scholarly journals The research to practice continuum: Development of an evidence-based visual aid to improve informed consent for procedural sedation

2017 ◽  
Vol 1 (5) ◽  
pp. 316-319 ◽  
Author(s):  
M. Fernanda Bellolio ◽  
Lucas Oliveira J. e Silva ◽  
Henrique Alencastro Puls ◽  
Ian G. Hargraves ◽  
Daniel Cabrera
Keyword(s):  
Emergency Department ◽  
Clinical Practice ◽  
Informed Consent ◽  
Control Process ◽  
Reading Level ◽  
Communication Process ◽  
Research To Practice ◽  
Final Version ◽  
Visual Aid ◽  
Grade Reading Level

IntroductionIn order to fully participate in informed consent, patients must understand what it is that they are agreeing, or not agreeing, to. In most cases, patients look to their clinicians to help develop the appropriate understanding required to give informed consent. Often the quality of the information available as well as the delivery methods are not optimal.MethodsUsing a visual aid as an adjunct to risk communication in a stressful setting as the Emergency Department has a clear potential in facilitating the communication process. To support more accurate and consistent presentation of risk, we formed a team with implementation scientists, patient education specialists, nurses, physicians, and professional designers to transform the information available into a 6th grade reading level visual aid tool. We applied a DMAIC (Define, Measure, Analyze, Improve and Control) process to design the tool. We measured and analyzed its effectiveness through feedback from providers, patients, and caregivers. This cycle happened 3 times until we reached the final version of the visual aid.ResultsWe utilized a DMAIC methodology as well as modified Delphi method to create and refine a visual aid tool. Several rounds of end-user feedback along with DMAIC allowed us to create a tool that was consistently better with each round of development, analysis and feedback. After arriving at the final version of the tool, we surveyed physicians in our Emergency Department. We measured the difficulty to understand the information, whether doctors think the visual aid will help patients to understand the data, and the appropriateness of the tool’s length and the amount of information in it.ConclusionsWe believe that our experience can be replicated by other researchers and clinicians in the endeavor of translating the evidence into clinical practice. An effort should be made to fully translate research findings until the end of the research to practice continuum in order to better translate knowledge into a useful and useable form for informed consent decisions in busy clinical practice.

How well informed is the informed consent for cancer clinical trials?

2014 ◽  
Vol 11 (6) ◽  
pp. 686-688 ◽  
Author(s):  
Laeeq Malik ◽  
James Kuo ◽  
Desmond Yip ◽  
Alex Mejia
Keyword(s):  
Clinical Trials ◽  
Informed Consent ◽  
Phase I ◽  
Tertiary Care ◽  
Reading Level ◽  
Consent Form ◽  
Consent Forms ◽  
Investigational Agent ◽  
Informed Consent Form ◽  
Grade Reading Level

Aims: The purpose of this study was to analyze the content of informed consent forms for clinical trials in medical oncology to assess readability, determine their completeness, and identify any shortcomings. Methods: Informed consent forms for Phase I–III studies that were conducted at two tertiary care cancer centers over a 3-year period were reviewed. Information pertaining to length of the informed consent form, research regimen/methods, treatment agent, potential risks, and benefits was extracted. The reading level was assessed by Flesch–Kincaid and Gunning-Fog index readability tests. Results: All of the 112 informed consent forms clearly stated the voluntary nature of participation. Nearly one half of the forms (51.8%) were of Phase I studies. The median length of informed consent form was 20 pages (range: 8–28). A detailed estimation of the frequency or intensity of risks (range: 3–8 pages) was provided. The average reading level of the informed consent forms was high (Flesch–Kincaid Grade Level of 9.8), which corresponds roughly to 10th-grade reading level. Less than 15% of all consent forms were written at the recommended eighth-grade reading level. A substantial number of forms did not report a potential risk to pregnant/lactating women (16.9%), mechanism of action of the investigational agent (34.8%), study schema (77.6%), a possibility of receiving sub-therapeutic dose (37%), or death (12.5%). Nearly one half of the forms (49.1%) stated clearly that individual participants may not benefit. Conclusion: Overall, these informed consent forms provided a detailed description of the trials in accordance to international guidelines. However, there remains room for improvement, particularly in areas of readability and document length.

