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An audit of diabetic care provided to patients conducted by a doctor-nurse team in a general practiceNavsa, Desiree Miriam 20 July 2017 (has links)
Introduction: I am a general practitioner in solo practice in Athlone. I work closely with a qualified nursing sister. Many of the patients we attend to have non-insulin dependent diabetes mellitus. Aim: To implement change in the management of our patients with diabetes by developing a protocol for future improved care. Objective: To assess the quality of care provided to patients with (NIDDM), by a doctor - nurse team in private general practice. Method : The study was quantitative and qualitative and consisted of 3 sections : 1) an internal audit based on the retrospective examination of patients' medical records, 2) a questionnaire which was administered to determine patients' knowledge of their disease and 3) a focus group interview which centred around patients' experience of the disease and feelings about the service provided. The interview was audio taped. Findings: Problem areas identified were sub-optimal record keeping; poor attendance and infrequent eye and foot examinations; patients' knowledge of their disease was limited; certain aspects of doctor-patient and patient-family relationships that may impact negatively on care; fears and anxieties relating to the disease and perceptions oflocus of control as external.
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"Great Expectations" : Communication between standardized patients and medical students in Objective Structured Clinical ExaminationsBudyn, Cynthia Lee 20 November 2007 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / In relationship-centered care, the relationship formed between physician and
patient is critical to the creation of positive patient outcomes and patient satisfaction
(Inui, 1996; Laine & Davidoff, 1996; Tresolini, 1994). Medical educators have
increasingly utilized Objective Structured Clinical Examinations (OSCEs) to assess
medical students’ abilities to utilize a relationship-centered approach in clinical
interviewing. OSCEs, however, have recently come under scrutiny as critics contend that
the overly scripted and standardized nature of the OSCE may not accurately reflect how
medical students build and maintain relationships with patients. Although some studies
have looked at how standardized patients help teach medical students interviewing skills,
few studies have looked specifically at how the structured nature of the OSCE may
influence relationship-building between standardized patients and medical students.
Therefore, this study asks the question “How is relationship-centered care negotiated
between standardized patients and medical students during a summative diagnostic
OSCE?”
Using an ethnographic methodology (Bochner & Ellis, 1996), data consists of an
ethnographic field journal, transcripts of semi-structured interviews with SPs and medical
students, and transcripts of headache and chronic cough videotaped scenarios. Using
grounded theory (Strauss & Corbin, 1990, 1998), a back-and-forth thematic analysis was
conducted in discovering the saturation of conceptual categories, linking relationships,
and in critically comparing interpretive categorical concepts with relevant literature
(Josselson & Leeblich, 1999).
Findings suggest that standardized patients and medical students hold differing
expectations for 1) diagnostic information gathering and 2) making personal connections
upon entering a diagnostic summative OSCE. SPs “open up” both verbally and
nonverbally when medical students “go beyond the checklist” by asking discrete
diagnostic questions and when overtly trying to connect emotionally. Fourth year medical
students, however, expect SPs to “open-up” during what they experience as a rushed,
time-constrained, and overly structured “gaming” exercise which contradicts their own
clinical experiences in being more improvisational during empathetic rapport building.
Differences between SPs and medical students’ expectations and communication
practices influence how they perform during summative diagnostic OSCEs. Findings may
suggest the re-introduction of more relationship-focused OSCEs which positions SPs as
proactive patients who reflexively co-teach students about the importance of making
personal connections.
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Waiting to Die: An Exploratory Qualitative Study of Older AdultsOgle, Kimberly K. 26 November 2018 (has links)
No description available.
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Determining Component Weights in a Communications Assessment Using Judgmental Policy CapturingHarvill, Leo M., Lang, F. F., McCord, Ronald S. 01 December 2004 (has links)
OBJECTIVES: Tools are needed for determining appropriate weights for complex performance assessment components in medical education. The feasibility of using judgmental policy capturing (JPC), a procedure to statistically describe the information processing strategies of experts, for this purpose was investigated. METHODS: Iterative JPC was used to determine appropriate weighting for the six core communication skill scores from a communications objective structured clinical examination (OSCE) for medical students using a panel of four communication skill experts. RESULTS: The mean regression weights from the panel indicated they placed less importance on information management (8.5%), moderate and nearly equal importance on rapport building (15.8%), agenda setting (15.4%), and addressing feelings (14.1%), and greater importance on active listening (20.1%) and reaching common ground with the patient (25.5%). DISCUSSION: JPC is an effective procedure for determining appropriate weights for complex clinical assessment components. The derived weights may be very different for those assessment components.
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"Such cases are awakenings!" Transforming clinical relationships through critical incidents in refugee carePetrov, Svyatoslav 08 April 2016 (has links)
A positive physician-patient relationship is crucial for high quality and effective health care. Yet, cultural and language differences between providers and patients often challenge the establishment of effective physician-patient relationships. These challenges are especially evident in provider-refugee-patient interactions in which patients have experienced loss, torture, and trauma. Understanding of what constitutes a positive doctor-patient relationship is fundamental to diagnosis and treatment and is crucial for the delivery of quality care for diverse patient populations, including refugees. This qualitative, phenomenological case-study focuses on physician-reported experiences caring for refugees in order to identify what experiential factors contribute to effective therapeutic relationships.
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Perspectives from Adolescents with Secondary Mitochondrial DiseaseCollier, Sarah E. 12 September 2017 (has links)
No description available.
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Communication Theory in Physician Training: Examining Medical School Communication Curriculum at American Medical UniversitiesCarroll, Melissa A. January 2017 (has links)
No description available.
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Improving the Quality of an After-Visit Summary (AVS) to Enhance Patient-Centered CareFarrell, Carrie 21 September 2018 (has links)
No description available.
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Communication and Uncertainty in Illness: The Struggle for Parents to Assign Meaning to an “Orphan” IllnessRankin, Anna M. 06 August 2010 (has links)
No description available.
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Strategies for Cross-Cultural Physician-Patient Communication: A Case of International Patients in a Cultural Competency LaboratoryZheng, Yan 26 September 2013 (has links)
No description available.
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