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Clinical governance in New Zealand: perceptions from registered health professionals in health care delivery compared with social insurance.

Aust Health Rev 2021 Aug 3. Epub 2021 Aug 3.

ObjectiveEffective clinical governance can improve delivery of health outcomes. This exploratory study compared perceptions of clinical governance development held by registered health professionals employed by two different but interrelated health organisations in the broader New Zealand (NZ) health system. Most staff in public sector healthcare service delivery organisations (i. Read More

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Professionals' attitudes towards people with intellectual disabilities who self-harm: A literature review.

Authors:
Beverley Samways

J Intellect Disabil 2021 Aug 2:17446295211025959. Epub 2021 Aug 2.

1980University of Bristol, UK.

Background: National Institute for Health and Care Excellence (NICE, 2013) Guidance on Self-Harm states that professionals supporting people who self-harm should demonstrate compassion, respect and dignity. This literature review examines the evidence for professionals' attitudes towards people with intellectual disabilities who self-harm.

Method: Four databases (PsychInfo, IBSS, CINAHL and Medline) were systematically searched to find relevant research since 2000. Read More

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Teacher Enrichment Initiatives: Supporting Teachers Who Are at the Frontline of Our Nation's Future.

J STEM Outreach 2020 10;3(2). Epub 2020 Aug 10.

Department of Pharmacology, UT Health San Antonio, San Antonio, Texas.

Teachers are charged with connecting classroom science to real-world applications; however, opportunities for teachers to experience real-world applications in the life and biosciences are limited. When provided the opportunity to engage in hands-on learning experiences, teachers' capacity to connect classroom activities to real-world applications increases. Through partnerships within the local STEM Ecosystem, the Teacher Enrichment Initiatives (TEI) provides teachers with experiences that enable them to strengthen the connections between classroom science and careers. Read More

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Bird diversity and psychological wellbeing: A comparison of green and coastal blue space in a neotropical city.

Sci Total Environ 2021 Jun 24;793:148653. Epub 2021 Jun 24.

Durrell Institute of Conservation and Ecology (DICE), University of Kent, Canterbury CT2 7NR, UK.

Accelerating rates of urbanisation are contributing to biodiversity declines worldwide. However, urban green (e.g. Read More

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Keeping up with the evidence base: Survey of behavior professionals about Naturalistic Developmental Behavioral Interventions.

Autism 2021 Jul 28:13623613211035233. Epub 2021 Jul 28.

The University of Texas at Austin, USA.

Lay Abstract: Primary service providers for young children on the autism spectrum and developmentally delayed children use many strategies under the umbrella of applied behavior analysis therapy. The evidence supporting interventions for children on the autism spectrum has changed last decade, and powerful research supports the relative effectiveness of Naturalistic Developmental Behavior Interventions, yet a few professionals serving young children on the autism spectrum receive training in this category of interventions. Board Certified Behavior Analysts and related professionals are the primary service providers for this population. Read More

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Reallocations in acne healthcare: exploring the possible roles and added value of non-physicians by a mixed-methods study design.

BMC Health Serv Res 2021 Jul 27;21(1):746. Epub 2021 Jul 27.

Department of Dermatology, Radboud university medical centre, Nijmegen, The Netherlands.

Background: A highly promoted opportunity for optimizing healthcare services is to expand the role of non-physician care providers by care reallocation. Reallocating care from physicians to non-physicians can play an important role in solving systemic healthcare problems such as care delays, hospital overcrowding, long waiting lists, high work pressure and expanding healthcare costs. Dermatological healthcare services, such as the acne care provision, are well suited for exploring the opportunities for care reallocation as many different types of care professionals are involved in the care process. Read More

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Self-concept and body image of people living with lupus: A systematic review.

Int J Rheum Dis 2021 Jul 27. Epub 2021 Jul 27.

Department Obstetrics and Gynecology, School of Medical Science, University of Campinas (UNICAMP), Campinas, Brazil.

Aim: To summarize existing evidence regarding body image in patients with systemic lupus erythematosus, with the following considerations: (a) the perceptions patients have of their body changes; (b) how patients cope with changes in their body; (c) and what their perceptions are of body changes.

Method: A systematic review of literature integrating quantitative and qualitative studies. We searched databases (PubMed, CINAHL, Embase, SCOPUS, the Web of Science, Medline, Medline Complete, and Academic Search Premier) and publications from 2010 to 2020 with "Systemic Lupus Erythematosus" AND "Self-Concept" OR "Body Image" AND "Woman" as medical subheading terms. Read More

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Digital Learning in Speech-Language Pathology, Phoniatrics, and Otolaryngology: Interdisciplinary and Exploratory Analysis of Content, Organizing Structures, and Formats.

