11,105 results
Search Results
2. Association of Academic Physiatrists Residency and Fellowship Program Directors' Resident Recruitment Subcouncil Position Paper on Residency Recruitment.
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Dragojlovic, Nikola, Romanoski, Natasha L., Bolger, Ashlee, Friedlander, Tracy, Helkowski, Wendy, Huss, Sara A., Jenkins, Jeffrey G., Knowlton, Tiffany, Nguyen, Dianna H., Rand, Stephanie E., Raum, George, Sullivan, William, Tonkin, Brionn K., and Escalon, Miguel X.
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COST control , *PROFESSIONAL practice , *HOSPITAL medical staff , *PHYSICAL medicine , *STUDENT recruitment , *TELECONFERENCING , *EVIDENCE-based medicine - Abstract
Residency recruitment practices have undergone significant changes in the last several years. Interviews are nowconducted fully virtually leading to both positive and negative downstream effects, including decreased cost to applicants and programs, decreased time away from clinical activities, flexibility in scheduling, and increased applications for applicants and program directors. In response to these changes, the Association of Academic Physiatrists Residency and Fellowship Program Directors Council convened a workgroup consisting of program directors, program coordinators, residents, and medical students who reviewed the available literature to provide an evidence-based set of best practices for program leaders and applicants. Available data from the Association of American Medical Colleges and its relevance to future recruitment cycles are also discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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3. Reflections and practices of citing papers in health care science -a focus group study.
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Forsyth Herling, Suzanne, Frydenlund Jespersen, Karin, and Merete Møller, Ann
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PUBLISHING ,PROFESSIONAL practice ,MANUSCRIPTS ,FOCUS groups ,MOTIVATION (Psychology) ,POPULATION geography ,EVIDENCE-based medicine ,CITATION analysis ,RESEARCH ethics ,NURSES ,QUALITY assurance ,OPEN access publishing ,PHYSICIANS ,PERIODICAL articles ,REFLECTION (Philosophy) ,AUTHORSHIP ,IMPACT factor (Citation analysis) - Abstract
Background: Being cited is increasingly important for the careers of nurses and other professions involved in health care research as well as for funders and journals. There is an increasing awareness that the act of citing may lack objectivity and produce bias. Citation bias is the tendency to cite positive over negative or null results, which is most pronounced where there are multiple articles to choose from. Biased citations may lead to the perception that an intervention is effective when it is not, and it may lead to overesti mation of effect sizes in systematic reviews. The aim was to explore motivations and reflections on the choices of sources when nurses and other health care professionals are writing manuscripts and to explore the underlying factors impacting the choices of sources and their opinions of citation bias in health science. Findings: We conducted six one-hour focus group interviews with 24 nurses, physicians and other health care researchers from a mix of clinical specialties. Data was analyzed using systematic text condensation. We conducted member check with the analysis as participants were asked to comment on preliminary findings. We found four themes: Researcher's integrity, Operating in a minefield, The cycle of supervision and Hands on working with references. Researchers reflected that they had received little instruction on how to work with references initially. They wished to cite appropriately but were predominately driven by the overarching aim of getting published. Factors influencing the selection of references could be placed in five different topics of quality assessment: impact factor, design, accessibility, geography and language. Being peer-reviewed or indexed in well-known databases was not presumed to guarantee quality and some researchers were also critical towards open access publications. Citing was used strategically to boost the career of oneself or others and specifically to enhance the authority of the paper. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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4. Developing an educational resource for gynecological cancer survivors and their caregivers: A methods and experience paper.
- Author
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Galica, Jacqueline, Silva, Amina, and Robb, Kathleen
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PROFESSIONAL practice ,CAREGIVERS ,PHYSICIAN-patient relations ,RESEARCH methodology ,EVIDENCE-based medicine ,CANCER patients ,HUMAN services programs ,CONCEPTUAL structures ,MEDICAL protocols ,INTERPROFESSIONAL relations ,PATIENT-professional relations ,FEMALE reproductive organ tumors - Abstract
Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
5. Searching for evidence in public health emergencies: a white paper of best practices.
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Brody, Stacy, Loree, Sara, Sampson, Margaret, Mensinkai, Shaila, Coffman, Jennifer, Mueller, Mark Heinrich, Askin, Nicole, Hamill, Cheryl, Wilson, Emma, McAteer, Mary Beth, and Staines, Heather
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PROFESSIONAL practice , *PUBLIC health , *EVIDENCE-based medicine , *MEDICAL emergencies , *INFORMATION retrieval , *DECISION making , *QUESTIONNAIRES , *INTERPROFESSIONAL relations , *INFORMATION resources , *OPEN access publishing , *INFORMATION science , *COVID-19 pandemic , *DELPHI method - Abstract
Objectives: Information professionals have supported medical providers, administrators and decision-makers, and guideline creators in the COVID-19 response. Searching COVID-19 literature presented new challenges, including the volume and heterogeneity of literature and the proliferation of new information sources, and exposed existing issues in metadata and publishing. An expert panel developed best practices, including recommendations, elaborations, and examples, for searching during public health emergencies. Methods: Project directors and advisors developed core elements from experience and literature. Experts, identified by affiliation with evidence synthesis groups, COVID-19 search experience, and nomination, responded to an online survey to reach consensus on core elements. Expert participants provided written responses to guiding questions. A synthesis of responses provided the foundation for focus group discussions. A writing group then drafted the best practices into a statement. Experts reviewed the statement prior to dissemination. Results: Twelve information professionals contributed to best practice recommendations on six elements: core resources, search strategies, publication types, transparency and reproducibility, collaboration, and conducting research. Underlying principles across recommendations include timeliness, openness, balance, preparedness, and responsiveness. Conclusions: The authors and experts anticipate the recommendations for searching for evidence during public health emergencies will help information specialists, librarians, evidence synthesis groups, researchers, and decision-makers respond to future public health emergencies, including but not limited to disease outbreaks. The recommendations complement existing guidance by addressing concerns specific to emergency response. The statement is intended as a living document. Future revisions should solicit input from a broader community and reflect conclusions of meta-research on COVID-19 and health emergencies. [ABSTRACT FROM AUTHOR]
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- 2023
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6. Psychological aspects of sport-related concussion: An evidence-based position paper.
- Author
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Bloom, Gordon A., Trbovich, Alicia M., Caron, Jeffrey G., and Kontos, Anthony P.
