In medical practice, an "inferential gap" exists in two contexts: the nonapplication of relevant existing evidence, and the absence of evidence germane to a particular clinical situation. Randomized controlled trials are the current gold standard of evidence development; however, they suffer limits of generalization to the "real world." Conversely, observational studies might be more generalizable but are prone to bias, data inconsistency, and measurement error. The electronic health record offers hope for supporting the real-time presentation of information relevant to a clinical situation and serves as a platform for the conduct of large observational studies and novel quasi-experimental research.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1377/hlthaff.26.2.w192 | DOI Listing |
Rev Gaucha Enferm
January 2025
Universidade Federal de São João del-Rei (UFSJ), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Divinópolis, Minas Gerais, Brasil.
Objective: To understand the relationships that promote and threaten family hope during pregnancy and in the care of high-risk newborns.
Method: Qualitative research, guided by the theoretical framework of Understanding the Complex Nature of Hope, carried out between December 2021 and March 2022, with 28 members of 14 families attended at a multidisciplinary outpatient clinic for at-risk newborns in Minas Gerais, Brazil. Data obtained from interviews in thematic oral history allowed the construction of narratives, genograms and ecomaps, which were subjected to deductive thematic analysis procedures.
Arq Bras Cardiol
January 2025
Hospital ENCORE, Aparecida de Goiânia, GO - Brasil.
Conjoined twin patients with patent ductus arteriosus and hemodynamic repercussions have a worse prognosis. In the present case report, we demonstrate the first successful percutaneous closure of the ductus arteriosus with the Piccolo© device (Abbot Structural Heart, Plymouth, MN, USA) in this type of clinical situation.
View Article and Find Full Text PDFDementia (London)
January 2025
School of Exercise and Rehabilitation Sciences, Faculty of Health, University of Canberra, Bruce, ACT, Australia.
There is increased recognition of the need to improve post-diagnostic pathways for people with dementia and their care partners living in the community to access rehabilitation services to support independence and wellbeing. However, there is minimal evidence on implementing rehabilitation services for this population. The study aimed to present the expectations and experiences of allied health staff involved in piloting the Sustainable Personalised Interventions for Cognition, Care and Engagement (SPICE) program based at an outpatient clinic of a public rehabilitation hospital.
View Article and Find Full Text PDFInt J Gynaecol Obstet
January 2025
Department of Surgical Gynecology, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Retroperitoneal ectopic pregnancy is an uncommon condition in clinical practice, often associated with misdiagnosis and unconventional treatment. Delayed interventions can lead to poor prognosis and sometimes catastrophic situations. Due to the limited number of reported cases in the literature, an established treatment protocol has yet to be introduced.
View Article and Find Full Text PDFJ Educ Health Promot
November 2024
Higher Institute of Nursing Professions and Techniques of Health of Fez, Fez, Morocco.
Background: Psychological flourishing is a component of positive mental health that characterizes the lives of nursing and health technology students, despite the stressful situations they experience during this training. The objective of this study is to evaluate psychological flourishing and to put the thumb on its importance in the training of nursing and health technique students.
Materials And Methods: A cross-sectional descriptive-analytical study was conducted at the two higher institutes of nursing and health technical professions in Fez and Rabat between 1 March and 30 March 2022, using a questionnaire containing socio-demographic characteristics, training characteristics, a perceived stress scale (PSS10) and a psychological flourishing scale.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!