New Insights in Cross-Cultural Communication

2012 ◽  
pp. e85-e88
Author(s):  
Lidia Schapira
Keyword(s):  
Decision Making ◽  
Cultural History ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Cultural ◽  
Low Literacy ◽  
Cross Cultural Communication ◽  
Working Definition ◽  
Cross Cultural Education ◽  
Definition Of

Overview: Improving clinician-patient communication, improving clinical decision making, and eliminating mistrust have been identified as three key areas for reducing disparities in care. An important step is the training of cancer professionals to deliver culturally competent care in clinical settings as well as increasing the proportion of underrepresented minorities in the health care workforce. Providing care that is attuned to the patient's cultural preferences begins by talking to the patient about his or her cultural history and identifying the locus of decision making, preferences for disclosure of vital health information, and goals of care. Patients with low literacy and those with poor fluency of the dominant language require additional services. Language interpretation by trained professionals is fundamental to ensure that patients are able to provide informed consent for treatment. A working definition of culture involves multiple dimensions and levels and must be viewed as both dynamic and adaptive, rather than simply as a collection of beliefs and values. Effective cross-cultural education avoids stereotyping and promotes communication and negotiation to solve problems and minimize tension and conflict. Recent research has identified that unconscious biases held by clinicians affect their behavior and recommendations for treatment.

Cross-cultural Application of Behaviour Therapy

1991 ◽  
Vol 8 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Nick Higginbotham ◽  
Juriko Tanaka-Matsumi
Keyword(s):  
Decision Making ◽  
Behaviour Change ◽  
Potential Application ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Cultural ◽  
Cultural Norms ◽  
Behaviour Therapy ◽  
Norms And Values ◽  
Functional Analyses

The potential application of behaviour therapy to cross-cultural situations is explored as societies move to recognise their bicultural or multicultural composition. First reviewed are the moral and epistemological underpinnings of behaviour therapy and questions involving the universality of behaviour principles and technologies. Expected competencies of cross-cultural therapists are next raised. The basic message, told through examples from Australia, North American, and elsewhere, is that cultural norms and values penetrate every facet of client–therapist interaction and clinical decision-making. Competently performed functional analyses can produce culturally accommodating interventions that respond to culture-specific definitions of deviancy, accepted norms of role behaviour, expectations of change techniques, and approved behaviour change practitioners.

Reassessment of the definition of castrate levels of testosterone: implications for clinical decision making

Urology ◽  
2000 ◽  
Vol 56 (6) ◽  
pp. 1021-1024 ◽  
Author(s):  
Michael G Oefelein ◽  
Adrian Feng ◽  
Michael J Scolieri ◽  
Daniel Ricchiutti ◽  
Martin I Resnick
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Definition Of

scholarly journals Economic evaluations of big data analytics for clinical decision-making: a scoping review

2020 ◽  
Vol 27 (9) ◽  
pp. 1466-1475
Author(s):  
Lytske Bakker ◽  
Jos Aarts ◽  
Carin Uyl-de Groot ◽  
William Redekop
Keyword(s):  
Decision Making ◽  
Big Data ◽  
Economic Impact ◽  
Scoping Review ◽  
Data Analytics ◽  
Clinical Decision Making ◽  
Big Data Analytics ◽  
Clinical Decision ◽  
Economic Evaluations ◽  
Definition Of

Abstract Objective Much has been invested in big data analytics to improve health and reduce costs. However, it is unknown whether these investments have achieved the desired goals. We performed a scoping review to determine the health and economic impact of big data analytics for clinical decision-making. Materials and Methods We searched Medline, Embase, Web of Science and the National Health Services Economic Evaluations Database for relevant articles. We included peer-reviewed papers that report the health economic impact of analytics that assist clinical decision-making. We extracted the economic methods and estimated impact and also assessed the quality of the methods used. In addition, we estimated how many studies assessed “big data analytics” based on a broad definition of this term. Results The search yielded 12 133 papers but only 71 studies fulfilled all eligibility criteria. Only a few papers were full economic evaluations; many were performed during development. Papers frequently reported savings for healthcare payers but only 20% also included costs of analytics. Twenty studies examined “big data analytics” and only 7 reported both cost-savings and better outcomes. Discussion The promised potential of big data is not yet reflected in the literature, partly since only a few full and properly performed economic evaluations have been published. This and the lack of a clear definition of “big data” limit policy makers and healthcare professionals from determining which big data initiatives are worth implementing.

Cross-Cultural Adaptation and Psychometric Evaluation of the Persian Version of the Clinical Decision-Making in Nursing Scale

2021 ◽  
pp. JNM-D-20-00052
Author(s):  
Zhaleh Kouravand ◽  
Fereshteh Aein ◽  
Abbas Ebadi ◽  
Ghasem Yadegarfar
Keyword(s):  
Decision Making ◽  
Cultural Adaptation ◽  
Goodness Of Fit ◽  
Clinical Decision Making ◽  
Psychometric Evaluation ◽  
Clinical Decision ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Persian Version ◽  
Fit Index

Background and PurposeThe aim of this study was the cross-cultural adaptation and psychometric evaluation of the Persian version of Clinical Decision Making in Nursing Scale (CDMNS).MethodsThe original CDMNS was translated into Persian using the Beaton's guideline. Its qualitative face validity, qualitative and quantitative content validity, its construct validity, and reliability was assessed.ResultsEleven items out of forty items were deleted due to factor loading values less than 0.3. Subsequently, model fit indices changed as follows: Chi-square value divided by degree of freedom (𝜒2/DF): 2.8, root mean score error of approximation (RMSEA): 0.07, standardized root mean square residual (SRMR): 0.06, comparative fit index (CFI): 0.93, goodness of fit index (GFI): 0.80, and adjusted goodness of fit index (AGFI): 0.77. The Cronbach's alpha values and test.retest intraclass correlation coefficient of the 29-item scale and its subscales also increased afte deleted.ConclusionThe 29-item Persian CDMNS is a valid and reliable instrument for assessing Iranian nurses' perceptions of clinical decision-making.

