Selection of a Clinical Business Intelligence Solution: Validation with Clinical use cases provides early Clinical Insights
AuthorZielinski, Gail M.
MetadataShow full item record
DescriptionPresented at the University of Maryland School of Nursing, Summer Institute in Nursing Informatics, 2015.
KeywordCatholic health services
clinical and financial information integration
Clinical Business Intelligence (CBI)
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/5518
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/
Showing items related by title, author, creator and subject.
Assessing the quality of feedback during clinical learning: Development of the Feedback Assessment for Clinical Education (FACE)Onello, Rachel; Regan, Mary J.; Johantgen, Mary E. (2015)Background: During a time of increased faculty shortages, nursing programs rely heavily on adjunct instructors to facilitate clinical learning experiences essential for fostering clinical reasoning and multiple ways of thinking. A significant component of clinical learning is the reflective feedback conversation that occurs between instructor and student. Quality feedback conversations use specific techniques that explicitly encourage students to reflect, analyze, and extrapolate learning to other contexts. Comparing actual performance to desired performance through the exploration and analysis of learner thoughts and actions is an effective modality to help close learning gaps and impact future performance. However, many clinical instructors responsible for facilitating feedback conversations are inadequately prepared to do so, lacking the pedagogical training necessary to maximize learning. Current resources for clinical instructors fail to provide a clear framework that guides instructors on how to facilitate feedback conversations for quality learning. Methods: To address the need for a tool that can guide the development of feedback skills and assess feedback behaviors among clinical instructors, The Feedback Assessment for Clinical Education (FACE) was developed. The FACE was designed to assess instructor behaviors associated with facilitating quality feedback conversations across clinical settings and disciplines. Using a multiphase approach, the FACE tool, comprising a rating form and rater handbook, was developed using Mezirow's Transformative Learning Theory, multidisciplinary research, and experts from the fields of education, organizational behavior, psychology, and health sciences. An iterative comparative process using theory and research guided the identification and development of key constructs associated with effective feedback conversations. Results: Qualitative content validity testing informed the operationalization of constructs into behavioral indicators and resulted in a six element behaviorally anchored rating scale. Quantitative content validity testing using Lawshe's Content Validity Ratio and the Content Validity Index suggest strong content validity at each level of the tool. Conclusions: This work offers a theory-based, research-driven tool to assess the quality of feedback in clinical settings and presents opportunities across education, research, and practice to enhance the current state of knowledge on best practices of feedback conversations. Future psychometric testing is needed to fully appreciate the potential of the FACE tool.
Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemicDeLuca, J.S.; Reinblatt, S.P.; Edwards, S.M.; Reeves, G.M.; Connors, K.M.; Wehring, H.J.; Bussell, K.L.; Buchanan, R.W. (American Psychological Association Inc., 2020)Early detection and prevention of psychosis has become an international priority. Much of this work has focused on youth presenting with attenuated symptoms of psychosis- those at clinical high risk for psychosis (CHR)-given their elevated probability of developing the full disorder in subsequent years. Individuals at CHR may be prone to exacerbated psychological distress during the coronavirus 2019 (COVID-19) pandemic and its subsequent physical isolation measures, as a result of heightened stress sensitivity and comorbid mental health problems. Telepsychotherapy holds promise for reaching this population, especially during the current COVID-19 outbreak. However, there are limited evidence-based guidelines or interventions for use of telepsychotherapy with this population. In this article, we review common clinical issues for individuals at CHR and how they might be exacerbated by the COVID-19 pandemic. We then review best practices for treatment and adaptations for telepsychotherapy for individuals at CHR, and highlight real clinical issues that we are currently experiencing in a United States- based specialized CHR clinic as we conduct telepsychotherapy via videoconferencing. We conclude with questions for those in the field to contemplate, as well as potential challenges and benefits in using telepsychotherapy with individuals at CHR and their families.
Clinical outcomes after anterior cruciate ligament injury: Panther Symposium ACL Injury Clinical Outcomes Consensus GroupSvantesson, Eleonor; Hamrin Senorski, Eric; Webster, Kate E.; Karlsson, Jón; Diermeier, Theresa; Rothrauff, Benjamin B.; Meredith, Sean J.; Rauer, Thomas; Irrgang, James J.; Spindler, Kurt P.; et al. (BMJ Publishing Group, 2020-01-01)Purpose: A stringent outcome assessment is a key aspect for establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. The aim of this consensus statement was to establish what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used and at what follow-up time those outcomes should be assessed. Methods: To establish a standardised assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, PA, USA, in June 2019. The group reached consensus on nine statements by using a modified Delphi method. Results: In general, outcomes after ACL treatment can be divided into four robust categories - early adverse events, patient-reported outcomes, ACL graft failure/recurrent ligament disruption, and clinical measures of knee function and structure. A comprehensive assessment following ACL treatment should aim to provide a complete overview of the treatment result, optimally including the various aspects of outcome categories. For most research questions, a minimum follow-up of 2 years with an optimal follow-up rate of 80% is necessary to achieve a comprehensive assessment. This should include clinical examination, any sustained re-injuries, validated knee-specific patient-reported outcomes and Health-Related Quality of Life questionnaires. In the mid-term to long-term follow-up, the presence of osteoarthritis should be evaluated. Conclusion: This consensus paper provides practical guidelines for how the aforementioned entities of outcomes should be reported and suggests the preferred tools for a reliable and valid assessment of outcome after ACL treatment. Level of Evidence: Level V.