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Learning from Clients/Patients to Advance Education and Scholarship
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 2, 2022
Jennie C. De Gagne, Katrina Green, Margaret H. Sturdivant
Many health systems and advocacy groups have adapted the use of portals to give the patient and community a reliable access point to needed information. Patient portals often contain libraries of patient education materials that include written materials designed according to best practices of health literacy (e.g., complex terms are defined, icons or images are used to promote the content, and statements are action-oriented and patient-centered). Organizations can ensure that materials are based on current evidence to help control misinformation of medical topics. Short videos focusing on one or two key messages are especially effective for patients with low literacy. Many patient education libraries include images, symptom checkers and other patient-friendly resources. These materials are often available on a smartphone app for the patient portal. This is one approach for health systems to provide organizational health literacy for patients, although building awareness of these resources continues to be a challenge.
Establishing a pulmonary rehabilitation programme
Published in Claudio F. Donner, Nicolino Ambrosino, Roger S. Goldstein, Pulmonary Rehabilitation, 2020
Michael D.L. Morgan, Sally J. Singh
The referral process into rehabilitation services is a critical intervention by healthcare providers to support participants to engage with the programme. On a day-to-day basis this is out of the control of the rehabilitation providers, but there are certain approaches that should or could be considered to facilitate the process. Education of the referring workforce on the value of rehabilitation is vital, ideally with a visit to a rehabilitation centre. Other areas to consider might include the development of reliable patient information, which can either be handed out at the time of the referral or readily available on a patient-facing website. Information about rehabilitation may be available on a national scale provided by health service providers, charitable organizations or advocacy groups. It is of course important that this information is developed in collaboration with services, graduates and potential service users to facilitate and optimize uptake. Many healthcare organizations will provide a service whereby patient-facing information is checked for appropriateness in terms of content and against anticipated levels of health literacy.
Medical Missions for Children: A global telemedicine and teaching network
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
Philip O. Ozuah, Marina Reznik
The Global Video Library of Medicine (GVLM) provides health care workers around the world with free access to an archive of more 25 000 hours of medical video. GVLM is the digital repository of thousands of video-based medical lectures, news programmes, symposia and training sessions, all of which are available to health care providers throughout the world. It provides a reliable source of clinical and medical research content via the public Internet.18 It is available to health care professionals as well as the general public. Its Video-on-Demand capability allows researchers to search for and retrieve medical content. GVLM also serves as the content source for MBC.
Understanding information (in)equity: influencing factors and medical information’s role in bridging the gap
Published in Current Medical Research and Opinion, 2023
Patrick McCurry, Alicia Alexander Cadogan, Gudrun Hubinger, Sarah Paramour, Shu Tan, Viviane Minhoto Arid de Lima, Roopa Menon, Dominick Albano
Several studies have demonstrated that patients with low health literacy have worse medication adherence and health outcomes29,30. Patient experiences, challenges, and informational needs at each stage of their disease journey should be considered when creating patient content, especially for the needs of patients with low health literacy. Beyond answering patients’ medication-related questions, Medical Information can provide basic knowledge of appropriate medication use or disease state information for patients to learn and improve their capabilities to participate in their own treatment decision-making. Convenient and practical tools or approaches are very helpful for patients, such as tools for self-assessment or monitoring, clinical significance of routine physiological indicators and laboratory tests, and the ways to effectively communicate with doctors - all of these enable patients to pay attention to the changes of their conditions and actively participate in their treatment30.
Content analysis of nurses’ reflections on medication errors in a regional hospital
Published in Contemporary Nurse, 2023
Anton Isaacs, Anita Raymond, Bethany Kent
This study adopted a qualitative content analysis design. Content analysis is widely used in health studies and frequently in nursing research. In this method, data presented in the form of short textual responses are analysed and interpreted in order to identify meaning and facilitate understanding (Chambers & Chiang, 2012). The Human Factors Framework describing contributing factors to adverse events in health care (Henriksen et al., 2008) was used as the framework for this study. See Figure 1. Tiers 1 and 2 of this framework relate to active errors, which occur at the sharp end of the line of function involving nurses as the last line of defence. Tiers 3–5 (latent conditions) relate to organisational systems (working environment) that are not obvious in the health care delivery system. They occur more upstream of the line of function far removed from the site of the error. Active errors include Individual characteristics and Nature of the work. Whilst, Individual characteristics include factors such as knowledge, skills, alertness, fatigue, experience, motivation, etc., Nature of the work refers to treatment complexity, workflow, competing tasks, interruptions, etc.
Safety netting advice for respiratory tract infections in out-of-hours primary care: A qualitative analysis of consultation videos
Published in European Journal of General Practice, 2022
Annelies Colliers, Hilde Philips, Katrien Bombeke, Roy Remmen, Samuel Coenen, Sibyl Anthierens
Training and tools for delivering safety netting advice are limited [20]. Results of this study offer leads for education of GPs’ and medical students’ communication training. We suggest training the essential competencies related to safety netting advice, such as discussing alarm symptoms; how, where and when to seek help, the expected natural duration of an RTI and follow-up consultation when there are concerns. And for each item to make the content very specific, tailored to the patients’ needs. Safety netting included in a booklet to decrease antibiotic prescribing has been shown to increase GPs’ self-efficacy, address the patients’ concerns and educate them on knowing what to do if the infection deteriorates [22]. Training should also include specific knowledge on prognosis, alarm symptoms, spontaneous evolution of diseases, health care services and referral landscape (during OOH care). Extra diagnostic tools might support them as well to make more evidence-based decisions. We also suggest training them in how to communicate uncertainty in a patient-centred way, sufficiently informative but without inducing anxiety. GPs mostly use safety netting advice when they feel there is a risk of deterioration, but it also serves to address the patient’s concerns and to educate and empower the patient, which might influence future health-seeking behaviour. The effect of this training could be studied on the level of patient’s satisfaction, experience, knowledge, reattendance and the level of antibiotic prescribing quality and safety.