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[PMID]:29194313
[Ti] Título:A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses' Clinical Reasoning.
[So] Source:Nurs Educ Perspect;38(2):E1-E2, 2017 Mar/Apr.
[Is] ISSN:1536-5026
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Competência Clínica
Tomada de Decisão Clínica
Emprego
Ética em Enfermagem
Pensamento
[Mh] Termos MeSH secundário: Seres Humanos
Segurança do Paciente
Resolução de Problemas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1097/01.NEP.0000000000000123


  2 / 22583 MEDLINE  
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[PMID]:29194297
[Au] Autor:Kavanagh JM; Szweda C
[Ad] Endereço:About the Authors Joan M. Kavanagh, MSN, RN, NEA-BC, is the associate chief nurse of nursing education and professional development, Cleveland Clinic Foundation, Cleveland, Ohio. Christine Szweda, MS, BSN, RN, is the senior director, operations of nursing education and professional development, Cleveland Clinic Foundation. For more information, contact Joan Kavanagh at kavanaj@ccf.org.
[Ti] Título:A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses' Clinical Reasoning.
[So] Source:Nurs Educ Perspect;38(2):57-62, 2017 Mar/Apr.
[Is] ISSN:1536-5026
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: The aim of the study was to assess entry-level competency and practice readiness of newly graduated nurses. BACKGROUND: Literature on success of new graduates focuses primarily on National Council of State Boards of Nursing Licensure Examination (NCLEX-RN) pass rates, creating a false and incomplete picture of practice readiness. METHOD: Posthire and prestart Performance-Based Development System assessments were administered to more than 5,000 newly graduated nurses at a large midwestern academic medical center between July 2010 and July 2015. RESULTS: Aggregate baseline data indicate that only 23 percent of newly graduated nurses demonstrate entry-level competencies and practice readiness. CONCLUSION: New data suggest that we are losing ground in the quest for entry-level competency. Graduates often are underprepared to operate in the complex field of professional practice where increased patient acuity and decreased length of stay, coupled with a lack of deep learning in our academic nursing programs, have exacerbated a crisis in competency.
[Mh] Termos MeSH primário: Competência Clínica
Tomada de Decisão Clínica
Emprego
Ética em Enfermagem
Pensamento
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Seres Humanos
Ohio
Segurança do Paciente
Resolução de Problemas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1097/01.NEP.0000000000000112


  3 / 22583 MEDLINE  
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[PMID]:27774613
[Au] Autor:Thomsen T; Kappes C; Schwerdt L; Sander J; Poller C
[Ad] Endereço:University of Hildesheim, Germany.
[Ti] Título:Modelling goal adjustment in social relationships: Two experimental studies with children and adults.
[So] Source:Br J Dev Psychol;35(2):267-287, 2017 Jun.
[Is] ISSN:2044-835X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In two experiments, we investigated observational learning in social relationships as one possible pathway to the development of goal adjustment processes. In the first experiment, 56 children (M = 9.29 years) observed their parent as a model; in the second, 50 adults (M = 32.27 years) observed their romantic partner. Subjects were randomly assigned to three groups: goal engagement (GE), goal disengagement (GD), or control group (CO) and were asked to solve (unsolvable) puzzles. Before trying to solve the puzzles by themselves, subjects observed the instructed model, who was told to continue with the same puzzle (GE) or to switch to the next puzzle (GD). Results show that children in the GE group switched significantly less than in the GD or CO group. There was no difference between the GD group and CO group. Adults in the GE group switched significantly less than in the GD or CO group, whereas subjects in the GD group switched significantly more often than the CO group. Statement of contribution What is already known on this subject? Previous research focused mainly on the functions of goal adjustment processes. It rarely considered processes and conditions that contribute to the development of goal engagement and goal disengagement. There are only two cross-sectional studies that directly investigate this topic. Previous research that claims observational learning as a pathway of learning emotion regulation or adjustment processes has (only) relied on correlational methods and, thus, do not allow any causal interpretations. Previous research, albeit claiming a life span focus, mostly investigated goal adjustment processes in one specific age group (mainly adults). There is no study that investigates the same processes in different age groups. What does this study add? In our two studies, we focus on the conditions of goal adjustment processes and sought to demonstrate one potential pathway of learning or changing the application of goal adjustment processes, namely observational learning. We employed an experimental design to study observational learning, instead of using a correlational design. The present studies are the first to apply an experimental design to investigate observational learning of adjustment processes. In our studies, we implemented the same design and studied the same process in different age groups. Thus, they expand knowledge beyond a particular age group and under a life span perspective.
[Mh] Termos MeSH primário: Comportamento Infantil/fisiologia
Metas
Resolução de Problemas/fisiologia
Aprendizado Social/fisiologia
[Mh] Termos MeSH secundário: Adulto
Criança
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1111/bjdp.12162