My Child Is Sick!, 2nd Ed

2016 ◽  
Author(s):  
Barton D. Schmitt
Keyword(s):  
Emergency Department ◽  
Sixth Grade ◽  
Reading Level ◽  
Wound Infections ◽  
Childhood Illnesses ◽  
Grade Reading Level ◽  
The Right ◽  
Strep Throat ◽  
At Home

Prevent unnecessary calls to your office when you share the wisdom of My Child Is Sick! with your parents. The well-organized chapters, condition-specific charts, and clear advice will empower parents to make the right decisions when confronted by common childhood illnesses. Dr. Schmitt's proven guidelines will help parents figure out whether to treat their child at home, call the doctor, or head to the emergency department. The newly updated and revised second edition has been rewritten to a sixth grade reading level, so the content is easily accessible for all parents. New topics in this edition include earwax buildup, mosquito bites, strep throat infections, and wound infections.

Informed Consent in Clinical Practice

1990 ◽  
Vol 35 (1) ◽  
pp. 38-39
Author(s):  
Stephen L. Golding
Keyword(s):  
Clinical Practice ◽  
Informed Consent

Penerapan Fungsi Manajemen Dalam Meningkatkan Jama’ah Shalat Shubuh Dan Shalat Jum’at

2020 ◽  
Vol 5 (1) ◽  
pp. 17-32
Author(s):  
Apriyanti Kartika Agustin ◽  
Irfan Sanusi ◽  
Herman Herman
Keyword(s):  
Planning Process ◽  
Control Process ◽  
Qualitative Approach ◽  
Communication Process ◽  
Coffee Break ◽  
Leadership Process ◽  
Motivational Process ◽  
Management Functions ◽  
Descriptive Method ◽  
Organizing Process

Penelitian ini bertujuan untuk mengetahui penerapan fungsi manajemen pada Masjid Al-Anshari dalam meningkatkan Jama’ah Shalat Shubuh dan Shalat Jum’at. Secara lebih rinci tujuan penelitian ini adalah untuk pengetahui proses perencanaan, proses pengorganisasian, proses penggerakan dan proses pengendalian di Masjid Al-Anshari. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif, dipandang tepat untuk digunakan dalam penelitian ini. Adapun metode pengumpulan data yakni dengan cara observasi, wawancara, rekaman audio dan studi dokumentasi. Hasil penelitian ini menunjukan bahwa Masjid Al-Anshari di dalam meningkatkan jama’ah Shalat Shubuh dan Shalat Jum’at memiliki proses perencanaan berupa penyusunan unsur tujuan, unsur kebijakan, unsur kemajuan, dan unsur program. Proses pengorganisasian yang dilakukan dengan pembagian kerja melalui struktur organisasi, departementalisasi dengan deksripsi kerjanya, distribusi otoritas, dan koordinasi yang dilakukan setiap Briefing di Coffee Break. Proses penggerakan dilakukan melalui proses motivasi, proses kepemimpinan dan proses komunikasi. Proses pengendalian dilakukan dengan memperbaiki penyimpangan-penyimpangan yang ada.   This study aims to determine the application of management functions in the Al-Ansari Mosque in improving Jama'ah Shubuh Prayer and Friday Prayers. In more detail, the purpose of this research is to find out the planning process, the organizing process, the mobilization process and the control process at Al-Ansari Mosque.  This study uses a descriptive method with a qualitative approach, considered appropriate for use in this study. The data collection method is by observation, interview, audio recording and documentation study.  The results of this study indicate that the Al-Ansari Mosque in improving the congregation of the Shubuh Prayers and Friday Prayers has a planning process in the form of compilation of objectives, policy elements, progress elements, and program elements. The organizing process is carried out with the division of labor through the organizational structure, departmentalization with its work description, distribution of authority, and coordination that is carried out every Briefing at Coffee Break. The mobilization process is carried out through a motivational process, a leadership process and a communication process. The control process is carried out by correcting the existing deviations.

Clinical genomics in the 21st century: The fine balance between ethics and science

2021 ◽  
pp. 147775092110366
Author(s):  
Terence YS Liew ◽  
Chun Y Khoo
Keyword(s):  
Clinical Practice ◽  
Informed Consent ◽  
21St Century ◽  
Preventive Medicine ◽  
Genomic Medicine ◽  
Traditional Practices ◽  
Current Clinical Practice ◽  
Common Goal ◽  
Clinical Genomics ◽  
Ethical Concerns