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PSYCHOLOGY of athletes , *SPORTS participation , *WELL-being , *PROFESSIONAL practice , *AFFECT (Psychology) , *CONVALESCENCE , *SPORTS injuries , *EVIDENCE-based medicine , *SPORTS psychology , *BRAIN concussion , *HEALTH care teams , *EMOTIONS , *BEHAVIOR modification , *DISEASE complications - Abstract
The field of sport-related concussion (SRC) is evolving quickly, and psychological aspects affecting athletes' recovery and well-being are now recognized as an important component for research and clinical practice. There has been considerable recent emphasis on empirical research into the psychological implications of SRC. This emphasis reflects trends from clinical research that indicate anxiety and mood-related issues may represent the primary symptoms in nearly 30% of concussions. In short, SRC and its psychological aspects is a major issue that influences not only athletes' performance, but also their physical and mental health. The purpose of this position paper is to provide a concise yet comprehensive review of the current state of research and evidence-based practice as it relates to the psychological aspects of SRC. More specifically, we present five postulates that are intended to stimulate discussion among researchers and allied health professionals who are interested in psychological aspects of SRC. Our intent in writing this position paper is to advance this subdiscipline within the area of SRC by discussing areas for growth in theory, research, and practice. Sport-related concussions (SRC) have become a public health issue, however little research has focused on the the psychological aspects of this injury. This position paper identifies five postulates that are intended to stimulate research and practice on psychological aspects of SRC. Multidisciplinary concussion care teams should include a sport psychology professional to assist with psychosocial recovery and well-being. Identify psychological factors that detract athletes from feeling ready to return to sport following a concussion (e.g., confidence, fear), and work with them to develop coping strategies to assist their return. Appropriately trained sport psychology professionals could deliver effective concussion education interventions that involve behavior change techniques. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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7. White Paper: Critical Shortage of Pediatric Nurse Practitioners Predicted.
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Gigli, Kristin Hittle, Beauchesne, Michelle A., Dirks, Mary S., and Peck, Jessica L.
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- 2019
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8. Call for Review Papers: Evidence Based Library and Information Practice.
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PROFESSIONAL practice ,INFORMATION professionals ,OPEN access publishing - Published
- 2023
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9. Therapeutic oral rinsing with non-commercially available products: Position paper and statement from the Canadian Dental Hygienists Association, part 2.
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Asadoorian, Joanna
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DENTAL hygienists ,CINAHL database ,INFORMATION storage & retrieval systems ,MEDICAL databases ,MEDLINE ,MOUTHWASHES ,ONLINE information services ,PROFESSIONAL associations ,TOOTH care & hygiene ,SYSTEMATIC reviews ,EVIDENCE-based medicine ,PROFESSIONAL practice ,SOCIETIES - Abstract
Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
10. Why we should be counting in the cardiac catheter lab: A discussion paper.
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Biggs, Stephanie and Foran, Paula
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CARDIAC catheterization ,SURGICAL instruments ,PROFESSIONAL practice ,HEALTH facilities ,SURGICAL count procedure ,MEDICAL protocols ,OPERATING room nursing ,EMERGENCY medical services - Abstract
The cardiac catheter laboratory, which in many health care facilities falls under the umbrella of perioperative services, generally sits geographically outside the traditional operating suite. Perhaps due in part to this geographical distance, standards that are routinely applied in the operating suite may not be applied in the cardiac catheter laboratory. One such standard is the management of accountable items such as swabs, surgical instruments, sharps and sheaths. Well-known standards and guidelines for managing accountable items recommend mandatory counting and documentation of all accountable items in environments where a surgical item may be left behind; yet, despite this, counting is not mandatory in the cardiac catheter laboratory. The risk of items (or parts thereof) being unintentionally retained during percutaneous procedures, such as those performed in the cardiac catheter laboratory, are low; however, this complication still occurs, with several case studies reporting broken and fragmented surgical instruments and/or equipment being retained in patients following procedures. As the complexity of percutaneous cardiac catheter laboratory cases increases, so does the potential requirement of reversion to open procedures should a serious complication occur; and this, in turn, is known to increase the risk of a surgical item being retained during the subsequent procedure. Performing surgical counts in the cardiac catheter laboratory would improve patient safety during the intra-procedural/intra-operative period by reducing the risk of a surgical item (or parts thereof) being unintentionally left behind, a complication that is likely to result in patient harm. This discussion paper aims to not only highlight the vital importance of performing a full surgical count of all items used during cardiac catheter laboratory procedures but also to advocate for pre- and post-procedural inspection of sheaths, angioplasty balloons, stents and wires to ensure they are intact at the beginning and end of the procedure. These pre- and postprocedural inspections are vitally important, not just in the cardiac catheter laboratory but in all other areas, such as operating suites, endoscopy and interventional radiology, where endovascular devices are used. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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11. Infectious Diseases Society of America Position Paper: Recommended Revisions to the National Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Sepsis Quality Measure.
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Rhee, Chanu, Chiotos, Kathleen, Cosgrove, Sara E, Heil, Emily L, Kadri, Sameer S, Kalil, Andre C, Gilbert, David N, Masur, Henry, Septimus, Edward J, Sweeney, Daniel A, Strich, Jeffrey R, Winslow, Dean L, and Klompas, Michael
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ANTIBIOTICS , *COMMUNICABLE diseases , *MEDICAL quality control , *MEDICAL protocols , *MEDICAL prescriptions , *PROFESSIONAL associations , *SEPTIC shock , *SEPSIS , *EVIDENCE-based medicine , *DISEASE management , *PROFESSIONAL practice , *DISEASE progression , *EARLY medical intervention - Abstract
The Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) measure has appropriately established sepsis as a national priority. However, the Infectious Diseases Society of America (IDSA and five additional endorsing societies) is concerned about SEP-1's potential to drive antibiotic overuse because it does not account for the high rate of sepsis overdiagnosis and encourages aggressive antibiotics for all patients with possible sepsis, regardless of the certainty of diagnosis or severity of illness. IDSA is also concerned that SEP-1's complex "time zero" definition is not evidence-based and is prone to inter-observer variation. In this position paper, IDSA outlines several recommendations aimed at reducing the risk of unintended consequences of SEP-1 while maintaining focus on its evidence-based elements. IDSA's core recommendation is to limit SEP-1 to septic shock, for which the evidence supporting the benefit of immediate antibiotics is greatest. Prompt empiric antibiotics are often appropriate for suspected sepsis without shock, but IDSA believes there is too much heterogeneity and difficulty defining this population, uncertainty about the presence of infection, and insufficient data on the necessity of immediate antibiotics to support a mandatory treatment standard for all patients in this category. IDSA believes guidance on managing possible sepsis without shock is more appropriate for guidelines that can delineate the strengths and limitations of supporting evidence and allow clinicians discretion in applying specific recommendations to individual patients. Removing sepsis without shock from SEP-1 will mitigate the risk of unnecessary antibiotic prescribing for noninfectious syndromes, simplify data abstraction, increase measure reliability, and focus attention on the population most likely to benefit from immediate empiric broad-spectrum antibiotics. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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12. Embedded Librarianship in China: Based on a Survey of University Libraries.
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Sun, Huijun, Liu, Yiru, Wang, Zhinan, and Zuo, Wenge
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EMBEDDED librarians ,ACADEMIC libraries ,RESEARCH papers (Students) ,PROFESSIONAL practice - Abstract
Embedded librarianship is an inevitable outcome of the information era. Since the concept of embedded librarianship emerged in 2004, a flurry of papers have been published. In China, many related research papers have also been published, but few of them focus on the practice of embedded librarianship in libraries of Chinese universities. This article investigates the current progress and practice of embedded librarianship in China. A total of 84 Chinese university libraries were surveyed. This article demonstrates that a few university libraries have achieved promising embedded practices, but most remain in the initial stages. Most librarians do not clearly understand the concept of embedded librarianship. To date, the embedded model is still in the transforming stage, and incentive mechanisms and evaluation systems have not been perfected. Based on these results, some suggestions are proposed to accelerate the development of embedded librarianship. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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13. Inclusion of Effect Size Measures and Clinical Relevance in Research Papers.
