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https://www.readbyqxmd.com/read/29517330/developing-advanced-clinical-practice-skills-in-gastrointestinal-consequences-of-cancer-treatment
#1
Caroline Gee, Jervoise Andreyev, Ann Muls
This article explores the transition from a clinical nurse specialist (CNS) towards developing advanced clinical practice skills within a gastrointestinal consequences of cancer clinic. It presents data on the first 50 patients assessed by the CNS from a prospective service evaluation, demonstrating how this informed the nurse's future learning. There is high demand for advanced clinical practice skills to address unmet health needs and improve the quality, efficiency, and sustainability of healthcare services...
March 8, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29248619/a-new-approach-for-assessing-and-training-drivers-speed-management
#2
Noelle LaVoie, Yi-Ching Lee, Anna Allison, James Parker
Motor vehicle crashes are the leading cause of death and injury for teens and speeding is a major contributor, particularly driving too fast for conditions (CDC, 2015, 2013; NHTSA, 2012; Lam, 2003; McKnight & McKnight, 2003). Speed management is a type of tacit knowledge learned through experience that combines speed perception with decisions about safety. Effective training and assessment of speed management requires a safe method for accumulating practice that includes realistic perceptual cues. This study investigated whether speed can be manipulated in an online environment using special effects technology without distorting speed perception...
February 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29177100/20-years-of-gender-mainstreaming-in-health-lessons-and-reflections-for-the-neglected-tropical-diseases-community
#3
REVIEW
Sally Theobald, Eleanor E MacPherson, Laura Dean, Julie Jacobson, Camilla Ducker, Margaret Gyapong, Kate Hawkins, Thoko Elphick-Pooley, Charles Mackenzie, Louise A Kelly-Hope, Fiona M Fleming, Pamela S Mbabazi
Neglected tropical diseases (NTDs) affect the poorest of the poor. NTD programmes can and should rise to the challenge of playing a part in promoting more gender equitable societies. Gender equity shapes poverty and the experience of disease in multiple ways; yet to date, there has been little attention paid to gender equity in NTD control efforts. Drawing on a synthesis of relevant literature, the tacit knowledge and experience of the authors, and discussions at a meeting on women, girls and NTDs, this analysis paper distills five key lessons from over 20 years of gender mainstreaming in health...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29176955/affording-sustainability-adopting-a-theory-of-affordances-as-a-guiding-heuristic-for-environmental-policy
#4
Roope O Kaaronen
Human behavior is an underlying cause for many of the ecological crises faced in the 21st century, and there is no escaping from the fact that widespread behavior change is necessary for socio-ecological systems to take a sustainable turn. Whilst making people and communities behave sustainably is a fundamental objective for environmental policy, behavior change interventions and policies are often implemented from a very limited non-systemic perspective. Environmental policy-makers and psychologists alike often reduce cognition 'to the brain,' focusing only to a minor extent on how everyday environments systemically afford pro-environmental behavior...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29116982/a-rose-by-other-names-some-general-musings-on-lawrence-and-colleagues-hidden-curriculum-scoping-review
#5
Frederic W Hafferty, Maria Athina Martimianakis
In this Commentary, the authors explore the scoping review by Lawrence and colleagues by challenging their conclusion that with over 25 years' worth of "ambiguous and seemingly ubiquitous use" of the hidden curriculum construct in health professions education scholarship, it is time to either move to a more uniform definitional foundation or abandon the term altogether. The commentary authors counter these remedial propositions by foregrounding the importance of theoretical diversity and the conceptual richness afforded when the hidden curriculum construct is used as an entry point for studying the interstitial space between the formal and a range of other-than-formal domains of learning...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28984007/navigating-difficult-conversations-the-role-of-self-monitoring-and-reflection-in-action
#6
Anita Cheng, Kori LaDonna, Sayra Cristancho, Stella Ng
CONTEXT: Clinicians draw upon experiential knowledge to manoeuvre difficult conversations, using tacit knowledge that is difficult to explicitly teach. Instead, learners are taught to communicate through role-play and checklists, both of which are approaches that may fail during moments of clinical complexity. We know that difficult conversations may provoke anxiety in learners, but we know little about how they learn to navigate them. Without a deeper understanding, we may fail to equip learners with the skills to manoeuvre these conversations in practice...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28956195/qualitative-analysis-of-mmi-raters-scorings-of-medical-school-candidates-a-matter-of-taste
#7
Mette K Christensen, Eva Lykkegaard, Ole Lund, Lotte D O'Neill
Recent years have seen leading medical educationalists repeatedly call for a paradigm shift in the way we view, value and use subjectivity in assessment. The argument is that subjective expert raters generally bring desired quality, not just noise, to performance evaluations. While several reviews document the psychometric qualities of the Multiple Mini-Interview (MMI), we currently lack qualitative studies examining what we can learn from MMI raters' subjectivity. The present qualitative study therefore investigates rater subjectivity or taste in MMI selection interview...