Treatment Decisions: Types, Models and Schools

1998 ◽  
Vol 14 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Gerhard Seidenstücker ◽  
Wolfgang L. Roth
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Decision Rules ◽  
Clinical Decision ◽  
Adaptive Models ◽  
Complex Decision ◽  
State Of Affairs ◽  
Definition Of ◽  
Therapeutic Schools ◽  
Assessment Strategies

Psychotherapy can be seen as a complex decision process. First, we clarify some distinctions that have to be made in order to adequately describe and evaluate the state of affairs. Then we illustrate decisions made by clients, semi-professionals, and professionals, and mention descriptive and prescriptive studies in treatment-related decision-making. Next, we focus on questions confronting therapists before and during psychotherapy, i. e., the selection, design, and implementation of an efficient therapy offer. These questions motivate the definition of different pragmatic indication models - the selective, inventive and adaptive models. In the next to last section we describe and comment on assessment strategies and decision rules in the context of therapeutic schools (psychoanalysis, client-centered psychotherapy, cognitive-behavioral psychotherapy). In the last section we outline contributions towards general models of decision making in psychological treatments and formulate some conclusions for further research in clinical decision-making.

scholarly journals Future perspectives toward the early definition of a multivariate decision‐support scheme employed in clinical decision making for senior citizens

2016 ◽  
Vol 3 (1) ◽  
pp. 41-45
Author(s):  
Christos A. Frantzidis ◽  
Sotiria Gilou ◽  
Antonis Billis ◽  
Maria Karagianni ◽  
Charalampos D. Bratsas ◽  
...  
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Clinical Decision Making ◽  
Senior Citizens ◽  
Clinical Decision ◽  
Future Perspectives ◽  
Definition Of

scholarly journals Back to Basics: Recognition of Sepsis with New Definition

2019 ◽  
Vol 8 (11) ◽  
pp. 1838 ◽  
Author(s):  
Horak ◽  
Martinkova ◽  
Radej ◽  
Matejovič
Keyword(s):  
Decision Making ◽  
At Risk ◽  
Clinical Decision Making ◽  
Vital Signs ◽  
Clinical Decision ◽  
Rapid Identification ◽  
Junior Doctors ◽  
Serious Infections ◽  
Sepsis Definition ◽  
Definition Of

Patients with serious infections at risk of deterioration represent highly challenging clinical situations, and in particular for junior doctors. A comprehensive clinical examination that integrates the assessment of vital signs, hemodynamics, and peripheral perfusion into clinical decision making is key to responding promptly and effectively to evolving acute medical illnesses, such as sepsis or septic shock. Against this background, the new concept of sepsis definition may provide a useful link between junior doctors and consultant decision making. The purpose of this article is to introduce the updated definition of sepsis and suggest its practical implications, with particular emphasis on integrative clinical assessment, allowing for the rapid identification of patients who are at risk of further deterioration.

scholarly journals A review of features and characteristics of smart medication adherence products

2021 ◽  
pp. 171516352110341
Author(s):  
Sadaf Faisal ◽  
Jessica Ivo ◽  
Tejal Patel
Keyword(s):  
Decision Making ◽  
Medication Adherence ◽  
Remote Monitoring ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Smart Products ◽  
Unit Dose ◽  
Definition Of ◽  
The Cost ◽  
Patient Use

Background: Smart medication adherence products (smart MAPs) capture and transmit real-time medication intake by using various means of connectivity, allowing for remote monitoring. Numerous such products with different features are available to address medication nonadherence. A comparison of the features of these products is needed for clinical decision-making. Therefore, the objective of this review was to compare smart MAPs available for in-home use. Methods: We searched grey and published literature and videos to identify smart MAPs. To be considered smart, products required 2 features: connectivity (the ability for collected data to exist outside the physical device) and automaticity (the ability for data to be analyzed or processed automatically). Products were excluded if product descriptions were not available in English, not for in-home use and unable to dispense medications. Results: Of the 51 products identified, 38 commercially available and 13 prototypes met the definition. Of these, 75% ( n = 38) contained alarms, 24% ( n = 12) were unit-dose, 63% ( n = 32) were multidose, 43% ( n = 22) had locking features, 41% ( n = 21) were portable and 88% ( n = 45) sent notifications to patients. The cost of marketed products, excluding subscriptions, ranged from $10 to $1500 USD. Some products required a monthly ( n = 16) or yearly ( n = 1) subscription ranging from $10 to $100 USD. Discussion: There is a growing market of smart MAPs for in-home patient use with variable features. Clinicians can use these features to identify and recommend products according to the specific needs of their patients to address medication adherence. Can Pharm J (Ott) 2021;154:xx-xx.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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