Journal of evaluation in clinical practice
-
Implementing standardised outcome measures (SOMs) in stroke rehabilitation practices enhances patient care, communication, and overall clinical effectiveness. However, the implementation of Arabic-validated SOMs in stroke rehabilitation practices among Arabic-speaking patients has not been fully explored. ⋯ Implementing Arabic-validated SOMs is essential to ensure culturally appropriate and linguistically accurate evaluations that support evidence-based decision-making and enhance patient management in stroke rehabilitation among Arabic-speaking patients. Enhancing familiarity with clinical practice guidelines and addressing barriers such as time constraints and financial challenges can further promote the implementation of Arabic-validated SOMs into routine practice, ultimately improving patient outcomes.
-
The threat of the H5N1-influenza virus prompts reflection on COVID-19 pandemic experiences. This paper integrates insights from a first responder using the Cynefin framework to advocate for an adaptive strategic approach to future pandemics. Balancing individual freedoms with containment measures serves to leverage the human capital needed for rapid learning and resource distribution. ⋯ Both operate within scale free human systems which must adapt to existential challenges such as pandemics. Experience leading to knowledge and understanding occurs simultaneously at all dimensions of human existence. Ultimately, adaptive leadership and decentralized decision-making, supported by the best available knowledge, enable effective pandemic management and restoration of normal societal functions.
-
At-risk infants are predisposed to major and minor neurodevelopmental disorders due to various biological and environmental factors. ⋯ In the clinical follow-up of at-risk infants, those who scored low on AIMS should be monitored for future risk of DCD and minor disorders, even if major neurological issues such as cerebral palsy are not detected.
-
Antibiotic overuse is highly reported among dentists worldwide. An antibiotic stewardship programme has been shown to be effective for decreasing the number of unappropriated antibiotic prescriptions. The goal of this survey was to assess dentists' awareness of antibiotic stewardship and their willingness to implement changes accordingly. ⋯ Awareness of antibiotic stewardship was low among dentists with different levels of experience. However, dentists were willing to change their antibiotic prescription habits if policies were implemented as part of a stewardship programme at the school.
-
The article tests the hypothesis that we can draw practical knowledge from the experience of service providers operating in the past. The research questions were formulated: can the historical example of the organization of medical care in the Polish Children's Hospital named after Karol and Maria be used as a viable example today? Is it relevant for contemporary practitioners? And do we still use the knowledge of predecessors? The authors decided to use the interwar Hospital and an operating paediatric ward of the Child-Friendly Hospital for a comparative analysis. ⋯ It seems that while the technical aspects of integrated care initiated in the past are developing perfectly, the approach to the evidence-based medicine is waiting to be developed again.