Abstract:
OBJECTIVES:To explore the interactive process of sharing case stories in small-group activity in general practice. DESIGN:Qualitative focus group study. SETTING:Peer-group meetings of doctors attending specialist training or continuous medical education in general practice. PARTICIPANTS:Twenty female and 30 male doctors working in general practice in Norway. RESULTS:The storyline of case presentations included detailed stories with emotional engagement, co-authored by other group members. The stories initiated discussions and reflections concerning patients' and doctors' perspectives, medical ethics as well as clinical problems. The safe atmosphere allowed testing out boundaries of socially shared knowledge. CONCLUSIONS:Sharing case stories in small groups in general practice initiated interaction that facilitated meaning-making, reflection and peer support.
journal_name
BMJ Openjournal_title
BMJ openauthors
Abildsnes E,Flottorp S,Stensland Pdoi
10.1136/bmjopen-2012-001208subject
Has Abstractpub_date
2012-08-08 00:00:00issue
4issn
2044-6055pii
bmjopen-2012-001208journal_volume
2pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Inappropriate use of antimicrobials in hospitals contributes to antimicrobial resistance. Antimicrobial stewardship (AMS) interventions aim to improve antimicrobial prescribing, but they are often resource and personnel intensive. Computerised decision supportsystems (CDSSs) seem a promising tool to improv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022666
更新日期:2018-06-27 00:00:00
abstract:OBJECTIVES:The reliability of ultrasonic strain elastography (SEL) used to detect abnormalities in the supraspinatus tendon is unclear. Thus, the aim of this study was to investigate the reliability of SEL in the supraspinatus tendon. DESIGN:An intra-rater and inter-rater reliability study. SETTING:A single-centre st...
journal_title:BMJ open
pub_type: 临床试验,杂志文章
doi:10.1136/bmjopen-2018-027725
更新日期:2019-05-09 00:00:00
abstract:OBJECTIVE:To examine the effects of a consultant-led, community-based chronic obstructive pulmonary disease (COPD) service, based in a highly deprived area on emergency hospital admissions. DESIGN:A longitudinal matched controlled study using difference-in-differences analysis to compare the change in outcomes in the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032931
更新日期:2020-05-27 00:00:00
abstract:OBJECTIVE:To compare the benefits and harms of a Dutch 10-session Community Occupational Therapy programme for patients with Alzheimer's disease with the impact of a one session consultation at home in German routine healthcare. DESIGN:A seven-centre, parallel group, active controlled randomised controlled trial. Pati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000096
更新日期:2011-08-09 00:00:00
abstract:INTRODUCTION:A healthcare-associated infection (HAI) data point prevalence study (PPS) conducted in 1984 in Australian hospitals estimated the prevalence of HAI to be 6.3%. Since this time, there have been no further national estimates undertaken. In the absence of a coordinated national surveillance programme or regul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024924
更新日期:2018-11-08 00:00:00
abstract:INTRODUCTION:Chronic musculoskeletal pain is a complex medical condition that can significantly impact quality of life. Patients with chronic pain demonstrate attentional biases towards pain-related information. The therapeutic benefits of modifying attentional biases by implicitly training attention away from pain-rel...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030607
更新日期:2020-02-20 00:00:00
abstract:OBJECTIVE:This study aimed to define the end-of-life (EOL) healthcare utilisation and its cost and determinants for cancer patients and to proactively inform related strategies in mainland China. DESIGN:A population-based retrospective study. SETTING AND PARTICIPANTS:Data from 894 cancer patients were collected in ur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026309
更新日期:2019-03-20 00:00:00
abstract:OBJECTIVE:To summarise the findings of an updated Cochrane review of interventions aimed at improving the appropriate use of polypharmacy in older people. DESIGN:Cochrane systematic review. Multiple electronic databases were searched including MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (fro...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-009235
更新日期:2015-12-09 00:00:00
abstract:OBJECTIVE:To assess the impact of describing an antibody-positive test result using the terms Immunity and Passport or Certificate, alone or in combination, on perceived risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and protective behaviours. DESIGN:2×3 experimental design...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2020-040448
更新日期:2020-08-30 00:00:00
abstract:OBJECTIVES:The local care and treatment of liver disease (LOCATE) intervention embedded specialist liver nurses in general practitioner (GP) practices to improve the identification of progressive liver disease, enabling earlier intervention. This current process evaluation examines GP practice staffs' perceptions of th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028591
更新日期:2019-05-22 00:00:00
abstract:INTRODUCTION:With the ageing of the population and the general improvement of care, an increasing number of people are living with multiple chronic health conditions or 'multimorbidity'. Multimorbidity often implies multiple medical treatments. As a consequence, the risk of adverse events and the time spent by patients...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009165
更新日期:2015-10-28 00:00:00
abstract:OBJECTIVES:Sickness absence (SA) is a widely studied integrated measure of health status. To better understand how SA behaves over time (SA trajectory) a longitudinal and individual-centred approach will allow identifying groups of individuals who share common characteristics. The aim of this study was to identify and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029092
更新日期:2019-07-03 00:00:00
abstract:OBJECTIVES:Record review is the most used method to quantify patient safety. We systematically reviewed the reliability and validity of adverse event detection with record review. DESIGN:A systematic review of the literature. METHODS:We searched PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library and from their...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-011078
更新日期:2016-08-22 00:00:00
abstract:INTRODUCTION:Auditory verbal hallucinations (AVH) are prevalent experiences that can induce distress and impede social functioning. While most voice hearers benefit from antipsychotic medication or cognitive-behavioural therapy, additional effective interventions are needed to reduce the burden of experiencing AVH. 'Te...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020537
