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Patient Education

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141. Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients. (PubMed)

Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients. Children with tracheostomies are medically complex and may be discharged with limited and variably trained home nursing support. When faced with emergencies at home, caregivers must often take the lead role in management, and many lack experience with troubleshooting these emergencies prior to initial discharge.A high-fidelity simulation-based tracheostomy education program was designed (...) using a programmable mannequin (Gaumard HAL S3004 one-year-old pediatric simulator). At the conclusion of our standard education program, caregivers completed three simulation scenarios: desaturation, mucus plugging, and dislodgement. A trained simulation facilitator graded performance. A self-assessment tool was used to analyze comfort with emergency management at the beginning of training, before and after simulation. Caregivers rated confidence using a 10 cm visual analog scale. All participants

2019 International Journal of Pediatric Otorhinolaryngology

142. Potential Effect of Vouchers on the Completion of Self-management Education Among Patients With Diabetes. (PubMed)

Potential Effect of Vouchers on the Completion of Self-management Education Among Patients With Diabetes. Diabetes is a significant public health problem in eastern North Carolina, and completion of formal diabetes self-management education (DSME) is low. To seek methods to increase DSME completion, patients with diabetes in an eastern North Carolina regional health care system who had not completed DSME (n = 58) were surveyed during wellness visits to examine attitudes toward the use

2019 Journal of Public Health Management and Practice

143. GLA:D<sup>®</sup> Back: implementation of group-based patient education integrated with exercises to support self-management of back pain - protocol for a hybrid effectiveness-implementation study. (PubMed)

GLA:D® Back: implementation of group-based patient education integrated with exercises to support self-management of back pain - protocol for a hybrid effectiveness-implementation study. Reassuring patient education and exercise therapy are widely recommended interventions for back pain in clinical guidelines. However, many patients are offered non-guideline endorsed options, and strategies for effective implementation of guideline-based care have not yet been developed (...) . This protocol outlines the evaluation of a strategy for nationwide implementation of standardised patient education and exercise therapy for people with persistent or recurrent back pain in a hybrid implementation-effectiveness design. The strategy and the evaluation were planned using the framework of the Behaviour Change Wheel.The main activity of the implementation strategy is a two-days course for physiotherapists and chiropractors in delivering patient education and exercise therapy that is aimed

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2019 BMC Musculoskeletal Disorders

144. Using information and communication technologies to involve patients and the public in health education in rural and remote areas: a scoping review. (PubMed)

Using information and communication technologies to involve patients and the public in health education in rural and remote areas: a scoping review. Patient and public involvement (PPI) in health education is a practice whereby research and education are carried in collaboration 'with' patients and/or citizens, maintaining their role as a team member or expert. PPI in health education is of great interest for all stakeholders in the field, as it can make program development more relevant (...) , electronic health records, and weblogs. No study measured the effectiveness of ICT for involving patients in health education in rural and remote areas.Telephone and Internet were the most frequently used forms of PPI in health education in rural areas with consultation and collaboration as the main levels of PPI there. No study measured the impact of ICT for PPI in health education in rural areas. Due to this, measuring the impact of ICT in rural and remote areas as a means for PPI in health education

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2019 BMC health services research

145. The Medical Profession, Industry and Continuing Medical Education: Finding the Balance That's Right for Patients. (PubMed)

The Medical Profession, Industry and Continuing Medical Education: Finding the Balance That's Right for Patients. Provision and participation in formal external continuing medical education (CME) is costly. Employer or state support of CME is the exception rather than the rule. The medical industry has supported both providers and consumers of educational activities, leading to concerns of commercial bias. Recent medical industry initiatives in Europe to improve the transparency (...) of the relationship between industry and the profession, including the field of medical education, have had the paradoxical effect of the industry playing an increasingly direct role in the provision of physician education. Funding of medical professional society annual congresses has been directly and indirectly jeopardised. Acknowledging that there are areas of co-operation in the field of education between the medical profession and the medical industry from which both can benefit, we argue that medical

2019 American Journal of Medicine

146. The Impact of a Web-Based Course Concerning Patient Education for Mental Health Care Professionals: Quasi-Experimental Study. (PubMed)

