China
Africa
Explore chapters and articles related to this topic
Community Retail Pharmacies
Published in Rupa S. Valdez, Richard J. Holden, The Patient Factor, 2021
Michelle A. Chui, Ashley Morris, David Mott
From the patient ergonomics perspective, training can help pharmacists understand the patient perspective and what patients can be expected to know, which may alleviate the prevalence of the false-consensus and overconfidence effect during pharmacy encounters. Training has shown to be effective at reducing unconscious bias between healthcare professionals and patients. Training modules may include education about bias, the false-consensus effect, the overconfidence effect, and cultural competency. Training-based workshops for pharmacists may include the development of skills such as looking for common identities and counter-stereotypical information as well as practicing patient–pharmacist encounters as a “patient” to learn the perspective of certain groups (e.g. high school level education, no clinical training) (Stone & Moskowitz, 2011).
Reflective practice and professional identity
Published in Roger Ellis, Elaine Hogard, Professional Identity in the Caring Professions, 2020
Stuart Lane, Christopher Roberts
Second, in some cases where the leaner is at a level of being ‘consciously competent’, they become ‘unconsciously incompetent’ as further learning is attempted. This is related to the previously mentioned intellectual humility and aligns with overconfidence as somebody acquires a new skill. Reflective competence should not be considered a fifth stage that occurs once a leaner has attained ‘unconscious competence’, but rather a background quality that is always present.
The Harm of Ableism
Published in Fritz Allhoff, Sandra L. Borden, Ethics and Error in Medicine, 2019
Joel Michael Reynolds, David Peña-Guzmán
The problem is that doctors often internalize this epistemic privilege riding on the back of their expert status to such a degree that it can mutate into epistemic overconfidence. This term refers to an excess of self-assurance about what one knows and how far their knowledge extends. Epistemic overconfidence impedes the ability of doctors to exercise the kinds of epistemic self-monitoring we expect of them and that is expected of them by their own profession. It can lead to medical error by making experts less likely to question first intuitions, to request further diagnostic tests, to entertain alternative hypotheses, to consider referring patients to other specialists, to get a second opinion, to reflect more critically about social conditions and determinates of health, and so on—all of which can culminate in a misdiagnosis and can serve to undermine trust with a patient. In short, it produces in experts an active ignorance that blocks them from recognizing the limits of their own knowledge and its impact on care.
A comparative study evaluating insight in different phase of illness among patients with bipolar disorder by using multiple scales
Published in Nordic Journal of Psychiatry, 2021
Shinjini Choudhury, Ajit Avasthi, Subho Chakrabarti, Sandeep Grover
It is a 15 item self-report questionnaire developed by Beck et al. [42]. It evaluates patients’ self-reflectiveness and overconfidence in how they interpret their experiences. This 15-item questionnaire has two subscales, that is self-reflectiveness subscale (9 items) which assesses a person’s objectivity, feedback and openness to feedback and the self-certainty subscale (6 items) which taps certainty about being right and resistance to correction. A composite index is calculated by subtracting the score for self-certainty scale from that of the self-reflectiveness scale and it reflects cognitive insight. In contrast to other insight scales BCIS helps in assessing the patient’s capacity to evaluate his or her unusual experiences. The coefficient α is 0.68 and 0.6 for the self-reflectiveness subscale and self-certainty subscale respectively [42].
Determining the Need for Client 24-Hour Supervision: A Cross-Sectional Survey of Occupational Therapists
Published in Occupational Therapy In Health Care, 2021
Kendra Flemming, Richard Ferri, Mathew A. Rose, Avelino (Jun) Maranan, Emily Nalder
Given the complex factors that may shape supervision needs, it is important to also consider confidence in determining a need for 24-hour supervision. Professional confidence has been commonly described in the literature as underpinning competency and is inextricably linked to professional identity (Bandura, 1982; Björklund & Svensson, 2006; Holland et al., 2012). Professional confidence is reflected in a strong belief in one’s own abilities (Hecimovich & Volet, 2009; Holland et al., 2012), an ability to act independently (Payne et al., 2005) and an internalization of values, knowledge and skills of the profession (Crooks et al., 2005). Overconfidence has been reported to precipitate errors, leading to harmful patient outcomes with potential malpractice consequences (Hecimovich & Volet, 2009). Conversely, lack of confidence has been linked with a lack of trust in one’s clinical reasoning limiting the ability to make decisions (Hecimovich & Volet, 2009). To our knowledge no studies have examined occupational therapists’ confidence in assessing the need for 24-hour supervision.
WHO’s sustainable development goals and physiotherapy in 2018: editorial
Published in European Journal of Physiotherapy, 2018
We all know that physiotherapy is a significant profession regarding sustainable health. We have the knowledge and skills to support patients’ management of many medical conditions. We have also increasing knowledge and skills to support patients’ behaviour change regarding lifestyle-related conditions that are often complicating a medical condition. The overconfidence in information and education being the only aspects for managing patients' lifestyle related health problems is past and gone. Information and education are needed but the majority of our patients also need other type of support from us. Physiotherapists need to engage themselves and their patients in Action Planning for the change to happen. The Action Plan must include physical activity of course but also what the patients should do with their counterproductive thoughts and feelings regarding physical activity specifically and daily activities generally.