Base de dados : MEDLINE
Pesquisa : M01.526.485.500 [Categoria DeCS]
Referências encontradas : 25 [refinar]
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  1 / 25 MEDLINE  
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[PMID]:27909269
[Au] Autor:Fan VC; Choy HT; Kwok GY; Lam HG; Lim QY; Man YY; Tang CK; Wong CC; Yu YF; Leung GK
[Ad] Endereço:Department of Community Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
[Ti] Título:Chaperones and intimate physical examinations: what do male and female patients want?
[So] Source:Hong Kong Med J;23(1):35-40, 2017 Feb.
[Is] ISSN:1024-2708
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Many studies of patients' perception of a medical chaperone have focused on female patients; that of male patients are less well studied. Moreover, previous studies were largely based on patient populations in English-speaking countries. Therefore, this study was conducted to investigate the perception and attitude of male and female Chinese patients to the presence of a chaperone during an intimate physical examination. METHODS: A cross-sectional guided questionnaire survey was conducted on a convenient sample of 150 patients at a public teaching hospital in Hong Kong. RESULTS: Over 90% of the participants considered the presence of a chaperone appropriate during intimate physical examination, and 84% felt that doctors, irrespective of gender, should always request the presence of a chaperone. The most commonly cited reasons included the availability of an objective account should any legal issue arise, protection against sexual harassment, and to provide psychological support. This contrasted with the experience of those who had previously undergone an intimate physical examination of whom only 72.6% of women and 35.7% of men had reportedly been chaperoned. Among female participants, 75.0% preferred to be chaperoned during an intimate physical examination by a male doctor, and 28.6% would still prefer to be chaperoned when being examined by a female doctor. Among male participants, over 50% indicated no specific preference but a substantial minority reported a preference for chaperoned examination (21.2% for male doctor and 25.8% for female doctor). CONCLUSIONS: Patients in Hong Kong have a high degree of acceptance and expectations about the role of a medical chaperone. Both female and male patients prefer such practice regardless of physician gender. Doctors are strongly encouraged to discuss the issue openly with their patients before they conduct any intimate physical examination.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Acompanhantes Formais em Exames Físicos/estatística & dados numéricos
Preferência do Paciente/estatística & dados numéricos
Exame Físico
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Hong Kong
Hospitais de Ensino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161203
[St] Status:MEDLINE
[do] DOI:10.12809/hkmj164899


  2 / 25 MEDLINE  
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[PMID]:27759831
[Au] Autor:Velhote AB; Bohomol E; Velhote MC
[Ad] Endereço:Faculdade de Medicina do ABC, Santo André, SP, Brazil.
[Ti] Título:Caregivers' reactions to preoperative procedures in outpatient pediatric surgery.
[So] Source:Einstein (Sao Paulo);14(3):403-407, 2016 Jul-Sep.
[Is] ISSN:2317-6385
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:Objective:: To identify pediatric caregivers' reactions in outpatient surgery settings. Methods:: A quantitative descriptive/exploratory survey-based study involving application of a semi-structured questionnaire to 62 caregivers in two hospitals. Results:: Most caregivers (88.7%) were mothers who submitted to preoperative fasting with their children. Nervousness, anxiety and concern were the most common feelings reported by caregivers on the day of the surgery. Conclusion:: Medical instructions regarding preoperative procedures had significant positive impacts on patient care, and on patient and caregiver stress levels. Objetivo:: Identificar as reações dos acompanhantes de crianças submetidas à cirurgia ambulatorial. Métodos:: Estudo survey descritivo/ exploratório, de caráter quantitativo, realizado em dois hospitais com 62 acompanhantes que responderam um questionário semiestruturado. Resultados:: Constatou-se que a maioria dos acompanhantes era formada por mães (88,7%) e permaneceu em jejum junto das crianças. Todos os acompanhantes referiram sentimentos identificados como nervosismo, ansiedade e preocupação. Conclusão:: A orientação médica aos procedimentos pré-operatórios foi de grande importância, não somente para o cuidado da criança, mas também do acompanhante, visando diminuir ao máximo o estresse vivenciado por eles.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/psicologia
Ansiedade/psicologia
Acompanhantes Formais em Exames Físicos/psicologia
Mães/psicologia
Cuidados Pré-Operatórios/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Jejum/psicologia
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Estresse Psicológico/psicologia
Inquéritos e Questionários
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