JMIR Med Educ 2021 Jul 27;7(3):e27901. Epub 2021 Jul 27.

Clinic for Phoniatrics, Pedaudiology & Communication Disorders, University Hospital and Medical Faculty, RWTH Aachen University, Aachen, Germany.

Background: The digital revolution is rapidly transforming health care and clinical teaching and learning. Relative to other medical fields, the interdisciplinary fields of speech-language pathology (SLP), phoniatrics, and otolaryngology have been slower to take up digital tools for therapeutic, teaching, and learning purposes-a process that was recently expedited by the COVID-19 pandemic. Although many current teaching and learning tools have restricted or institution-only access, there are many openly accessible tools that have gone largely unexplored. Read More

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Building resilience for healthcare professionals working in an Italian Red Zone during the COVID-19 outbreak: a pilot study.

Stress Health 2021 Jul 26. Epub 2021 Jul 26.

Canada Research Chair in Child, Family and Community Resilience, Resilience Research Centre Dalhousie University, PO Box, 15000, Halifax, NS, Canada.

The COVID-19 pandemic has placed considerable strain on healthcare workers showing high rates of stress and psychological health problems. Interventions are urgently needed to help healthcare workers perform under conditions of great risk and uncertainty. In particular, healthcare leadership is known to be critical to supporting healthcare workers to deal with an uncertain and distressing healthcare environment. Read More

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Facilitators and barriers for implementing patient-reported outcome measures in clinical care: An academic center's initial experience.

Health Policy 2021 Jul 8. Epub 2021 Jul 8.

Center for Medical Decision Making, Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands.

Objectives The aim of this study was to explore the perspectives of healthcare providers and researchers in a large academic hospital on facilitators and barriers for implementing patient-reported outcome measures (PROMs) in clinical care. Methods A customized web-based questionnaire was developed and disseminated to healthcare providers and researchers across multiple medical departments involved in a value-based health care initiative in the hospital. Questionnaire statements were rated using a 5-point Likert scale ranging from "strongly agree" to "strongly disagree". Read More

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A New List for Choosing Wisely Canada From the "Hidden Profession" of Medical Laboratory Science.

Am J Clin Pathol 2021 Jul 24. Epub 2021 Jul 24.

University of Alberta, Edmonton, Canada.

Objectives: Choosing Wisely Canada (CWC) publishes practices that may contribute to medical overuse and patient harm. Many practices concern laboratory testing, but the recommendations are often written for the test-ordering professionals. Our objective was to develop a list for CWC reflecting the scope of practice of nonpathologist medical laboratory professionals (MLPs). Read More

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COVID-19 vaccine hesitancy and reasons for or against adherence among dentists.

J Am Dent Assoc 2021 May 6. Epub 2021 May 6.

Background: COVID-19 has spread widely among health care workers. Oral health care workers have an increased risk of being infected owing to dental practice characteristics. New, effective vaccines against COVID-19 have been approved for use. Read More

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Healthcare Professionals' Perceptions of Function-Focused Care Education for Nursing Home Practitioners.

Int J Environ Res Public Health 2021 07 16;18(14). Epub 2021 Jul 16.

College of Nursing, BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul 02841, Korea.

A nursing home (NH) care environment necessitates a shared cognition-based education model that maintains effective function-focused care (FFC). This study's aim was to explore healthcare professionals' perceptions of function-focused care education for the development of an education model using a shared mental model (SMM) in NHs. Semi-structured interviews with 30 interdisciplinary practitioners from four different professions (nurses, physical therapists, occupational therapists, and social workers) and focus group interviews with 12 experts were conducted. Read More

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Patient's treatment burden related to care coordination in the field of respiratory diseases.

Breathe (Sheff) 2021 Mar;17(1):210006

Cardiothoracic Dept, Respiratory and Critical Care Unit Bari Policlinic University Hospital, Bari, Italy.

The management of respiratory diseases requires various levels of care: multidisciplinary teams, educational and behavioural interventions, self-management and home-based technical support are vital to ensure adequate care management. However, it is often difficult to access these networks due to fragmentation of patient care and treatment burden. Care coordination aims to ensure patients have a central role and that there is continuity of care among various levels and professionals involved. Read More

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Conceptualising and constructing 'diversity' through experiences of public and patient involvement in health research.

Res Involv Engagem 2021 Jul 22;7(1):53. Epub 2021 Jul 22.

Department of Psychology, Sociology & Politics, Sheffield Hallam University, Heart of the Campus, Collegiate Crescent, Sheffield, S10 2BP, UK.

