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https://www.readbyqxmd.com/read/29466261/engaging-nurses-in-optimizing-antimicrobial-use-in-icus-a-qualitative-study
#1
Lianne Jeffs, Madelyn P Law, Michelle Zahradnik, Marilyn Steinberg, Maria Maione, Linda Jorgoni, Chaim M Bell, Andrew M Morris
Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement of nurses to actively participate in initiatives, strategies, and solutions to combat antibiotic resistance across the health care spectrum is required. In this context, the experiences of local ASP teams engaging nurses in appropriate antimicrobial use were explored to inform future strategies to enhance their involvement in ASPs...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466067/a-narrative-analysis-examining-the-transition-to-practice-for-the-full-time-secondary-school-athletic-trainer
#2
Stephanie M Mazerolle, Jessica Kirby, Stacy E Walker
CONTEXT:   The transition to clinical practice is an important topic in athletic training as it is viewed as a stressful time that is accompanied by self-doubt. Mentorship and previous experience support the transition to practice, but little information is available on the organizational entry of the athletic trainer (AT) who is employed full time in the secondary school setting. OBJECTIVE:   To understand the experiences of newly credentialed ATs in full-time positions in the secondary school setting...
February 21, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29464984/the-challenges-of-implementing-advanced-access-for-residents-in-family-medicine-in-quebec-do-promising-strategies-exist
#3
Sabina Abou Malham, Nassera Touati, Lara Maillet, Mylaine Breton
BACKGROUND: The advanced access (AA) model is a highly recommended innovation to improve timely access to primary healthcare. Despite that many studies have shown positive impacts for healthcare professionals, and for patients, implementing this model in clinics with a teaching mission for family medicine residents poses specific challenges. OBJECTIVE: To identify these challenges within these clinics, as well as potential strategies to address them. DESIGN: The authors adopted a qualitative multiple case study design, collected data in 2016 using semi-structured interviews (N = 40) with healthcare professionals and clerical staff in four family medicine units in Quebec, and performed a thematic analysis...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29463494/how-health-care-professionals-evaluate-a-digital-intervention-to-improve-medication-adherence-qualitative-exploratory-study
#4
Karen Thomson, Corline Brouwers, Olga C Damman, Martine C de Bruijne, Danielle Rm Timmermans, Marijke Melles
BACKGROUND: Medication nonadherence poses a serious and a hard-to-tackle problem for many chronic diseases. Electronic health (eHealth) apps that foster patient engagement and shared decision making (SDM) may be a novel approach to improve medication adherence. OBJECTIVE: The aim of this study was to investigate the perspective of health care professionals regarding a newly developed digital app aimed to improve medication adherence. Familial hypercholesterolemia (FH) was chosen as a case example...
February 20, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29463492/ecuadorian-cancer-patients-preference-for-information-and-communication-technologies-cross-sectional-study
#5
Ivan Cherrez Ojeda, Emanuel Vanegas, Michell Torres, Juan Carlos Calderón, Erick Calero, Annia Cherrez, Miguel Felix, Valeria Mata, Sofia Cherrez, Daniel Simancas
BACKGROUND: The instantaneous spread of information, low costs, and broad availability of information and communication technologies (ICTs) make them an attractive platform for managing care, patient communication, and medical interventions in cancer treatment. There is little information available in Latin America about the level of usage of ICTs for and by cancer patients. Our study attempts to fill this gap. OBJECTIVE: The aim of this study was to assess the level of ICT use and patterns of preferences among cancer patients...
February 20, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29460767/how-should-a-stigmatized-diagnosis-be-conveyed-how-what-went-wrong-is-represented-in-swallow-me-whole
#6
Jared Gardner
This essay considers the ethical problems raised by a scene of diagnosis presentation in Nate Powell's graphic novel Swallow Me Whole, in which the patient is not only not engaged by the physician, but also effectively marginalized from the moment that her condition is named and medicalized. Put in the context of the book as a whole and in relationship to the unique affordances of the comics form, however, we see that though the physician made a correct diagnosis, the case did not end well due to the poor delivery of that diagnosis and the lack of support from members of the patient's extended community...
February 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29460765/are-comic-books-appropriate-health-education-formats-to-offer-adult-patients
#7
Gary Ashwal, Alex Thomas
Physicians who recommend patient education comics should consider that some patients might question the appropriateness of this format, especially in the US, where a dominant cultural view of comics is that they are juvenile and intended to be funny. In this case, Dr. S might have approached communication with Mrs. T differently, even without knowing her attitude toward comics as a format for delivering health information. Dr. S could acknowledge that though some people might not expect useful medical information in a comic format, it has unique aspects and new research on patient education comics shows that even adults are finding this medium to be effective, educational, and engaging...
