2012 to 2015, we field-tested the efficacy of beehive fences to protect 10 0...
February 21, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28198305/give-us-a-break
#16
Diana De Lord
I have seen many nurses go without a break because their workload is too great and they are conscientious, as reported in your news story online (19 January).
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28179074/learning-communication-from-erroneous-video-based-examples-a-double-blind-randomised-controlled-trial
#17
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Stricker, Martin Rudolf Fischer, Sissel Guttormsen
OBJECTIVE: Appropriate training strategies are required to equip undergraduate healthcare students to benefit from communication training with simulated patients. This study examines the learning effects of different formats of video-based worked examples on initial communication skills. METHODS: First-year nursing students (N=36) were randomly assigned to one of two experimental groups (correct v. erroneous examples) or to the control group (no examples). All the groups were provided an identical introduction to learning materials on breaking bad news; the experimental groups also received a set of video-based worked examples...
January 31, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28148236/how-did-the-public-respond-to-the-2015-expert-consensus-public-health-guidance-statement-on-workplace-sedentary-behaviour-a-qualitative-analysis
#18
Benjamin Gardner, Lee Smith, Louise Mansfield
BACKGROUND: In June 2015, an expert consensus guidance statement was published recommending that office workers accumulate 2-4 h of standing and light activity daily and take regular breaks from prolonged sitting. This paper describes public responses to media coverage of the guidance, so as to understand public acceptability of the recommendations within the guidance, and perceptions of sitting and standing as health behaviours. METHODS: UK news media websites that had reported on the sedentary workplace guidance statement, and permitted viewers to post comments responding to the story, were identified...
February 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28145210/the-nhs-could-learn-from-inspiring-leaders-like-barack-obama
#19
Yvonne Coghill
I remember November 2008 like it was yesterday. I was the lead for the NHS Leadership Academy's national Breaking Through programme for black and minority ethnic staff, and recall being at our annual conference bursting with pride at the news that Barack Obama had been elected president of the United States.
February 1, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28145189/different-rules-for-staff
#20
Max Woodland
In response to your story about working long shifts without a break, food or a glass of water (news, 25 January), we used to have 'hydration stations' to keep our water bottles in. However, last year the matron removed them and gave us an extra 10-minute tea break.
February 1, 2017: Nursing Standard
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