scholarly journals Correction: What influences the clinical decision-making of dentists? A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253183
Author(s):  
Abdulrahman Ghoneim ◽  
Bonnie Yu ◽  
Herenia Lawrence ◽  
Michael Glogauer ◽  
Ketan Shankardass ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Perception and Usage of Point of Care Devices: A Cross-sectional Study Targeting Residents and Trainers in Oman

2021 ◽  
Vol 36 (1) ◽  
pp. e213-e213
Author(s):  
Amna Al Harrasi ◽  
Laila Mohammed Al Mbeihsi ◽  
Abdulhakeem Al Rawahi ◽  
Mohammed Al Shafaee
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Point Of Care ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Mobile Technologies ◽  
Handheld Devices ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Objectives: The use of mobile technologies and handheld computers by physicians has increased worldwide. However, there are limited studies globally regarding training physicians on the use of such devices in clinical practice. In addition, no studies have been conducted previously in Oman addressing this issue among postgraduate medical trainees and trainers. The present study explores the practice and perception of resident doctors and trainers towards the use of mobile technologies and handheld devices in healthcare settings in Oman. Methods: This cross-sectional study was conducted using a validated questionnaire disseminated via email to all residents and trainers in five major training programs of the Oman Medical Specialty Board (OMSB). The questionnaire explored three main areas; perception, usage, and perceived barriers of handheld devices. Results: Overall, 61.4% of the residents and 28.3% of the trainers responded to the questionnaire. Both types of participants agreed that the use of such devices positively affects clinical decision-making. In total, 98.8% of the participating residents and 86.7% of the trainers frequently used handheld devices. Both OMSB residents and trainers agreed that lack of time, training, and applications were the most common factors limiting the use of these devices. Participants emphasized the need for constructive training regarding the use of handheld devices as healthcare resources. Conclusions: Point-of-care devices are positively perceived and frequently used by OMSB trainees and trainers. However, constructive training on the effective usage of these devices in clinical decision-making is needed. Further future studies to evaluate the impact of using such devices in patient care should be conducted.

scholarly journals Clinical Decision-Making During Psychiatric Ward Rounds

2021 ◽  
Vol 12 ◽  
Author(s):  
Fabian Holzhüter ◽  
Florian Schuster ◽  
Stephan Heres ◽  
Johannes Hamann
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Psychiatric Ward ◽  
Active Engagement ◽  
Sectional Study ◽  
Cross Sectional ◽  
Before And After ◽  
Ward Rounds

Introduction: For psychiatric in-patients, ward rounds are a prominent occasion for decision making. As previous findings on shared decision-making (SDM) patterns mostly derive from out-patients and one-to-one-consultations, it was our aim to investigate SDM during psychiatric ward rounds.Methods: We conducted a cross-sectional study and included n = 62 in-patients from seven different psychiatric wards. We collected data from the patient and the treating physician before and after ward rounds and recorded the interaction.Results: We identified two groups of patients regarding their attitude toward ward rounds (no expectations vs. clear agenda). The latter showed higher active engagement, expected more decisions to be made and discussed more topics. Generally, observer rated SDM was low, with vast differences between the doctors' and the patients' perception.Conclusion: Doctors and patients perceive ward rounds differently and there is a discrepancy between subjective and objective involvement. A rather paternalistic doctor-patient-relationship is observed, while patients feel sufficiently involved and vastly satisfied. The potential of ward rounds maximizes if patients have an agenda. Consequently, motivating patients to prepare themselves toward ward rounds should be part of the weekly routine, as well as improving patient participation and information procedures during ward rounds.

scholarly journals What influences the clinical decision-making of dentists? A cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0233652 ◽  
Author(s):  
Abdulrahman Ghoneim ◽  
Bonnie Yu ◽  
Herenia Lawrence ◽  
Michael Glogauer ◽  
Ketan Shankardass ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The Influence of Self-Concept on Clinical Decision-Making in Nurses and Nursing Students: A Cross-Sectional Study

2020 ◽  
Vol 17 (9) ◽  
pp. 3059 ◽  
Author(s):  
Nikolina Farčić ◽  
Ivana Barać ◽  
Robert Lovrić ◽  
Stana Pačarić ◽  
Zvjezdana Gvozdanović ◽  
...  
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Self Concept ◽  
Hospital Nurses ◽  
Sectional Study ◽  
Cross Sectional

The aim of this study is to examine the influence of nurses’ self-concept (NSC) on clinical decision-making (CDM) among nursing students and hospital nurses. A further aim is to examine whether there is a difference in CDM and NSC between hospital nurses with various levels of experience and nursing students. A cross-sectional study was conducted during 2018 in the Faculty of Dental Medicine and Health and the University Hospital Center, in Osijek, Croatia, EU. The respondents consisted of 568 hospital nurses, and 129 BSc nursing students. Data were collected with the clinical decision-making in nursing scale (CDMNS) and the nurses’ self-concept questionnaire (NSCQ). There was no correlation between CDM and NSC in either students or hospital nurses. Hospital nurses generally had significantly higher scores in CDM than nursing students. On the other hand, students had a significantly higher total NSC level. The results of this study suggest that experience has a positive impact on nurses’ CDM skills. The high NSC estimated by students enables them to easily take up their clinical roles and approach the patient in a holistic manner, which is an attitude that gradually develops during studies and with clinical experience.

scholarly journals ATTITUDE OF CLINICIANS TOWARDS CLINICAL DECISION-MAKING IN PROSTHODONTICS

2021 ◽  
Vol 71 (5) ◽  
pp. 1782-86
Author(s):  
Danish Azeem Khan ◽  
Azad Ali Azad ◽  
Ayesha Aslam ◽  
Qamar Ishfaque
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Technical Information ◽  
Armed Forces ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Complete Denture ◽  
Cross Sectional ◽  
Significant Difference ◽  
Males And Females