  3 / 25 MEDLINE  
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[PMID]:26924479
[Au] Autor:Modgil V; Barratt R; Summerton DJ; Muneer A
[Ad] Endereço:Heart of England NHS Foundation Trust , UK.
[Ti] Título:Chaperone use amongst UK urological surgeons - an evaluation of current practice and opinion.
[So] Source:Ann R Coll Surg Engl;98(4):268-9, 2016 Apr.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Introduction Intimate examinations are routinely performed by urologists as part of clinical practice. To protect patients and doctors, the General Medical Council offers guidance on the use of chaperones for intimate examinations. We assessed the opinions and use of chaperones amongst members of the British Association of Urological Surgeons (BAUS). Methods An online questionnaire comprising 12 questions on the use of chaperones in clinical practice was sent to all full, trainee and speciality doctor members of BAUS. Results The questionnaire had a response rate of 26% (n=331). The majority of respondents were consultant urologists, comprising 78.8% (n=261), with a wide range of years of experience. Of the respondents, 38.9% were not aware of the GMC guidance on chaperones. While 72.5% always used a chaperone., 22.9% never use a chaperone when the patient was of the same sex. Chaperones were most commonly used for intimate examinations (64.6%), and for examinations involving members of the opposite sex (77.3%). A majority of respondents felt that chaperones protect both the patient (77.3%), and the doctor (96.6%). However, 42.5% did not feel that using a chaperone assists the doctor's examination, and some (17.2%) participants felt that chaperones were unnecessary. Conclusions This study shows considerable variability amongst urologists in their use of chaperones. A significant proportion of respondents were not aware of the GMC guidelines and did not regularly use a chaperone during an intimate examination. In addition, practice appears to be gender biased. Further study and education is suggested.
[Mh] Termos MeSH primário: Acompanhantes Formais em Exames Físicos/estatística & dados numéricos
Exame Físico/métodos
Cirurgiões/estatística & dados numéricos
Procedimentos Cirúrgicos Urológicos
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Consentimento Livre e Esclarecido/estatística & dados numéricos
Masculino
Padrões de Prática Médica/estatística & dados numéricos
Inquéritos e Questionários
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160301
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0071


