A Broader Conceptual Approach to Clinical Practice for the 21st Century

2005 ◽  
Vol 27 (1) ◽  
pp. 33-44 ◽  
Author(s):  
A. J. Frey ◽  
D. R. Dupper
2021 ◽  
pp. 147775092110366
Author(s):  
Terence YS Liew ◽  
Chun Y Khoo

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.


2018 ◽  
Vol 34 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Elizabeth Barnby ◽  
Mark Reynolds ◽  
Pamela O’Neal

Genetic science has made remarkable advances in the 21st century. As genetic and genomic sciences continue to expand, school nurses will become thoroughly immersed in data, information, and technology. As new diseases, treatments, and therapies are discovered, school nurses will need to implement and assess best practices for the complex and medically fragile student population. This article will discuss the top 10 recent discoveries in genomic science and how school nurses can use this information in clinical practice.


2019 ◽  
Vol 35 (1) ◽  
pp. 35-42
Author(s):  
Robin Landes Wallin ◽  
Susan Rothman

The purpose of this article is to demonstrate how the Framework for 21st Century School Nursing Practice™ can provide a structure for evaluation using the School Nursing: Scope and Standards of Practice (3rd ed.), thus allowing the school nurse and school nurse evaluators to gain a better understanding of school nursing practice. According to NASN’s Position Statement Supervision and Evaluation of the School Nurse, standards should be used to evaluate the clinical practice of school nurses. Our project accomplishes this integration of the Framework, the standards, and the evaluation of school nursing practice.


2019 ◽  
Vol 99 (8) ◽  
pp. 1056-1068 ◽  
Author(s):  
Christina Ziebart ◽  
Joy C MacDermid

AbstractBackgroundMany practitioners experience complex, uncertain, and unique clinical practice situations that can be navigated with reflection. Little is known about the theoretical and pragmatic perspectives of reflection in physical therapy.PurposeThe purpose of this paper was to examine the literature on reflection in physical therapy and identify gaps in the literature.Data SourceThe Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, EMBASE, Scopus, and PsycINFO were used to identify articles.Study SelectionStudies were selected to describe: (1) theoretical concepts related to reflection, (2) examples of reflection, and (3) the use of reflection in clinical or educational contexts.Data ExtractionAuthors, year of publication, country of origin, publication type or source, methodology, conceptual approach (including terminology used, definition of terminology used), and practical approach (including theoretical underpinning, context of reflection/reflective practice, and target group) guided the data extraction.Data SynthesisA total of 46 articles were reviewed spanning from 1992 to 2017, which included research studies, field articles, editorials, and a review article. Theoretical underpinnings of reflection were based on the thoughts of Donald Schön. Written approaches to reflection were most common, and reflection was used to inform education, clinical practice, and professional growth.LimitationsAs with any review paper, there is a certain level of interpretation required when collating and interpreting data.ConclusionsReflection in physical therapy could be advanced by a thorough conceptualization of reflective practice, a broader and deeper pool of research to inform optimal implementation of reflection across the career span from learners to experts, and a clear definition and linkage of reflection to epistemologies of physical therapy practice.


2015 ◽  
Vol 32 (8) ◽  
pp. 1036-1050 ◽  
Author(s):  
J. A. McKnight ◽  
S. H. Wild ◽  
M. J. E. Lamb ◽  
M. N. Cooper ◽  
T. W. Jones ◽  
...  

2015 ◽  
Vol 14 (1) ◽  
pp. 07-27
Author(s):  
Luiz Antonio De Camargo Guerrazzi ◽  
Marcelo Moll Brandão ◽  
Henrique de Campos Junior ◽  
Carlos Eduardo Lourenço

This bibliometric study investigates Marketing and Strategy association in twenty relevant academic journals, divided equally between both fields. The methods used to identify the most influential studies; the most common conceptual approach and how researches from both areas evolved in the first fourteen years of the 21st century were citation and cocitation network analysis, exploratory factor analysis (EFA) and metric multidimensional scaling (MDS). Sample size was comprised of 5,270 articles, embodying over 130,000 citations, which had a relevant conceptual influence on the Resource Based View (RBV), Knowledge Based View (KBV), Transaction Cost Theory (TCT) and competitive strategy of the Industrial Organization (IO). Uppermost cited references were clustered in three factors, representing the theoretical approach used when both disciplines are compiled. The results showed: a) meaningful increase on the number of papers encompassing both areas in Marketing journals; b) RBV, TCT and IO as the most used Strategic themes to connect with Marketing and c) the overall most cited studies in the period of analysis. Guidelines for future research are provided for further investigation on the combination of Marketing and Strategy, identifying possible gaps to be covered.


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