Objective: To assess the attitude of resident and consultant Prosthodontists towards clinical decision-making in complete denture prosthodontics Study Design: A cross-sectional study. Place and Duration of Study: Armed Forces Institute of Dentistry, Rawalpindi, from Nov 2019 to Jan 2020. Methodology: Fifty trainee and consultant prosthodontists from all over the country were included in the study. A questionnaire consisting of 10 questions aimed at assessing the approach towards clinical decision-making in complete denture prosthodontics was circulated among the study subjects using Google Forms. Data was analyzed using SPSS version 24. Results: Around 20 (40%) prosthodontists regarded patient’s personal values and preferences to be “very important” in clinical decision-making in contrast to their own values. Most of the clinicians 47 (94%) believed their patients were quite satisfied with them and around 31 (62%) prosthodontists believed that “choice of the best treatment results from negotiation between patients and clinicians after they have shared technical information as well as their values and preferences about the options”. No significant difference was observed in choice of response between males and females or between prosthodontists with varying clinical experience for any of the questions asked (p>0.05). Conclusion: Prosthodontists participating in the present study demonstrated a positive attitude towards shared decisionmaking in complete denture prosthodontics. No differences were observed between males and females in terms of attitude towards shared decision-making practices.

scholarly journals Patient-Identified Problems and Influences Associated With Diagnostic Delay of Acromegaly: A Nationwide Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Kailu Wang ◽  
Xiaopeng Guo ◽  
Siyue Yu ◽  
Lu Gao ◽  
Zihao Wang ◽  
...  
Keyword(s):  
Clinical Decision Making ◽  
Diagnostic Delay ◽  
Clinical Decision ◽  
Final Diagnosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Doctor Patient Communication ◽  
Cardiovascular Comorbidities ◽  
Insidious Onset

BackgroundInsidious-onset acromegaly may easily be overlooked by non-specialists of acromegaly and cause diagnostic delay. This study aims to examine the association between diagnostic delay and advice from doctors before any confirmed diagnosis and subsequent comorbidities, and elicit patient-perceived reasons for misdiagnoses.MethodsAn online nationwide cross-sectional study was conducted through China Acromegaly Patient Association. Growth Hormone (GH) and Insulin-like Growth Factor 1 (IGF-1) levels at diagnosis and cancerous, endocrine-metabolic, musculoskeletal, cardiovascular, respiratory, and psychiatric comorbidities were reported by patients. The association between diagnostic delay and pre-diagnostic advice from doctors as well as subsequent comorbidities after diagnosis were examined.ResultsIn total, 447 valid responses were collected. Overall, 58.8% patients experienced misdiagnoses, and 22.6% had diagnostic delay. Before arriving at any diagnosis, patients without treatment (adjusted odds ratio [AOR]: 3.66, 95% confidence interval [CI]: 1.30-10.33) or receiving treatment to symptoms only (AOR: 7.05, 95%CI: 4.09-12.17) had greater chance of being misdiagnosed, and hence had diagnostic delay. Patients believed insufficient specialists, limited awareness of acromegaly of non-specialists and poor doctor-patient communications were major reasons of misdiagnosis. Diagnostic delay were associated with higher GH level at diagnosis and endocrine-metabolic, musculoskeletal and cardiovascular comorbidities (all P<0.05).ConclusionsSuboptimal pre-diagnostic advice for patients, reflecting limited awareness of acromegaly among non-specialists, may delay the diagnosis and increase comorbidities. Feedbacks on the patients’ final diagnosis from specialists to non-specialists should be considered, and doctor-patient communication and clinical decision-making process should be improved. Comorbidities should be screened and monitored particularly for patients with diagnostic delay.

scholarly journals Prelicensure Nursing Students’ COVID-19 Attitude Impact on Nursing Career Decision during Pandemic Threat in Taiwan: A Cross-Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3272
Author(s):  
Shu-Chun Lin ◽  
Lee-Fen Ni ◽  
Yu-Ming Wang ◽  
Shu Hsin Lee ◽  
Hung-Chang Liao ◽  
...  
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Perceived Control ◽  
Career Decision ◽  
Cross Sectional Study ◽  
Attitude Scale ◽  
Sectional Study ◽  
Career Decision Making ◽  
Cross Sectional ◽  
Prelicensure Nursing

The COVID-19 pandemic may cause a nursing shortage. Prelicensure nursing students who are exposed to high-stress COVID-19 events are related to defective career decision-making. This study validated the COVID-19 attitude scale and clarified how their attitudes about COVID-19 affected their behavioral intentions toward career decision-making. We conducted a cross-sectional study and recruited a convenience sample of 362 prelicensure nursing students from Northern and Central Taiwan. Two measurements were applied, including the Nursing Students Career Decision-making instrument and COVID-19 attitude scale. We used AMOS (version 22.0) to perform a confirmatory factor analysis. The Cronbach α of the COVID-19 attitude scale was 0.74 and consisted of four factors. The most positive attitude was the nursing belief factor, and the least positive factor was emotional burden. Prelicensure nursing students’ COVID-19 attitudes were significantly positively associated with their career decision-making attitudes and perceived control (ß = 0.41 and ß = 0.40, respectively; p < 0.001). All the key latent variables explained significantly 23% of the variance in the career decision-making behavioral intentions module. In conclusion, the COVID-19 attitude scale is valid. Although the prelicensure nursing students’ COVID-19 attitudes had no direct effect on career decision-making intentions, they had a direct effect on career decision-making attitudes and the perceived control.

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