Journal of evaluation in clinical practice
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To determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours. ⋯ In the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.
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This article identifies and offers a response to several problems that affect the quality of both clinical education and health care services. These matters are: that in clinical training and practice, health, as lived by patients (persons), is not properly considered, and is equated reductively with treating diseases/disorders; that health is seen through disease, and as restricted to a single model defined by an organism's meeting (or being returned to) biochemical or functional standards; that intellectual assumptions instilled in schools of Medicine and Psychology about realities pertaining to healthcare determine an understanding of chronic illness or life with chronic challenges focused on impairment and suffering, and not on the fuller experience of living with illness, disability or neuropsychological challenges that patients have as persons; that arts-based education reflects the same focus in understanding 'illness', and thus neglects giving attention to the creation of personal health states of those living with challenging or debilitating long-term conditions; that, consequently, the arts are instrumentalized to serve these predefined educational purposes, rather than allowed to inform clinical training through that which is intrinsic or more specific to them. As a way out of these limitations and as an illustration of how things could be done differently, Vincent Van Gogh's paintings of the Sunflowers are used as visual inspiration for how we could change the way we see, and construct new mental representations of 'health', 'chronic illness' or 'chronic challenges', 'patient as person' or even 'person as non-patient', 'the clinician's role' and 'the identity of clinical practice'. Relying on Van Gogh's depictions of the sunflowers as an example and a visual basis, the article shows how characteristics typical to art (transformation, alternative generation, etc.) can be transferred into the perception and conceptualisation of clinically relevant realities, and discusses the benefits of these changes for clinical practice.
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The patient's perception of physician empathy has a positive influence on patient behavior and treatment effects. The scale of Consultation and Relational Empathy (CARE) scale has been widely used to measure patients' perceptions of doctor empathy. However, the CARE scale lacks a standardized Mandarin version. In this study, we developed a Mandarin version of the CARE scale and validated its quality. ⋯ The scale could serve as an evaluation tool for patients' perceptions of doctors' empathy in primary-level medical service settings in Chinese mainland.
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The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic. ⋯ Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.
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Patient reported outcome (PRO) measures are a critical tool to understand the patient's experience of their illness. Our institution collects PRO measures for patients receiving spine care through several modalities, including direct patient outreaches. ⋯ This increase in patient outreaches by return-to-work employees will translate to improvement in overall PRO collection rates, which may ultimately improve individual and population health care delivery.