Journal of evaluation in clinical practice
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Family-centred care (FCC) emphasizes a partnership approach to care between healthcare providers (HCPs), patients, and families. FCC provides significant benefits to both children and families; however, challenges exist in implementing FCC into practice. This study aimed to explore HCPs' FCC behaviours in multidisciplinary specialty clinics at a tertiary pediatric health care center in Canada. ⋯ Providing general information and emotional support to patients and families are areas for improvement for all specialty clinics surveyed. Given genetic counsellors (GCs) expertise in education and counselling, GC integration in these clinics is one way in which FCC can be improved. Our study also shows that years of work experience influences HCPs' capacity to provide FCC.
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Observational Study
Trajectories and Influencing Factors of Self-Management Behaviour in Patients With Knee Osteoarthritis: A Longitudinal Study.
To explore the trajectory of self-management behaviour and its influencing factors in patients with knee osteoarthritis. ⋯ The authors would specially thank all the participants in this study.
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Problem-solving skills are some of the leading strategies for dynamism in the content and quality of nursing care. ⋯ For this reason, revising the national nursing curriculum with programmes that develop emotional intelligence and solution-focused thinking skills will enable nursing students to better manage the nursing process in clinical and field practices.
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To validate codelists for defining a range of mental health (MH) conditions with primary care data, using a mixed qualitative and quantitative approach and without requiring external data. ⋯ We produced a comprehensive set of medical codes lists for 12 MH conditions validated by a combination of clinical consensus panel and quantitative cluster analysis with cross-validation.
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Comparative Study
Comparison of forearm and intra-arterial blood pressure measurements according to body and arm positions in obese patients.
Noninvasive blood pressure (BP) monitoring is very important also difficult for accurate diagnosis and monitor of obese patients. ⋯ Forearm systolic BP measurement, especially in the supine and half-sitting position with the arm below the heart level position, was best agreement with intra-arterial measurement, regarded as the gold standard. For this reason, it is more appropriate to use forearm BP measurement in obese patients monitored in intensive care to obtain accurate results.