Background: Increasing the accessibility of public and patient involvement (PPI) in health research for people from diverse backgrounds is important for ensuring all voices are heard and represented. Critiques of PPI being dominated by 'the usual suspects' reflect concerns over the barriers to involvement in PPI faced by people from minority groups or non-professional backgrounds. Yet, what has received less attention is how undertaking PPI work might produce diverse experiences, potentially shaping the motivation and capacity of people from different backgrounds to continue in PPI. Read More

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Preserving nurses' professional dignity: Six evidence-based strategies.

Int Nurs Rev 2021 Jul 22. Epub 2021 Jul 22.

Department of Nursing Science, University of Pretoria, Pretoria, South Africa.

Aim: This study aimed to develop and refine strategies for preserving nurses' professional dignity.

Background: Professional dignity is a non-negotiable nursing professional value. It should at all times be respected because of the worthiness of nurses as professional human beings. Read More

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A survey of mental health professionals in a paediatric hospital during COVID-19.

Clin Child Psychol Psychiatry 2021 Jul 21:13591045211033186. Epub 2021 Jul 21.

UCL Great Ormond Street Institute of Child Health, 11700University College London, London, UK.

Background: There is little understanding of the mental health impact for young people with long-term physical health conditions and mental health professionals' experiences of supporting them during COVID-19. This service evaluation aimed to conduct a survey of the psychological services provided by mental health professionals in a paediatric hospital in relation to COVID-19.

Method: Clinical psychologists and assistant psychologists ( = 76) across the hospital were asked to complete a survey, asking about their perceptions of COVID-19's impact on patients and families and experiences of providing support during COVID-19. Read More

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Recommendations for improving adolescent addiction recovery support in six northwest tribal communities.

J Community Psychol 2021 Jul 21. Epub 2021 Jul 21.

Division on Addiction, Cambridge Health Alliance, Harvard Medical School, Boston, Massachusetts, USA.

American Indian and Alaska Native (AI/AN) communities offer tangible and intangible resources, including centuries of indigenous wisdom and resiliency, to support their young people in recovery from substance use disorders. At the same time, tribal youth returning home from residential or inpatient treatment are vulnerable to relapse, especially if they encounter the same environmental triggers in which their substance misuse developed. This study endeavored to learn about community stakeholder perceptions of existing strengths and needs for supporting recovering adolescents among six tribal communities of the Inland Northwest. Read More

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The use of text mining to detect key shifts in Japanese first-year medical student professional identity formation through early exposure to non-healthcare hospital staff.

BMC Med Educ 2021 Jul 20;21(1):389. Epub 2021 Jul 20.

Center for Medical Education and Career Development, Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan.

Background: Professional identity formation is nurtured through socialization, driven by interaction with role models, and supported through early clinical exposure (ECE) programmes. Non-healthcare professionals form part of the hospital community but are external to the culture of medicine, with their potential as role models unexplored. We employed text mining of student reflective assignments to explore the impact of socialization with non-healthcare professionals during ECE. Read More

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Supporting People and Their Caregivers Living with Advanced Cancer: From Individual Experience to a National Interdisciplinary Program.

Semin Oncol Nurs 2021 Jul 16:151169. Epub 2021 Jul 16.

Canadian Cancer Society.

Objectives: To discuss the unmet needs of patients living with advanced cancer and their caregivers and to review strategies, including collaborating with community and non-profit organizations, to help improve the experience of living with, and beyond, advanced cancer.

Data Sources: Published articles, first person experience (SB), community organization input, and survey data (Canadian Cancer Society).

Conclusion: People living with advanced cancer face significant challenges, including persistent physical symptoms and psychosocial concerns, difficulties with coordination of care, and possible lack of available resources and supports if the person is no longer being followed by cancer health care professionals. Read More

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Undergraduate mental health nursing students' reflections in gaining understanding and skills in the critical appraisal of research papers - An exploration of barriers and enablers.

Authors:
Vickie Howard

Nurse Educ Pract 2021 Jul 9;55:103143. Epub 2021 Jul 9.

Department of Psychological Health, Wellbeing and Social Work, Faculty of Health Sciences, University of Hull, Dearne Building, Cottingham Road, Hull HU6 7RX, UK. Electronic address:

Aim: To explore a cohort of mental health nurses' views and experiences in developing and applying critical appraisal of research skills to identify helping and hindering factors.

Background: In accordance with evidence-based practice principles, there is an expectation that student (mental health) nurses will become competent in understanding research to make judgements about its trustworthiness and applicability in the clinical setting. This process is termed the 'critical appraisal of research' and it is deemed important to healthcare professionals because it facilitates the use of evidence from research to underpin practice. Read More

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Shared Decision Making in Practice and the Perspectives of Health Care Professionals on Video-Recorded Consultations With Patients With Low Health Literacy in the Palliative Phase of Their Disease.