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Davis, Sara L., Johnson, Ann H., Lynch, Thuy, Gray, Laura, Pryor, Erica R., Azuero, Andres, Soistmann, Heather C., Phillips, Shameka R., and Rice, Marti
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PROFESSIONAL practice , *PUBLICATION bias , *STATISTICAL significance , *REPORT writing , *META-analysis , *CONFIDENCE intervals , *EFFECT sizes (Statistics) , *SYSTEMATIC reviews , *CLINICAL medicine research , *EVIDENCE-based medicine , *RESEARCH bias - Abstract
Background: There are multiple issues that arise when researchers focus on and only report "statistical significance" of study findings. An important element that is often not included in reports is a discussion of clinical relevance. Objectives: The authors address issues related to significance, the use of effect sizes, confidence or credible intervals, and the inclusion of clinical relevance in reports of research findings. Methods: Measures of magnitude, precision, and relevance such as effect sizes, confidence intervals (CIs), and clinically relevant effects are described in detail. In addition, recommendations for reporting and evaluating effect sizes and CIs are included. Example scenarios are presented to illustrate the interplay of statistical significance and clinical relevance. Results: There are several issues that may arise when significance is the focus of clinical research reporting. One issue is the lack of attention to nonsignificant findings in published works although findings show clinical relevance. Another issue is that significance is interpreted as clinical relevance. As well, clinically relevant results from small-sample studies are often not considered for publication, and thus, findings might not be available for meta-analysis. Discussion: Findings in research reports should address effect sizes and clinical relevance and significance. Failure to publish clinically relevant effects and CIs may preclude the inclusion of clinically relevant studies in systematic reviews and meta-analyses, thereby limiting the advancement of evidence-based practice. Several accessible resources for researchers to generate, report, and evaluate measures of magnitude, precision, and relevance are included in this article. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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14. A usability study to test the effectiveness, efficiency and simplicity of a newly developed Internet-based Exercise-focused Health App for Lung cancer survivors (iEXHALE): Protocol paper.
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Henshall, Catherine, Davey, Zoe, Jacelon, Cynthia, and Martin, Clare
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TREATMENT of lung tumors , *CANCER patients , *EXERCISE therapy , *INTERNET , *HEALTH self-care , *ASSISTIVE technology , *SURVEYS , *EVIDENCE-based medicine , *PROFESSIONAL practice , *USER-centered system design , *MOBILE apps - Abstract
The Internet-based Exercise-focused Health App for Lung cancer survivors (iEXHALE) is a mobile web app being developed to provide lung cancer survivors with an algorithm-based, tailor-made, self-management programme to inform their exercise choices and improve symptom severity. The aim of this protocol paper is to detail the plan for conducting the usability study to test the effectiveness, efficiency and simplicity of an exercise-focused self-management mobile web app for lung cancer survivors. The mixed methods study will consist of three consecutive phases, each interspersed with elements of data analysis and app prototype redevelopment. The study will take place in Oxford, United Kingdom. Ethical approvals have been obtained. The study will contribute to lung cancer survivorship research and is important in the app developmental process. This study contributes to the international forum for the exchange of practice, innovation and research, increases transparency in mobile health developmental processes and contributes to the methodological evidence base. [ABSTRACT FROM AUTHOR]
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- 2020
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15. Critiquing a published healthcare research paper.
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Grainger, Angela
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EXPERIMENTAL design , *PROFESSIONAL practice , *PROFESSIONAL employee training , *RESEARCH methodology , *MEDICAL care , *EVIDENCE-based medicine , *MEDICAL care research , *RESEARCH bias , *MEDICAL research - Abstract
The article offers information on how research is defined as a systematic inquiry using orderly disciplined methods to answer questions or to solve problems. Topics include the research requires academic discipline has coupled with specific research competencies so that an appropriate study is designed and conducted, and leading to the drawing of relevant conclusions relating to the explicit aim/s of the study.
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- 2021
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16. Scientific paper writing for pediatric surgeons: Why, what, and how?
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S. Chandrasekharam, V
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AUDITING , *AUTHORSHIP , *PEDIATRIC surgery , *DATABASE management , *DIFFUSION of innovations , *CASE studies , *MEDICAL writing , *PUBLISHING , *SERIAL publications , *STATISTICS , *SURGEONS , *WRITTEN communication , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *PROFESSIONAL practice - Published
- 2020
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17. Key considerations for selecting instruments when evaluating healthcare professionals’ evidence‐based practice competencies: A discussion paper在评估医疗保健专业人员的循证实践能力时选择工具的关键考虑因素:讨论文件
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Saunders, Hannele and Vehviläinen‐Julkunen, Katri
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CLINICAL competence , *DECISION making , *RESEARCH methodology , *MEDICAL personnel , *SELF-evaluation , *EVIDENCE-based medicine , *PROFESSIONAL practice , *EVIDENCE-based nursing , *NATIONAL competency-based educational tests - Abstract
Abstract: Aim: A discussion of key considerations related to selecting instruments and tools for evaluating healthcare professionals’ evidence‐based practice (EBP) competencies. Design: A discussion paper. Data Sources: Articles published in international peer‐reviewed journals from January 2000 ‐ November 2017 on validated instruments for assessing healthcare professionals’ performance‐based EBP competencies. Implications for Nursing: Validated EBP competency instruments based on actual performance to evaluate the EBP competencies of healthcare professionals are currently available in the field of medicine. Although some of these instruments have already been adapted for use in physical and occupational therapy, their modification for use in nursing has begun only in the last few months. Conclusion: A concerted effort on modifying and validating objective measures of actual performance for use in nursing should be commenced to evaluate directly measurable EBP competencies, instead of continuing to rely on nurses’ self‐assessments. Future studies focusing on development and validation of objective instruments to evaluate EBP competencies based on actual performance and exploring the modification of currently available objective instruments from medicine are urgently needed in nursing. Impact: Instead of measuring actual EBP competencies, the majority of competency evaluations in nursing are still being conducted via self‐assessments, despite growing evidence of their poor accuracy in evaluating directly measurable constructs such as evidence‐based practice knowledge and skills. Accurate measurement of nurses’ EBP competencies is essential to increasing systematic implementation of EBP in healthcare organizations, thus promoting the attainment of improved care quality and patient outcomes in healthcare delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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18. ESTABLISHING THE "NEW" INTO "THE WAY WE DO THINGS": REVIEWING PAPER AIMS AND CONTENT IN RESPONSE TO NATIONAL AND LOCAL DEVELOPMENTS.
