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Navigating uncertainty: a reflexive thematic analysis of rehabilitation staff's perception of communicative interactions in Disorders of Consciousness and Posttraumatic Amnesia.

Disabil Rehabil

December 2024

Division of Brain Injury, Department of Brain and Spinal Cord Injury, The Neuroscience Centre, Copenhagen University Hospital, Rigshospitalet, Denmark.

Purpose: This study aims to improve our understanding of how communicative interaction is perceived by experienced rehabilitation staff working with patients with Disorders of Consciousness (DoC) and Posttraumatic Amnesia (PTA).

Method: This qualitative study involved five workshops guided by modified Nominal Group Technique with 22 professionals from six disciplines. Reflexive thematic analysis was employed for analysis.

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Article Synopsis
  • * The review analyzed 33 studies and identified six key themes related to decision-making, communication, and the undervaluation of nursing roles in care coordination.
  • * The findings emphasize the need to recognize and value nurses' contributions in rehabilitation settings and suggest that further interviews with nurses could improve nursing practices for older patients.
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Background: In medical device validation and verification studies, the area under the receiver operating characteristic curve (AUROC) is often used as a primary endpoint despite multiple reports showing its limitations. Hence, researchers are encouraged to consider alternative metrics as primary endpoints. A new metric called G4 is presented, which is the geometric mean of sensitivity, specificity, the positive predictive value, and the negative predictive value.

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Cerebral palsy (CP) is a common motor and postural developmental disability impacting daily activities like toileting. Despite its importance, toileting has often been undervalued in healthcare. This study is aimed at identifying and assessing the level of influence of various factors affecting toileting in individuals with CP using the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) framework.

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Open Science initiatives such as preregistration, publicly available procedures and data, and power analyses have rightly been lauded for increasing the of findings. However, a potentially equally important initiative-aimed at increasing the of science-has largely been ignored. Adversarial collaborations (ACs) refer to team science in which members are chosen to represent diverse (and even contradictory) perspectives and hypotheses, with or without a neutral team member to referee disputes.

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