Critical Thinking in Facilitating the Development of Cultural Competence in Speech Pathology: A Training Module Based on a Review of Resources on Arab Americans

2018 ◽  
Vol 3 (14) ◽  
pp. 5-18 ◽  
Author(s):  
Reem Khamis-Dakwar ◽  
Anthony DiLollo
Keyword(s):  
Critical Thinking ◽  
Clinical Decision Making ◽  
Linguistic Diversity ◽  
Diversity Training ◽  
Clinical Decision ◽  
Arab Americans ◽  
Speech Pathology ◽  
Essential Knowledge ◽  
The Impact

The importance of critical thinking in training preservice and postservice speech-language pathologists (SLPs) is increasingly acknowledged in the collected works of communication sciences and disorders. Incorporation of critical thinking enhances the quality of clinical decision making, is important for interprofessional practice, and is an essential knowledge in educational services for SLPs at all levels (Finn, Brundage, & DiLollo, 2016). In this article, we propose the need to infuse critical thinking within cultural and linguistic diversity training and recommend the use of literature and instructional activities focused on guiding SLPs in working with Arab Americans to serve this mission. On the basis of existing resources in communication sciences and disorders literature on Arab Americans, we created a study module to target the 3 components of critical thinking: interpretation, evaluation, and metacognition. The first part of the module (Units 1 and 2) is designed to introduce students to critical thinking and facilitate their use of critical thinking in evaluating information presented within speech pathology resources on working with diverse population. The second part, Unit 3, assists learners in reflecting on the impact of their own preconceptions. The last part, Unit 4, facilitates students' understanding of best practices in servicing individuals from diverse populations.

scholarly journals 1312. Division Divided: Using Debate as an Educational Tool to Teach Evidence-Based Clinical Decision-Making

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S401-S401
Author(s):  
Jennifer O Spicer ◽  
Varun K Phadke
Keyword(s):  
Critical Thinking ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Faculty Members ◽  
Case Conference ◽  
Multiple Choice Questions ◽  
Innovative Teaching ◽  
Attitudes And Practices ◽  
The Impact ◽  
Better Than

Abstract Background In medical education, there has been a push to implement innovative teaching techniques that encourage critical thinking rather than just knowledge dissemination. Debate promotes critical thinking by challenging individuals to consider alternate viewpoints, which could make it an ideal format to review the evidence relevant to common clinical dilemmas in infectious diseases (ID). We describe a pilot of one such debate format in our ID fellowship program. Methods We reviewed literature regarding the effectiveness of ceftriaxone for outpatient antibiotic therapy (OPAT) in methicillin-susceptible Staphylococcus aureus (MSSA) osteoarticular infections. The evidence was presented as a structured debate in place of our weekly case conference. Pre- and post-session surveys containing multiple choice questions and Likert items were administered to assess the impact of the debate on attendees’ knowledge, attitudes, and practices on this topic along with their attitudes toward the debate format. Differences between pre- and post-session surveys were analyzed using paired t-tests and McNemar’s test. Results At the first debate 33 residents, fellows, and faculty members were present, and 24 (73%) completed both the pre- and post-session surveys. Attendees demonstrated significant improvement between the pre- and post-session knowledge questions, which covered the following topics: study design of articles supporting ceftriaxone use (31% vs. 62%, P = 0.008), appropriate method to assess ceftriaxone susceptibility (64% vs. 100%, P = 0.004), and whether the inoculum effect applies to ceftriaxone (35% vs. 77%, P = 0.003). After the debate, attendees were more willing to use ceftriaxone (P = 0.001) and felt more familiar with the literature (P < 0.001). The post-session survey showed that individuals both enjoyed the format and found it effective (Figure 1). Most individuals stated that they were either extremely likely (85%) or likely (8%) to attend if this format was used again. Written comments included “strongly recommend continuing this format” and “much better than regular case conference with more discussion and critical thinking.” Conclusion Debate appears to be an effective and enjoyable format to teach clinical controversies in ID. Disclosures All authors: No reported disclosures.