  4 / 22583 MEDLINE  
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[PMID]:29293650
[Au] Autor:Dujardin Y; Chadès I
[Ad] Endereço:CSIRO, Queensland, Australia.
[Ti] Título:Solving multi-objective optimization problems in conservation with the reference point method.
[So] Source:PLoS One;13(1):e0190748, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Managing the biodiversity extinction crisis requires wise decision-making processes able to account for the limited resources available. In most decision problems in conservation biology, several conflicting objectives have to be taken into account. Most methods used in conservation either provide suboptimal solutions or use strong assumptions about the decision-maker's preferences. Our paper reviews some of the existing approaches to solve multi-objective decision problems and presents new multi-objective linear programming formulations of two multi-objective optimization problems in conservation, allowing the use of a reference point approach. Reference point approaches solve multi-objective optimization problems by interactively representing the preferences of the decision-maker with a point in the criteria (objectives) space, called the reference point. We modelled and solved the following two problems in conservation: a dynamic multi-species management problem under uncertainty and a spatial allocation resource management problem. Results show that the reference point method outperforms classic methods while illustrating the use of an interactive methodology for solving combinatorial problems with multiple objectives. The method is general and can be adapted to a wide range of ecological combinatorial problems.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Resolução de Problemas
[Mh] Termos MeSH secundário: Biodiversidade
Modelos Teóricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190748


  5 / 22583 MEDLINE  
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[PMID]:28744113
[Au] Autor:Youn YC; Lim YK; Han SH; Giau VV; Lee MK; Park KY; Kim S; Bagyinszky E; An SSA; Kim HR
[Ad] Endereço:Department of Neurology.
[Ti] Título:7 allele in memory complaints: insights through protein structure prediction.
[So] Source:Clin Interv Aging;12:1095-1102, 2017.
[Is] ISSN:1178-1998
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:PURPOSE: gene is a rare mutant form of . The mutation occurs in the lipid-binding domain of APOE. Based on the protein's structure, is expected to function in lipid and ß-amyloid metabolism, similar to . However, unlike that for , the mechanisms responsible for Alzheimer's disease (AD) cases associated with expression have not been elucidated. The present study aims to investigate the association between expression and cognitive impairment. METHODS: was sequenced in DNA samples collected from 344 memory-complaint patients who visited the memory clinic, and from 345 non-memory-complaint individuals from the health promotion center. The protein structures of ApoE3, ApoE4, and ApoE7 were predicted. RESULTS: Three / heterozygote individuals who were all classified under the memory-complaint group were identified. Of these, two subjects were clinically diagnosed with AD with small vessel disease, and the remaining individual was diagnosed with subjective cognitive impairment. This study predicted the protein structures of ApoE3, ApoE4, and ApoE7 and determined the three-dimensional structure of the carboxy terminus of ApoE7, which participates in an electrostatic domain interaction similar to that of . K244 or K245 mutations for were not found in the Korean reference genome database, which contains information (http://152.99.75.168/KRGDB/browser/mainBrowser.jsp) from 622 healthy individuals. CONCLUSION: As verified by the results of structural prediction, could serve as another risk factor for cognitive impairment and is particularly associated with vascular disease. However, additional studies are required to validate the pathogenic nature of .
[Mh] Termos MeSH primário: Apolipoproteínas E/genética
Disfunção Cognitiva/genética
[Mh] Termos MeSH secundário: Idoso
Alelos
Doença de Alzheimer/genética
Apolipoproteína E3/genética
Apolipoproteína E4/genética
Feminino
Seres Humanos
Masculino
Memória
Meia-Idade
Resolução de Problemas
República da Coreia
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Apolipoprotein E3); 0 (Apolipoprotein E4); 0 (Apolipoproteins E)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.2147/CIA.S131172