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Earl, Kerry
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TEACHER education ,TEACHER educators ,TRAINING of student teachers ,PROFESSIONAL practice ,TEACHING methods ,EFFECTIVE teaching ,EDUCATIONAL planning ,NATIONAL curriculum - Abstract
This paper reports on a review of "Professional practice and inquiry I" in response to local and national developments. The introduction of The New Zealand Curriculum (Ministry of Education, 2007) raised questions for initial teacher educators about how they might prepare their pre-service student teachers to teach using this updated curriculum. "Professional practice and inquiry I" is a first semester compulsory professional paper University of Waikato Bachelor of Teaching students (primary). The introduction of the 2007 national curriculum document was not the only reason for a review of this professional paper. This paper outlines how the teaching team had recognized the mixture of influences that impact on the development of paper content, explains in some detail what we did for the teaching and learning of the new 2007 key competencies, and the outcomes we found through collecting student voice. This was part of a collaborative research project investigating the teaching and learning of the "front end" of The New Zealand Curriculum (ibid) and incorporating those findings into the primary Bachelor of Teaching programme. [ABSTRACT FROM AUTHOR]
- Published
- 2010
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19. Impact of COVID-19 pandemic on the quantity surveying practices in Malaysia
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Tan, Shi Yen and Zainon, Nurshuhada
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- 2023
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20. COVID-19 and accounting as multidimensional technical, social and moral practice: a framework for future research
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Carnegie, Garry D., Gomes, Delfina, and McBride, Karen
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- 2023
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21. Ten Papers that Changed My Practice in Neurocritical Care.
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Samavedam, Srinivas
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STEROID drugs , *CRITICAL care medicine , *HEMODILUTION , *MENINGITIS , *NEUROLOGICAL disorders , *PUBLISHING , *SUBARACHNOID hemorrhage , *EVIDENCE-based medicine , *PROFESSIONAL practice - Abstract
Neurocritical care is an ever growing specialty with paradigm changes being the norm. Some of the established practices like triple H therapy for SAH and steroids in pyogenic meningitis have seen major changes in published evidence. This article evaluates the evidence published over the last few years which resulted in a change in the authors approach to and practice of neuro intensive care. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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22. Introducing the British Lymphology Society position paper on ankle brachial pressure index.
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Elwell, Rebecca and Sneddon, Margaret
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LYMPHEDEMA treatment , *CLINICAL competence , *MEDICAL protocols , *MEDICAL societies , *PERIPHERAL vascular diseases , *PHYSICAL diagnosis , *PUBLIC health , *EVIDENCE-based medicine , *DECISION making in clinical medicine , *PROFESSIONAL practice , *ANKLE brachial index , *COMPRESSION therapy - Abstract
Prompt application of appropriate compression therapy is essential for effective treatment of lymphoedema. However, it is accepted that prior to the application of compression to the lower limbs, either with bandaging or compression garments, patients should demonstrate a satisfactory vascular status, as assessed via axillary brachial pressure index (ABPI). Unfortunately, the presence of peripheral oedema may render a reading impossible or grossly inaccurate. Relying solely on ABPI assessment is potentially harmful to patients, who may be denied appropriate treatment or experience complications and deterioration of their condition due to delayed treatment. The British Lymphology Society recognises a need to focus more on clinical assessment skills to determine vascular status, rather than relying on ABPI alone. Thus, the Society has developed guidance and a practical tool to support clinical decision-making and enhance practitioner confidence in the safe application of compression therapy in the absence of ABPI. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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23. Empirical research studies of practicing engineers: a mapping review of journal articles 2000–2018.
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Mazzurco, Andrea, Crossin, Enda, Chandrasekaran, Siva, Daniel, Scott, and Sadewo, Giovanni Radhitio Putra
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ENGINEERING education ,SCHOLARSHIPS ,ENGINEERS ,PROFESSIONAL practice ,PROFESSIONS - Abstract
Empirical research on practicing engineers can inform engineering education as it provides evidence for what engineering students ought to learn. Whilst there has been a growing interest and scholarship in this area, there has not been any systematic attempt to map the empirical research on practicing engineers and develop an agenda for research on engineering practice. To address this gap, we conducted a mapping review of empirical research studies of practicing engineers. We limited our search to studies published in peer-reviewed journal articles since 2000 and identified 187 papers. We used inductive content analysis to categorise the papers intofive research themes: 1) learning in the workplace, 2) competencies and attributes needed for practice, 3) activities undertaken by engineers, 4) diversity, and 5) engineers' identity. For each theme, we report common findings and gaps that can inform future research. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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24. Position paper for guiding response to non-suicidal self-injury in schools.
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Hasking, Penelope A., Heath, Nancy L., Kaess, Michael, Lewis, Stephen P., Plener, Paul L., Walsh, Barent W., Whitlock, Janis, and Wilson, Marc S.
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MEDICAL protocols , *PSYCHOLOGY , *SCHOOL environment , *SCHOOL health services , *SCHOOL administration , *SELF-injurious behavior , *SELF-mutilation , *EVIDENCE-based medicine , *PROFESSIONAL practice - Abstract
Around the world, school staff are increasingly expressing concern about nonsuicidal self-injury (NSSI) and how best to address this behavior in the school setting. However, there is a notable lack of informed guidance for schools, and clear inconsistencies in the practices school staff adopt. In this position paper we draw on our collective research and clinical expertise to provide best-practice guidelines for addressing NSSI in school settings. We outline the importance of a school protocol, and the key features all school protocols should contain. We also focus on how schools can minimize contagion of NSSI within their school environment. We believe these guidelines will be an important starting point for schools interested in developing an evidence-based approach to addressing NSSI. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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25. Nature of the evidence base and frameworks underpinning dietary recommendations for prevention of non-communicable diseases: a position paper from the Academy of Nutrition Sciences.
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Williams, Christine M., Ashwell, Margaret, Prentice, Ann, Hickson, Mary, and Stanner, Sara
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NON-communicable diseases ,PROFESSIONAL practice ,NUTRITION ,EVIDENCE-based medicine ,DIET ,ALLIED health associations ,FOOD science ,CONCEPTUAL structures - Abstract
This Position Paper from the Academy of Nutrition Sciences is the first in a series which describe the nature of the scientific evidence and frameworks that underpin nutrition recommendations for health. This first paper focuses on evidence which underpins dietary recommendations for prevention of non-communicable diseases. It considers methodological advances made in nutritional epidemiology and frameworks used by expert groups to support objective, rigorous and transparent translation of the evidence into dietary recommendations. The flexibility of these processes allows updating of recommendations as new evidence becomes available. For CVD and some cancers, the paper has highlighted the long-term consistency of a number of recommendations. The innate challenges in this complex area of science include those relating to dietary assessment, misreporting and the confounding of dietary associations due to changes in exposures over time. A large body of experimental data is available that has the potential to support epidemiological findings, but many of the studies have not been designed to allow their extrapolation to dietary recommendations for humans. Systematic criteria that would allow objective selection of these data based on rigour and relevance to human nutrition would significantly add to the translational value of this area of nutrition science. The Academy makes three recommendations: (i) the development of methodologies and criteria for selection of relevant experimental data, (ii) further development of innovative approaches for measuring human dietary intake and reducing confounding in long-term cohort studies and (iii) retention of national nutrition surveillance programmes needed for extrapolating global research findings to UK populations. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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26. Being bound and tied by the ropes of frugality: a case study on public management values and service integration
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Løken, Therese Dwyer, Helgesen, Marit Kristine, Vike, Halvard, and Bjørkquist, Catharina
- Published
- 2022
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27. Learning to Listen: An Analysis of Applying the Listening Guide to Reflection Papers.
