- Community survey on integrative oncology
- Community discussion articles: oncology acupuncture, general acupuncture scientific evidence, ED acupuncture, the "whole system paradigm"
- Metrics: Interested in measuring your work?
- Reviewing some research basics
- Research conference notes and recording availability
- funding announcements
- NAM new book, Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being
- The Gold Foundation's Research Roundup--highlights from
The Fall (Sept/Oct) 2019 Research Roundup
Review of the "Research and Metrics Thursdays" theme from the public Facebook Page and newsletter
Community Survey: What Does Success Look Like in an Integrative Oncology Program?
The survey is now closed for processing.
Why this subject is important to hospital-based practice: it is useful when talking about healthcare culture change and when discussing the issues related to decreasing the overall cost of healthcare by addressing chronic health conditions and social determinants of health (SDOH).
- Are you tracking your patient outcomes? If you want to learn or review how to use a validated pain scale, check out our short course with pdfs and videos, How to Use a Validated Pain Scale in Your Chart Note
- Learn more about the importance of metrics in your work by following the Hospital Handbook Project. We are currently tagging blog posts related to metrics with "metrics". You can use the search feature in the blog and type in "metrics" to find related posts.
- If the term "metrics" and/or "performance management metrics" are new to you, sign up for our new series, Basics of Being an Employee in a Healthcare System: Performance Metrics. We have finished recording the series. Just doing the slow work of video editing and note-taking. If you sign up, you will be notified when any of it is next published. More information about that here.
- Practical Applications for the Healthcare Practitioner
- NIH's "Know The Science: 9 Questions to Help You Make Sense of Health Research"
- Do you know what the "placebo effect" is? Review with this NCCIH video of Dr. Ted Kaptchuck.
- New videos from the Massage Therapy Foundation on "Why Research?" and "What is Research" at this blog post.
- More resources for future research article writers at JASA's author resource page
SAR Conference Notes
- Date: 9.23.2019
- The webcast recording is available here.
- This year’s Stephen E. Straus lecture in the science of complementary therapies is: “Why We Need a Pain Revolution: From Science to Practice” with Lorimer Moseley, PhD, professor of clinical neurosciences and chair in physiotherapy at the University of South Australia
Research Funding Announcements from NCCIH
- HEAL Initiative: Development of Therapies and Technologies Directed at Enhanced Pain Management (R41/R42 Clinical Trial Required)
- HEAL Initiative: Development of Therapies and Technologies Directed at Enhanced Pain Management (R41/R42 Clinical Trial Not Allowed)
- HEAL INITIATIVE: Development of Therapies and Technologies Directed at Enhanced Pain Management (R43/R44 - Clinical Trial Required)
- HEAL INITIATIVE: Development of Therapies and Technologies Directed at Enhanced Pain Management (R43/R44 - Clinical Trial Not Allowed)
"Among the NIH HEAL initiative awards announced today are a combined $86.9 million over 6 years, pending the availability of funds, for initatives that NCCIH is leading or coleading. This includes, Pragmatic and Implementation Studies for the Management of Pain to Reduce Opioid Prescribing (PRISM), Behavioral Research to Improve Medication Assisted Treatment (BRIM), and the NIH Back Pain Consortium (BACPAC) Research Program."
"NIH HEAL Initiative research will develop non-addictive medications and nondrug treatments for pain and test new models of care in real-world settings. This includes a controlled trial of acupuncture under PRISM for chronic low-back pain in adults 65 years and older, and NIH is working with the Centers for Medicare & Medicaid Services (CMS). The results of this study will inform CMS coverage decisions. While some nondrug treatments of pain have been found to be effective, patients often do not have access to these treatments in their health care systems. The trials supported by the PRISM program will assess whether making these treatments directly available to patients with pain conditions improves their symptoms and ability to function." [highlight added for emphasis]
"Working together, I am confident that we can address the national opioid and pain crises and save lives." --Dr. Helene Langevin, NCCIH director
Learn more about the NAM Clinician Well-Being Series at our concise blog post here
New publication from NAM on Clinician Burnout
The National Academy of Medicine has a new publication on clinician burnout, Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. **This is a consensus study report. The pdf download is free and available as of late October 2019. It will be available in paperback December 1st.
For more information and the pdf download, go to this NAM webpage.
Quotes from the NAM webpage:
"Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care."
"Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being and recommendations for the field." -NAM webpagecitation:
National Academies of Sciences, Engineering, and Medicine. 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.
- The September edition of the Jeffrey Silver Humanism in Healthcare Research Roundup includes these relate-able articles:
- Researchers looking at how to measure the change when you ask patients to stop and reflect on a question before answering it. “Reflective pause.”Reflecting on shared decision making: a reflection-quantification study Free full-text Kunneman M, LaVecchia CM, Singh Ospina N, Abu Dabrh AM, Behnken EM, Wilson P, Branda ME, Hargraves IG, Yost KJ, Frankel RM, Montori VM. Health Expect. 2019 Aug 14.
