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…

Rare events meta-analyses of randomized controlled trials (RCTs) are often underpowered because the outcomes are infrequent. Real-world evidence (RWE) from non-randomized studies may provide valuable complementary evidence about the effects of rare events, and there is growing interest in including such evidence in the decision-making process.…

Purpose: This study aimed to analyze and define the concept of readiness for hospital discharge (RHD) in patients with myocardial infarction (MI). Design/methodology/approach: Walker and Avant's approach was used for concept analysis. Electronic text searches were performed using valid databases with "readiness for hospital discharge"…

While many standardized assessment measures exist to track child mental health treatment outcomes, the degree to which such tools have been adequately tested for reliability and validity across race, ethnicity, and class is uneven. This paper examines the corpus of published tests of psychometric properties for the ten standardized measures used…

Systematic reviews (SR) typically focus on well-defined topics and homogeneous populations. In contrast, conducting a SR on patients with complex care needs (PCCN) presents two main challenges: a novel ill-defined topic and a heterogeneous population. This commentary summarizes the lessons learned from our experience using crowdsourcing to meet…

Learning to take safe and effective action in complex settings rife with uncertainty is essential for patient safety and quality care. Doing so is not easy for trainees, as they often consider certainty to be a necessary precursor for action and subsequently struggle in these settings. Understanding how skillful clinicians work comfortably when…

Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them…

The life span of patients with cystic fibrosis (CF) continues to extend due to advances in treatments and care. The rate of pregnancy for female patients with CF has also continued to rise. The purpose of this study was to systematically review the available literature on female patients with CF and their knowledge of sexual and reproductive…

Systematic Treatment Selection (STS) is a form of technical eclectism that develops and plans treatments using empirically founded principles of psychotherapy. It is a model that provides systematic guidelines for the utilization of different psychotherapeutic strategies based on patient qualities and problem characteristics. Historically, it…

Exposure therapy, despite its demonstrated efficacy for chronic PTSD, remains underutilized across clinical settings. One suggested cause is that traumatized clients may not prefer exposure treatment. This paper reviews the current literature on factors associated with treatment preference for exposure therapy. Contrary to expectations,…

Clients who are incapacitated in some manner do not lose their right to self-determination, although they may lose the ability to exercise that right. Examines the concept of self-determination and argues that an obligation exists to provide clients with representative proxies for decision making. (Author)

Results of research directly and indirectly applicable to life support indicate that patients and intimates suffer less psychological distress if those who have close positive relationship with patient maintain emotional closeness to patient and participate in making decisions concerning life support. Suggests that people feel less distress if…

This paper examines the variety of legal rules and processes which have been established to assess and ensure that the quality of care provided in nursing homes satisfies an acceptable level. It begins with a general overview of nursing home law. Areas discussed in this section include: (1) sources of nursing home law; (2) theories of liability;…