Patient education and counseling
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Multicenter Study Comparative Study
Development and evaluation of the "Advanced Heart Failure Clinical Competence Survey": a tool to assess knowledge of heart failure care and self-assessed competence.
We developed a tool to identify self-assessment of skills for advanced HF assessment and management and knowledge of HF care. ⋯ The Advanced Heart Failure Clinical Competence Survey can identify hospice nurses' confidence and knowledge or the need for education to enable patient and family education and counseling regarding self-care, medications, distressing symptoms and approaching the end of life.
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Multicenter Study Clinical Trial
The LBP patient perception scale: a new predictor of LBP episode outcomes among primary care patients.
To describe a new tool designed to capture patients' perception of their low back pain (LBP) episodes-the patient perception scale (PPS) and test its ability to predict episode outcomes. ⋯ The PPS-pt could potentially be used as part of the standard initial patient evaluation of new LBP patients, as a proxy for "yellow flags" (markers of psychosocial risk) where a positive score might be the equivalent to high-risk identification. The apparent advantage of this scale is its brevity and simplicity of administration. The separation, through this scale of pain episodes into simple and complex LBP might be a useful tool for helping direct resources and avoiding chronicity.
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To investigate if general practitioners (GPs) with a higher workload are less inclined to encourage their patients to disclose psychological problems, and are less aware of their patients' psychological problems. ⋯ We recommend that attention is given to all the communication skills required to discuss psychological problems, both in the consulting room and in GPs' training. Additionally, attention for gender differences and stress management is recommended in GPs' training.
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The present study explores the emotional effect of the injury experienced by physician's, as a consequence of a patient's termination of their relationship. ⋯ We discuss the implications of our results on the understanding of the emotional injury and consequent impaired function and possible "burn-out" in physicians and explore the possibility of educating doctors to heightened awareness and consequently enhanced ability to cope with such situations.
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Comparative Study
Measuring shared decision making processes in psychiatry: skills versus patient satisfaction.
To measure to what extent clinicians in a psychiatry department involve patients in decision making about treatment choice and to compare these data with patients' satisfaction rates about clinician communication behaviours. ⋯ Our starting point was that clinicians need to become experts in all roles of their profession, as communicator as well as medical expert. Providing mirror information by assessing decision making behaviours will help to improve performance. Clinicians should be able to perform these SDM behaviours, even if patients are not asking for participation. Claims that clinicians do empathically feel if patients are able to involve in decision making, should be checked by scientific experiments.