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https://www.readbyqxmd.com/read/29350699/medical-cannabis-the-oncology-nurse-s-role-in-patient-education-about-the-effects-of-marijuana-on-cancer-palliation%C3%A2
#1
Carey S Clark
BACKGROUND: Cannabis, also known as marijuana, is legal either medicinally or recreationally in 29 states and the District of Columbia, with a majority of the U.S. adult population now living in states where cannabis is legal for medicinal use. As an advocate for patient autonomy and informed choice, the oncology nurse has an ethical responsibility to educate patients about and support their use of cannabis for palliation.
. OBJECTIVES: This article aims to discuss the human endocannabinoid system as a basis for better understanding the palliative and curative nature of cannabis as a medicine, as well as review cannabis delivery methods and the emerging role of the oncology nurse in this realm...
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29334480/strategies-for-enhancing-medical-student-resilience-student-and-faculty-member-perspectives
#2
Julia Farquhar, Robert Kamei, Arpana Vidyarthi
Objectives: To improve programs aimed to enhance medical student resiliency, we examined both medical student and faculty advisor perspectives on resiliency-building in an Asian medical school. Methods: In two separate focus groups, a convenience sample of 8 MD-PhD students and 8 faculty advisors were asked to identify strategies for enhancing resilience. Using thematic analysis, two researchers independently examined discussion transcripts and field notes and determined themes through a consensus process...
January 12, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29238608/study-protocol-for-enhancing-parenting-in-cancer-epic-development-and-evaluation-of-a-brief-psycho-educational-intervention-to-support-parents-with-cancer-who-have-young-children
#3
Lesley Stafford, Michelle Sinclair, Jane Turner, Louise Newman, Claire Wakefield, Mei Krishnasamy, G Bruce Mann, Leslie Gilham, Kylie Mason, Paula Rauch, Julia Cannell, Penelope Schofield
Background: Parents with cancer have high rates of psychological morbidity, and their children are at risk of poor psychosocial outcomes, particularly in the context of parental distress and poor family communication. Parents express concerns about the impact of cancer on their children and report a lack of professional guidance in meeting their children's needs. Few parenting interventions exist and current interventions have extensive infrastructure demands making them unsuitable for routine use in most health settings...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29228962/decision-making-on-therapeutic-futility-in-mexican-adolescents-with-cancer-a-qualitative-study
#4
Carlo Egysto Cicero-Oneto, Edith Valdez-Martinez, Miguel Bedolla
BACKGROUND: The world literature shows that empirical research regarding the process of decision-making when cancer in adolescents is no longer curable has been conducted in High-income, English speaking countries. The objective of the current study was to explore in-depth and to explain the decision-making process from the perspective of Mexican oncologists, parents, and affected adolescents and to identify the ethical principles that guide such decision-making. METHODS: Purposive, qualitative design based on individual, fact-to-face, semi-structured, in-depth interviews...
December 11, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29218814/knowledge-compliance-with-good-clinical-practices-and-barriers-to-effective-control-of-postoperative-pain-among-nurses-from-hospitals-with-and-without-a-hospital-without-pain-certificate
#5
Lucyna Tomaszek, Grażyna Dębska
AIMS AND OBJECTIVES: (1) To compare knowledge and compliance with good clinical practices regarding control of postoperative pain among nurses employed at hospitals with and without a "Hospital without Pain" certificate. (2) To identify the determinants of nurses' knowledge. (3) To define barriers to effective control of postoperative pain. BACKGROUND: Only a slight improvement in postoperative pain control has been observed recently, if any. Implementation of good clinical practices in the control of postoperative pain requires involvement of nurses...
December 8, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29197310/defining-medical-student-patient-care-responsibilities-before-intern-year-results-of-a-national-survey
#6
Christopher J King, Andrew Bolton, Jeannette Guerrasio, Adam Trosterman
OBJECTIVES: Program directors have noted that first-year residents struggle with many of the patient care responsibilities they assume as they enter the US graduate medical education system. A national description of medical students' patient care experience in advance of graduation has not been published. We sought to describe the experience of US medical students during their clinical training by surveying the student representatives of each school. METHODS: We developed a mixed-methods survey that was delivered to representatives of 82 schools via an e-mail link to an online survey...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29183634/group-6-modalities-and-frequency-of-monitoring-of-patients-with-adrenal-insufficiency-patient-education
#7
Laurence Guignat, Emmanuelle Proust-Lemoine, Yves Reznik, Delphine Zenaty
Patients with adrenal insufficiency require regular, specialised monitoring in order to optimise their replacement therapy, to detect signs of under- and over-dosage, and to examine for possible associated disorders (auto-immune disorders in the case of auto-immune primary adrenal insufficiency either isolated or as part of auto-immune polyendocrinopathy syndrome type 1; illnesses with underlying monogenic causes). The transition period between adolescence and adulthood represents an added risk of a breakdown in monitoring which requires particular attention from medical teams and coordination between adult and pediatric medical teams...