The Impact of a Web-Based Course Concerning Patient Education for Mental Health Care Professionals: Quasi-Experimental Study. Continuing education has an important role in supporting the competence of health care professionals. Although Web-based education is a growing business in various health sectors, few studies have been conducted in psychiatric settings to show its suitability in demanding work environments.We aimed to describe the impact of a Web-based educational course to increase self (...) with patients. The tight schedule of the Web-based course and challenges in recruiting patients to use the patient education program with health care professionals were found to be the disadvantages.Web-based education might be a useful tool to improve the self-efficacy of health care professionals even in demanding work environments such as psychiatric hospitals. However, more studies with robust and sufficiently powered data are still needed.©Anna Laine, Maritta Välimäki, Eliisa Löyttyniemi, Virve

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2019 Journal of medical Internet research

147. Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study. (PubMed)

Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study. Removing an indwelling urinary catheter as soon as possible is the cornerstone of catheter-associated urinary tract infections (CAUTI) prevention. However, implementing this measure may be challenging in clinical settings. To evaluate the impact (...) of implementing a healthcare workers (HCWs) educational program and a daily checklist for indwelling urinary catheter indications among critical patients on the incidence of CAUTI.This was a quasi-experimental study performed in a general intensive care unit of a tertiary-care hospital over a 12 years period, from January 1, 2005 to December 31, 2016. Rates of urinary catheter use and incidence density of CAUTI were monthly evaluated following the Centers for Disease Control and Prevention (CDC) criteria

2019 Medicine

148. Patient and partner as educators and researchers

Patient and partner as educators and researchers Patient and partner as educators and researchers - The BMJ ---> When David was diagnosed with prostate cancer and later staged, we did as academics would do for any other study — we researched prostate cancer and its treatments as if it were an academic exercise. This had several effects. Firstly there was an element of externalization of the problem, hence some measure of objectification, coupled with an undoubtable degree of denial (...) — if the disease is “out there” then it cannot be simultaneously inside David. Secondly, and more importantly, it educated us very rapidly about the disease and enabled us to make what we felt was an informed choice of treatment, having weighed up what was important to us, and estimating with which side effects and which lasting effects we could envisage living. Oddly enough, it did not occur to either of us to look at the NICE Guidelines for Prostate Cancer , where we would have found out about patient

2018 The BMJ Blog

149. Putting patient centred care at the core of medical education

Putting patient centred care at the core of medical education Putting patient centred care at the core of medical education - The BMJ ---> Remember when you first heard that you had got into medical school? That great feeling of the dream coming true? How the happiness coincided with the sudden realization you would be given the responsibility to help the people who needed you? What happened to that dream once you started going to lectures with hundreds of other students? Perhaps the initial (...) -centered healthcare [1]. The Radboudumc in the Netherlands is one such example. For three years now the Radboudumc has carried out a patient included curriculum, with patients and students as co-designers and actively participating partners. We hope that we can align medical education with the current demands of medical practice, but can we also change practice by educating a new generation of practitioners? By humanizing medical education, we want to contribute to the transformation towards more

2018 The BMJ Blog

150. Better cardiac care: health professional's perspectives of the barriers and enablers of health communication and education with patients of Aboriginal and Torres Strait Islander descent. (PubMed)

Better cardiac care: health professional's perspectives of the barriers and enablers of health communication and education with patients of Aboriginal and Torres Strait Islander descent. A body of knowledge continues to grow regarding Aboriginal perspectives on current challenges and barriers to health literacy and access to health services. However, less is known from the perspectives of health professionals who work in cardiac care. Given their role in delivering patient education, health (...) practitioners could provide useful insights into potential solutions to improve patient-practitioner communication. The primary aim was to explore perspectives of health professionals who work in coronary care units regarding the enablers, barriers and potential solutions for patient-practitioner communication with patients of Aboriginal and Torres Strait Islanders descent. The secondary aim was to evaluate the acceptability and value of two videos developed with key stakeholders to provide culturally

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2019 BMC health services research

151. The Swiss Cheese Conference: Integrating and Aligning Quality Improvement Education With Hospital Patient Safety Initiatives. (PubMed)

The Swiss Cheese Conference: Integrating and Aligning Quality Improvement Education With Hospital Patient Safety Initiatives. The Accreditation Council for Graduate Medical Education requires integration of quality improvement and patient safety education into graduate medical education (GME). The authors created a novel "Swiss Cheese Conference" to bridge the gap between GME and hospital patient safety initiatives. Residents investigate a specific patient safety event and lead a monthly (...) patient safety initiatives. The Swiss Cheese Conference is a successful multidisciplinary model that engages GME trainees by integrating resident-led, case-based quality improvement education with creation of patient safety initiatives.