scholarly journals Scar Resurfacing

2020 ◽  
pp. 311-316
Author(s):  
Fiona M. Wood
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Healing Process ◽  
Clinical Decision ◽  
Skin Surface ◽  
History Of ◽  
Secondary Healing ◽  
The Impact ◽  
Selection Of

AbstractScar resurfacing is focused on the improvement in the quality of a scar by disruption of the skin surface and reducing the bulk of the scar by control of the secondary healing process. The prerequisite is knowledge of the wound healing and scarring process such that the intervention can be designed to reduce the risk of increasing the scarring.The clinical examination and assessment of the scar will guide the selection of the technique addressing the specific aspects of the scar, such as the pigment restoration and volume reduction, with the aim of blending the scar with the surrounding uninjured skin.Understanding the natural history of the scar, the impact it has on the patient, and the techniques available for improvement provides the clinical decision-making matrix to drive an improved scar outcome. Resurfacing is one opportunity for scar modulation which needs to be taken into context relative to the range of conservative and surgical therapeutic opportunities explored within the chapters of the book.

The Role of Digital Clinical Decision Support Tool in Improving Quality of Intrapartum and Postpartum Care: Experiences From Two States of India.

2020 ◽  
Author(s):  
Gulnoza Usmanova ◽  
Kamlesh Lalchandani ◽  
Ashish Srivast ◽  
Chandra Joshi ◽  
Deepak Bhatt ◽  
...  
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision Making ◽  
Multivariate Logistic Regression Analysis ◽  
Clinical Decision ◽  
Interrupted Time Series Analysis ◽  
Clinical Practices ◽  
The Impact

Abstract Background: Computerized clinical decision support (CDSS) –digital information systems designed to improve clinical decision making by providers – are a promising tool for improving quality of care. This study aims to understand the uptake of ASMAN application (defined as completeness of electronic case sheets), the role of CDSS in improving adherence to key clinical practices and delivery outcomes. Methods: We have conducted secondary analysis of program data (government data) collected from 81 public facilities across four districts each in two sates of Madhya Pradesh and Rajasthan. The data collected between August –October 2017 (baseline) and the data collected between December 2019 – March 2020 was analysed (latest). Results: The completeness of electronic case sheets was low at postpartum period (40.5%), and in facilities with more than 300 deliveries a month (20.9%). In multivariate logistic regression analysis, the introduction of technology yielded to significant improvement in adherence to key clinical practices. We have observed reduction in fresh still births rates and asphyxia, but these results were not statistically significant in interrupted time series analysis. However, our analysis showed that identification of maternal complications has increased over the period of program implementation and at the same time referral outs decreased. Conclusions: Our study indicates CDSS has a potential to improve quality of intrapartum care and delivery outcome. Future studies with rigorous study design is required to understand the impact of technology in improving quality of maternity care.

scholarly journals Measuring the Impact of Diagnostic Decision Support on the Quality of Clinical Decision Making: Development of a Reliable and Valid Composite Score

2003 ◽  
Vol 10 (6) ◽  
pp. 563-572 ◽  
Author(s):  
Padmanabhan Ramnarayan ◽  
Ritika R. Kapoor ◽  
Michael Coren ◽  
Vasantha Nanduri ◽  
Amanda L. Tomlinson ◽  
...  
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Composite Score ◽  
Diagnostic Decision ◽  
The Impact

Nursing Information Systems

2015 ◽  
pp. 959-977
Author(s):  
Ana Paula Macedo ◽  
Fernando Petronilho ◽  
João Cainé
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Nursing Practice ◽  
Clinical Decision Making ◽  
Health Information Systems ◽  
Clinical Decision ◽  
Central Resource ◽  
The Impact ◽  
And Training

We have witnessed a change in the Health Information Systems (HIS) in what concerns structure, contents, and support for optimization of the resources, the best efficiency in cost control, and a better management of the quality of services rendered to the citizens. From the standpoint of reformulating the HIS, we can see an evolution in the production of information centered almost exclusively in the need of a documental proof on the care rendered by nurses to the citizens to produce information that can constitute a central resource for their clinical decision making. The authors describe the evolution of the Nursing Information Systems (NIS), reflect upon the impact of reformulation and implementation of the NIS in Portugal in the development of the nursing practice, and reflect upon the impact of the NIS reformulation in the quality of care as well as in education and training in the nursing area.

