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Showing "Decision making Benefit Bedside Within Ambulance Care" PubMed Articles 101–125 of 18,000+

Care and decision-making at the end of life for patients with a non-western migration background living in the Netherlands: a nationwide mortality follow-back study.

Migrant populations across Europe are aging and will increasingly need end-of-life care.

Antenatal Periviability Counseling and Decision Making: A Retrospective Examination by the Investigating Neonatal Decisions for Extremely Early Deliveries Study Group.

 To describe periviability counseling practices and decision making.

Pediatric Decision Making: Ross, Rawls, and Getting Children and Families Right.

What process ought to guide decision making for pediatric patients? The prevailing view is that decision making should be informed and guided by the best interest of the child. A widely discussed structural model proposed by Buchanan and Brock focuses on parents as surrogate decision makers and examines best interests as guiding and-or intervention principles. Working from two recent articles by Ross on "constrained parental autonomy" in pediatric decision making (which is grounded in the Buchanan and Brock...

Evaluation of pulmonary B lines by different intensive care physicians using bedside ultrasonography: a reliability study.

To evaluate the agreement between intensive care physicians with similar training in the use of bedside lung ultrasonography in identifying pulmonary B lines, visualized in real time, to verify the reproducibility of the method.

What has reproductive health decision-making capacity got to do with unintended pregnancy? Evidence from the 2014 Ghana Demographic and Health Survey.

Women's reproductive health decision-making is indispensable for improving their reproductive health and achieving Sustainable Development Goal three. This study explored the association between reproductive health decision-making capacity and unintended pregnancy among women in Ghana.

Opportunities and challenges for the inclusion of patient preferences in the medical product life cycle: a systematic review.

The inclusion of patient preferences (PP) in the medical product life cycle is a topic of growing interest to stakeholders such as academics, Health Technology Assessment (HTA) bodies, reimbursement agencies, industry, patients, physicians and regulators. This review aimed to understand the potential roles, reasons for using PP and the expectations, concerns and requirements associated with PP in industry processes, regulatory benefit-risk assessment (BRA) and marketing authorization (MA), and HTA and reimb...

Visual and Auditory Information During Decision Making in Sport.

In 2 experiments, the authors investigated the effects of bimodal integration in a sport-specific task. Beach volleyball players were required to make a tactical decision, responding either verbally or via a motor response, after being presented with visual, auditory, or both kinds of stimuli in a beach volleyball scenario. In Experiment 1, players made the correct decision in a game situation more often when visual and auditory information were congruent than in trials in which they experienced only one of...

Assessing Patient Confidence and Satisfaction about the Shared Decision-making Meetings for Planning Cancer Chemotherapy.

Background Patients increasingly express the desire to be involved in their treatment decisions, especially in critical situations, such as cancer chemotherapy that increase a doctor's responsibility toward fulfilling these needs. This process may require more than one meeting with the patient to meet their expectations and satisfaction levels. This study aimed to assess the satisfaction levels in cancer patients, who received chemotherapy, about their decision-making and if they were able to make this deci...

Decision Making About Genetic Testing Among Women With a Personal and Family History of Breast Cancer.

To understand genetic testing use and decision making among patients with high genetic risk.

The Learning Curve for Shared Decision-making in Symptomatic Aortic Stenosis.

Shared decision-making (SDM) is widely advocated for patients with valvular heart disease yet is not integrated into the heart team model for patients with symptomatic aortic stenosis. Decision aids (DAs) have been shown to improve patient-centered outcomes and may facilitate SDM.

Exploring the experiences and perspectives of substitute decision-makers involved in decisions about deceased organ donation: a qualitative study protocol.

In Canada, deceased organ donation provides over 80% of transplanted organs. At the time of death, families, friends or others assume responsibility as substitute decision-makers (SDMs) to consent to organ donation. Despite their central role in this process, little is known about what barriers, enablers and beliefs influence decision-making among SDMs. This study aims to explore the experiences and perspectives of SDMs involved in making decisions around the withdrawal of life-sustaining therapies, end-of-...

Does it Matter If I Am a Worrier? The Effect of Worry as a Moderator between Career Decision-Making Difficulties and Negative Dysfunctional Emotions.

The association between career decision difficulties and negative emotions of adolescents has been researched; however, less is known about what moderates this relationship. Based on the transactional model of stress and cognitive theories, it was hypothesized that career decision-making difficulties in high school students are associated with psychological distress and this relationship will be moderated by worry. To test the hypothesis, 384 students from five public high schools in Romania (54% adolescent...

Healthcare Decision-Making Among Dual-Eligible Immigrants: Implications from a Study of an Integrated Medicare-Medicaid Demonstration Program in California.

To improve the coordination of long-term services and supports for dual-eligibles (those with both Medicare and Medicaid), California created Cal MediConnect (CMC), an Affordable Care Act-authorized managed care demonstration program. Beneficiaries were "passively enrolled" into CMC, meaning they were automatically enrolled unless they actively opted out. The aim of this study was to examine differences in factors influencing the enrollment decisions of U.S. born and immigrant dual-eligible beneficiaries. T...