The 21st century has been revolutionary for the field of clinical genomics, with major advancements and breakthroughs over the years. It is now considered an instrumental tool in clinical and preventive medicine and has been used on a day-to-day basis to complement current clinical practice. However, with advancements in genomics comes greater bioethical concerns, which becomes increasingly complex with more cutting-edge technology. Some of the major ethical concerns include obtaining informed consent, possibility for genetic enhancements and eugenics, genomic equity and potential discrimination and cloning. It is imperative that we appreciate the benefits of genomic medicine in complementing traditional practices, identify and address the ethical concerns with relation to the practice of genomic medicine, and to ensure a common goal of improving human lives. With these in mind, the practice of genomics can have maximum impact in the collective health of the population, with greater benefit to all.

scholarly journals Bladder Cancer Health Literacy: Assessing Readability of Online Patient Education Materials

2020 ◽  
pp. 1-8
Author(s):  
Lauren E. Powell ◽  
Theodore I. Cisu ◽  
Adam P. Klausner
Keyword(s):  
Bladder Cancer ◽  
Health Literacy ◽  
Patient Education ◽  
Search Engine ◽  
Reading Ability ◽  
Health Care Expenditure ◽  
Reading Level ◽  
T Test ◽  
Grade Levels ◽  
Grade Reading Level

BACKGROUND: Understanding of health-related materials, termed health literacy, affects decision makings and outcomes in the treatment of bladder cancer. The National Institutes of Health recommend writing education materials at a sixth-seventh grade reading level [6]. The goal of this study is to assess readability of bladder cancer materials available online. OBJECTIVE: The goal of this study is to characterize available information about bladder cancer online and evaluate readability. METHODS: Materials on bladder cancer were collected from the American Urological Association’s Urology Care Foundation (AUA-UCF) and compared to top 50 websites by search engine results. Resources were analyzed using four different validated readability assessment scales. The mean and standard deviation of the materials was calculated, and a two-tailed t test for used to assess for significance between the two sets of patient education materials. RESULTS: The average readability of AUA materials was 8.5 (8th–9th grade reading level). For the top 50 websites, average readability was 11.7 (11–12th grade reading level). A two-tailed t test between the AUA and top 50 websites demonstrated statistical significance between the readability of the two sets of resources (P = 0.0001), with the top search engine results being several grade levels higher than the recommended 6–7th grade reading level. CONCLUSIONS: Most health information provided by the AUA on bladder cancer is written at a reading ability that aligns with most US adults, with top websites for search engine results exceeding the average reading level by several grade levels. By focusing on health literacy, urologists may contribute lowering barriers to health literacy, improving health care expenditure and perioperative complications.

Readability of Online Patient Information Relating to Cleft Palate Surgery

2021 ◽  
pp. 105566562110131
Author(s):  
Christopher V. Lavin ◽  
Evan J. Fahy ◽  
Darren B. Abbas ◽  
Michelle Griffin ◽  
Nestor M. Diaz Deleon ◽  
...  
Keyword(s):  
Health Care ◽  
Cleft Palate ◽  
Grade Level ◽  
Reading Level ◽  
Online Information ◽  
Health Care Education ◽  
Search Results ◽  
Cleft Palate Repair ◽  
Grade Reading Level ◽  
Google Search

Objective: It is important for health care education materials to be easily understood by caretakers of children requiring craniofacial surgery. This study aimed to analyze the readability of Google search results as they pertain to “Cleft Palate Surgery” and “Palatoplasty.” Additionally, the study included a search from several locations globally to identify possible geographic differences. Design: Google searches of the terms “Cleft Palate Surgery” and “Palatoplasty” were performed. Additionally, searches of only “Cleft Palate Surgery” were run from several internet protocol addresses globally. Main Outcome Measures: Flesch-Kincaid Grade Level and Readability Ease, Gunning Fog Index, Simple Measure of Gobbledygook (SMOG) index, and Coleman-Liau Index. Results: Search results for “Cleft Palate Surgery” were easier to read and comprehend compared to search results for “Palatoplasty.” Mean Flesch-Kincaid Grade Level scores were 7.0 and 10.11, respectively ( P = .0018). Mean Flesch-Kincaid Reading Ease scores were 61.29 and 40.71, respectively ( P = .0003). Mean Gunning Fog Index scores were 8.370 and 10.34, respectively ( P = .0458). Mean SMOG Index scores were 6.84 and 8.47, respectively ( P = .0260). Mean Coleman-Liau Index scores were 12.95 and 15.33, respectively ( P = .0281). No significant differences were found in any of the readability measures based on global location. Conclusions: Although some improvement can be made, craniofacial surgeons can be confident in the online information pertaining to cleft palate repair, regardless of where the search is performed from. The average readability of the top search results for “Cleft Palate Surgery” is around the seventh-grade reading level (US educational system) and compares favorably to other health care readability analyses.

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