scholarly journals 1018 Implementing A Standardised Orthopaedic Admission Pro-Forma to Improve Adherence to The Royal College of Surgeons of England (RCSEng) Best Practice Clerking Guidelines

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
C Peacock ◽  
D North ◽  
T Brookes
Keyword(s):  
Best Practice ◽  
Clinical Decision Making ◽  
Statistical Significance ◽  
Clinical Decision ◽  
Smoking History ◽  
Exact Test ◽  
Orthopaedic Patients ◽  
The Impact ◽  
Pro Forma

Abstract Introduction Within our Trust, Orthopaedic patients are clerked in on A&E notes via freehand text. Audit, clinical incidents, and root cause analysis revealed suboptimal documentation. Using RCSEng Best Practice Guidelines we designed, implemented, and evaluated the impact of an admission pro-forma on quality of clerking. Method An Orthopaedic clerking pro-forma was designed based on standards set by RCSEng and feedback from Orthopaedic colleagues. First- and second-cycle data collection involving quantitative analysis of clerking against RCSEng domains was conducted before (n = 23) and after (n = 25) intervention. Fisher’s exact test was performed to calculate the statistical significance of our data. A qualitative survey was performed to gain feedback on the pro-forma. Results Observations, allergies, and smoking history were omitted in over half of freehand documentations. Medical/surgical history and management plans were well documented regardless. Intervention resulted in statistically significant increases in 7 out of 12 RCSEng clerking domains, most notably allergies (p < 0.00001). Qualitative feedback was positive; 100% of those surveyed stated that the pro-forma ‘improved quality of clerking‘ and ‘benefited clinical decision making’. Conclusions Our study demonstrated that implementing an Orthopaedic pro-forma improved adherence to RCSEng best practice clerking guidelines compared to freehand documentation and standardised the process improving the level and quality of documentation.

scholarly journals Health-related quality of life of partners of adults with haemophilia

2015 ◽  
Vol 2 (1) ◽  
pp. 20-26
Author(s):  
Sylvia von Mackensen ◽  
Karin Lindvall ◽  
Sölve Elmståhl ◽  
Erik Berntorp
Keyword(s):  
Quality Of Life ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Burden Scale ◽  
Health Related ◽  
The Impact

Abstract Assessment of health-related quality of life (HRQoL) in haemophilia is important in order to provide information for clinical decision-making and to verify the impact of haemophilia on patients and their partners. A crosssectional single-centre study was performed to assess the health-related quality of life (HRQoL) and burden of the disease on partners of adult patients with haemophilia. Self-reported outcomes were completed by partners and patients (SF-36, VAS of Interference); partners also completed the Caregivers’ Burden Scale. A total of 108 of 150 eligible partners of adults with haemophilia (72%) participated. Mean age for partners was 44.7 years (range 20-79) and for patients 47.1 years (range 20-81). The majority of couples were married (65.7%). Couples reported being together a mean of 19.8 years and had, on average, 1.7 children. Partners of haemophilia patients across all severities reported lower HRQoL in the ‘emotional role’ domain of SF-36 (P=<0.041), with highest impairments observed among partners of moderately affected patients. Partners reported significantly less interference with daily life compared to patients (P<0.001). In general, partners reported low burden of haemophilia in the Caregivers’ Burden Scale; ‘emotional involvement’ was the greatest burden in the mild and moderate group; while in the severe group ‘general strain’ was the greatest burden. Partners of severe haemophilia patients on prophylaxis reported, in general, good HRQoL and low burden of the disease. Partners of moderate patients reported decreased HRQoL and higher burden. Our findings may be of importance for the care of the ageing person with haemophilia (PWH).

scholarly journals The impact of critical thinking training using critical thinking cards on clinical decision-making of CCU nurses

2021 ◽  
Vol 10 (10) ◽  
pp. 3650
Author(s):  
Simin Jahani ◽  
Hamideh Jalalpour ◽  
Marziyeh Asadizaker ◽  
Asaad Sharhani ◽  
Habib Heybar
Keyword(s):  
Decision Making ◽  
Critical Thinking ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The Impact
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