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Petrovic, Sanja, Lordly, Daphne, Brigham, Susan, and Delaney, Mary
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CRITICAL thinking , *QUALITATIVE research , *DIETETICS , *COLLEGE students , *PROFESSIONAL practice , *EDUCATION - Abstract
The Listening Guide (LG) is a relational, voice-centered method to analyzing qualitative research data. This article provides an account of how the LG was modified for a study that examined personal critical reflection papers written by 27 fourth-year dietetics university students after they participated in an arts-informed module on body image in a dietetics professional practice course. By relying on the main principles of the LG, we demonstrate how the LG can help us to listen and hear previously unnoticed and underappreciated voices. The purpose of this article is to serve as a source of guidance and support for researchers looking to implement the LG method beyond its original purpose, which was for transcribed interviews. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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28. Parenting in youth sport: A position paper on parenting expertise.
- Author
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Harwood, Chris G. and Knight, Camilla J.
- Subjects
- *
SPORTS events , *ABILITY , *ADOLESCENCE , *CHILD development , *EMOTIONS , *INFORMATION storage & retrieval systems , *PSYCHOLOGY information storage & retrieval systems , *INTELLECT , *INTERPERSONAL relations , *PARENTING , *ROLE models , *SELF-management (Psychology) , *SPORTS , *SPORTS psychology , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *PROFESSIONAL practice , *SOCIAL support , *SPORTS participation , *ATHLETIC associations , *DESCRIPTIVE statistics , *PSYCHOLOGY - Abstract
Objectives In line with the aims of this special issue, the purpose of this paper is to forward a position on the concept of sport parenting expertise through the presentation of six key postulates. Design Literature review and position statement. Method By adopting methods associated with an academic position paper, a statement is presented that we believe encapsulates sport parenting expertise. Six key postulates of parenting expertise, formulated from critically reviewing and interpreting relevant literature, are then presented. Results We propose that sport parenting expertise is dependent on the degree to which parents demonstrate a range of competencies; namely that parents, (a) select appropriate sporting opportunities and provide necessary types of support, (b) understand and apply appropriate parenting styles, (c) manage the emotional demands of competitions, (d) foster healthy relationships with significant others, (e) manage organizational and developmental demands associated with sport participation, and, (f) adapt their involvement to different stages of their child's athletic career. Conclusion Expertise in sport parenting requires parents to develop knowledge and utilize a range of intrapersonal, interpersonal, and organizational skills in order to support their child, manage themselves, and operate effectively in the wider youth sport environment. Recommendations for applied researchers to further investigate these postulates and substantiate the components of sport parenting expertise are offered. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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29. Transitioning From Paper to Digital: State Statutory and Regulatory Frameworks for Health Information Technology.
- Author
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Schmit, Cason, Sunshine, Gregory, Pepin, Dawn, Ramanathan, Tara, Menon, Akshara, and Penn, Matthew
- Subjects
- *
LAWYERS , *POPULATION geography , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *PROFESSIONAL practice , *DESCRIPTIVE statistics , *ELECTRONIC health records , *ELECTRONIC health record laws - Abstract
Objectives: In all health system sectors, electronic health information (EHI) is created, used, released, and reused. We examined states' efforts to address EHI uses in law to provide an understanding of the EHI legal environment. Methods: Attorney researchers used WestlawNext to search for EHI-related statutes and regulations of the US states, US territories, and the District of Columbia in effect as of January 2014. The researchers independently catalogued provisions by the EHI use described in the law. Researchers resolved discrepancies through peer review meetings and recorded the consensus codes for each law. Results: This study identified 2364 EHI-related laws representing 49 EHI uses in 54 jurisdictions. A total of 18 EHI uses were regulated by ≥10 jurisdictions. More than 750 laws addressed 2 or more EHI uses. Jurisdictions varied by the number of EHI laws in effect, with a mean of 44 laws. Texas had the most EHI laws (n = 145). Hawaii and South Carolina had the fewest (n = 14 each). Conclusions: The EHI legal landscape is complex. The large quantity and diversity of laws complicate legal analysis, likely delay implementation of public health solutions, and might be detrimental to the development of emerging health information technology. Research is needed to understand the effect of EHI-related laws. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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30. The Current Evidence Does Not Support the Use of Electrical Stimulation to Decrease Pain and Edema and Improve Function Following a Lateral Ankle Sprain: A Critically Appraised Paper.
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Spooner, Bridget M. and Welch Bacon, Cailee E.
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- *
ANKLE injury treatment , *SPRAINS , *EDEMA , *ELECTRIC stimulation , *LIFE skills , *PAIN , *EVIDENCE-based medicine , *PROFESSIONAL practice , *CONTINUING education units , *THERAPEUTICS - Abstract
The article discusses a systematic review which evaluated the efficacy of electrical stimulation in improving functional outcomes, pain, and edema postacute lateral ankle sprain. Topics covered include the data sources such as PubMed, Web of Science and SportDiscus databases, the extraction of the function, edema, and pain data from the four studies included in the systematic review, and how the authors assessed the methodological quality of such studies and the level of evidence of each study.
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- 2017
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31. Academic Papers, Blogs, Dissertations, and Publications.
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REALISM ,BLOGS ,MEDICAL sciences ,COMPLEXITY (Philosophy) ,PROFESSIONAL practice ,INTEGRITY - Abstract
An introduction is presented in which the editor discusses articles in the issue on topics including Academic Papers, Blogs, Dissertations, and Publications.
- Published
- 2021
32. Reflexive professionalisation in social work practice development, research, and education: the vital challenge of democratic citizen participation.
- Author
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Van Beveren, Laura, Feryn, Nele, Tourne, Juno, Lorenz, Walter, Roose, Rudi, Åberg, Isabella, Blomberg, Helena, Butler, Philomena, Čajko Eibicht, Monika, Caklová, Kateřina, Campbell, Jim, Donnelly, Sarah, Gallagher, Bláíthín, Havrdova, Zuzana, Kroll, Christian, Lindroos, Sanni, Machado, Idalina, Margarido, Helena, Melo, Sara, and Moreira, Andreia
- Subjects
OCCUPATIONS ,PROFESSIONAL practice ,QUALITATIVE research ,RESEARCH funding ,SOCIAL services ,CONTENT analysis ,SOCIAL work education ,PROFESSIONAL identity ,SOCIAL work research ,THEMATIC analysis ,RESEARCH ,CASE studies ,HEALTH promotion ,HEALTH equity ,PATIENT participation ,POVERTY - Abstract
Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
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33. A Debatable Top Ten Papers in Geriatric Medicine List.
- Author
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Hogan, David B.
