Therapeutic reasoning is when the purpose, task, or goal for engaging in reasoning is to determine the patient's management plan. As the field's understanding of the process of therapeutic reasoning is less well understood, we focused on studies that collected data on the process of therapeutic reasoning. To synthesize previous studies of…

Clinical reasoning theories agree that knowledge and the diagnostic process are associated with diagnostic success. However, the exact contributions of these components of clinical reasoning to diagnostic success remain unclear. This is particularly the case when operationalizing the diagnostic process with diagnostic activities (i.e., teachable…

The practice problem for this DNP project was the lack of confidence of eight nurse managers at the project site in implementing alternative staffing models to meet increased inpatient care demands during times of patient surges. The purpose of this DNP project was to provide an education module to nurse managers at the project site to enhance…

This study explored how best to implement Music Therapy (MT) in any hospital setting when working with autistic children, teenagers, and adults. Baldrige's theory and concepts were used as a benchmark to facilitate all findings through the research conducted. Multiple factors affect the workforce and the existing staff at a large medical facility…

Peer support is effective in improving self-management behaviors and health outcomes among individuals with Type 2 diabetes. Volunteer peer support programs offer a cost-effective resource for diabetes self-management support; however, factors affecting the retention of volunteer peer leaders remain understudied. Herein, we examined factors…

Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides…

Research suggests that newly graduated nurses lack confidence in caring for deteriorating patients and this lack of confidence could lead to poor patient outcomes. The aim of this project was to examine the effectiveness of a simulation intervention on the confidence level of Associate Degree Nursing (ADN) students in caring for deteriorating…

Physician assistant (PA) programs must teach medical communication skills that facilitate effective patient care. Empathy is one such skill that is explicitly mentioned in relevant documents, but there is no common definition of empathy nor a formal curriculum to teach it. Current literature suggests that empathy is a feeling resulting from…

Effective communication between cancer patients and their healthcare professionals is an essential ingredient in providing quality medical care. There is a correlation between poor healthcare communication and chronic stress in cancer patients. Chronic stress impedes the human immune system and promotes tumor growth. There is also a negative…

Behavioral assessment allows a clinician to identify environmental events that are contributing to challenging behavior to inform effective treatment. Recent developments in behavioral assessment and treatment have been devoted to creating practical procedures that can be conducted by clinicians in socially relevant settings. However, the extent…

Using the Hartung-Knapp method and 95% prediction intervals (PIs) in random-effects meta-analyses is recommended by experts but rarely applied. Therefore, we aimed to reevaluate statistically significant meta-analyses using the Hartung-Knapp method and 95% PIs. In this methodological study, three databases were searched from January 2010 to July…

Purpose: This study examined the relationship between voice quality and glottal geometry dynamics in patients with adductor spasmodic dysphonia (ADSD). Method: An objective computer vision and machine learning system was developed to extract glottal geometry dynamics from nasolaryngoscopic video recordings for 78 patients with ADSD. General…

Purpose: The elements of impaired swallowing biomechanics are visually assessed and scored by clinicians using a standardized and validated tool for assessing type and severity of physiological impairments using the Modified Barium Swallow Impairment Profile (MBSImP). However, the functional anatomical correlates that underly noted impairments…

Purpose: The aim of this study was to use acoustic and kinematic speech measures to characterize type of motor speech impairment--apraxia of speech (AOS) versus dysarthria--in individuals with four-repeat tauopathy (4RT)-associated syndromes, including nonfluent variant primary progressive aphasia (nfvPPA), primary progressive AOS (PPAOS),…

Hospitalisation can be a challenging experience for young people, including higher levels of anxiety, social isolation, and depression. In this paper we identify the possibilities of an applied theatre pilot that aimed to combine co-designed virtual reality (VR) approaches with intermedial work with young people in hospital. Within the pilot study…