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This paper grew from a series of conversations about the challenges associated with clinical education for undergraduate nurses. In it we consider clinical education for undergraduate nurses within the current context of increasin...
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This paper grew from a series of conversations about the challenges associated with clinical education for undergraduate nurses. In it we consider clinical education for undergraduate nurses within the current context of increasing resource and industry constraints. Beginning level clinical competence is the major aim of undergraduate nurse education, and therefore clinical education is central to nursing curricula. However, almost 20 years after the transfer of nurse education to the tertiary sector in New South Wales, Australia, concerns about the clinical learning opportunities in undergraduate nursing curricula continue to be raised. Many educational providers have adopted various permeations of the sessional clinical facilitator model. However, this model has inherent problems that threaten its sustainability and usefulness for undergraduate nurse education. We call upon the discipline to explore alternative pathways for undergraduate clinical education, and present sustainable options for future development in this area. 2005 Elsevier Ltd. All rights reserved.
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Background: Clinical research is becoming increasingly popular in Europe at a growth rate much higher than expected, especially in Benelux. Although traditionally thought to be the purview of academic health centres, clinical rese...
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Background: Clinical research is becoming increasingly popular in Europe at a growth rate much higher than expected, especially in Benelux. Although traditionally thought to be the purview of academic health centres, clinical research to evaluate new drugs, devices and medical practices is being done more and more in healthcare organizations with little or no academic affiliation. Methods: By managing a new infrastructure and centralizing resources and demands, clinical research unit (CRU) has become an effective mechanism for hospital research. The ‘infrastructure’ or CRU refers to the necessary resources and how the CRU is organized and communicates operationally to conduct clinical research within the institution. The creation of a new CRU within the Robert Schuman Hospital in Luxembourg is described in this article. Results: This article discusses the concrete steps and basic elements such as patientcentric and hospital approaches needed to create and structure a CRU to provide academic or industry-sponsored research support in clinical research. Conclusions: Some infrastructure challenges (insufficient engagement, regulatory and administrative barriers) and possible courses of action (standardized procedures, training and centralization) will be discussed.
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Background: The logical nature of clinical judgment has been conceptualized in different ways, but a clear connection between the features of clinical judgment and those of semiology is still lacking. Methods: The characteristics ...
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Background: The logical nature of clinical judgment has been conceptualized in different ways, but a clear connection between the features of clinical judgment and those of semiology is still lacking. Methods: The characteristics of clinical judgment, medical semiology, and psychiatric semiology are described. Connections between them are drawn. Results: Clinical judgment is described as an abductive inference. Abductive inferences are especially useful to balance universal and singular information. In psychiatric semiology, due to some specific features, a careful balance between the information present in descriptive definitions and the information absent from the definition but present in singular symptoms is needed. The main types of out-of-definition information are reviewed. Conclusions: The implications of the results for diagnosis and research are drawn.
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Rationale, aims and objectives This study aimed to apply the 'systems approach' to patient safety in order to identify causes for delays and errors in lung cancer diagnoses following an abnormal chest radiograph. Methods In the fi...
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Rationale, aims and objectives This study aimed to apply the 'systems approach' to patient safety in order to identify causes for delays and errors in lung cancer diagnoses following an abnormal chest radiograph. Methods In the first part of this study, the systems approach to patient safety was comprehensively reviewed by three radiologists and seven patient safety experts. In the second part of this study, a retrospective review was performed of all patients referred to the lung cancer multidisciplinary team (MDT) meeting over a 1-year period. All abnormal chest radiograph reports were examined and a root-cause analysis performed of cases where errors and delays in diagnoses were deemed to have occurred. Results A total of 124 cases were reviewed, of which 36 (29%) patients had an abnormal preceding chest radiograph prior to MDT referral. In six cases, serious errors from delay and lack of follow-up were identified. These are analysed and discussed in detail in this article. Application of the systems approach to each case identified poor communication and lack of clinical action as prime causes. Conclusions Both reporting radiologists and referring clinicians have a responsibility to ensure appropriate action following an abnormal chest radiograph. The main error lies in communication between the referring clinicians and the radiologists. Direct electronic communication is potentially a more robust method to overcome this.
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Background: Many biomedical researchers and stakeholders may be unfamiliar with clinical trial concepts, designs, and factors affecting data integrity. Complexities are further increased in multinational trials. This article is in...
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Background: Many biomedical researchers and stakeholders may be unfamiliar with clinical trial concepts, designs, and factors affecting data integrity. Complexities are further increased in multinational trials. This article is intended to summarize the clinical trial process, with emphasis on the planning and design of multinational trials. The goal is to provide insight and guidance to the international research community. Clinical trial guidelines have been generated by reviewing textbooks, published articles, regulatory guidelines, and the authors' personal experience. The workflow reported here summarizes the literature to produce a practical template in order to guide the planning and design of multinational clinical trials. This template can be broadly useful during the planning and design steps of a nascent clinical trial. However, in-depth knowledge of each individual process of a clinical trial is essential. One is encouraged to use this template as a guide for early drafts of a clinical trial.
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Rationale, aims and objectivesIt has been proposed that delivery should be accomplished within 30 minutes after diagnosis of fetal distress. The objective of this study was to determine the decision-to-delivery interval (DDI) in e...
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Rationale, aims and objectivesIt has been proposed that delivery should be accomplished within 30 minutes after diagnosis of fetal distress. The objective of this study was to determine the decision-to-delivery interval (DDI) in emergency caesarean delivery for non-reassuring fetal heart rate (FHR).
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Purpose - The purpose of this paper is to provide an overview of the content of the current issue of CGIJ. Design/methodology/approach - This review is prepared by the review editor to highlight key points within each article. Fin...
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Purpose - The purpose of this paper is to provide an overview of the content of the current issue of CGIJ. Design/methodology/approach - This review is prepared by the review editor to highlight key points within each article. Findings - Enables readers to scan content and select articles of most interest or relevance to their needs. Originality/value - CGIJ is the only Emerald health journal providing this service to its readers.
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Purpose - The purpose of this paper is to provide an overview of the content of the current issue of CGIJ. Design/methodology/approach - The review is prepared by the review editor to highlight key points within each paper. Findin...
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Purpose - The purpose of this paper is to provide an overview of the content of the current issue of CGIJ. Design/methodology/approach - The review is prepared by the review editor to highlight key points within each paper. Findings - Enables readers to scan content and select articles of most interest or relevance to their needs. Originality/value - CGIJ is the only Emerald health journal providing this service to its readers.
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Introduction: The Trauma Assessment Clinic [TAC], also referred to as Virtual Fracture Clinic, offers a novel care pathway for patients and is being increasingly utilised across the Irish and UK health care systems. The provision ...
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Introduction: The Trauma Assessment Clinic [TAC], also referred to as Virtual Fracture Clinic, offers a novel care pathway for patients and is being increasingly utilised across the Irish and UK health care systems. The provision of safe, patient centred, efficient and cost-effective treatment via a multidisciplinary team [MDT] approach is the primary focus of TAC. The Trauma and Orthopaedic unit at Tullamore Hospital was the first centre to introduce a TAC in Ireland and this overview outlines the experiences of this pilot.
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