  4 / 25 MEDLINE  
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[PMID]:26179645
[Au] Autor:Rose K; Eshelby S; Thiruchelvam P; Khoo A; Hogben K
[Ad] Endereço:West Middlesex University Hospital NHS Trust, London, UK.
[Ti] Título:The importance of a medical chaperone: a quality improvement study exploring the use of a note stamp in a tertiary breast surgery unit.
[So] Source:BMJ Open;5(7):e007319, 2015 Jul 15.
[Is] ISSN:2044-6055
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The project aim was to determine current use and documentation of medical chaperones within a major breast service unit. It explored ways of improving adherence to professional guidelines concerning chaperones. SETTING: The single centre quality improvement project was completed in a tertiary breast service unit in North West London. It was a three-stage project with initial audit in October 2013, 1st postintervention cycle in November 2013 and 2nd postintervention cycle in October 2014. PARTICIPANTS: In each study cycle, data were collected from entries in clinic notes until at least 155 encounters with documented clinical examination were analysed. All notes were of female patients. INTERVENTIONS: (1) Intervention 1st cycle: presentation and discussion of chaperone guidelines alongside reminder posters and introduction of note stamp. (2) Intervention 2nd cycle: note stamp alone. PRIMARY AND SECONDARY OUTCOME MEASURES: Documentation of chaperone offer, documentation of patient preference regarding chaperone, identifier (name or signature) of chaperone present and gender of examining clinician. RESULTS: In the 1st postintervention cycle, 69.95% documentation of chaperone offer was recorded, p<0.001, CI (59.04% to 80.76%). This result was replicated in the 2nd postintervention cycle a year later with 74.86% documentation of chaperone offer recorded, p<0.001, CI (66.41% to 83.31%). The 4.91% difference was insignificant; p=0.294, CI (14.03% to 4.21%). CONCLUSIONS: The authors suggest that a proforma approach to medical chaperones is an effective means of ensuring adherence to best practice guidelines. A stamp, or similar, that can be embedded into documentation structure is an effective example of such an approach. Improved documentation allows any problems with adherence to guidelines to be more easily identified, helping to ensure the safeguarding of patients and staff involved in intimate examinations.
[Mh] Termos MeSH primário: Documentação/normas
Auditoria Médica/normas
Acompanhantes Formais em Exames Físicos/normas
Melhoria de Qualidade/normas
[Mh] Termos MeSH secundário: Feminino
Guias como Assunto
Seres Humanos
Londres
Masculino
Auditoria Médica/classificação
Preferência do Paciente
Exame Físico
Relações Médico-Paciente
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:160603
[Lr] Data última revisão:
160603
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150717
[St] Status:MEDLINE
[do] DOI:10.1136/bmjopen-2014-007319


  5 / 25 MEDLINE  
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[PMID]:25609484
[Au] Autor:Rouby P; Hollebecque A; Bahleda R; Deutsch E; Gomez-Rocca C; Angevin E; de La Motte Rouge T; Soria JC; Dauchy S
[Ad] Endereço:Institut Gustave-Roussy, département interdisciplinaire de soins de support aux patients en oncohématologie, 114, rue Édouard-Vaillant, 94805 Villejuif, France. Electronic address: pascal.rouby@gustaveroussy.fr.
[Ti] Título:[Communication in the context of phase I clinical trials in oncology: implementation and evaluation of training programs].
[Ti] Título:Communication en oncologie dans le cadre d'essais thérapeutiques de phase I : mise en Å“uvre et évaluation d'un programme de formation..
[So] Source:Bull Cancer;102(2):174-81, 2015 Feb.
[Is] ISSN:1769-6917
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Communication training programs in oncology have demonstrated some efficacy to improve doctors' communication skills. The goal of our study was to evaluate the impact of such training in the particular context of phase I clinical trials. Self-satisfaction and self-efficacy scales evaluating doctor-patient communication was completed by 6 medical oncologists (3 juniors and 3 seniors) before and after their communication training for a total of sixty visits. Two types of visit have been distinguished: the visits between the oncologist and the patient alone (a dual situation) and those with a third party (a trilateral situation). For all the doctors in dual and trialateral situations, self-efficacy scores improved significantly after training. This improvement was more pronounced for juniors oncologists in trilateral situations. Before training, satisfactory scores were worst in duel versus trilateral situations (P=0.01). This was particularly pronounced for junior compared to senior doctors (P=0.035). After training, in trilateral situations, the satisfaction scores of junior doctors matched that of the senior doctors. The communication training programs appear to benefit junior oncologists to a greater extent in trilateral situations.
[Mh] Termos MeSH primário: Ensaios Clínicos Fase I como Assunto
Comunicação
Acompanhantes Formais em Exames Físicos
Oncologia/educação
Corpo Clínico/psicologia
Relações Médico-Paciente
Autoeficácia
[Mh] Termos MeSH secundário: Seres Humanos
Satisfação Pessoal
[Pt] Tipo de publicação:COMPARATIVE STUDY; ENGLISH ABSTRACT; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1504
[Cu] Atualização por classe:150227
[Lr] Data última revisão:
150227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150123
[St] Status:MEDLINE