  6 / 22583 MEDLINE  
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[PMID]:28451999
[Au] Autor:Devue C; Grimshaw GM
[Ad] Endereço:Cognitive and Affective Neuroscience Lab, School of Psychology, Victoria University of Wellington, PO Box 600, Wellington, 6040, New Zealand. christel.devue@vuw.ac.nz.
[Ti] Título:Faces are special, but facial expressions aren't: Insights from an oculomotor capture paradigm.
[So] Source:Atten Percept Psychophys;79(5):1438-1452, 2017 Jul.
[Is] ISSN:1943-393X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We compared the ability of angry and neutral faces to drive oculomotor behaviour as a test of the widespread claim that emotional information is automatically prioritized when competing for attention. Participants were required to make a saccade to a colour singleton; photos of angry or neutral faces appeared amongst other objects within the array, and were completely irrelevant for the task. Eye-tracking measures indicate that faces drive oculomotor behaviour in a bottom-up fashion; however, angry faces are no more likely to capture the eyes than neutral faces are. Saccade latencies suggest that capture occurrs via reflexive saccades and that the outcome of competition between salient items (colour singletons and faces) may be subject to fluctuations in attentional control. Indeed, although angry and neutral faces captured the eyes reflexively on a portion of trials, participants successfully maintained goal-relevant oculomotor behaviour on a majority of trials. We outline potential cognitive and brain mechanisms underlying oculomotor capture by faces.
[Mh] Termos MeSH primário: Emoções/fisiologia
Movimentos Oculares/fisiologia
Expressão Facial
Músculos Oculomotores/fisiologia
Estimulação Luminosa/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Ira/fisiologia
Atenção/fisiologia
Feminino
Seres Humanos
Masculino
Resolução de Problemas/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.3758/s13414-017-1313-x


  7 / 22583 MEDLINE  
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[PMID]:28460315
[Au] Autor:Davis MT; DellaGioia N; Matuskey D; Harel B; Maruff P; Pietrzak RH; Esterlis I
[Ad] Endereço:Yale University School of Medicine, Departments of Psychiatry and Diagnostic Radiology, USA. Electronic address: margaret.t.davis@yale.edu.
[Ti] Título:Preliminary evidence concerning the pattern and magnitude of cognitive dysfunction in major depressive disorder using cogstate measures.
[So] Source:J Affect Disord;218:82-85, 2017 Aug 15.
[Is] ISSN:1573-2517
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cognitive deficits are common in individuals with major depressive disorder (MDD), and are associated with treatment non-responsiveness and poorer functional outcomes. Characterization of the nature and magnitude of deficits in this population has been limited in part by lack of brief, practical, and well-validated assessment measures. The goal of this study was to use a brief, practical, and repeatable computerized cognitive test battery from Cogstate to examine differences in cognitive functioning between individuals with MDD and healthy controls. METHODS: Forty participants (22 healthy controls (HCs), 18 with MDD) completed a battery of six cognitive measures, as well as measures of intellectual functioning (intellect) and depressive symptom severity. A multivariate analysis of covariance (MANCOVA) was conducted to compare cognitive test performance across groups while controlling for intellect. RESULTS: Individuals with MDD had lower full-scale IQ scores on average, and performed worse on measures of visual attention (d=1.04), verbal learning (d=1.22) and memory (d=1.22), and visuospatial problem solving (d=0.80) than HCs after adjustment for differences in intellect. Psychomotor speed, visual memory, and working memory did not differ between groups. CONCLUSIONS: Cogstate measures appear to be sensitive in assessing deficits in attention, verbal learning and memory, and executive function in individuals with MDD. Further research will be useful in establishing the utility of Cogstate measures for standard use in research and clinical practice.
[Mh] Termos MeSH primário: Disfunção Cognitiva/diagnóstico
Transtorno Depressivo Maior/psicologia
Testes Neuropsicológicos
[Mh] Termos MeSH secundário: Adulto
Atenção
Estudos de Casos e Controles
Cognição
Disfunção Cognitiva/psicologia
Função Executiva
Feminino
Seres Humanos
Masculino
Memória de Curto Prazo
Meia-Idade
Análise Multivariada
Resolução de Problemas
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Aprendizagem Verbal
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  8 / 22583 MEDLINE  
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[PMID]:29279939
[Au] Autor:Coulehan J
[Ad] Endereço:Center for Medical Humanities, Compassionate Care, and Bioethics, Stony Brook University, Stony Brook, New York.
[Ti] Título:Negative Capability and the Art of Medicine.
[So] Source:JAMA;318(24):2429-2430, 2017 Dec 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina
Resolução de Problemas
[Mh] Termos MeSH secundário: História da Medicina
História do Século XIX
História do Século XX
Medicina Narrativa
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19333


