Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 6 Articles
Introduction. A ââ?¬Å?virtual patientââ?¬Â is defined as a computer program which simulates real patientsââ?¬â?¢ cases. The aim of this study was\nto determine whether the inclusion of virtual patients affects the level of factual knowledge of family medicine students at the\nundergraduate level. Methods.This was a case-controlled prospective study.The students were randomly divided into experimental\n(EG: ...
In this editorial essay I explore the possibilities of ââ?¬Ë?improvement scholarshipââ?¬â?¢\nin order to set the scene for the theme of, and the other papers in, this issue. I\ncontrast a narrow conception of quality improvement (QI) research with a much\nbroader and more inclusive conception, arguing that we should greatly extend the\nexisting dialogue between ââ?¬Ë?problem-solvingââ?¬â?¢ and ââ?¬Ë?criticalââ?¬â?¢ currents in improvement\nresearch. I have in mind the potential for building a much larger conversation\nbetween those people in ââ?¬Ë?improvement scienceââ?¬â?¢ who are expressly concerned with\ntackling the problems facing healthcare and the wider group of colleagues who are\nengaged in health-related scholarship but who do not see themselves as particularly\ninterested in quality improvement, indeed who may be critical of the language or\nconcerns of QI. As one contribution to that conversation I suggest that that the\nincreasing emphasis on theory and rigour in improvement research should include\nmore focus on normative theory and rigour. The remaining papers in the issue are\nintroduced including the various ways in which they handle the ââ?¬Ë?implicit normativityââ?¬â?¢\nof QI research and practice, and the linked theme of combining relatively\nââ?¬Ë?tidyââ?¬â?¢ and potentially ââ?¬Ë?unrulyââ?¬â?¢ forms of knowledge....
Palliative care in the sub-Saharan Africa (SSA) region despite some progress\nmade since the first hospice was opened in Zimbabwe in 1979, still lags far behind\nthat of countries with developed economies, and relatively suffers from\nnot being wholly included into mainstream public health service delivery in\nSSA. The situation is made worse due to relatively poor and pervasive sociopolitico-\neconomic factors and the challenge of the changing and increasing\nnon-communicable disease epidemiology in SSA countries. This situation results\nin a tension between scarce resources and service needs/provision which\nprevails in a good number of SSA countries. In large part the situation where\npalliative care, end of life and the death trajectory converge in SSA countries\ncurrently portrays one of scarcity of resources and suffering for those ill SSA\npatients who need the services. This article is an overview of the current situation\nas pertains to palliative care services in the SSA region and some of the\nfactors that contribute to or perpetuate the current state of palliative care delivery\nin SSA countries....
Clinical case teaching method, refers to the use of carefully selected cases,\nthrough the positive guidance of teachers and students� autonomic learning,\nto enable students to understand the system in clinical medicine theory\nknowledge, and master the basic clinical skills. In the case teaching of clinical\nmedicine, the choice of the case and the design of the problem are the\nkeys....
Introduction. Requirements for Patient Safety suggest that students encounter patients well prepared. In clinical laboratory practice\n(CLP), the students simulate patient situations as a preparation for internship. Various CLP models have been tried out to meet the\nstudentsââ?¬â?¢ prerequisites and learning strategies. Objectives.The purpose of this study was to try out two different learning sessions\nrelated to the bed bath procedure.Design andMethods.The study has a descriptive, quantitative design with elements fromclinically\ncontrolled trials. Sample. The population of 160 first-year students was randomly divided into two classes. Questionnaires. Two\nquestionnaires were answered with six-month intervals: Form1 immediately after the first training session and Form2 a short time\nafter clinical practice. Findings. A majority of the nursing students reported that the exercises in the clinical lab were a good way to\nprepare for the practice, although most of them did not perceive that the procedure conducted at the university resembled how it\nis conducted in clinical practice. Age or level of discomfort related to organization of the skills training did not have impact on the\nstudentsââ?¬â?¢ confidence in mastering bed bath in clinical practice. Students without previous experience were less confident to master\nthe procedure in clinical practice, but the results evened out during the internship. Conclusions.The results from this study could\nindicate that the studentsââ?¬â?¢ age to a larger extent should be considered in the universitiesââ?¬â?¢ facilitation of nursing studentsââ?¬â?¢ clinical\npreparations, to improve the transition to ââ?¬Å?real lifeââ?¬Â as smoothly and meaningfully as possible to nursing students....
Social media is not only an emerging and cultural trend, but a method of\ncommunication that is changing the way individuals and organizations\nthroughout the world transmit and receive information. Nurses play a significant\nrole in identification, interpretation, and transmission of knowledge and\ninformation within the health care system. Social mobile media spaces provide\na platform that can assist both qualified and student nurses keep in touch with\neach other and share best practices and prevent isolation for those placed in\nfar flung areas of the country. Data were obtained from WhatsApp discussions\ninvolving one group of HIV nurse practitioners followed for a period of\nsix weeks. Data analysis was conducted by the lead investigators and took the\nform of thematic analysis. The data were constantly compared with the codes\nin order that the shift in the meaning is minimized and accuracy and confirmability\nis maintained. Ethical approval was obtained from the University of\nZambia, School of Medicine�s Research Ethics Committee. Anonymity was\nmaintained through the use of pseudonyms. The results revealed that social\nmedia as tool of communication in Zambia has been used by HIV Nurse\nPractitioners in both urban and rural areas for sharing best practices and prevention\nof professional isolation. The tool is also used for emotional and social\nsupport as well as a source of motivation for its users. Mobile Instant\nMessaging (MIM) is a resource that can benefit the nursing profession in\nkeeping abreast with the new trends in the care of patients and prevention of\nprofessional isolation. However, it is important to ensure that the interaction\nis structured to prevent digression from the core purpose which might lead to\nloss of direction....
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