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https://www.readbyqxmd.com/read/28932935/a-mixed-methods-evaluation-of-paediatric-trainee-preparedness-to-manage-cardiopulmonary-arrests
#1
Órla Walsh, Sinéad Lydon, Paul O'Connor
Paediatric cardiopulmonary arrest (CPA) survival rates are strongly linked to the training of the doctors responding to the event. This study sought to characterise the level of experience in managing CPAs among paediatric trainees and to investigate the nontechnical (NTS) required to effectively lead a paediatric CPA team. A mixed-methods research design was used. For the quantitative phase, a questionnaire was developed to assess training, confidence, and experiences related to CPA management. During the qualitative phase, 17 paediatric trainees participated in a series of critical incident technique (CIT) interviews to explore the NTS used during the management of paediatric CPAs...
September 21, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28906602/addressing-diagnosis-and-treatment-gaps-in-adults-with-attention-deficit-hyperactivity-disorder
#2
Rakesh Jain, Saundra Jain, C Brendan Montano
Attention-deficit/hyperactivity disorder (ADHD) was originally defined in children but is now recognized to persist into adulthood for some patients. Despite this recognition, adult ADHD remains underdiagnosed. This narrative review describes the negative impact of ADHD across multiple functional domains, diagnostic guidelines for adult ADHD and its clinical features, the importance of screening tools and clinical interviews to help evaluate adults for ADHD, and adult ADHD treatment options. Diagnostic guidelines for ADHD now incorporate adult-specific symptoms and behavioral manifestations, which may aid in diagnosing adult ADHD...
September 7, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28892652/oral-histories-as-critical-qualitative-inquiry-in-community-health-assessment
#3
Sarah Gabriella Hernandez, Ana Genkova, Yvette Castañeda, Simone Alexander, Jennifer Hebert-Beirne
Qualitative methods such as focus groups and interviews are common methodologies employed in participatory approaches to community health assessment to develop effective community health improvement plans. Oral histories are a rarely used form of qualitative inquiry that can enhance community health assessment in multiple ways. Oral histories center residents' lived experiences, which often reveal more complex social and health phenomena than conventional qualitative inquiry. This article examines an oral history research component of the Little Village Community Health Assessment, a collaborative research effort to promote health equity in an urban, Mexican ethnic enclave...
September 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28874098/personal-support-and-expressions-of-care-for-pregnant-women-in-soweto-south-africa
#4
Langelihle Mlotshwa, Lenore Manderson, Sonja Merten
BACKGROUND: Pregnancy is life changing, making great demands on women to adapt physically, psychologically, and socially. Social relationships and the support that flow from these provide a critical role in managing health problems in pregnancy. Isolation and lack of care, in contrast, may lead women to experience increased distress during this time. OBJECTIVE: This study aimed to explore South African women's perception and experience of care and support in pregnancy...
2017: Global Health Action
https://www.readbyqxmd.com/read/28851308/patterns-and-determinants-of-pathways-to-reach-comprehensive-emergency-obstetric-and-neonatal-care-cemonc-in-south-sudan-qualitative-diagrammatic-pathway-analysis
#5
Khalifa Elmusharaf, Elaine Byrne, Ayat AbuAgla, Amal AbdelRahim, Mary Manandhar, Egbert Sondorp, Diarmuid O'Donovan
BACKGROUND: Maternity referral systems have been under-documented, under-researched, and under-theorised. Responsive emergency referral systems and appropriate transportation are cornerstones in the continuum of care and central to the complex health system. The pathways that women follow to reach Emergency Obstetric and Neonatal Care (EmONC) once a decision has been made to seek care have received relatively little attention. The aim of this research was to identify patterns and determinants of the pathways pregnant women follow from the onset of labour or complications until they reach an appropriate health facility...
August 29, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28830300/-it-s-sometimes-hard-to-tell-what-patients-are-playing-at-how-healthcare-professionals-make-sense-of-why-patients-and-families-complain-about-care
#6
Mary Adams, Jill Maben, Glenn Robert
This article draws from sociological and socio-legal studies of dispute between patients and doctors to examine how healthcare professionals made sense of patients' complaints about healthcare. We analyse 41 discursive interviews with professional healthcare staff working in eight different English National Health Service settings to explore how they made sense of events of complaint and of patients' (including families') motives for complaining. We find that for our interviewees, events of patients' complaining about care were perceived as a breach in fundamental relationships involving patients' trust or patients' recognition of their work efforts...
