Mayo Clinic proceedings
-
Mayo Clinic proceedings · May 2020
ReviewNuances of the Female Nurse-Physician Relationship: An Evolution Across Time.
Gender bias in academic medicine is increasingly recognized as a widespread phenomenon and has generated substantial research and discussion in recent years. Gender bias goes beyond leadership positions and financial compensation and extends to interprofessional relationships, including relationships with allied staff. Few studies have examined the female nurse-physician relationship, and the goal of this review is to consolidate the existing evidence and gaps in the literature with regard to this dyad. ⋯ The reported female nurse perspective of this relationship has been overall more positive, but recent studies have had a stronger focus on the physician perspective. Several hypotheses are discussed as to why such an evolution has occurred in the female nurse-physician relationship. There continue to be important gaps in the literature, including more in-depth evaluations of the female nurse perspective and investigation of the male perspective of the nurse-physician relationship.
-
The opioid crisis is a major concern of most health care institutions, including our large academic center. In this article, an organized approach to managing the epidemic institutionally is discussed. ⋯ The development of an Opioid Stewardship Program resulted in: (1) an understanding of our diverse prescribing practices and the formation of patient- and procedure-specific guidelines to manage them, (2) education tools for our patients and providers, and (3) workflows and practice advisories within the electronic health record to support appropriate prescribing and monitoring of patients. This ongoing work continues to evolve in response to the needs of our patients, changing regulatory environments, and our improved understanding of our practices.
-
Recognizing the contribution art has had in the Mayo Clinic environment since the original Mayo Clinic Building was finished in 1914, Mayo Clinic Proceedings features some of the numerous works of art displayed throughout the buildings and grounds on Mayo Clinic campuses as interpreted by the author.
-
Mayo Clinic proceedings · May 2020
Participation Bias in a Survey of Community Patients With Heart Failure.
To identify differences between participants and nonparticipants in a survey of physical and psychosocial aspects of health among a population-based sample of patients with heart failure (HF). ⋯ In a large survey of patients with HF, participation was associated with notable differences in clinical and demographic characteristics and outcomes. Examining the impact of participation is critical to draw inference from studies of patient-reported measures.
-
Mayo Clinic proceedings · May 2020
Frequency of Medical Reversal Among Published Randomized Controlled Trials Assessing Cardiopulmonary Resuscitation (CPR).
To characterize what proportion of all randomized controlled trials (RCTs) among patients experiencing cardiac arrest find that an established practice is ineffective or harmful, that is, a medical reversal. ⋯ Reversal of cardiopulmonary resuscitation practices is widespread. This investigation sheds new light on low-value practices and patterns of medical research and suggests that novel resuscitation practices have low pretest probability and should be empirically tested with rigorous trials before implementation.