Variables that influence the medical decision regarding Advance Directives and their impact on end-of-life care.

The objective of this study was to identify the variables that influence physicians to implement Advance Directives and assess their impact on end-of-life care. It is a narrative literature review of 25 articles published between 1997 and 2018, in the following databases: CAPES, EBSCOhost, BDTD, VHL, Google Scholar, MEDLINE®/PubMed. The keywords utilized were: "advance directives", "living wills", "physicians", "attitude", "decision making", "advance care planning". The main factors that influenced physici...

NICE and Fair? Health Technology Assessment Policy Under the UK's National Institute for Health and Care Excellence, 1999-2018.

The UK's National Institute for Health and Care Excellence (NICE) is responsible for conducting health technology assessment (HTA) on behalf of the National Health Service (NHS). In seeking to justify its recommendations to the NHS about which technologies to fund, NICE claims to adopt two complementary ethical frameworks, one procedural-accountability for reasonableness (AfR)-and one substantive-an 'ethics of opportunity costs' (EOC) that rests primarily on the notion of allocative efficiency. This study i...

Pharmacogenomic Testing in Psychiatry: Ready for Primetime?

Pharmacogenomic testing in clinical psychiatry has grown at an accelerated pace in the last few years and is poised to grow even further. Despite robust evidence lacking regarding efficacy in clinical use, there continues to be growing interest to use it to make treatment decisions. We intend this article to be a primer for a clinician wishing to understand the biological bases, evidence for benefits, and pitfalls in clinical decision-making. Using clinical vignettes, we elucidate these headings in addition...

Communication and Shared Decision Making in the Breast Cancer Treatment Consultation: A Comparative Analysis of English- and Spanish-Speaking Patients.

. Communication in the breast cancer treatment consultation is complex. Language barriers may increase the challenge of achieving patient-centered communication and effective shared decision making. . We conducted a prospective cohort study among Spanish- and English-speaking women with stage 0 to 3 breast cancer in two urban medical centers in the Midwestern United States. Patient centeredness of care and decisional conflict were compared between Spanish- and English-speaking participants using the Interpe...

Selecting Treatment Options and Choosing Between them: Delineating Patient and Professional Autonomy in Shared Decision-Making.

Professional control in the selection of treatment options for patients is changing. In light of social and legal developments emphasising patient choice and autonomy, and restricting medical paternalism and judicial deference, this article examines how far patients and families can demand NHS treatment in England and Wales. It considers situations where the patient is an adult with capacity, an adult lacking capacity and a child. In all three cases, there is judicial support for professional autonomy, but ...

Patient Decision Aids to Facilitate Shared Decision Making in Obstetrics and Gynecology: A Systematic Review and Meta-analysis.

To assess the effectiveness of patient decision aids to facilitate shared decision making in obstetrics and gynecology.

Interim monitoring of non-randomized prospective studies that invoke propensity scoring for decision-making.

Shared decision-making in people with chronic disease: Integrating the biological, social and lived experiences is a key responsibility of nurses.

Women's Control Over Decision to Participate in Surrogacy : Experiences of Surrogate Mothers in Gujarat.

The rise of surrogacy in India over the last decade has helped individuals across the world to realize their parenting aspirations. In the macro-context of poverty in India and the hierarchical and patriarchal family set-up, concerns are expressed about coercion of women to participate in surrogacy. While the ethical issues engulfing surrogacy are widely discussed, not much is known about the role women play in the decision-making to participate in surrogacy. The paper aims to addresses this gap and is base...

An exploration of economic valuation of phosphorus in the environment and its implications in decision making for resource recovery.

In decision making processes today it is typically economic considerations that are the focus and that dictate what decisions are made; however, this approach neglects significant potential impacts these decisions can have, namely environmental impacts. One way to incorporate environmental considerations into current decision making processes is through monetary valuation. This work surveys environmental economics literature that quantifies the monetary valuation of nutrients and nutrient pollution, and app...

Tabletop exercises in the nursing classroom: An introduction for nurse educators.

A long-standing gap exists between graduate and newly licensed nurse abilities and employer expectations. The National League of Nursing has charged nurse educators to address health and welfare through innovative learning to improve student decision-making for patient care. How, then, can a nurse educator link education to practice, innovate learning, and improve student decision-making for patient care? One option is to use tabletop exercises in the nursing classroom. The tabletop exercise provides a stru...

Impact of a jail-based treatment decision-making intervention on post-release initiation of medications for opioid use disorder.

Opioid use disorder (OUD) is common among people in jail and is effectively treated with medications for OUD (MOUD). People with OUD may have an incomplete or inaccurate understanding of OUD and MOUD, and of how to access care. We evaluated an OUD treatment decision making (TDM) intervention to determine whether the intervention increased MOUD initiation post-release.

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