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GERIATRICS ,LITERATURE ,PROFESSIONAL practice - Abstract
A personal top ten list of literature about aging and the practice of geriatrics is offered. This is primarily directed at those completing their training in the care of older patients. While acknowledging the limitations of any such exercise, it is hoped that it will engender interest in prior work by and about older persons and their care. Those at the start of their careers in geriatrics are encouraged to read these and other primary contributions, make their own list of essential literature, and incorporate the lessons learned and the examples of prior practitioners into their professional practice. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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34. Ethical issues identified in nurses´ interprofessional collaboration in clinical practice: a meta-synthesis.
- Author
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Pakkanen, Piiku, Häggman-Laitila, Arja, and Kangasniemi, Mari
- Subjects
PAIN diagnosis ,PAIN management ,PROFESSIONAL practice ,META-synthesis ,CINAHL database ,ONLINE information services ,RESEARCH ,OCCUPATIONAL roles ,SYSTEMATIC reviews ,CONFLICT (Psychology) ,INTERPROFESSIONAL relations ,NURSES ,NURSING ethics ,MEDLINE ,PATIENT care ,COMMITMENT (Psychology) ,GOAL (Psychology) ,POWER (Social sciences) - Abstract
The aim of this study was to synthesize previous knowledge about ethics in nurses' interprofessional collaboration in clinical practice. Although healthcare professionals have common goals and shared values, ethical conflicts still arise during patient care. We carried out a meta-synthesis of peer-reviewed papers published in any language from 2013–2019, using both electronic searches, with the CINAHL, PubMed, Scopus, and SocINDEX databases, and manual searches. We identified 4,763 papers and selected six qualitative papers, and three theoretical papers, based on predetermined inclusion and exclusion criteria and quality appraisal. The studies came from the USA, Canada, Sweden, Australia, Botswana, and the Netherlands. We found that in ethics studies on nurses' interprofessional collaboration in clinical practice the focus has been on factors that affect how patients receive care. These factors were patients' wishes, whether they were told the truth about their condition, and how different professionals recognized and treated their pain. The focus in the papers we reviewed was on the roles of different professionals during the care process, including ethical conflicts with regard to their aims, commitment, and the balance of power among them and other professions. More research is needed to raise the visibility of how nurses and other professionals recognize, and evaluate, their professional and interprofessional ethics. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
35. DISCUSSION PAPER: The preparation of technologically literate graduates for professional practice.
- Author
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Bembridge, Elizabeth, Levett-Jones, Tracy, and Jeong, Sarah Yeun-Sim
- Subjects
- *
INFORMATION & communication technologies , *PROFESSIONAL practice , *LITERACY , *GRADUATES , *MEDICAL care , *NURSE-patient relationships , *HIGHER education - Abstract
The impact of information and communication technology has been felt globally and the healthcare sector is not immune to the changes brought about by the introduction of new technologies. In contemporary clinical practice environments, information and communication technology skills are advantageous, not only to nurses, but also to the patients for whom they care. There is good evidence that these skills, appropriately utilised, can have a significant impact on patient outcomes. This scholarly paper presents the background to a project that explores graduate nurses' experiences of using information and communication technology in clinical contexts. A broad historical overview of the implementation of information and communication technology in higher education and healthcare in Australia is provided before discussing the extent to which the technology skills learnt at university are relevant or transferable to contemporary practice environments. The current levels and use of information and communication technology among new graduate nurses, the apparent dichotomy between technological versus humanised healthcare, and the need for national information and communication technology competency standards are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
36. Research delivery secondments: A scoping review.
- Author
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Hare, Naomi, Grieve, Sharon, Valentine, Janine, and Menzies, Julie
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RESEARCH ,OCCUPATIONAL roles ,CINAHL database ,ONLINE information services ,PROFESSIONAL practice ,MEDICAL information storage & retrieval systems ,MIDWIFERY ,SERIAL publications ,JOB descriptions ,SYSTEMATIC reviews ,PROFESSIONAL employee training ,TIME ,EVIDENCE-based medicine ,ENDOWMENT of research ,NATIONAL health services ,SOCIOECONOMIC factors ,CLINICAL supervision ,NURSING research ,CLINICAL competence ,DESCRIPTIVE statistics ,LITERATURE reviews ,MEDLINE ,EMPIRICAL research ,SOCIODEMOGRAPHIC factors ,ALLIED health personnel - Abstract
Aim: To explore and summarise published literature with regards to secondments to clinical research and to identify the gaps in research to inform further work. Design: Systematic scoping review. Method: A scoping review was undertaken in accordance with the Patterns, Advances, Gaps, Evidence and Research framework. Databases searched included CINAHL, PubMed, Medline and Embase. Inclusion/exclusion criteria were applied by two independent reviewers. Two reviewers independently retrieved full‐text studies for inclusion and applied the framework as a tool for synthesising Patterns, Advances, Gaps, Evidence and Research recommendations. Results: Six papers and one abstract published between 2003 and 2018 were included. All secondees (n = 34) were released from NHS posts, with secondments (where specified) ranging in duration from 0.25 to 2 years and for 40%–100% of their working hours. All seven papers reported benefits for personal and professional development, predominantly in the form of personal reflections. Few described involvement with research delivery teams. Conclusion: Published initiatives vary in nature and lack standardised reporting and measurement of impact. Further research is required to identify benefits at a departmental or organisational level, the facilitators for setting up secondments and the application of knowledge gained from secondment opportunities. Implications for the Profession: Undertaking a research secondment is reported to offer professional and personal benefit for clinical staff. Research secondments are one way in which a research culture can practically be embedded within clinical settings. Impact: This scoping review identified a lack of published empirical research seeking to understand research secondments as a tool to enhance research and evidence engagement. Although there is a suggestion that secondments could positively impact staff retention, there is limited evidence about the benefit for the organisation or for patient care. These findings have implications for staff, managers and their organisations. Reporting Method: The PRISMA‐ScR guidelines were used to guide reporting. No Patient or Public Contribution: This was not relevant to the research design. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
37. Creatine Kinase, Exertional Rhabdomyolysis, and Exercise-Associated Hyponatremia in Ultra-Endurance Athletes: A Critically Appraised Paper.
- Author
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Cleary, Michelle A.
- Subjects
- *
ENDURANCE sports , *EXERCISE , *HYPONATREMIA , *MEDLINE , *ONLINE information services , *RHABDOMYOLYSIS , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *EXTREME sports , *PROFESSIONAL practice , *CONTINUING education units , *DESCRIPTIVE statistics - Abstract
The article presents a study that examined the relationship between exertional rhabdomyolysis (ER) and exercise-associated hyponatremia (EAH) in ultra-endurance athletes. Topics discussed include the mechanical stress in endurance athletes being associated with running causing skeletal muscular damage resulting in elevated plasma creatine kinase (CK). Also mentioned is the lack of confirmation about the presence of myoglobinuria, a clinical indicator of ER.
- Published
- 2016
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38. Editorial.
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Maglajlic, Reima Ana and Ioakimidis, Vasilios
- Subjects
PROFESSIONAL practice ,SERIAL publications ,SOCIAL work research ,SOCIAL services ,SOCIAL case work - Abstract
An introduction is presented in which the editor discusses the criteria used when choosing a paper to become one of the Editor's Choice papers for the issue and various reports within the issue on topics including how critical reflection can improve social work practice with children and families, the experiences of drug- and alcohol-using parents who have had child protective social service involvement and using storytelling and autoethnography to explore stories of social work practice.
