Patient Simulation

Publication Title: 
Research in Nursing & Health

The purpose of this analysis was to examine whether nurses' listening behavior, especially the coordination of their nonverbal involvement activities with those of their patients, communicates information about patient-nurse relationships. Participants were 126 college women who responded to a 30-item instrument measuring relational information that was communicated to them by nurses' behavior in videotaped segments of interactions between a patient/actress and 12 nurses. Participants' responses to two consecutive interaction segments were selected for this analysis.

Author(s): 
Gilbert, Dorothy Ann
Publication Title: 
American Journal of Surgery

BACKGROUND: Teaching professionalism effectively to fully engaged residents is a significant challenge. A key question is whether the integration of professionalism into residency education leads to a change in resident culture. METHODS: The goal of this study was to assess whether professionalism has taken root in the surgical resident culture 3 years after implementing our professionalism curriculum.

Author(s): 
Hochberg, Mark S.
Berman, Russell S.
Kalet, Adina L.
Zabar, Sondra R.
Gillespie, Colleen
Pachter, H. Leon
Surgical Professionalism and Interpersonal Communications Education Study Group
Publication Title: 
Clinical Medicine (London, England)

The aim of this study was to examine patients' motivation to participate in the Royal College of Physicians Practical Assessment of Clinical Examination Skills (PACES). An exploratory cross-sectional study was performed with data collected via telephone interviews. All patients aged 18+ who participated in PACES at University Hospitals Coventry and Warwickshire in the last two years were invited to take part; 28 patients were interviewed. Data were analysed using thematic content analysis.

Author(s): 
McFarland, Lorraine
Barlow, Julie
Nwokolo, Chuka
Publication Title: 
Progress in Transplantation (Aliso Viejo, Calif.)

Educators routinely use standardized patients to teach medical students a variety of clinical concepts. Standardized patients have also been used to teach students about medical ethics and deceased organ donation. Not reported before, however, is the use of standardized patients to educate medical students about the ethical issues in living organ donation. It seems important to fill this gap because in the United States, roughly 45% of organ donors are living donors, and these patients will visit physicians throughout their lifespan, not just with the occurrence of donation.

Author(s): 
Bramstedt, Katrina A.
Moolla, Ariff
Rehfield, Patricia L.
Publication Title: 
Journal of Cancer Education: The Official Journal of the American Association for Cancer Education

The aim of this exploratory study was to assess the impact of clinicians' defense mechanisms-defined as self-protective psychological mechanisms triggered by the affective load of the encounter with the patient-on adherence to a communication skills training (CST). The population consisted of oncology clinicians (N=31) who participated in a CST. An interview with simulated cancer patients was recorded prior and 6 months after CST. Defenses were measured before and after CST and correlated with a prototype of an ideally conducted interview based on the criteria of CST-teachers.

Author(s): 
Bernard, Mathieu
de Roten, Yves
Despland, Jean-Nicolas
Stiefel, Friedrich
Publication Title: 
Anesthesia and Analgesia

BACKGROUND: Research has demonstrated the efficacy of closed-loop control of anesthesia using bispectral index (BIS) as the controlled variable. Model-based and proportional-integral-derivative (PID) controllers outperform manual control. We investigated the application of reinforcement learning (RL), an intelligent systems control method, to closed-loop BIS-guided, propofol-induced hypnosis in simulated intraoperative patients. We also compared the performance of the RL agent against that of a conventional PID controller.

Author(s): 
Moore, Brett L.
Quasny, Todd M.
Doufas, Anthony G.
Publication Title: 
Health and Quality of Life Outcomes

BACKGROUND: Little information is available regarding medical residents' perceptions of patients' health-related quality of life. Patients cared for by residents have been shown to receive differing patterns of care at Veterans Affairs facilities than at community or university settings. We therefore examined: 1) how resident physicians value the health of patients; 2) whether values differ if the patient is described as a veteran; and 3) whether residency-associated variables impact values.

Author(s): 
Yi, Michael S.
Luckhaupt, Sara
Mrus, Joseph M.
Tsevat, Joel
Publication Title: 
Journal of Allied Health

OBJECTIVE: To describe a clinical seminar introduced to integrate basic science and clinical topics for first-quarter chiropractic students. METHODS: A 2-hour interactive seminar was created to integrate information from a diverse array of basic science and clinical courses that students undertake during the first quarter of a chiropractic degree program. A patient from teaching clinic served as the clinical focus for integrating basic science and clinical topics. Student knowledge, confidence in knowledge and perceptions of the program were assessed using blinded questionnaires.

Author(s): 
Green, Bart N.
Johnson, Claire D.
Vuong, Jill
Luckock, Arlene S.
Waagen, Gerald
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