November 25, 2017: Annales D'endocrinologie
https://www.readbyqxmd.com/read/29176087/in-pursuit-of-educational-integrity-professional-identity-formation-in-the-harvard-medical-school-cambridge-integrated-clerkship
#8
Elizabeth Gaufberg, David Bor, Perry Dinardo, Edward Krupat, Elizabeth Pine, Barbara Ogur, David A Hirsh
Graduates of Harvard Medical School's Cambridge Integrated Clerkship (CIC) describe several core processes that may underlie professional identity formation (PIF): encouragement to integrate pre-professional and professional identities; support for learner autonomy in discovering meaningful roles and responsibilities; learning through caring relationships; and a curriculum and an institutional culture that make values explicit. The authors suggest that the benefits of educational integrity accrue when idealistic learners inhabit an educational model that aligns with their own core values, and when professional development occurs in the context of an institutional home that upholds these values...
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/29161889/intersections-of-physician-autonomy-religion-and-health-care-when-working-with-lgbt-patients
#9
Tara M Prairie, Bethany Wrye, Sarah Murfree
The purpose of this study is to explore the ways that some health care providers perceive the intersectionality of their autonomy, religious faith, and their medical practice, specifically when it comes to providing care for the LGBT+ (lesbian, gay, bisexual, transgender, queer, intersex, and asexual) community. Physicians (n = 25) and medical residents (n = 17) located in the southeast completed a qualitative survey regarding their views of working with LGBT+ patients. Five main themes resulted from the analysis: adequate education, communication, discrimination, duty versus physician autonomy, and religious exemption...
November 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29153759/shared-heart-failure-knowledge-and-self-care-outcomes-in-patient-caregiver-dyads
#10
RANDOMIZED CONTROLLED TRIAL
Julie T Bidwell, Melinda K Higgins, Carolyn M Reilly, Patricia C Clark, Sandra B Dunbar
BACKGROUND: Patient's knowledge about heart failure (HF) contributes to successful HF self-care, but less is known about shared patient-caregiver knowledge. OBJECTIVES: The purpose of this analysis was to: 1) identify configurations of shared HF knowledge in patient-caregiver dyads; 2) characterize dyads within each configuration by comparing sociodemographic factors, HF characteristics, and psychosocial factors; and 3) quantify the relationship between configurations and patient self-care adherence to managing dietary sodium and HF medications...
January 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29147964/diabetes-care-in-qatar-a-survey-of-pharmacists-activities-attitudes-and-knowledge
#11
Maguy Saffouh El Hajj, Safae E Abu Yousef, Meena Ali Basri
Background Diabetes mellitus is recognized as a major public health issue and is one of the top ten causes of death in Qatar. Objective To describe the activities, and attitudes of Qatar pharmacists toward diabetes, to measure their diabetes knowledge and to assess their perceived barriers for diabetes care. Setting Community and ambulatory pharmacies in Qatar. Method Study objectives were addressed in a cross sectional survey of community and ambulatory pharmacists in Qatar. A phone call explaining the study was made to all community and ambulatory pharmacists in Qatar...
November 17, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29099478/difficulties-in-surgical-decision-making-and-associated-factors-among-elective-surgical-patients-in-taiwan
#12
Mei-Ling Lin, Ching-Huey Chen
BACKGROUND: Respect for the autonomy of patients is essential in life-threatening medical decisions such as surgery. Even if a patient has the competency to make decisions, many obstacles exist that may influence his or her willingness to participate in the surgical decision-making process. PURPOSE: The aim of this study was to explore the perceived difficulties in surgical decision making and related factors among elective surgical patients. METHODS: This was a cross-sectional correlational study...
December 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29098746/decision-making-in-nursing-practice-an-integrative-literature-review
#13
REVIEW
Christine W Nibbelink, Barbara B Brewer
AIMS AND OBJECTIVES: Identify and summarize factors and processes related to registered nurses' patient care decision-making in medical-surgical environments. A secondary goal of this literature review was to determine whether medical-surgical decision-making literature included factors that appeared to be similar to concepts and factors in Naturalistic Decision Making. BACKGROUND: Decision-making in acute care nursing requires an evaluation of many complex factors...