- Published
- 2023
- Full Text
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39. AMIA Board White Paper: AMIA 2017 core competencies for applied health informatics education at the master's degree level.
- Author
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Valenta, Annette L, Manos, E LaVerne, Phillips, Kirk T, Roderer, Nancy K, Rosendale, Douglas, Turner, Anne M, Tusch, Guenter, Williamson, Jeffrey J, Johnson, Stephen B, Berner, Eta S, Boren, Suzanne A, Deckard, Gloria J, Eldredge, Christina, Fridsma, Douglas B, Gadd, Cynthia, Gong, Yang, Johnson, Todd, and Jones, Josette
- Abstract
This White Paper presents the foundational domains with examples of key aspects of competencies (knowledge, skills, and attitudes) that are intended for curriculum development and accreditation quality assessment for graduate (master's level) education in applied health informatics. Through a deliberative process, the AMIA Accreditation Committee refined the work of a task force of the Health Informatics Accreditation Council, establishing 10 foundational domains with accompanying example statements of knowledge, skills, and attitudes that are components of competencies by which graduates from applied health informatics programs can be assessed for competence at the time of graduation. The AMIA Accreditation Committee developed the domains for application across all the subdisciplines represented by AMIA, ranging from translational bioinformatics to clinical and public health informatics, spanning the spectrum from molecular to population levels of health and biomedicine. This document will be periodically updated, as part of the responsibility of the AMIA Accreditation Committee, through continued study, education, and surveys of market trends. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
40. The role of knowledge in valuation practice: expert valuers’ perceptions
- Author
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Amidu, Abdul-Rasheed, Boyd, David, and Agboola, Alirat Olayinka
- Published
- 2019
- Full Text
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41. Responding to FASD: what social and community service professionals do in the absence of diagnostic services and practice standards
- Author
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Bagley, Kerryn
- Published
- 2019
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42. The identity of information science.
- Author
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Petras, Vivien
- Subjects
INFORMATION science ,PROFESSIONAL practice ,QUANTUM information science - Abstract
Purpose: This paper offers a definition of the core of information science, which encompasses most research in the field. The definition provides a unique identity for information science and positions it in the disciplinary universe. Design/methodology/approach: After motivating the objective, a definition of the core and an explanation of its key aspects are provided. The definition is related to other definitions of information science before controversial discourse aspects are briefly addressed: discipline vs. field, science vs. humanities, library vs. information science and application vs. theory. Interdisciplinarity as an often-assumed foundation of information science is challenged. Findings: Information science is concerned with how information is manifested across space and time. Information is manifested to facilitate and support the representation, access, documentation and preservation of ideas, activities, or practices, and to enable different types of interactions. Research and professional practice encompass the infrastructures – institutions and technology –and phenomena and practices around manifested information across space and time as its core contribution to the scholarly landscape. Information science collaborates with other disciplines to work on complex information problems that need multi- and interdisciplinary approaches to address them. Originality/value: The paper argues that new information problems may change the core of the field, but throughout its existence, the discipline has remained quite stable in its central focus, yet proved to be highly adaptive to the tremendous changes in the forms, practices, institutions and technologies around and for manifested information. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
43. The Global Agenda for Social Work and Social Development: A Conflicted Global Concept?
- Author
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Jones, David N.
- Subjects
PROFESSIONAL practice ,SOCIAL services ,SOCIAL case work - Abstract
This paper reflects on the impact of The Global Agenda (GA) process and focuses on its relevance for social work practitioners and educators in the United Kingdom (UK). It asks, is there a global social work profession? The paper explores three key elements. Firstly, to what extent is it possible to view the diversity of social work under the differing national frameworks, as a coherent, single professional identity? Secondly, to what extent are national concepts of social work related to global instruments such as the Universal Declaration of Human Rights and the UN Sustainable Development Goals (SDGs). Thirdly, are there universal theoretical models? Having explored these questions, The GA process unequivocally adopted the position that there is a global social work profession, that its members and practitioners do share core values, principles and practice models, that these models require constant review and revision, and that one purpose of the process was/is to stimulate those discussions and explore those narratives, as is evident in the four GA reports. This makes The GA process as relevant for practice and policy in the UK, as it is for other countries. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
44. Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group.
- Author
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Bauer, Jürgen, Biolo, Gianni, Cederholm, Tommy, Cesari, Matteo, Cruz-Jentoft, Alfonso J., Morley, John E., Phillips, Stuart, Sieber, Cornel, Stehle, Peter, Teta, Daniel, Visvanathan, Renuka, Volpi, Elena, and Boirie, Yves
- Subjects
- *
AMINO acid metabolism , *MUSCULAR atrophy , *GERIATRICS , *SKELETAL muscle physiology , *AEROBIC exercises , *ELDER care , *GERIATRIC nutrition , *AGING , *AMINO acids , *CHRONIC diseases , *CREATINE , *DELPHI method , *DIABETES , *DIET therapy , *DIETARY supplements , *EXERCISE , *FOOD habits , *INGESTION , *KIDNEY diseases , *LIFE skills , *MEDICAL protocols , *MUSCLE strength , *NUTRITIONAL assessment , *NUTRITION policy , *NUTRITIONAL requirements , *DIETARY proteins , *EVIDENCE-based medicine , *PROFESSIONAL practice , *ACUTE diseases , *PHYSICAL activity , *SKELETAL muscle , *FUNCTIONAL assessment , *OLD age , *THERAPEUTICS , *PREVENTION , *SOCIETIES - Abstract
Abstract: New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal of developing updated, evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an international study group to review dietary protein needs with aging (PROT-AGE Study Group). To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.0 to 1.2 g protein per kilogram of body weight per day. Both endurance- and resistance-type exercises are recommended at individualized levels that are safe and tolerated, and higher protein intake (ie, ≥1.2 g/kg body weight/d) is advised for those who are exercising and otherwise active. Most older adults who have acute or chronic diseases need even more dietary protein (ie, 1.2–1.5 g/kg body weight/d). Older people with severe kidney disease (ie, estimated GFR <30 mL/min/1.73m2), but who are not on dialysis, are an exception to this rule; these individuals may need to limit protein intake. Protein quality, timing of ingestion, and intake of other nutritional supplements may be relevant, but evidence is not yet sufficient to support specific recommendations. Older people are vulnerable to losses in physical function capacity, and such losses predict loss of independence, falls, and even mortality. Thus, future studies aimed at pinpointing optimal protein intake in specific populations of older people need to include measures of physical function. [Copyright &y& Elsevier]
- Published
- 2013
- Full Text
- View/download PDF
45. Nurses’ work practices in design: managing the complexity of pain
- Author
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Cerna, Katerina, Weilenmann, Alexandra, Ivarsson, Jonas, Rysedt, Hans, Sigridur Islind, Anna, Lundin, Johan, and Steineck, Gunnar