2019 American Journal of Medical Quality

152. Education Research: Electronic patient portal enrollment and no-show rates within a neurology resident clinic. (PubMed)

Education Research: Electronic patient portal enrollment and no-show rates within a neurology resident clinic. To identify factors that affect appointment adherence and investigate the association of electronic patient portal (ePP) enrollment and patient adherence rates to appointments in the Neurology Resident Clinic (NRC).Patients scheduled for an appointment during the months of October 2015, February 2016, and June 2016 in the NRC were included. ePP enrollment, date of clinic appointment (...) , method of referral to the clinic, and key demographic criteria were collected. χ2 tests were performed to assess the association of appointment status (i.e., no-show, showed, and canceled) with demographic, comorbidity, and visit information.Patients with ePP enrollment had significantly lower rates of no-show (19% vs 27%) and higher rates of showed (59% vs 48%) compared to patients without ePP enrollment. Younger patients (18-49) had the highest rates of no-show (28%), while older patients (65+) had

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2019 Neurology

153. Reading Level of Online Patient Education Materials From Major Obstetrics and Gynecology Societies. (PubMed)

Reading Level of Online Patient Education Materials From Major Obstetrics and Gynecology Societies. To assess whether the readability of online patient education materials provided by eight nationally recognized obstetrics and gynecology societies is in accordance with the recommended 6th-grade reading level outlined by the American Medical Association, National Institute of Health, and United States Department of Health and Human Services.An analysis of 410 online patient education materials (...) Measure of Gobbledygook readability scales were calculated. These scales are used to assess print and web-based written material across a wide range of medical specialties and are endorsed by the National Institutes of Health. All four scales are computer-based assessments of readability that consider word count, number of syllables, and length of sentences when calculating a score that corresponds to grade level.Majority of the patient education materials across all eight obstetrics and gynecology

2019 Obstetrics and Gynecology

154. Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. (PubMed)

Impacts of self-care education on adverse events and mental health related quality of life in breast cancer patients under chemotherapy. As a consequence of its high incidence, breast cancer has become a severe health risk in women. Chemotherapy is one of the main treatments for breast cancer, but causes a decline in life quality of patients. Self-care is a non-medical intervention and has been reported to improve the life quality of colorectal cancer patients. We aim to explore whether self (...) -care is also effective in breast cancer.85 breast cancer patients under chemotherapy participated in this research, among whom 44 patients received the self-care education. The physical and mental conditions of patients before and after chemotherapy were evaluated by Anxiety Inventory, Rotterdam Symptom checklists and QLQ-C30.The result showed that the occurrence rates of symptoms were significantly reduced after self-care measures. Anxiety Inventory and Rotterdam Symptom checklists indicated

2019 Complementary Therapies In Medicine

155. Review of the quality of printed patient education materials on asthma available in primary care in Singapore. (PubMed)

Review of the quality of printed patient education materials on asthma available in primary care in Singapore. Patient education materials (PEMs) are commonly used for patient education. This study assessed readability, format quality, accuracy, understandability and actionability of printed asthma PEMs available in primary care in Singapore.Primary care in Singapore is provided by island-wide polyclinics and private general practices. We invited the three polyclinic healthcare groups (...) and private general practices via the Primary Care Research Network to submit asthma-related PEMs. Readability was assessed using Simple Measure of Gobbledegook (SMOG) and Flesch-Kincaid (FK) score. Format quality was assessed using "Clear-print and large-print golden rules" from UK Association for Accessible Formats (UKAAF). Understandability and actionability were evaluated using Patient Education Materials Assessment Tool - Printed. Three pulmonologists assessed content accuracy.Thirty leaflets were