November 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29078769/this-moral-coil-a-cross-sectional-survey-of-canadian-medical-student-attitudes-toward-medical-assistance-in-dying
#14
Eli Xavier Bator, Bethany Philpott, Andrew Paul Costa
BACKGROUND: In February, 2015, the Supreme Court of Canada struck down the ban on medical assistance in dying (MAiD). In June, 2016, the federal government passed Bill C-14, permitting MAiD. Current medical students will be the first physician cohort to enter a system permissive of MAiD, and may help to ensure equitable access to care. This study assessed medical student views on MAiD, factors influencing these views, and opportunities for medical education. METHODS: An exploratory cross-sectional survey was developed and distributed to medical students across all years of a three-year Canadian undergraduate medical program...
October 27, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29075375/gender-differences-in-attending-physicians-feedback-to-residents-a-qualitative-analysis
#15
Anna S Mueller, Tania M Jenkins, Melissa Osborne, Arjun Dayal, Daniel M O'Connor, Vineet M Arora
BACKGROUND : Prior research has shown a gender gap in the evaluations of emergency medicine (EM) residents' competency on the Accreditation Council for Graduate Medical Education (ACGME) milestones, yet the practical implications of this are not fully understood. OBJECTIVE : To better understand the gender gap in evaluations, we examined qualitative differences in the feedback that male and female residents received from attending physicians. METHODS : This study used a longitudinal qualitative content analysis of narrative comments by attending physicians during real-time direct observation milestone evaluations of residents...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29062286/the-iara-model-as-an-integrative-approach-to-promote-autonomy-in-copd-patients-through-improvement-of-self-efficacy-beliefs-and-illness-perception-a-mixed-method-pilot-study
#16
Andrea De Giorgio, Angelo Dante, Valeria Cavioni, Anna M Padovan, Desiree Rigonat, Francesca Iseppi, Giuseppina Graceffa, Francesca Gulotta
Chronic obstructive pulmonary disease (COPD) is one of the most deadly and costly chronic diseases in the world characterized by many breathing problems. The management of COPD and the prevention of exacerbations are a priority goals to improve the quality of life in patients affected by this illness. In addition, it is also crucial to improve the patients' adherence to care which, in turn, depends on their knowledge and understanding of some factors such as the prescribed medical treatment, changes in dailylife, and the process of breathing...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28991845/a-purpose-driven-fourth-year-of-medical-school
#17
Mantosh Dewan, John Norcini
The fourth year of medical school has been repeatedly found to be ineffective, and concerns exist about its purpose and academic quality, as well as grade inflation. Since Flexner, the purpose of undergraduate medical training has moved from readiness for independent practice to readiness for postgraduate training. However, training directors report that medical graduates are inadequately prepared to enter residency. The authors propose a fourth year with two components: first, a yearlong, longitudinal ambulatory experience of at least three days each week on an interprofessional team with consistent faculty supervision and mentoring, increasing independence, and a focus on education; and second, rigorous clinical-scales-based assessment of meaningful outcomes...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28982349/critical-care-rotation-impact-on-pediatric-resident-mental-health-and-burnout
#18
Katie K Wolfe, Sharon M Unti
BACKGROUND: Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. METHODS: Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28953296/effective-learning-in-an-ambulatory-family-medicine-clerkship-a-qualitative-study-of-medical-student-midpoint-feedback
#19
Melissa K Bradner, Sharon Kaufer Flores, Judy S Gary, Sharon Zumbrunn
BACKGROUND AND OBJECTIVES: There is substantial research on the effectiveness of ambulatory medical preceptors' teaching skills, but less is known about the student perspective on what contributes most to effective learning in a busy clinical practice. METHODS: As part of a formative midpoint assessment during the third-year clerkship in family medicine, students were asked to respond to the following open-ended reflective prompt: "My preceptor contributed to my learning by...
September 2017: Family Medicine
https://www.readbyqxmd.com/read/28948588/-impact-and-challenges-of-genetic-disorders-on-nursing
#20
Yao-Hua Wang
Genetic disorders greatly impact human life. Nursing staffs should provide counseling and health education before and after patients receive genetic testing. Current attitudes toward women who receive genetic tests emphasize respect patient autonomy and allowing the patient to make her own decisions regarding the tests she wants to take and her reproductive planning. For patients whose results include them in the high-risk group for dementia, providing mental support and counseling to assist them to understand the meaning of these results is important...
October 2017: Hu Li za Zhi the Journal of Nursing
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