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Insight and Judgement

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21. How the stigma of low literacy can impair patient-professional spoken interactions and affect health: insights from a qualitative investigation. (PubMed)

How the stigma of low literacy can impair patient-professional spoken interactions and affect health: insights from a qualitative investigation. Low literacy is a significant problem across the developed world. A considerable body of research has reported associations between low literacy and less appropriate access to healthcare services, lower likelihood of self-managing health conditions well, and poorer health outcomes. There is a need to explore the previously neglected perspectives (...) requirements of service use and health professionals need to offer non-judgemental (universal) literacy-sensitive support to promote positive healthcare experiences and outcomes.

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2013 BMC Health Services Research

22. Children's perception of frontal smile aesthetics and its influence on social judgement: a systematic review

Children's perception of frontal smile aesthetics and its influence on social judgement: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation (...) -Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing

2015 PROSPERO

23. Cerebral palsy in adults

Cerebral palsy in adults Cerebr Cerebral palsy in adults al palsy in adults NICE guideline Published: 15 January 2019 nice.org.uk/guidance/ng119 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

24. Enzalutamide for hormone-relapsed non-metastatic prostate cancer

the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance are at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate (...) The committee discussed whether the relative effectiveness of enzalutamide at later points in the treatment pathway could provide insight into its survival benefit in the hormone-relapsed non-metastatic setting. In this setting (see section 3.8), the hazard ratio for overall survival was 0.83 (95% CI 0.65 to 1.06). This compared with hazard ratios later in the treatment pathway (that is, for hormone-relapsed metastatic disease) of 0.76 (95% CI 0.66 to 0.88) in the pre- chemotherapy setting and 0.62 (95% CI

2019 National Institute for Health and Clinical Excellence - Technology Appraisals

25. Physical activity and the environment

their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Local commissioners and providers of healthcare have (...) or facilitators to physical activity among these groups, and they agreed with it. Likewise, the reviews did not provide any insight into identifying and addressing the needs of different groups, but expert testimony identified the importance of engaging with communities [Expert papers 1, 2, 6 and 9]. This is consistent with existing NICE guidance on community engagement. Benefits and harms of str Benefits and harms of strategies, policies and plans to increase ph ategies, policies and plans to increase

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

26. Decision-making and mental capacity

their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Local commissioners and providers of healthcare have (...) the specific decision in question, and for the period of time necessary to make the decision. 1.4.24 Practitioners should be aware that a person may have decision-making capacity even if they are described as lacking 'insight' into their condition. Capacity and insight are 2 distinct concepts. If a practitioner believes a person's insight/lack of insight is relevant to their assessment of the person's capacity, they must clearly record what they mean by insight/lack of insight in this context and how

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

27. British guideline on the management of asthma

are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline recommendations will not ensure a successful outcome in every case, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgement must be made by the appropriate healthcare professional(s) responsible (...) for clinical decisions regarding a particular clinical procedure or treatment plan. This judgement should only be arrived at through a process of shared decision making with the patient, covering the diagnostic and treatment choices available. It is advised, however, that significant departures from the national guideline or any local guidelines derived from it should be fully documented in the patient’s medical records at the time the relevant decision is taken. 1.3.1 Influence of financial and other

2019 SIGN

29. Evidence Brief - Barriers and Facilitators to Use of Medications for Opioid Use Disorder

) Facilitator Sub-categories (n) Stigma (5) 32,36,38,43,47 Social stigma (4) Example - Fear of judgement from others if they knew patient was an addict, not wanting to be seen at treatment center Positive social support from peers and family (3) Self or internalized stigma (1) Example – Patients’ feelings about themselves as they try to access treatment, including the experience of shame related to having OUD and needing treatment Stigma specific to buprenorphine use (3) Example - Buprenorphine as a “crutch

2019 Veterans Affairs Evidence-based Synthesis Program Reports

31. Responding Together

and practice with plans. Evaluation and learning play a key role here, as educators can gain insight from past experiences and from other informants to better plan for and respond to critical incidents in the future. One of the most important roles educators play in an incident is to provide support, rather than education, to children and young people and their families. In a school setting, getting back to usual school life may be an important factor in supporting students’ mental health and wellbeing

