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Shrivastava SR, Shrivastava PS, Tiwade Y. Shifting from Conventional Curriculum to Value-based Medical Curriculum: Narrative Review. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2024; 16:S1084-S1087. [PMID: 38882841 PMCID: PMC11174269 DOI: 10.4103/jpbs.jpbs_1232_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 12/22/2023] [Accepted: 01/09/2024] [Indexed: 06/18/2024] Open
Abstract
Value-based medical education is essential for the provision of quality-assured patient-centered healthcare services. The purpose of the current review is to explore the need for the adoption of a value-based approach in medical curriculum, identify the merits, devise a stepwise plan for the implementation of a value-based curriculum, and identify the potential concerns and the strategies to overcome them. The implementation of a value-based approach in medical curricula requires a systematic and stepwise approach to ensure the attainment of maximum benefits. However, this implementation can be accompanied by multiple challenges, and we will require the active involvement of medical educators and college administrators to overcome them. The delivery of value-based medical education is expected to prepare the future cohort of healthcare professionals to deliver patient-centered care. This calls for the need to adopt a multipronged approach to ensure that this value-driven teaching is integrated into the existing model of delivery of medical education, as it will significantly improve patient outcomes and well-being.
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Affiliation(s)
- Saurabh RamBihariLal Shrivastava
- Deputy Director (Research and Development), Off Campus, Datta Meghe Institute of Higher Education and Research, Department of Community Medicine, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India
| | | | - Yugeshwari Tiwade
- Department of Microbiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India
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Ibemere SO, Silva SG, Affronti ML, Masese R, Tanabe P. Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery. J Am Assoc Nurse Pract 2024; 36:160-170. [PMID: 37962429 DOI: 10.1097/jxx.0000000000000964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 09/22/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND The widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because of the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with telehealth care delivery and perceptions of its feasibility compared with in-person visits. PURPOSE Outpatient chronic care delivery satisfaction and preference were compared among NPs who provide care to adults through in-person and/or telehealth visits and examined NP demographic and clinical characteristics associated with overall satisfaction by care delivery type. METHODOLOGY Data were collected using a cross-sectional, descriptive design through online dissemination of The Care Delivery Satisfaction Survey to a nationally representative sample of 586 NPs. RESULTS Compared with NPs using both visit types to deliver care, NPs delivering care in-person only had significantly lower satisfaction scores for interpersonal manner ( p = .0076) and communication ( p = .0108). NPs using telehealth only had significantly higher overall satisfaction and satisfaction subscale scores (all p < .01) compared with NPs using both visit types. Overall, 77% of NPs using both visit types preferred in-person delivery. CONCLUSIONS/IMPLICATIONS NPs delivering telehealth care only were more satisfied with chronic care delivery than NPs using both delivery types. NPs using both types were more satisfied with interpersonal manner and communication compared with NPs delivering in-person care only. Most NPs using both types preferred in-person care delivery. Given increased telehealth use, health systems, academic institutions, and insurance companies can use these study findings to inform policy on telehealth resources and infrastructure.
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Affiliation(s)
- Stephanie O Ibemere
- Duke University School of Nursing, Durham, North Carolina
- Duke Global Health Institute, Durham, North Carolina
| | - Susan G Silva
- Duke University School of Nursing, Durham, North Carolina
- Duke University School of Medicine, Durham, North Carolina
| | - Mary Lou Affronti
- Duke University School of Nursing, Durham, North Carolina
- Preston Robert Tisch Brain Tumor Center, Duke Health System, Duke Neuro-surgery, Durham, North Carolina
| | - Rita Masese
- Duke University School of Nursing, Durham, North Carolina
| | - Paula Tanabe
- Duke University School of Nursing, Durham, North Carolina
- Duke University School of Medicine, Durham, North Carolina
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Yangöz ŞT, Turan Kavradım S, Özer Z. Hotspots and Global Trends of Nursing Research on Telehealth From 2012 to 2021: A Bibliometric Analysis by CiteSpace. Comput Inform Nurs 2023; 41:833-843. [PMID: 37278716 DOI: 10.1097/cin.0000000000001028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Telehealth is commonly used in nursing in recent years; however, there is a lack of information on hotspots and global trends over time. This study aimed to analyze the bibliometric patterns of telehealth research in nursing. This is a descriptive bibliometric study. Data were obtained from Web of Science Core Collection. CiteSpace version 6.1.R6 was used to perform analysis. The co-occurrence and co-citation analyses were conducted. A total of 1365 articles were analyzed. A total of 354 authors and 352 institutions from 68 countries have contributed telehealth research in nursing. The most productive author was Kathryn H. Bowles with six articles. The United States with 688 articles and University of Pennsylvania with 22 articles were the most productive country and institution, respectively. The top 10 keywords on this research area were care , intervention , management , health , technology , quality of life , outcome , mobile application , telemedicine , and experience . In addition, the common themes on keywords were nurse practitioner student perception, hemodialysis patients, and heart failure. The study will help to finding potential collaborators, countries, and institutions for future researchers. In addition, it will guide researchers, practitioners, and scholars in further studies, health policy development, and evidence-based practice on telehealth in nursing.
