keyword
https://read.qxmd.com/read/38528716/workforce-training-needs-to-address-social-and-emotional-wellbeing-in-home-based-aboriginal-and-torres-strait-islander-aged-care
#21
JOURNAL ARTICLE
Adriana Parrella, Jonathon Zagler, Matilda D'Antoine, Tina Brodie, Kate Smith, Aunty Martha Watts, Tameeka Ieremia, Graham Aitken, Alex Brown, Odette Pearson
ObjectiveTo explore the training needs of the home care workforce in supporting the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander peoples receiving aged care services through the Home Care Package (HCP) Program.MethodsA mixed-methods design including (1) a focus group and interview with coordinators of HCP Program services for Aboriginal and Torres Strait Islander peoples across metropolitan and rural South Australia in April and June 2022, and (2) a desktop review of training, professional development opportunities and resources for existing and pre-entry workforce addressing the SEWB of Aboriginal and Torres Strait Islander peoples in aged care across the Vocational Education Training and higher education sectors in South Australia, the Australian Indigenous HealthInfoNet, the Department of Health and Aged Care website and aged care email alerts between December 2021 and September 2022...
March 26, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38528678/considerations-for-peer-research-and-implications-for-mental-health-professionals-learning-from-research-on-food-insecurity-and-severe-mental-illness
#22
JOURNAL ARTICLE
Grant J McGeechan, Hannah Moore, Nikita Le Sauvage, Jo Smith, Emma L Giles
WHAT IS KNOWN ON THE SUBJECT: Peer research methodologies and methods are increasingly used in research, particularly to benefit from lived experiences. The experiences of peer researchers with severe mental illness are less common, including the impact on them of conducting peer-led research. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: This paper shares the experience of peer research and suggests in the context of food insecurity, that it is not well understood by some healthcare professionals...
March 25, 2024: Journal of Psychiatric and Mental Health Nursing
https://read.qxmd.com/read/38528562/the-value-of-machine-learning-technology-and-artificial-intelligence-to-enhance-patient-safety-in-spine-surgery-a-review
#23
REVIEW
Fatemeh Arjmandnia, Ehsan Alimohammadi
Machine learning algorithms have the potential to significantly improve patient safety in spine surgeries by providing healthcare professionals with valuable insights and predictive analytics. These algorithms can analyze preoperative data, such as patient demographics, medical history, and imaging studies, to identify potential risk factors and predict postoperative complications. By leveraging machine learning, surgeons can make more informed decisions, personalize treatment plans, and optimize surgical techniques to minimize risks and enhance patient outcomes...
March 25, 2024: Patient Safety in Surgery
https://read.qxmd.com/read/38528534/how-stable-are-moral-judgements-a-longitudinal-study-of-context-dependency-in-attitudes-towards-patient-responsibility
#24
JOURNAL ARTICLE
Berit H Bringedal, Karin Isaksson Rø
BACKGROUND: Whether patients' life-style should involve lower priority for treatment is a controversial question in bioethics. Less is known about clinicians' views. AIM: To study how clinical doctors' attitudes to questions of patient responsibility and priority vary over time. METHOD: Surveys of doctors in Norway in 2008, 2014, 2021. Questionnaires included statements about patients' lifestyle's significance for priority to care, and vignettes of priority cases (only in 2014)...
March 25, 2024: BMC Medical Ethics
https://read.qxmd.com/read/38528513/care-complexity-perceptions-of-complexity-and-preferences-for-interprofessional-collaboration-an-analysis-of-relationships-and-social-networks-in-paediatrics
#25
JOURNAL ARTICLE
Lisa-Maria van Klaveren, Vincent Geukers, Rien de Vos
BACKGROUND: In the context of increasingly intricate healthcare systems, professionals are compelled to collaborate within dynamically changing interprofessional teams. Moreover, they must adapt these collaborative processes to effectively and efficiently manage the evolving complexity of care needs. It remains unclear how professionals determine care complexity and relate this complexity to their preferences for interprofessional collaboration (IPC). This study investigated the relationships between care complexity, professionals' perceived complexity and IPC preferences, and examined the variation in individual and team characteristics of IPC-practices across different levels of complexity in paediatric care...