September 27, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28922988/erognomic-education-on-housework-for-women-with-upper-limb-repetitive-strain-injury-rsi-a-conceptual-representation-of-therapists-clinical-reasoning
#8
Therma W C Cheung, Lindy Clemson, Kate O' Loughlin, Russell Shuttleworth
BACKGROUND: Ergonomic education in housework that aims to facilitate behavior change is important for women with upper limb repetitive strain injury. Therapists usually conduct such programs based on implicit reasoning. Making this reasoning explicit is important in contributing to the profession's knowledge. AIM: To construct a conceptual representation of how occupational therapists make clinical decisions for such program. METHOD: Based on a constructivist-grounded theory methodology, data were collected through in-depth interviewing with 14 occupational therapists from a major hospital in Singapore...
September 18, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28901654/clinical-learning-environments-place-artefacts-and-rhythm
#9
Dale Sheehan, Tanisha Jowsey, Mariam Parwaiz, Mark Birch, Philippa Seaton, Susan Shaw, Alison Duggan, Tim Wilkinson
CONTEXT: Health care practitioners learn through experience in clinical environments in which supervision is a key component, but how that learning occurs outside the supervision relationship remains largely unknown. This study explores the environmental factors that inform and support workplace learning within a clinical environment. METHODS: An observational study drawing on ethnographic methods was undertaken in a general medicine ward. Observers paid attention to interactions among staff members that involved potential teaching and learning moments that occurred and were visible in the course of routine work...
October 2017: Medical Education
https://www.readbyqxmd.com/read/28836876/the-limits-of-autonomy-ideals-in-care-for-people-with-learning-disabilities
#10
Jeannette Pols, Brigitte Althoff, Els Bransen
In the Netherlands, autonomy is a key ideal in visions of care for people with learning disability. This ideal can lead to tension when clients, in the opinion of their caregivers, overuse alcohol or drugs. In this article, we analyze how professional caregivers understand the ideal of autonomy in care for people with learning disability, and articulate the tacit attempts of caregivers to provide "good care," which can be understood as care for relationships. This relational view includes caregivers, care recipients, and their networks and infrastructures in the vision of care...
November 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28823047/knowledge-that-acts-evaluating-the-outcomes-of-a-knowledge-brokering-intervention-in-western-australia-s-ningaloo-region
#11
Kelly Chapman, Fabio Boschetti, Elizabeth Fulton, Pierre Horwitz, Tod Jones, Pascal Scherrer, Geoff Syme
Knowledge exchange involves a suite of strategies used to bridge the divides between research, policy and practice. The literature is increasingly focused on the notion that knowledge generated by research is more useful when there is significant interaction and knowledge sharing between researchers and research recipients (i.e., stakeholders). This is exemplified by increasing calls for the use of knowledge brokers to facilitate interaction and flow of information between scientists and stakeholder groups, and the integration of scientific and local knowledge...
November 2017: Environmental Management
https://www.readbyqxmd.com/read/28813998/joint-stiffness-modulation-of-compliant-actuators-for-lower-limb-exoskeletons
#12
Jose Gonzalez-Vargas, Shingo Shimoda, Guillermo Asin-Prieto, Jose L Pons, Juan C Moreno
Lower limb exoskeletons are being used to assist people with movement disorders during activities of daily living or rehabilitation. However, providing a natural interface that automatically adapts to the patient's movement limitations remains an open challenge. In this paper, we present a control implementation that combines a compliant actuator technology with the concept of tacit learning to improve the synchronisation between the exoskeleton and the user during locomotion. We show that this implementation can be effectively used to easily modulate the joint stiffness that is perceived by the user during locomotion...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28573361/exploring-anesthesiologists-understanding-of-situational-awareness-a-qualitative-study
#13
Julia A Haber, Rachel H Ellaway, Rosaleen Chun, Jocelyn M Lockyer
PURPOSE: This study explored how anesthesiologists understand situational awareness (SA) and how they think SA is learned, taught, and assessed. METHODS: Semi-structured interviews were performed with practicing anesthesiologists involved in teaching. This qualitative study was conducted using constructivist grounded theory techniques (i.e., line-by-line coding, memoing, and constant comparison) in a thematic analysis of interview transcripts. Group meetings were held to develop and review themes emerging from the data...