August 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28818055/patterns-of-hiv-testing-practices-among-young-gay-and-bisexual-men-living-in-scotland-a-qualitative-study
#7
Nicola Boydell, Katie Buston, Lisa Margaret McDaid
BACKGROUND: Increasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM) remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men. METHODS: Qualitative interviews were conducted with thirty young gay and bisexual men (aged 18-29) in Scotland...
August 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28810846/personality-traits-and-suicide-attempts-with-and-without-psychiatric-disorders-analysis-of-impulsivity-and-neuroticism
#8
Bo Bi, Wei Liu, Die Zhou, Xu Fu, Xiaoxia Qin, Jiali Wu
BACKGROUND: There is a critical need for empirical data concerning the association of personality traits and attempted suicide with and without psychiatric disorders in mainland China. The objective of the present study is to provide such data by determining the prevalence of psychiatric disorders and analyzing the levels of impulsivity and neuroticism among people who have attempted suicide, and to examine the association between these personality traits and suicide attempt in people with or without psychiatric disorders...
August 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28804509/lifetime-stress-exposure-and-health-a-review-of-contemporary-assessment-methods-and-biological-mechanisms
#9
Grant S Shields, George M Slavich
Life stress is a central construct in health research because it is associated with increased risk for a variety of serious mental and physical health problems, including anxiety disorders, depression, cardiovascular disease, autoimmune disorders, Alzheimer's disease, certain cancers, and other diseases of aging. In this review, we examine how lifetime stress exposure contributes to elevated disease risk, and explore ongoing measurement and scientific issues related to this topic. To accomplish these goals, we first review existing instruments that have been developed for assessing perceived stress, self-reported life events, interviewer-assessed life stressors, and lifetime stress exposure...
August 2017: Social and Personality Psychology Compass
https://www.readbyqxmd.com/read/28799470/referral-to-an-acute-child-and-adolescent-inpatient-unit-the-experiences-and-views-of-community-mental-health-referrers
#10
Josephine Stanton, Viktor Lahdenperä, Virginia Braun
Admission to an acute mental health inpatient unit is a significant event for a young person. The interface between inpatient and community teams negotiating the admission and later discharge can be fraught. To understand how to improve the transition between inpatient and community care, we interviewed 48 community clinicians about their experiences of engaging with an acute child and adolescent mental health inpatient unit. Through thematic analysis, we identified management of risk was a central issue. Participants wanted more time in hospital, and more communication and collaboration...
September 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28799450/comparing-performance-of-methods-used-to-identify-pregnant-women-pregnancy-outcomes-and-child-mortality-in-the-iganga-mayuge-health-and-demographic-surveillance-site-uganda
#11
Daniel Kadobera, Peter Waiswa, Stefan Peterson, Hannah Blencowe, Joy Lawn, Kate Kerber, Nazarius Mbona Tumwesigye
BACKGROUND: In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about the performance of different methods in identifying pregnancy and pregnancy outcomes, yet this is critical in assessing improvements in reducing maternal and newborn mortality and stillbirths...
2017: Global Health Action
https://www.readbyqxmd.com/read/28747235/journalists-occupational-stress-a-comparative-study-between-reporting-critical-events-and-domestic-news
#12
Susana Monteiro, Alexandra Marques-Pinto
Nowadays, journalism is considered a stressful occupation, not only due to the stress perceived in journalists' daily work but also due to the critical, potentially traumatic events they report. However, research on journalists' occupational stress in both these professional settings is still scarce. This study aims to characterize and compare occupational stress variables perceived by journalists in their daily work and in critical scenarios. Taking the Holistic Model of Occupational Stress by Nelson and Simmons (2003) as a framework, 25 Portuguese journalists, all with experience in reporting critical events, were interviewed on their perceptions of some core variables of the model: occupational stressors, distress and eustress emotional reactions, and the consequences of these experiences on their well-being...