March 25, 2024: BMC Medical Education
https://read.qxmd.com/read/38528510/variability-of-clinical-practice-in-the-care-of-the-second-stage-of-labor-among-midwives-in-spain
#26
JOURNAL ARTICLE
Estíbaliz Laderas Díaz, Julián Rodriguez-Almagro, Juan Miguel Martinez-Galiano, Rafael Picón Rodríguez, Antonio Hernández-Martínez
BACKGROUND: There are recommendations based on scientific evidence on care in the second stage of labor, but it is not known to what degree the professionals comply with these recommendations. OBJECTIVE: The aim of this study is to examine the variability in clinical practices among midwives during the second stage of labor, including positions, mobility, practices, and the maximum time allowed before initiating active pushing, and to assess their adherence to clinical practice guidelines...
March 26, 2024: BMC Nursing
https://read.qxmd.com/read/38528466/a-scoping-review-of-breastfeeding-interventions-and-programs-conducted-across-spanish-speaking-countries
#27
REVIEW
Silvana Blanco, Basil H Aboul-Enein, Nada Benajiba, Elizabeth Dodge
Breastfeeding is vital to a child's lifelong health and has significant positive benefits to mother's health. World Health Organization recommends beginning exclusively breastfeeding within the first hour after birth and continuing during the first 6 months of infant's life. The purpose of this review is to identify and examine breastfeeding interventions conducted across the Spanish-speaking countries. A scoping review of the literature was conducted across 14 databases for relevant publications published through April 2023 to find studies in Spanish-speaking countries that involved breastfeeding as an intervention component...
March 25, 2024: Health Promotion Practice
https://read.qxmd.com/read/38528284/the-prevalence-of-oral-frailty-among-older-adults-a-systematic-review-and-meta%C3%A2-analysis
#28
REVIEW
Tao Li, Yinli Shen, Yingjie Leng, You Zeng, Long Li, Zijiang Yang, Siyu Wang, Yunlan Jiang
BACKGROUND: In recent years, oral frailty was proposed as a new concept regarding dental and oral health in older adults. Poor oral health is linked to preserving general health and has become a geriatric public health problem that deeply affects healthy aging. While in present, evidence on the prevalence associated with oral frailty in older adults remains unclear. OBJECTIVE: To systematically evaluate the prevalence of oral frailty among older adults, stratified by relevant factors such as gender, source, study design, region, and the evaluation scales for oral frailty and provide an evidence-based foundation for healthcare professionals and policymakers to formulate relevant measures...
March 25, 2024: European Geriatric Medicine
https://read.qxmd.com/read/38528054/evaluation-of-a-two-step-model-of-opportunistic-genomic-screening
#29
JOURNAL ARTICLE
Melissa Martyn, Ling Lee, Alli Jan, Elly Lynch, Rona Weerasuriya, Anaita Kanga-Parabia, Clara Gaff
Increasing use of diagnostic genomic sequencing is pushing health services to confront the issue of opportunistic genomic screening (OGS). To date, OGS has been offered concomitant with diagnostic testing. In contrast, we piloted a service offering OGS after return of diagnostic testing results. Evaluation was designed to provide insights for future models of service and included patient surveys at three time points, semi-structured interviews with genetic counsellors (GCs) and a focus group with medical scientists...
March 25, 2024: European Journal of Human Genetics: EJHG
https://read.qxmd.com/read/38527907/exploring-the-role-of-palliative-care-occupational-therapists-in-supporting-compassionate-communities-in-end-of-life-care
#30
JOURNAL ARTICLE
Samantha Smith, Daniel Lowrie, Nathan Dawes
INTRODUCTION: The compassionate communities' movement is a public health approach to end-of-life care that emphasises the integral role of communities in supporting and caring for dying persons and their informal carers. Although occupational therapists have well-established roles in palliative care teams, little is known about their potential in assisting in the formation and maintenance of compassionate communities. METHOD: Data were gathered via semi-structured interviews with nine Australian occupational therapists with experience in specialist palliative care...