August 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/28515702/on-the-tacit-aspects-of-science-pedagogy-in-higher-education
#14
Ramakrishnan Sitaraman
In this article, we examine the concept of tacit knowledge and its implications for science education. We suggest that the history of scientific ideas and the personal nature of learning imply that higher education in scientific fields, wherein the generation of new knowledge, insights and understanding is paramount, would greatly benefit by acknowledging the irreducible role of the non-formal and the incidental in scientific innovation and advances.
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28494770/exploring-linkages-between-research-policy-and-practice-in-the-netherlands-perspectives-on-sexual-and-reproductive-health-and-rights-knowledge-flows
#15
Billie de Haas, Anke van der Kwaak
BACKGROUND: The attention to and demand for stronger linkages between research, policy and practice are increasing, especially in fields concerned with sensitive and challenging issues such as sexual and reproductive health and rights (SRHR). The study described in this article was conducted in the Netherlands among actors working in international development, especially the domain of SRHR. It explores the perceived flow of knowledge between research, policy and practice, the perceived impeding factors, and suggested strategies for improvement...
May 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28486822/reframing-knowledge-in-colonization-plebeians-and-municipalities-in-the-environmental-expertise-of-the-spanish-atlantic
#16
Vera S Candiani
Promoting a better understanding of the phenomenon of colonization and its connection with environmental knowledge and technology, this article proposes a reframing of research agendas to take into account the municipal character of colonization in the Hispanic realm and to ask new questions. Questions should address what human-ecosystem relations, and the ways of knowing and techniques for transforming the physical realm, can tell us about colonization itself; who the historical agents involved were, and what these actors knew, learned, and did in their environments...
May 1, 2017: History of Science; An Annual Review of Literature, Research and Teaching
https://www.readbyqxmd.com/read/28044334/monitoring-the-anaesthetist-in-the-operating-theatre-professional-competence-and-patient-safety
#17
REVIEW
J Larsson
This article about competence and patient safety in anaesthesia was inspired by a statement in the 2015 AAGBI guidelines on monitoring during anaesthesia: 'the presence of an appropriately trained and experienced anaesthetist is important for patient safety during anaesthesia'. The review starts with a structured description of competence, presenting five dimensions of it; the first two dimensions are identical with the two classical attributes of competence, practical skills and theoretical knowledge. Concerning skills, the value of aiming for a high level of proficiency early in a traning programme is pointed out, and deliberate practice is given as an example of a pedagogical model where aiming for excellence is a core idea...
January 2017: Anaesthesia
https://www.readbyqxmd.com/read/27965567/biomechanical-reconstruction-using-the-tacit-learning-system-intuitive-control-of-prosthetic-hand-rotation
#18
Shintaro Oyama, Shingo Shimoda, Fady S K Alnajjar, Katsuyuki Iwatsuki, Minoru Hoshiyama, Hirotaka Tanaka, Hitoshi Hirata
Background: For mechanically reconstructing human biomechanical function, intuitive proportional control, and robustness to unexpected situations are required. Particularly, creating a functional hand prosthesis is a typical challenge in the reconstruction of lost biomechanical function. Nevertheless, currently available control algorithms are in the development phase. The most advanced algorithms for controlling multifunctional prosthesis are machine learning and pattern recognition of myoelectric signals...
2016: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/27643986/old-habits-die-hard-a-case-study-on-how-new-ways-of-teaching-colonoscopy-affect-the-habitus-of-experienced-clinicians
#19
Ole Lund, Berit Andersen, Mette K Christensen
OBJECTIVES: The purpose of this study is to explore the habitual constraints and opportunities that affect how experienced clinicians learn new skills and, in particular, how new ways of teaching can influence these. METHODS:   We conducted a case study based on a specialized training program for colonoscopy services in Denmark. Data was obtained from a short-term ethnographic fieldwork and in-depth interviews during this program. Participants were 12 experienced colonoscopists and three expert colonoscopy trainers from Denmark and UK...
September 19, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27496899/the-transition-to-clinical-expert-enhanced-decision-making-for-children-aged-less-than-5%C3%A2-years-attending-the-paediatric-ed-with-acute-respiratory-conditions
#20
Leah Bowen, Alison Shaw, Mark D Lyttle, Sarah Purdy
BACKGROUND: Rates of unplanned paediatric admissions are persistently high. Many admissions are short-stay events, lasting less than 48 hours. OBJECTIVE: This qualitative research explores factors that influence clinical decision making in the paediatric ED (PED) for children under 5 attending with acute respiratory conditions, focusing on how management decisions adapt with increasing experience. METHOD: Semi-structured interviews were conducted with 15 PED clinicians (doctors, emergency nurse practitioners and registered nurses) with varying levels of experience in paediatric emergency medicine (PEM), emergency medicine or paediatrics...
February 2017: Emergency Medicine Journal: EMJ
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