2019 Sax Institute Evidence Check

32. Social prescribing: applying All Our Health

by directing people to more appropriate services and groups – an evidence summary published by the University of Westminster suggests that where an individual has support through social prescribing, their consider how people’s social and emotional needs are affecting their health, for example, their relationships, social networks, and support in their neighbourhood read to help you have non-judgemental conversations tailored to individual patients read and investigate whether your local area has a social (...) link social prescribing and to support staff to see the range of opportunities to support improvements in health and wellbeing Understanding local needs A good understanding of local needs in relation to community life is best collected locally by: speaking to communities listening to patients and carers conducting local research to gain insight Local needs include, but are not limited to, social isolation, neighbourhood belonging, housing, debt and unemployment, and people’s emotional wellbeing

2019 Public Health England

33. Management of Dyslipidaemias

. The relative strengths of risk factors vary with age and SCORE overestimates risk in older people (that is, those aged >65 years). These Guidelines include illustrative charts for older people (see Figures and ). While older people benefit from smoking cessation, and control of hypertension and hyperlipidaemia (see section 9.3 ), clinical judgement is required to avoid side effects from overmedication. The additional impact of HDL-C on risk estimation is illustrated in and 4 ; HDL-C can be used to increase

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2019 European Society of Cardiology

34. Improving outdoor air quality and health: review of interventions

, Health Improvement Directorate, Behavioural Science and Insights teams and Emergency Response Department, and other colleagues at PHE ? members of our Steering Group and 5 expert Advisory Groups (Annexe A9) ? stakeholders who participated in Delphi web-surveys ? peer reviewers ? the contractors who carried out the rapid evidence assessments Review of interventions to improve outdoor air quality and public health 7 Executive summary Public Health England (PHE) was commissioned by the Department

2019 Public Health England

35. Brentuximab vedotin for treating CD30-positive Hodgkin lymphoma

the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance are at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate

2018 National Institute for Health and Clinical Excellence - Technology Appraisals

36. Public health service provision by community pharmacies: a systematic map of evidence

mapping research evidence, it is not possible to make judgements about the quality or relevance of the included studies. Therefore, future systematic reviews that focus on particular health conditions and interventions provided in the community pharmacy are needed so as to provide greater insight into the quality and relevance of studies and help to identify future areas for primary research. Whilst this systematic map presents which interventions have been studied, it is not necessarily (...) such as chlamydia testing, influenza vaccinations through Healthy Living Pharmacies (PHE 2014b, 2013) are included. Local government commissioners need to know which public health services are effective and cost- effective to provide through community pharmacy (PHE 2013). Knowledge about service implementation is also valuable. A number of research reviews have examined different aspects of community pharmacy public health service provision, and two in particular provide insights into the extent and nature

2019 EPPI Centre

37. Risk Factors for Endometrial Cancer - A review of the evidence

conducted systematic reviews of epidemiological evidence, supported by experimental evidence from human and animal studies. It also considers plausible biological mechanisms and dose–response relationships in making judgements about causality. An expert panel judges and classifies the evidence as convincing, probable, limited or unlikely to affect cancer risk. Details of the judgement process and criteria can be found at https://www.wcrf.org/dietandcancer/judging–evidence. The grading criteria

2019 Cancer Australia

38. What helps to support people affected by Adverse Childhood Experiences? A Review of Evidence

for support from trusted adults was highlighted. Effective and valued service providers were described as displaying empathy, being non-judgemental, and being active listeners. Practical support: Forms of practical support included: information to help people understand and address their problems; help to manage everyday challenges such as engaging with the school or benefits system; and respite from the challenges faced. How should services for people exposed to ACEs be delivered? Widespread scepticism (...) bereavement: insights from an ethnographic study of a UK childhood bereavement service. 4 Chouliara et al. Talking therapy services for adult survivors of childhood sexual abuse (CSA) in Scotland: Perspectives of service

2019 EPPI Centre

39. Qualitative evidence on barriers to and facilitators of women’s participation in higher or growing productivity and male-dominated labour market sectors in low- and middle-income countries

. Although the studies are situated in 18 countries, they are focused on women in particular communities engaging in particular sectors without the intention of being representative. Thus, they provide important insights into facilitators and barriers to women’s economic empowerment that women in primarily poor, rural areas experience. However, this research does not allow us to compare the efficacy of facilitators or the relative difficulty of barriers either for the women in this study or women

2019 EPPI Centre

40. Management of stable angina

as a standard of care. Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline recommendations will not ensure a successful outcome in every case, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgement must be made by the appropriate (...) healthcare professional(s) responsible for clinical decisions regarding a particular clinical procedure or treatment plan. The ultimate judgement must be made by the appropriate healthcare professional(s) responsible for clinical decisions regarding a particular clinical procedure or treatment plan. This judgement should only be arrived at through a process of shared decision making with the patient, covering the diagnostic and treatment choices available. It is advised, however, that significant

2018 SIGN

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