March 25, 2024: Australian Occupational Therapy Journal
https://read.qxmd.com/read/38527869/-addictions-in-the-elderly-the-viewpoint-of-an-ipa-working-in-empsa
#31
JOURNAL ARTICLE
Sita Gakou
Many elderly people live well and at home, but some require somatic and psychiatric care. Mobile psychiatric teams for the elderly are called upon to intervene with people aged 65-70 and over who are experiencing psychological distress. Among senior citizens, addictive disorders are very common, and are associated with psychiatric and geriatric co-morbidities. Alcohol, tobacco and benzodiazepine use disorders require holistic, individualized care, based on identification, prevention and referral, as well as training and coordination of professionals and caregivers...
2024: Soins. Psychiatrie
https://read.qxmd.com/read/38527815/how-to-create-a-diversity-equity-and-inclusion-curriculum-more-than-checking-a-box
#32
JOURNAL ARTICLE
Tracey L Henry, Francois G Rollin, Oreoluwa E Olakunle
We are beginning to accept and address the role that medicine as an institution played in legitimizing scientific racism and creating structural barriers to health equity. There is a call for greater emphasis in medical education on explaining our role in perpetuating health inequities and educating learners on how bias and racism lead to poor health outcomes for historically marginalized communities. Diversity, equity, and inclusion (DEI; also referred to as EDI) and antiracism are key parts of patient care and medical education as they empower health professionals to be advocates for their patients, leading to better health care outcomes and more culturally and socially humble health care professionals...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38527787/fostering-relational-autonomy-in-end-of-life-care-a-procedural-approach-and-three-dimensional-decision-making-model
#33
JOURNAL ARTICLE
Kar-Fai Foo, Ya-Ping Lin, Cheng-Pei Lin, Yu-Chun Chen
Respect for patient autonomy is paramount in resolving ethical tensions in end-of-life care. The concept of relational autonomy has contributed to this debate; however, scholars often use this concept in a fragmented manner. This leads to partial answers on ascertaining patients' true wishes, meaningfully engaging patients' significant others, balancing interests among patients and significant others, and determining clinicians' obligations to change patients' unconventional convictions to enhance patient autonomy...
March 25, 2024: Journal of Medical Ethics
https://read.qxmd.com/read/38527498/-clinical-practice-guidelines-for-the-diagnosis-and-management-of-children-with-cough-in-china-version-2023-for-primary-care
#34
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 25, 2024: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/38527417/in-epas-we-trust-is-quality-and-safety-a-must-a-cross-specialty-analysis-of-entrustable-professional-activity-guides
#35
JOURNAL ARTICLE
Allison Brown, Julie La, McNiel-Inyani Keri, Chris Hillis, Saleem Razack, Nadine Korah, Jolanta Karpinski, Jason R Frank, Brian Wong, Joanne Goldman
PURPOSE: The inclusion of quality improvement (QI) and patient safety (PS) into CanMEDS reflects an expectation that graduating physicians are competent in these areas upon training completion. To ensure that Canadian postgraduate specialty training achieves this, the translation of QI/PS competencies into training standards as part of the implementation of competency-based medical education requires special attention. METHODS: We conducted a cross-specialty, multi-method analysis to examine how QI/PS was incorporated into the EPA Guides across 11 postgraduate specialties in Canada...
March 25, 2024: Medical Teacher
https://read.qxmd.com/read/38527076/parenteral-nutrition-at-home-long-term-parenteral-nutrition
#36
JOURNAL ARTICLE
Vanessa J Kumpf, Brenda Gray, Jessica Monczka, Sarah Zeraschi, Stanislaw Klek
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: Some diseases require that patients receive parenteral nutrition (PN) over a prolonged time period...
March 25, 2024: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38527027/mechanisms-of-near-peer-learning-in-a-longitudinal-clerkship-a-grounded-theory-study
#37
JOURNAL ARTICLE
Lauren E Smith, Mary E McBride, Bruce Henschen, Jennifer Bierman, Toshiko Uchida, Walter Eppich
PURPOSE: Many medical schools incorporate longitudinal clerkships, which promote continuity and may offer early clinical exposure during the preclinical curriculum. However, the mechanisms of near-peer learning and how it contributes to the development of clinical skills in longitudinal clinical experiences are less clear. The authors explored how peer-to-peer interactions among medical students influenced their developmental trajectories from nascent clinicians to more seasoned practitioners capable of juggling dual roles of clinical care and clinical supervision within longitudinal clerkships...