  9 / 22583 MEDLINE  
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[PMID]:29260204
[Au] Autor:Lucey CR
[Ad] Endereço:University of California, San Francisco School of Medicine.
[Ti] Título:Is Medical Education a Public or a Private Good?: Insights From the Numbers.
[So] Source:JAMA;318(23):2303-2305, 2017 12 19.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Educação Médica
Estudantes de Medicina
[Mh] Termos MeSH secundário: Seres Humanos
Setor Privado
Resolução de Problemas
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.17552


  10 / 22583 MEDLINE  
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[PMID]:29194338
[Au] Autor:Bristol AA; Nibbelink CW; Gephart SM; Carrington JM
[Ad] Endereço:School of Nursing, Loma Linda University, Loma Linda, California (Dr Bristol); and College of Nursing, The University of Arizona, Tucson (Drs Nibbelink, Gephart, and Carrington).
[Ti] Título:Nurses' Use of Positive Deviance When Encountering Electronic Health Records-Related Unintended Consequences.
[So] Source:Nurs Adm Q;42(1):E1-E11, 2018 Jan/Mar.
[Is] ISSN:1550-5103
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As organizations adopt electronic health records (EHRs), nurses frequently encounter system barriers and difficulty performing role expectations. This article describes nurses' experiences with unintended consequences emerging from the use of an EHR. In some situations, nurses were positively deviant when encountering unintended consequences relating to EHRs to accomplish patient care or protect patient safety. Nurses engaged in work-arounds to provide patient care when the EHR did not meet their needs, sometimes in positively deviant ways. Qualitative data were collected from 5 open-ended questions at the end of a quantitative survey. Analysis included coding of responses and organization of processes in line with the triangle model, a human factors framework, to identify overarching themes. Five themes emerged: (1) User support after implementation of EHR; (2) User satisfaction with EHR; (3) Communication for patient care, quality, and safety; (4) Effort to complete tasks; and (5) Areas for improvement. Nurses' ability to adopt positive deviance as they experience unintended consequences offers opportunities for organizations to engage nursing perspectives in improving the EHR and engineer it to be more resilient to nursing work.
[Mh] Termos MeSH primário: Atitude Frente aos Computadores
Registros Eletrônicos de Saúde
Processo de Enfermagem
Resolução de Problemas
[Mh] Termos MeSH secundário: Adulto
Idoso
Sistemas de Apoio a Decisões Clínicas
Feminino
Seres Humanos
Masculino
Meia-Idade
Informática em Enfermagem
Pesquisa Qualitativa
Inquéritos e Questionários
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1097/NAQ.0000000000000264



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