February 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29460110/operationalizing-the-reciprocal-engagement-model-of-genetic-counseling-practice-a-framework-for-the-scalable-delivery-of-genomic-counseling-and-testing
#8
Tara Schmidlen, Amy C Sturm, Shelly Hovick, Laura Scheinfeldt, J Scott Roberts, Lindsey Morr, Joseph McElroy, Amanda E Toland, Michael Christman, Julianne M O'Daniel, Erynn S Gordon, Barbara A Bernhardt, Kelly E Ormond, Kevin Sweet
With the advent of widespread genomic testing for diagnostic indications and disease risk assessment, there is increased need to optimize genetic counseling services to support the scalable delivery of precision medicine. Here, we describe how we operationalized the reciprocal engagement model of genetic counseling practice to develop a framework of counseling components and strategies for the delivery of genomic results. This framework was constructed based upon qualitative research with patients receiving genomic counseling following online receipt of potentially actionable complex disease and pharmacogenomics reports...
February 19, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29458920/interest-in-online-interprofessional-elective-mind-body-skills-mbs-training
#9
Suman J Gupta, Kathi J Kemper, Joanne Lynn
INTRODUCTION: There is growing interest in mind-body skills (MBS) education and online interprofessional elective MBS training for health professionals. We conducted this study to understand a) the demand among different health professionals for an online MBS course; b) engagement with different MBS topics; and c) planned behavior changes. METHODS: We examined registrations from May 1 through August 31, 2014 for a new online MBS elective, analyzing the percentage of registrants who engaged with one or more of 12 modules by September 30, 2014...
February 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29455445/adaptive-reinventing-implicit-bias-and-the-co-construction-of-social-change
#10
Javeed Sukhera, Alexandra Milne, Pim W Teunissen, Lorelei Lingard, Chris Watling
Emerging research on implicit bias recognition and management within health professions describes individually focused educational interventions without considering workplace influences. Workplace learning theories highlight how individual agency and workplace structures dynamically interact to produce change within individuals and learning environments. Promoting awareness of individual biases shaped by clinical learning environments may therefore represent a unique type of workplace learning. We sought to explore how individuals and the workplace learning environment interact once awareness of implicit biases are triggered within learners...
February 17, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29454081/do-preventive-medicine-physicians-practice-medicine
#11
REVIEW
Paul Jung, Boris D Lushniak
As some preventive medicine physicians have been denied medical licenses for not engaging in direct patient care, this paper attempts to answer the question, "Do preventive medicine physicians practice medicine?" by exploring the requirements of licensure, the definition of "practice" in the context of modern medicine, and by comparing the specialty of preventive medicine to other specialties which should invite similar scrutiny. The authors could find no explicit licensure requirement for either a certain amount of time in patient care or a number of patients seen...
February 14, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29453190/testing-behavior-change-techniques-to-encourage-primary-care-physicians-to-access-cancer-screening-audit-and-feedback-reports-protocol-for-a-factorial-randomized-experiment-of-email-content
#12
Gratianne Vaisson, Holly O Witteman, Zachary Bouck, Caroline A Bravo, Laura Desveaux, Diego Llovet, Justin Presseau, Marianne Saragosa, Monica Taljaard, Shama Umar, Jeremy M Grimshaw, Jill Tinmouth, Noah M Ivers
BACKGROUND: Cancer Care Ontario's Screening Activity Report (SAR) is an online audit and feedback tool designed to help primary care physicians in Ontario, Canada, identify patients who are overdue for cancer screening or have abnormal results requiring follow-up. Use of the SAR is associated with increased screening rates. To encourage SAR use, Cancer Care Ontario sends monthly emails to registered primary care physicians announcing that updated data are available. However, analytics reveal that 50% of email recipients do not open the email and less than 7% click the embedded link to log in to their report...
February 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29452702/the-value-proposition-of-simulation-based-education
#13
David A Cook, Dana K Andersen, John R Combes, David L Feldman, Ajit K Sachdeva
Simulation has become an integral part of physician education, and abundant evidence confirms that simulation-based education improves learners' skills and behaviors and is associated with improved patient outcomes. The resources required to implement simulation-based education, however, have led some stakeholders to question the overall value proposition of simulation-based education. This paper summarizes the information from a special panel on this topic and defines research priorities for the field. Future work should focus on both outcomes and costs, with robust measurement of resource investments, provider performance (in both simulation and real settings), patient outcomes, and impact on the health care organization...