July 27, 2017: Spanish Journal of Psychology
https://www.readbyqxmd.com/read/28740424/risk-and-protective-factors-in-the-clinical-rehabilitation-of-chronic-back-pain
#13
Pia-Maria Wippert, Michael Fliesser, Matthias Krause
OBJECTIVES: Chronic back pain (CBP) can lead to disability and burden. In addition to its medical causes, its development is influenced by psychosocial risk factors, the so-called flag factors, which are categorized and integrated into many treatment guidelines. Currently, most studies investigate single flag factors, which limit the estimation of individual factor significance in the development of chronic pain. Furthermore, factors concerning patients' lifestyle, biography and treatment history are often neglected...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28691646/participatory-methods-for-inuit-public-health-promotion-and-programme-evaluation-in-nunatsiavut-canada
#14
Manpreet Saini
Engaging stakeholders is crucial for health promotion and programme evaluations; understanding how to best engage stakeholders is less clear, especially within Indigenous communities. The objectives of this thesis research were to use participatory methods to: (1) co-develop and evaluate a whiteboard video for use as a public health promotion tool in Rigolet, Nunatsiavut, and (2) develop and validate a framework for participatory evaluation of Inuit public health initiatives in Nunatsiavut, Labrador. Data collection tools included interactive workshops, community events, interviews, focus-group discussions and surveys...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28666156/family-support-liaison-in-the-witnessed-resuscitation-a-phenomenology-study
#15
Hadi Hassankhani, Vahid Zamanzade, Azad Rahmani, Hamidreza Haririan, Joanne E Porter
BACKGROUND: Family-witnessed resuscitation remains controversial among clinicians from implementation to practice and there are a number of countries, such as Iran, where that is considered a low priority. OBJECTIVE: To explore the lived experience of resuscitation team members with the presence of the patient's family during resuscitation. DESIGN: The hermeneutic phenomenology. SETTINGS: The emergency departments and critical care units of 6 tertiary hospitals in Tabriz, Iran...
June 13, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28660668/fmri-capture-of-auditory-hallucinations-validation-of-the-two-steps-method
#16
Arnaud Leroy, Jack R Foucher, Delphine Pins, Christine Delmaire, Pierre Thomas, Mathilde M Roser, Stéphanie Lefebvre, Ali Amad, Thomas Fovet, Nemat Jaafari, Renaud Jardri
Our purpose was to validate a reliable method to capture brain activity concomitant with hallucinatory events, which constitute frequent and disabling experiences in schizophrenia. Capturing hallucinations using functional magnetic resonance imaging (fMRI) remains very challenging. We previously developed a method based on a two-steps strategy including (1) multivariate data-driven analysis of per-hallucinatory fMRI recording and (2) selection of the components of interest based on a post-fMRI interview. However, two tests still need to be conducted to rule out critical pitfalls of conventional fMRI capture methods before this two-steps strategy can be adopted in hallucination research: replication of these findings on an independent sample and assessment of the reliability of the hallucination-related patterns at the subject level...
June 28, 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/28645956/exploring-the-components-of-physician-volunteer-engagement-a-qualitative-investigation-of-a-national-canadian-simulation-based-training-programme
#17
Aimee J Sarti, Stephanie Sutherland, Angele Landriault, Kirk DesRosier, Susan Brien, Pierre Cardinal
OBJECTIVES: Conceptual clarity on physician volunteer engagement is lacking in the medical literature. The aim of this study was to present a conceptual framework to describe the elements which influence physician volunteer engagement and to explore volunteer engagement within a national educational programme. SETTING: The context for this study was the Acute Critical Events Simulation (ACES) programme in Canada, which has successfully evolved into a national educational programme, driven by physician volunteers...
June 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28640946/physicians-non-uniform-approach-to-prescribing-drugs-to-older-patients-a-qualitative-study
#18
Line Due Christensen, Janne Petersen, Ove Andersen, Susanne Kaae
Multi-morbidity and polypharmacy are common in older patients and increase their susceptibility to adverse drug events and hospitalizations. Rational drug prescription is critical; however, little is known about physicians' perspectives on how to prescribe drugs for older patients. The aim of this study was to explore physicians' approach to prescribe drugs to older patients, including identifying the drugs that physicians perceive to be risk drugs for older patients and comparing them with established lists of potentially inappropriate medications...
June 22, 2017: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/28570990/preparation-for-workplace-adversity-student-narratives-as-a-stimulus-for-learning
#19
Julie Hanson, Margaret McAllister
Nursing students are not always well prepared for the kind of adverse events they may experience in the workplace and yet it seems apparent that future students could benefit from learning about such experiences so that they can be avoided, or their impact minimised. This research aimed to identify nursing students' experiences of adversity, collaborate with students to discern important lessons for future students in their experiences, and make recommendations for other educators on how to use these adversity stories as lessons...
July 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28521111/the-role-of-gender-in-suicidal-ideation-among-long-term-opioid-users
#20
Kirsten Marchand, Heather Palis, Jill Fikowski, Scott Harrison, Patricia Spittal, Martin T Schechter, Eugenia Oviedo-Joekes
OBJECTIVE: This study aims to examine factors associated with suicidal ideation among people with opioid dependence and to explore whether these factors are gender-specific. METHODS: Cross-sectional data were collected among long-term opioid-dependent individuals ( n = 176; 46.0% women). Lifetime histories of suicidal ideation were measured using the Composite International Diagnostic Interview, and additional data were collected regarding sociodemographic characteristics, drug use, health, and adverse life events...
July 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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