  6 / 25 MEDLINE  
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[PMID]:25392344
[Au] Autor:Van Hecke O; Jones K
[Ad] Endereço:Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK ovanhecke@nhs.net.
[Ti] Título:The use of chaperones in general practice: Is this just a 'Western' concept?
[So] Source:Med Sci Law;55(4):278-83, 2015 Oct.
[Is] ISSN:2042-1818
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The literature about medical chaperones in primary care is limited to a handful of English-speaking countries. It remains largely unknown to what extent chaperones are offered (and used) outside the published literature. OBJECTIVE: The current study aimed to explore the attitudes and experiences of a group of general practitioners (GPs; family doctors) attending an international primary care conference regarding their use of medical chaperones. METHODS: Ninety international GPs completed a validated questionnaire, providing information on their current practice, availability and preferred choice of chaperone. Participants expressed their opinion on the importance of, and facilitators and barriers for chaperone use. RESULTS: Although most participants had knowledge of the term 'medical chaperone' (75%), those with a qualification from Europe (other than the UK) were less likely to offer a chaperone. Two-thirds of all participants would consider offering a chaperone and were more likely to work in the public sector (p = .04; Cramér's V = 0.27). A practice nurse was most commonly used as chaperone. Chaperone users ranked the 'medico-legal protection of doctors', 'doctors' professional practice' and 'protection of patients' as the most important factors for using a chaperone. Non-users reported 'personal choice of the doctor', 'confidentiality' and 'impact on the doctor-patient relationship' as the main areas influencing their decision not to use a chaperone. CONCLUSION: International doctors hold different views about the use (or not) of chaperones within their clinical practice and its effect on the doctor-patient consultation. Further research is needed to tease out the reasons for this.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Medicina Geral/organização & administração
Clínicos Gerais/psicologia
Acompanhantes Formais em Exames Físicos/utilização
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Comparação Transcultural
Europa (Continente)
Feminino
Medicina Geral/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Exame Físico/métodos
Relações Médico-Paciente
Atenção Primária à Saúde/organização & administração
Prática Profissional/estatística & dados numéricos
Gestão de Riscos/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170110
[Lr] Data última revisão:
170110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141114
[St] Status:MEDLINE
[do] DOI:10.1177/0025802414557114


  7 / 25 MEDLINE  
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[PMID]:24740555
[Au] Autor:Cené CW; Haymore LB; Lin FC; Laux J; Jones CD; Wu JR; DeWalt D; Pignone M; Corbie-Smith G
[Ad] Endereço:Division of General Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA crystal_cene@med.unc.edu.
[Ti] Título:Family member accompaniment to routine medical visits is associated with better self-care in heart failure patients.
[So] Source:Chronic Illn;11(1):21-32, 2015 Mar.
[Is] ISSN:1745-9206
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine the association between frequency of family member accompaniment to medical visits and heart failure (HF) self-care maintenance and management and to determine whether associations are mediated through satisfaction with provider communication. METHODS: Cross-sectional survey of 150 HF patients seen in outpatient clinics. HF self-care maintenance and management were assessed using the Self-Care of Heart Failure Index. Satisfaction with provider communication was assessed using a single question originally included in the American Board of Internal Medicine Patient Satisfaction Questionnaire. Frequency of family member accompaniment to visits was assessed using a single-item question. We performed regression analyses to examine associations between frequency of accompaniment and outcomes. Mediation analysis was conducted using MacKinnon's criteria. RESULTS: Overall, 61% reported accompaniment by family members to some/most/every visit. Accompaniment to some/most/every visit was associated with higher self-care maintenance (ß = 6.4, SE 2.5; p = 0.01) and management (ß = 12.7, SE 4.9; p = 0.01) scores. Satisfaction with provider communication may mediate the association between greater frequency of accompaniment to visits and self-care maintenance (1.092; p = 0.06) and self-care management (1.428; p = 0.13). DISCUSSION: Accompaniment to medical visits is associated with better HF self-care maintenance and management, and this effect may be mediated through satisfaction with provider communication.
[Mh] Termos MeSH primário: Família
Insuficiência Cardíaca/terapia
Acompanhantes Formais em Exames Físicos
Visita a Consultório Médico/estatística & dados numéricos
Autocuidado/estatística & dados numéricos
Apoio Social
[Mh] Termos MeSH secundário: Idoso
Comunicação
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente
Autocuidado/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140418
[St] Status:MEDLINE
[do] DOI:10.1177/1742395314532142