February 13, 2018: Surgery
https://www.readbyqxmd.com/read/29450402/modeling-the-consumer-s-perception-of-experiential-marketing-in-the-romanian-private-ophthalmologic-services
#14
Consuela-Mădălina Gheorghe, Iuliana-Raluca Gheorghe, Victor Lorin Purcărea
Introduction. The importance of experience in marketing grew, as the concept itself is very personal and difficult to measure. Experience turns out to be complicated but once placed in a context it gets significant features. As the health care competitive environment increases, marketers are looking for new and effective methods of engaging consumers by using experiential marketing strategies. Moreover, little is known about the consumers' perceptions related to ophthalmologic services. Aim. The objective of this paper was to measure the consumer's perception of experiential marketing in the Romanian private ophthalmologic services by using structural equation modeling...
July 2017: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29445267/a-patient-and-community-centered-approach-selecting-endpoints-for-a-randomized-trial-of-a-novel-advance-care-planning-tool
#15
John Fp Bridges, Norah L Crossnohere, Anne L Schuster, Judith A Miller, Carolyn Pastorini, Rebecca A Aslakson
Background: Despite a movement toward patient-centered outcomes, best practices on how to gather and refine patients' perspectives on research endpoints are limited. Advanced care planning (ACP) is inherently patient centered and would benefit from patient prioritization of endpoints for ACP-related tools and studies. Objective: This investigation sought to prioritize patient-centered endpoints for the content and evaluation of an ACP video being developed for patients undergoing major surgery...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29443716/time-for-an-acute-focus-on-chronic-care-in-undergraduate-medical-education
#16
Connie R Shi, Vinod E Nambudiri
As the burdens of chronic disease rise in the United States, both undergraduate and graduate medical education must adapt to adequately equip future physicians with the skills to manage the increasingly complex health needs affecting the population. However, traditional models of undergraduate medical education (UME) have made focusing on chronic care education challenging. In this Invited Commentary, the authors advocate for strengthening UME based upon five approaches to engage trainees in learning about chronic care across both the preclinical and clinical phases of their education: (1) introducing chronic care in the preclinical years; (2) prioritizing chronic care education across all specialties; (3) maximizing the fourth year of medical school through a chronic care focus; (4) creating chronic disease-focused advanced clerkships; and (5) leveraging technology for education...
February 13, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29443650/open-oncology-notes-a-qualitative-study-of-oncology-patients-experiences-reading-their-cancer-care-notes
#17
Neha Kayastha, Kathryn I Pollak, Thomas W LeBlanc
PURPOSE: Electronic medical records increasingly allow patients access to clinician notes. Although most believe that open notes benefits patients, some suggest negative consequences. Little is known about the experiences of patients with cancer reading their medical notes; thus we aimed to describe this qualitatively. METHODS: We interviewed 20 adults with metastatic or incurable cancer receiving cancer treatment. The semistructured qualitative interviews included four segments: assessing their overall experience reading notes, discussing how notes affected their cancer care experiences, reading a real note with the interviewer, and making suggestions for improvement...
February 13, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29443334/copd-in-primary-care-key-considerations-for-optimized-management-treatment-options-for-stable-chronic-obstructive-pulmonary-disease-current-recommendations-and-unmet-needs
#18
REVIEW
Barbara Yawn, Victor Kim
Primary care physicians manage the care of approximately 80% of patients with chronic obstructive pulmonary disease (COPD). This provides the opportunity to engage patients in management goal-setting that facilitates more tailored treatments, and can improve adherence to therapy, which is historically poor in patients with COPD, thereby improving outcomes.
February 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29442206/thrown-into-the-world-of-independent-practice-from-unexpected-uncertainty-to-new-identities
#19
Brett Schrewe
One of the most exciting yet stressful times in a physician's life is transitioning from supervised training into independent practice. The majority of literature devoted to this topic has focused upon a perceived gap between clinical and non-clinical skills and interventions taken to address it. Building upon recent streams of scholarship in identity formation and adaptation to new contexts, this work uses a Heideggerian perspective to frame an autoethnographical exploration of the author's transition into independent paediatric practice...
February 13, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29439895/adding-value-to-total-joint-arthroplasty-care-in-an-academic-environment-the-utah-experience
#20
Christopher E Pelt, Mike B Anderson, Jill A Erickson, Jeremy M Gililland, Christopher L Peters
BACKGROUND: Adding value in a university-based academic health care system provides unique challenges when compared to other health care delivery models. Herein, we describe our experience in adding value to joint arthroplasty care at the University of Utah, where the concept of value-based health care reform has become an embraced and driving force. METHODS: To improve the value, new resources were needed for care redesign, physician leadership, and engagement in alternative payment models...
February 10, 2018: Journal of Arthroplasty
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