2019 Journal of Asthma

156. Digital Patient Education and Decision Aids. (PubMed)

Digital Patient Education and Decision Aids. New technologies can do more than just digitize health information; they can support multimedia platforms for patient education and health decision support. Technology can simplify the way health decisions are made by offering quick access to a vast amount of information that can be tailored to specific populations. Digital tools can increase knowledge and assist consumers in comparing health care alternatives. They are well received by patients

2019 Rheumatic Diseases Clinics of North America

157. Association of sex, age and education level with patient reported outcomes in atrial fibrillation. (PubMed)

Association of sex, age and education level with patient reported outcomes in atrial fibrillation. In atrial fibrillation (AF), there are known sex and sociodemographic disparities in clinical outcomes such as stroke. We investigate whether disparities also exist with respect to patient-reported outcomes. We explored the association of sex, age, and education level with patient-reported outcomes (AF-related quality of life, symptom severity, and emotional and functional status).The PaTH AF (...) , younger adults, and individuals with lower levels of education reported comparatively poor patient-reported outcomes. These findings highlight the importance of understanding why individuals experience AF differently based on certain characteristics.

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2019 BMC Cardiovascular Disorders

158. Patients' and Care Providers' Perceptions of Television-Based Education in the Intensive Care Unit. (PubMed)

Patients' and Care Providers' Perceptions of Television-Based Education in the Intensive Care Unit. Delivery of patient education materials to promote health literacy is a vital component of patient-centered care, which improves patients' decision-making, reduces patients' anxiety, and improves clinical outcomes.To evaluate perceptions of television-based patient education among patients, caregivers, nurses, and other care providers (attending physicians, advanced practice nurses, physician (...) assistants, and resident fellows) in the intensive care unit.A Likert-scale survey of the perceptions of patients, caregivers, nurses, and other care providers in the medical and cardiovascular intensive care units of a large academic medical center. Perceptions of the effects of television-based education on anxiety, knowledge, and health-related decision-making were assessed.A total of 188 participants completed the survey. Among them, 75% of nurses and 76% of other providers agreed or strongly agreed

2019 American Journal of Critical Care

159. Patient Recall of Education about the Risks of Alcohol Use Following Bariatric Surgery. (PubMed)

Patient Recall of Education about the Risks of Alcohol Use Following Bariatric Surgery. Patients who undergo bariatric surgery are at increased risk of developing alcohol problems. The purpose of this study was to evaluate whether patients who underwent bariatric surgery recalled receiving education about alcohol prior to having surgery and to investigate their alcohol use patterns. Patients (N = 567) who underwent bariatric surgery completed a survey regarding their knowledge of risks related (...) to post-surgical alcohol use. Although most patients recalled receiving education about abstinence from alcohol after surgery, at least one-third of patients do not appear to understand the risks involved with alcohol consumption, suggesting that patients did not retain the information. Despite recalling receiving education, many patients still consumed alcohol after surgery. It appears that additional interventions are needed to decrease alcohol use after bariatric surgery.

2019 Obesity Surgery

160. Education and insurance status: Impact on treatment and survival of sinonasal cancer patients. (PubMed)

Education and insurance status: Impact on treatment and survival of sinonasal cancer patients. To understand the impact of education and insurance as social determinants of health on sinonasal cancer treatment and outcomes.Retrospective cohort study using the Surveillance, Epidemiology, and End Results (SEER) database.Demographics, tumor characteristics, location, stage at diagnosis, treatment, and survival data for 1,365 patients diagnosed with sinonasal cancers were extracted from the SEER (...) database. All statistical analyses were performed using SAS 9.5. The Fine and Grey method was used to assess covariate impacts.Medicaid patients were more likely to live in counties with lower educational levels (8.32% vs. 6.46% below ninth grade education, P < .0001) and lower median household incomes ($56,316 vs. $60,284, P = .0004). Medicaid patients presented with later (T3-T4) stage disease compared to other insurances (P = .0007) and larger tumor size (P = .011). Medicaid patients were less

2019 Laryngoscope

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