MDM Policy Pract 2021 Jan-Jun;6(1):23814683211023472. Epub 2021 Jul 2.

Nivel (Netherlands institute for health services research), Utrecht, Netherlands.

An important goal of palliative care is improving the quality of life of patients and their partners/families. To attain this goal, requirements and preferences of patients need to be discussed, preferably through shared decision making (SDM). This enhances patient autonomy and patient-centeredness, requiring active participation by patients. Read More

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ROLE OF NURSING IN REHABILITATION.

J Rehabil Med Clin Commun 2021 14;4:1000061. Epub 2021 Jun 14.

Department of Rehabilitation Medicine, Hannover Medical School, , Hannover, Germany.

Evidence shows that, in order to attain optimum outcomes, rehabilitation interventions should be delivered by multi-professional teams. A rehabilitation nurse is one of the relevant rehabilitation professionals. The model of nursing care has shifted from the traditional model (a passive role of patients) to a complex and modern concept of nursing in supporting patients to independently and actively perform self-care. Read More

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A meta-synthesis of the perspectives and experiences of healthcare professionals on the humanisation of childbirth using a meta-ethnographic approach.

Women Birth 2021 Jul 15. Epub 2021 Jul 15.

School of Nursing and Midwifery, University College Cork, Ireland. Electronic address:

Problem: The humanisation of childbirth has been identified as a practice of care focusing on the physical, psychological, and emotional wellbeing of women. Healthcare professionals (HCPs) are expected to understand and embed humanised practice when supporting women in childbirth.

Aim: The aim of this paper is to present a meta-synthesis of the experiences and perspectives of HCPs who undertake care for women at the time of birth regarding the humanisation of childbirth. Read More

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A Survey of Tick Surveillance and Control Practices in the United States.

J Med Entomol 2021 Jul;58(4):1503-1512

Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO.

Tickborne diseases are an increasing public health threat in the United States. Prevention and diagnosis of tickborne diseases are improved by access to current and accurate information on where medically important ticks and their associated human and veterinary pathogens are present, their local abundance or prevalence, and when ticks are actively seeking hosts. The true extent of tick and tickborne pathogen expansion is poorly defined, in part because of a lack of nationally standardized tick surveillance. Read More

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A Digital Intervention for Primary Care Practitioners to Support Antidepressant Discontinuation (Advisor for Health Professionals): Development Study.

J Med Internet Res 2021 Jul 16;23(7):e25537. Epub 2021 Jul 16.

Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, United Kingdom.

Background: The number of people receiving antidepressants has increased in the past 3 decades, mainly because of people staying on them longer. However, in many cases long-term treatment is not evidence based and risks increasing side effects. Additionally, prompting general practitioners (GPs) to review medication does not improve the rate of appropriate discontinuation. Read More

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Virtual Standardized Patients for Mental Health Education.

Curr Psychiatry Rep 2021 07 15;23(9):57. Epub 2021 Jul 15.

VA Puget Sound Health Care System, 9600 Veterans Drive, A-116, Tacoma, WA, 98493, USA.

Purpose Of Review: The training of psychiatrists and other mental health professionals requires education on a range of interpersonal, communication, and psychotherapy techniques. Classroom and workshop training must be augmented by experiential learning with feedback for skill implementation with fidelity. Virtual standardized patients (VSPs) are computerized conversational agents that can support experiential learning through standardized, consequence-free training environments at reduced costs. Read More

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Living with Osteogenesis Imperfecta: A qualitative study exploring experiences and psychosocial impact from the perspective of patients, parents and professionals.

Disabil Health J 2021 Jul 8:101168. Epub 2021 Jul 8.

Osteogenesis Imperfecta Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

Background: Osteogenesis Imperfecta (OI) is a rare genetic condition characterised by increased bone fragility. Recurrent fractures, pain and fatigue have a considerable impact on many aspects of the life of a person affected with OI and their families.

Objective: To improve our understanding of the impact of OI on the daily lives of individuals and families and consider how the condition is managed so that support needs can be better addressed. Read More

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Supporting the delivery of good maternity care for parents with learning disabilities.

Midwifery 2021 Jun 24;102:103073. Epub 2021 Jun 24.

College of Medicine and Health, University of Exeter, United Kingdom.

Background And Objective: Despite directives to improve maternity care in general and to improve care for parents with learning disabilities, the maternity experience of parents with learning disabilities is often poor and lacking reasonable adjustments to care. The objective of this study was to develop resources - in collaboration with key stakeholders - to support the workforce in delivering good maternity care to parents with learning disabilities.

Design: A two-phase mixed-methods study. Read More

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