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Affiliation(s)
- Şefika Tuğba Yangöz
- Author Affiliations: Department of Internal Medicine Nursing, Faculty of Health Sciences, Pamukkale University, Denizli (Dr Yangöz); and Department of Internal Medicine Nursing, Faculty of Nursing, Akdeniz University, Antalya (Drs Kavradım and Özer), Turkey
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Elfiyunai NN, Nursalam N, Sukartini T, Efendi F. A systematic review on telenursing as a solution in improving the treatment compliance of tuberculosis patients in the COVID-19 pandemic. HEALTHCARE IN LOW-RESOURCE SETTINGS 2023. [DOI: 10.4081/hls.2023.11194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
Introduction: The COVID-19 pandemic had made patients scared of coming to clinics or hospitals, and this could affect the treatment of TB. Therefore, one type of service that can be used by nurses to improve compliance to TB treatment is Telenursing. This article aims to ascertain whether telenursing could be a solution in improving the compliance of TB patients to treatments in the COVID-19 pandemic.
Design and Method: This research was conducted using the Randomised Controlled Trial design as well as PRISMA. Furthermore, useful research articles were sourced from the database using the keywords, “Message Reminder and Tuberculosis OR Medication Adherence”. The databases used are Scopus, Science Direct, PubMed, and SAGE, all in English text and from 2015 to 2021, with inclusion criteria. 277 articles were obtained, and then filtered to select 3 articles by reading the main focus of the write-up, with regard to the topic of study.
Result: Telenursing can be a solution to reduce the spread of COVID-19, and a substitute for remotely motivating individuals, as social support. Furthermore, it could be used as a reminder to patients to be obedient in carrying out treatments, and as a means of educating and improving good relationships with providers.
Conclusions: Telenursing is a fairly effective solution in helping TB patients improve treatment compliance, reduce drug dropout rates and missed doses, as well as, raise awareness about the importance of health in the COVID-19 pandemic.
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Brownie SM, Chalmers LM, Broman P, Andersen P. Evaluating an undergraduate nursing student telehealth placement for community-dwelling frail older people during the COVID-19 pandemic. J Clin Nurs 2023; 32:147-162. [PMID: 35018676 DOI: 10.1111/jocn.16208] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 12/21/2021] [Accepted: 12/23/2021] [Indexed: 12/14/2022]
Abstract
AIMS AND OBJECTIVES To evaluate a rapid response student telehealth placement experience implementing interRAI assessments of community-dwelling frail older people during the COVID-19 pandemic. To identify lessons to inform future telehealth clinical placements. BACKGROUND New Zealand undertakes assessment of older people with disabilities using the interRAI contact assessment tool for less complex conditions and home care assessment tool for complex needs. New Zealand entered lockdown in March 2020 in response to COVID-19. New Zealand's most vulnerable community members required urgent needs assessment. DESIGN A clinical placement whereby 3rd year undergraduate nursing students trained by interRAI-NZ educators worked remotely from home delivering telehealth assessment for 'at risk' older people across the Waikato District, New Zealand. This represented the first telehealth experience within an undergraduate nursing program approved by the New Zealand Nursing Council. METHODS A case study evaluation utilising mixed method questionnaire and qualitative techniques within an interpretive paradigm. 19 third year students in the fifth semester of a Bachelor of Nursing program and 5 nursing staff members engaged in delivery of the initiative completed pre- and post-placement short answer questionnaires. Reflective diaries were maintained by students on placement. Post-placement interviews and focus group discussions provided in-depth data. COREQ guidelines informed analysis and reporting. RESULTS Student and tutor responses showed consistent themes: tackling COVID-19; implementation requirements; nursing competencies; provider relationships; and community insights. These provide insight and highlight lessons learnt from this initiative. CONCLUSIONS Student confidence in therapeutic engagement and clinical assessment and interest in aged care was increased, confirming the viability and importance of this inaugural telehealth student placement initiative. RELEVANCE TO CLINICAL PRACTICE Graduate work readiness is enhanced through telehealth placement experience and interRAI assessor training. These are recommended as core components of future nursing education programs.
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Affiliation(s)
- Sharon M Brownie
- School of Nursing, Midwifery & Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,School of Medicine, Griffith University, Southport, Queensland, Australia.,Centre for Health & Social Practice, Waikato Institute of Technology, Hamilton, New Zealand
| | | | - Patrick Broman
- Centre for Health & Social Practice, Waikato Institute of Technology, Hamilton, New Zealand
| | - Patrea Andersen
- Centre for Health & Social Practice, Waikato Institute of Technology, Hamilton, New Zealand.,School of Nursing Midwifery and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.,School of Nursing, Midwifery and Social Science, Central Queensland University, Noosaville, Queensland, Australia
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Tschirgi ML, Owens KM, Mackall MS, Allen J, Allen R. Easing the burden of multi-state genetic counseling licensure in the United States: Process, pitfalls, and possible solutions. J Genet Couns 2021; 31:41-48. [PMID: 34251069 DOI: 10.1002/jgc4.1467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 06/07/2021] [Accepted: 06/15/2021] [Indexed: 11/06/2022]
Abstract
State-based genetic counseling licensure creates standardization, ensures high-quality care, and supports the credentialing of genetic counselors (GCs) in the United States. However, it also has the unintended consequence of requiring substantial time and resources from genetic counselors who need to obtain licensure in multiple states. There is a wide range of variability among state licensure applications, required supporting documentation, verification processes, and cost-all of which are barriers for genetic counselors. New licensure laws are being passed on a regular basis, further complicating this process. Resources may be available to some genetic counselors such as employer reimbursement and administrative support; however, access to this support is not universal. This paper reviews the current condition of genetic counseling multi-state licensure, including barriers, unique challenges, and possible solutions for increased efficiencies, based on the authors' experiences and examples found in other healthcare fields.
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