  8 / 25 MEDLINE  
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[PMID]:24477199
[Au] Autor:Jones K; Biezen R; Beovich B; van Hecke O
[Ad] Endereço:Monash University, Office of the Pro Vice-Chancellor, Peninsula Campus, Melbourne, Victoria, Australia.
[Ti] Título:Chaperones for intimate examinations in family medicine: findings from a pilot study in Melbourne, Australia.
[So] Source:Med Sci Law;55(1):6-10, 2015 Jan.
[Is] ISSN:0025-8024
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The use of medical chaperones during clinical examinations is important whether one practises as a specialist, nurse, medical student or generalist. Chaperone use in general practice remains largely unknown in most countries across the world and, what is known is limited to a handful of countries. Their use in Australian general practice remains unknown. OBJECTIVE: To explore the attitudes and practices of a cohort of general practitioners in urban Melbourne regarding the use of chaperones in their daily clinical practice. METHODS: Self-administered postal questionnaire to pilot group of general practitioners in urban Melbourne, Australia. MAIN OUTCOME MEASURES: Frequency of chaperone use; views on chaperone use itself; preferred choice for the role of chaperone; main reasons for using chaperones. RESULTS: The majority (95% respondents) had never or occasionally used a chaperone. The use of chaperones correlated with general practitioner gender - male general practitioners were more likely to use a chaperone. General practitioners preferred choice as chaperone was the practice nurse. There was no association found between chaperone use and the respondents' age, practice size or the availability of a practice nurse. The most highly rated influence by general practitioners for using a chaperone was because of anticipated patient embarrassment and/or distress. CONCLUSION: This is the first step in understanding attitudes and experiences of general practitioners in general practice in Australia. The results of a larger, national study would provide further insight into this important issue taking into account the realities of general practice in Australia and relationship between general practitioners and patients.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Clínicos Gerais
Acompanhantes Formais em Exames Físicos/utilização
Exame Físico
Padrões de Prática Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Austrália
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Inquéritos e Questionários
Serviços Urbanos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1505
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140131
[St] Status:MEDLINE
[do] DOI:10.1177/0025802413518318


  9 / 25 MEDLINE  
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[PMID]:25348988
[Au] Autor:van Hecke O; Jones K
[Ad] Endereço:Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
[Ti] Título:What should GPs be doing about chaperones?
[So] Source:Br J Gen Pract;64(628):589-90, 2014 Nov.
[Is] ISSN:1478-5242
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Clínicos Gerais
Acompanhantes Formais em Exames Físicos
[Mh] Termos MeSH secundário: Medicina Defensiva
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1611
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141029
[St] Status:MEDLINE
[do] DOI:10.3399/bjgp14X682489


  10 / 25 MEDLINE  
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[PMID]:25124194
[Ti] Título:The use of chaperones during sensitive examinations and treatments.
[So] Source:J Obstet Gynecol Neonatal Nurs;43(5):677, 2014 Sep-Oct.
[Is] ISSN:1552-6909
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência à Saúde/métodos
Exame Ginecológico/normas
Acompanhantes Formais em Exames Físicos/normas
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Feminino
Exame Ginecológico/enfermagem
Seres Humanos
Papel do Profissional de Enfermagem
Preferência do Paciente/estatística & dados numéricos
Exame Físico/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1506
[Cu] Atualização por classe:161020
[Lr] Data última revisão:
161020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:140816
[St] Status:MEDLINE
[do] DOI:10.1111/1552-6909.12498



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