更新日期:2018-03-06 00:00:00
abstract:INTRODUCTION:Sub-Saharan Africa remains the epicentre of the HIV pandemic, yet enormous knowledge gaps still exist to elicit a comprehensive portrait of multimorbidity and HIV linkage. This study aims to conduct a systematic meta-analysis of peer-reviewed literature to investigate the current status of multimorbidity e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036988
更新日期:2020-12-12 00:00:00
abstract:INTRODUCTION:Depression is associated with negative patient outcomes for chronic diseases and likely affects consistent physical non-communicable diseases (NCDs) care management in relation to clinic attendance and medication adherence. We found no published studies on the integration of depression management in physic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021601
更新日期:2018-10-15 00:00:00
abstract:OBJECTIVE:To explore nursing students' interprofessional educational (IPE) experiences during their most recent clinical rotation and to explore the factors supporting IPE experiences. DESIGN:National cross-sectional study on data collected in 2016. SETTING:95 Bachelor of Nursing Sciences programmes; 27 Italian Unive...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025575
更新日期:2019-03-20 00:00:00
abstract:INTRODUCTION:Robot-assisted laparoscopic prostatectomy (RALP) offers potential cure for localised prostate cancer but is associated with considerable toxicity. Potency and urinary continence are improved when the neurovascular bundles (NVBs) are spared during a nerve spare (NS) RALP. There is reluctance, however, to pe...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028132
更新日期:2019-06-11 00:00:00
abstract:INTRODUCTION:Integrating mental healthcare into primary care can reduce the global burden of mental disorders. Yet data on the effective implementation of real-world task-shared mental health programmes are limited. In 2012, the Rwandan Ministry of Health and the international healthcare organisation Partners in Health...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014067
更新日期:2017-02-28 00:00:00
abstract:INTRODUCTION:In acute pulmonary embolism (PE), poor outcome is usually related to right ventricular (RV) failure due to the increase in RV afterload. Treatment of PE with RV failure without shock is controversial and usually relies on fluid expansion to increase RV preload. However, several studies suggest that fluid e...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-007466
更新日期:2015-05-22 00:00:00
abstract:OBJECTIVES:To investigate the effect of adding point-of-care (POC) susceptibility testing to POC culture on appropriate use of antibiotics as well as clinical and microbiological cure for patients with suspected uncomplicated urinary tract infection (UTI) in general practice. DESIGN:Open, individually randomised contr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-018028
更新日期:2017-10-16 00:00:00
abstract:OBJECTIVES:To explore whether knowledge about the harms of ultraviolet radiation (UVR) influences UK university students' sun-related behaviours and examine in depth their attitudes towards: sun protection, natural and artificial tanning behaviours. DESIGN:Qualitative methodology with 15 semistructured, individual int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014388
更新日期:2017-03-13 00:00:00
abstract:OBJECTIVE:To pilot and feasibility-test supervised final year undergraduate pharmacy student-led medication reviews for patients with diabetes to enable definitive trial design. METHOD:Third year pharmacy students were recruited from one UK School of Pharmacy and trained to review patient's medical records and provide...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-009246
更新日期:2015-11-04 00:00:00
abstract:INTRODUCTION:At present, physicians have a limited ability to predict major cardiovascular complications after non-cardiac surgery and little is known about the anatomy of coronary arteries associated with perioperative myocardial infarction. We have initiated the Coronary CT Angiography (CTA) VISION Study to (1) estab...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001474
更新日期:2012-07-31 00:00:00
abstract:OBJECTIVES:The usefulness of university admission tests to medical schools has been discussed in recent years. In the academic year 2014-15 in Italy, several students who failed the admission test appealed to the regional administrative court ('Tribunale Amministrativo Regionale'-TAR) requesting to be included, despite...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017417
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:Human papillomavirus (HPV) is a well-known cause of cervical cancer, the second most frequent cancer in female African populations. This study aimed at determining the prevalence of HPV infections and the genotype distribution in young adults aged 18-24, in Maputo city, Mozambique, and to assess the suitabil...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015653
更新日期:2017-07-17 00:00:00
abstract:PURPOSE:The Upper Gastrointestinal Cancer Registry (UGICR) was developed to monitor and improve the quality of care provided to patients with upper gastrointestinal cancers in Australia. PARTICIPANTS:It supports four cancer modules: pancreatic, oesophagogastric, biliary and primary liver cancer. The pancreatic cancer ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031434
更新日期:2019-09-30 00:00:00
abstract:INTRODUCTION:Monitoring and reduction of aversive tension is a core issue in dialectical behaviour therapy of patients. It has been shown that aversive tension is increased in adult borderline personality disorder and is linked to low emotion labelling ability. However, until now there is no documented evidence that pa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004703
更新日期:2014-04-23 00:00:00
abstract:OBJECTIVES:This review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes. DESIGN:A systematic review of qualitative and quantitative intervention studies was undertaken. ELIGIBILITY CRITERIA FOR INCLUDED...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014177
更新日期:2017-02-09 00:00:00
abstract:OBJECTIVES:The Acne Priority Setting Partnership (PSP) was set up to identify and rank treatment uncertainties by bringing together people with acne, and professionals providing care within and beyond the National Health Service (NHS). SETTING:The UK with international participation. PARTICIPANTS:Teenagers and adults...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008085
更新日期:2015-07-17 00:00:00