- Published
- 2020
- Full Text
- View/download PDF
46. Food Fortification in India: A Literature Review.
- Author
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Liu, Pam, Bhatia, Rita, Pachón, Helena, and Emory
- Subjects
ENRICHED foods ,BIOMARKERS ,CHILDREN'S health ,CINAHL database ,CLINICAL medicine ,COGNITION ,SODIUM content of food ,GRAIN ,HUMAN growth ,MEDICAL information storage & retrieval systems ,INGESTION ,IODINE ,IRON ,EVALUATION of medical care ,MEDLINE ,ONLINE information services ,MICRONUTRIENTS ,SYSTEMATIC reviews ,EVIDENCE-based medicine ,PROFESSIONAL practice ,KEY performance indicators (Management) ,BODY movement ,DESCRIPTIVE statistics - Abstract
Background: India has a high prevalence of micronutrient deficiency-related health risks, which can be improved by food fortification. Objectives: To identify and analyze single or multiple micronutrient (MMN) food-fortification studies for their efficacy and effectiveness in India. Methods: Papers from searching 10 databases were independently screened by two researchers. Data were abstracted to summarize food fortification results on biological markers, anthropometry, clinical, morbidity, cognition, dietary intake, and physical performance. Results: Forty-seven papers, of which 25 were randomized controlled trials, were included for analysis. Children ≤ 12 y were the main population (n=38). Food vehicles were cereals (n=6), oils and salts (n=18), and other (e.g., school meals (n=23)). Improvements in ≥ 1 biological markers were reported in all 35 papers (22 MMN, 9 Iron, 4 Iodine) with interpretable results. More specifically, iron or hemoglobin improvements were noted in all papers fortifying with MMN or solely iron. Iodine nutriture was improved in all salt iodization papers. Eight of 14, 6 of 7, 2 of 6, 4 of 6, 1 of 4, and 1 of 1 papers with interpretable results showed ≥ 1 positive result of fortification in anthropometry, clinical signs, morbidity, cognition, dietary intake, and physical performance, respectively. Conclusion: Research in India suggests food fortification improves biological markers, particularly iron and hemoglobin when fortifying with MMN or iron. MMN fortification saw more health impacts than using single fortificants. Iodine status was improved through salt iodization. Existing government nutrition programs, especially those that target children, are good avenues for food fortification implementation. [ABSTRACT FROM AUTHOR]
- Published
- 2014
47. WASP (Write a Scientific Paper): Qualitative research and evidence based practice: implications and contributions.
- Author
-
Sant, Marta
- Subjects
- *
QUALITATIVE research , *TECHNICAL writing , *WASPS , *EVIDENCE - Abstract
Qualitative methodologies are commonly used in the social sciences. This paper discusses how this type of research can enhance evidence-based practice in health care settings. Examples taken from qualitative studies are included in order to demonstrate how such research can be applied to medical settings. Additionally, this paper describes some of the unique characteristics inherent in qualitative research. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
48. Re-evaluating work-based learning pedagogy
- Author
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Nottingham, Paula McIver
- Published
- 2017
- Full Text
- View/download PDF
49. Synthesising existing research on complicated grief in intellectual disability: findings from a systematic review.
- Author
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O'Riordan, D., Boland, G., Guerin, S., and Dodd, P.
- Subjects
PSYCHOLOGY information storage & retrieval systems ,CINAHL database ,PROFESSIONAL practice ,COMPLICATED grief ,SYSTEMATIC reviews ,EVIDENCE-based medicine ,PEOPLE with intellectual disabilities ,MEDLINE ,THEMATIC analysis ,BEREAVEMENT ,PSYCHOTHERAPY - Abstract
Background: Complicated grief has been identified as a phenomenon in the general population, and there is an increasing body of research investigating complicated grief in people with intellectual disability. The aim of this study is to synthesise this existing knowledge from research published between 1999 and 2022. Methods: A structured systematic review using PRISMA guidelines was conducted, which searched three commonly used databases (Medline, PsycINFO and CINAHL) for research on the topic of bereavement and intellectual disability. The articles identified in this search were screened to identify those that addressed the issue of 'complicated grief', with all abstracts and subsequent full texts reviewed by two researchers. Results: In total, 179 abstracts were initially identified, with 34 articles eligible for full text screening and 18 papers reaching criteria for inclusion. Data relating to the studies' objectives were extracted under the headings of definition, defining principles, signs and symptoms, risk factors and treatments for complicated grief in intellectual disability. Thematic analysis of the extracted data was performed to identify key themes. Conclusions: This review highlights that people with intellectual disability are likely to experience complicated grief reactions and that complicated grief is both underestimated and a clinically significant condition for people with intellectual disability. Future research should work to clarify diagnostic criteria and identify appropriate interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
50. Critical Clinical Social Work Practice: Pathways to Healing from the Molecular to the Macro.
- Author
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Jemal, Alexis
- Subjects
HOLISTIC medicine ,LEAD exposure ,WOUNDS & injuries ,PROFESSIONAL practice ,SOCIAL services ,EPIGENOMICS ,RESPONSIBILITY ,BRAIN diseases ,RACISM ,BIOLOGICAL psychiatry ,PSYCHOLOGICAL stress ,HEALTH equity ,ADVERSE childhood experiences ,DISEASE risk factors - Abstract
Interdisciplinary study in neurobiology, liberation psychology, and social work highlight the ways in which the brain is related to various cognitive, personality, and behavioral characteristics within a cultural context by blurring lines between dimensions, such as nature and nurture, person and environment, and micro and macro. This paper considers study findings that generate potential clinical social work strategies that are particularly relevant for communities of color experiencing ethno-racial trauma. The purpose of this paper is to support clinical practitioners' efforts to use holistic approaches and practices by incorporating the "bio" component of the biopsychosocial paradigm as it relates to racism. There are at least three pathways by which racism may produce neurobiological consequences that affect the biopsychosocial functioning of populations of color: (a) socio-structural/environmental, (b) stress and/or trauma, and (c) epigenetics. The Flint, Michigan water crisis—wherein the local government allowed lead to contaminate the city's drinking water causing negative health (brain and body) consequences for Flint residents, a predominantly Black and Brown community—presents an example of the intersecting pathways and autopoietic nature of racism that infects relationships, institutions and systems; causes dehumanizing affects; and produces ill effects as evidenced by racial health inequities. The issues, such as racial health inequities, that social workers struggle to resolve tend to be complex and multi-dimensional. Therefore, comprehensive practice is needed to support healthy biopsychosocial functioning. As such, this paper offers Critical Clinical Social Work Practice (CCSWP) informed by the Critical Transformative Potential Development (CTPD) framework. CTPD centers a trauma-informed and healing-centered approach to CCSWP by transforming consciousness into action to change self, relationships, and environment; ideally, working cyclically from the molecular to the macro. Given the field's enduring commitment to social justice, the biopsychosocial model, and the person-in-environment perspective, social work is in a unique position to critically consider how brain health (bio) is affected by trauma (psycho) stemming from racism (social). These multi-level (molecular to macro) considerations empower clinical social workers to innovate integrated strategies that can overcome complex challenges perpetuating racial health inequities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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