Cognitive challenges to minimising low value care

Scott, Ian A

doi:10.1111/imj.13536

Cited by 13 publications

(7 citation statements)

References 30 publications

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“…After the results obtained in this work, regarding the validity of the mobility and activity subscales of the Braden Scale as predictors of pressure ulcer risk, it is reasonable to consider how professionals make decisions using a methodology that adds little value, versus other simpler and more efficient ones, that involved the nurse as an expert on the patient [ 24 , 25 ]. In this sense, a change in practice could be proposed using these subscales due to their high predictive value to identify the risk of pressure ulcers quickly and efficiently [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Pressure Ulcers Risk Assessment According to Nursing Criteria

et al. 2022

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Pressure ulcers (PU) represent a health problem with a significant impact on the morbidity and mortality of immobilized patients, and on the quality of life of affected people and their families. Risk assessment of pressure ulcers incidence must be carried out in a structured and comprehensive manner. The Braden Scale is the result of an analysis of risk factors that includes subscales that define exactly what should be interpreted in each one. The healthcare work with evidence-based practice with an objective criterion by the nursing professional is an essential addition for the application of preventive measures. Explanatory models based on the different subscales of Braden Scale purvey an estimation to level changes in the risk of suffering PU. A binary-response logistic regression model, supported by a study with an analytical, observational, longitudinal, and prospective design in the Granada-Metropolitan Primary Healthcare District (DSGM) in Andalusia (Southern Spain), with a sample of 16,215 immobilized status patients, using a Braden Scale log, is performed. A model that includes the mobility and activity scales achieves a correct classification rate of 86% (sensitivity (S) = 87.57%, specificity (SP) = 81.69%, positive predictive value (PPV) = 91.78%, and negative preventive value (NPV) = 73.78%), while if we add the skin moisture subscale to this model, the correct classification rate is 96% (S = 90.74%, SP = 88.83%, PPV = 95.00%, and NPV = 80.42%). The six subscales provide a model with a 99.5% correct classification rate (S = 99.93%, SP = 98.50%, PPV = 99.36%, and NPV = 99.83%). This analysis provides useful information to help predict this risk in this group of patients through objective nursing criteria.

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Section: Discussionmentioning

confidence: 99%

Pressure Ulcers Risk Assessment According to Nursing Criteria

et al. 2022

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“…Kerangka ini mengidentifikasi anak usia dini (usia 18 bulan -6 tahun). Bagi bayi yang lebih muda (usia 0 -18 bulan) tidak hanya diberikan pada saat prasekolah namun di semua sisi kehidupan (Scott, 2017). Anak merupakan aset bangsa seyogyanya harus mengerti nilai-nilai moral dan karakter bangsa itu sendiri.…”

Section: Pendahuluanunclassified

Permainan Tradisional Dalam Literasi Budaya Dan Perkembangan Anak Usia Dini Pada Abad 21

Garzia

2020

JPSBE

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Seiring dengan perkembangan zaman, permainan tradisional telah mengalami pergeseran dengan permainan modern yakni permainan dunia maya yang dimainkan di gawai dengan teknologi canggih Indonesia merupakan negara adidaya budaya dikarenakan banyak sekali budaya di Indonesia. Literasi budaya yang dikembangkan sangat beragam, salah satunya adalah melek permainan tradisonal. Framework 21 st skills early learning mendukung integrasi keterampilan abad 21 (berpikir kritis, kolaborasi, komunikasi, kreativitas, melek teknologi, dan sosial-emosional. Permainan tradisional memiliki banyak manfaat dalam semua aspek perkembangan anak usia dini yang meliputi fisik-motorik, sosial-emosional, moral, kognitif, dan perkembangan bahasa. Melalui kurikulum 2013 diharapkan mampu memberikan kecakapan hidup di abad 21 kepada generasi penerus bangsa. Pengenalan serta pelestarian budaya permainan tradisional selain dukungan pemerintah tentu juga sangat diharapkan peran orang tua, masyarakat dan generasi muda. Salah satu upaya untuk memfasilitasi pendidikan anak adalah salah satunya mengimplementasikan permainan tradisional di Taman Kanak-kanak (TK). Dengan berpegang pada literasi budaya Indonesia memiliki identitas yang jujur mengenai budaya. Diharapkan bangsa Indonesia dapat menjadi bangsa yang maju dan beradab.

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“…Deprescribing inappropriate medications in older people subject to polypharmacy was shown to be safe and effective, and indeed reduced mortality . Cognitive biases that may predispose to clinical decisions that result in low value care were introduced to clinical audiences in an article, which attracted considerable professional and media interest, and was circulated within college circles …”

Section: General Internal Medicinementioning

confidence: 99%