March 25, 2024: Academic Medicine
https://read.qxmd.com/read/38526928/an-overview-of-the-methodology-used-to-develop-clinical-practice-guidelines-for-the-management-of-acute-and-intraoperative-spinal-cord-injury
#38
JOURNAL ARTICLE
Lindsay A Tetreault, Andrea C Skelly, Mohammed Ali Alvi, Brian K Kwon, Nathan Evaniew, Michael G Fehlings
STUDY DESIGN: An overview of the methods used to develop clinical practice guidelines (CPGs). OBJECTIVES: Acute spinal cord injury (SCI) and intraoperative SCI (ISCI) can have devastating physical and psychological consequences for patients and their families. To date, there are several studies that have discussed the diagnostic and management strategies for both SCI and ISCI. CPGs in SCI help to distill and translate the current evidence into actionable recommendations, standardize care across centers, optimize patient outcomes, and reduce costs and unnecessary interventions...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38526923/a-clinical-practice-guideline-for-the-management-of-patients-with-acute-spinal-cord-injury-recommendations-on-hemodynamic-management
#39
JOURNAL ARTICLE
Brian K Kwon, Lindsay A Tetreault, Allan R Martin, Paul M Arnold, Rex A W Marco, Virginia F J Newcombe, Carl M Zipser, Stephen L McKenna, Radha Korupolu, Chris J Neal, Rajiv Saigal, Nina E Glass, Sam Douglas, Mario Ganau, Vafa Rahimi-Movaghar, James S Harrop, Bizhan Aarabi, Jefferson R Wilson, Nathan Evaniew, Andrea C Skelly, Michael G Fehlings
STUDY DESIGN: Clinical practice guideline development following the GRADE process. OBJECTIVES: Hemodynamic management is one of the only available treatment options that likely improves neurologic outcomes in patients with acute traumatic spinal cord injury (SCI). Augmenting mean arterial pressure (MAP) aims to improve blood perfusion and oxygen delivery to the injured spinal cord in order to minimize secondary ischemic damage to neural tissue. The objective of this guideline was to update the 2013 AANS/CNS recommendations on the hemodynamic management of patients with acute traumatic SCI, acknowledging that much has been published in this area since its publication...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38526922/an-update-of-a-clinical-practice-guideline-for-the-management-of-patients-with-acute-spinal-cord-injury-recommendations-on-the-role-and-timing-of-decompressive-surgery
#40
JOURNAL ARTICLE
Michael G Fehlings, Lindsay A Tetreault, Laureen Hachem, Nathan Evaniew, Mario Ganau, Stephen L McKenna, Chris J Neal, Narihito Nagoshi, Vafa Rahimi-Movaghar, Bizhan Aarabi, Christoph P Hofstetter, Valerie Ter Wengel, Hiroaki Nakashima, Allan R Martin, Steven Kirshblum, Ricardo Rodrigues Pinto, Rex A W Marco, Jefferson R Wilson, David E Kahn, Virginia F J Newcombe, Carl M Zipser, Sam Douglas, Shekar N Kurpad, Yi Lu, Rajiv Saigal, Uzma Samadani, Paul M Arnold, Gregory W J Hawryluk, Andrea C Skelly, Brian K Kwon
STUDY DESIGN: Clinical practice guideline development. OBJECTIVES: Acute spinal cord injury (SCI) can result in devastating motor, sensory, and autonomic impairment; loss of independence; and reduced quality of life. Preclinical evidence suggests that early decompression of the spinal cord may help to limit secondary injury, reduce damage to the neural tissue, and improve functional outcomes. Emerging evidence indicates that "early" surgical decompression completed within 24 hours of injury also improves neurological recovery in patients with acute SCI...
March 2024: Global Spine Journal
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