"Shared decision-making (SDM) refers to the collaborative nature of clinicians and patients in making decisions about health and care. It is considered an important component of healthcare, but assessing it accurately can be difficult. After testing the three versions of this questionnaire on 107 patients, they pursued further modifications to emphasize “stop-and-think” reflection. In this second study, they distributed a second version of the questionnaire to 212 patients. Overall, they found that that the “stop-and-think” emphasis did not significantly alter the ratings. Still, the authors conclude by noting that “other ways to induce a reflective pause” should be considered when studying SDM in these sorts of challenging settings."
- Mentoring and Professionalism in Training (MAP- IT) programsHumanistic topics are emphasized…appreciative inquiry, enhancing well-being, and mindfulness and self-care.“graduates continued to use these practices and skills in their professional and personal lives. To their surprise, self-care, which was not designed to be an outcome..emerged as a major theme.” "MAP-IT exercises with the greatest staying power was the participant's selection of a "third thing."“The authors conclude that there is durability in humanistic faculty development programs and that they may help to foster cultures of medical education and practice that promote wellness, community, and social support.”The long-term impact of an interprofessional humanistic faculty development programme: a qualitative investigation Tortez LM, Quinlan PS, Makaryus AN, George C, Caruso V, Gilman S, Ricardo A, Fornari A. J Eval Clin Pract. 2019 Sep 3.
Faculty development programs are important components of professional growth among academic clinicians once they have completed formal training, and constitute opportunities for building skills necessary for humanistic care.
- "A Third Thing". Third things as inspiration and artifact: a multi-stakeholder qualitative approach to understand patient and family emotions after harmful events Gaufberg E, Olmsted MW, Bell SK. J Med Humanit. 2019 Jul 24.
- “Third things” are objects, images, or texts that serve as reflective triggers or conversational mediators to help create a safe space for sharing stories and perspectives. They can be used to approach sensitive topics that may otherwise cause emotional harm. Elizabeth Gaufberg and colleagues examined whether visual reflective triggers could serve as 'third things' to foster useful dialogue about the emotional impact of harmful events and medical errors. At an Agency for Healthcare Research and Quality conference called 'Healing After Harm,' the authors engaged 41 participants in a visual reflective trigger exercise to formulate domains and themes associated with medical injuries."
- Teaching empathy to nursing students: a randomised controlled trial Bas-Sarmiento P, Fernández-Gutiérrez M, Díaz-Rodríguez M; iCARE Team. Nurse Educ Today. 2019 Sep;80:40-51.
"Empathy is a touchstone of humanistic healthcare, but can it be acquired as part of health professions education?" "They measured outcomes before and after the intervention using standardized measures like the Jefferson Scale of Empathy (JSE), the Consultation and Relational Empathy (CARE) Measure, and a 10-point Likert scale on student perception of learning. They determined that experimental groups had higher post-test scores and that there was an increased perception of learning and understanding compared to control groups. The authors noted that certain elements of empathy can be developed through training, but follow-up over longer periods of time and more rigorous studies controlling for other variables are necessary before establishing more definitive conclusions." [highlight added to metrics noted]
- Compassion fatigue and compassion satisfaction among multisite multisystem nurses
Kawar LN, Radovich P, Valdez RM, Zuniga S, Rondinelli J. Nurs Adm Q. 2019 Oct/Dec;43(4):358-369.
Compassion fatigue is defined as “emotional exhaustion due to severe and prolonged interaction with clients, use of self and exposure to stress.” This is a major occupational hazard among inpatient nurses and is associated with burnout. The converse of this is compassion satisfaction, which refers to when “a nurse gains fulfillment through helping clients.”"However, there was low variability accounted for by these factors, suggesting that there are other factors, which could include unit culture and management support, that could mitigate the risk of compassion fatigue, and consequently burnout. Overall, these results point to the need for interventions designed for specific specialties and for less-experienced nurses." [highlight added for emphasis]
- follow the tag/labels in this blog for: "research literacy" and "metrics"
- Your Medical Library and Professional Journal Access: An Employee Benefit
- The Massage Therapy Foundation's Research Webinar Series 2019
- Research Basics and Practical Applications for the Healthcare Clinician
- The Integrative Medicine Researcher
- Research Thursdays: Oncology
- Resource: The Massage Therapy Foundation
- Dr. Helene Langevin, NCCIH, and acupuncture research
- The Teaching Kitchen Collaborative and Healthy Kitchens, Healthy Lives
- The FDA Roadmap on Patient-Reported Outcome Measures (video series)
- Research Journal Resources for Authors Page by JASA, formerly Meridians JAOM
- Articles related to the Hospital Practice Handbook Project that have been published in peer-reviewed journals can be found on our publications page.
Other monthly research summary blogposts
- August Research Roundup
- April Research Roundup
- March Research Roundup
- February Research Roundup
- January Research Roundup
- December Research Roundup
- Acupuncture and Fascia Research
- Key Papers when discussion acupuncture for pain management with a physician
- The Field of Acupuncture Research in Just 10 minutes (video)
- Journal of the American Society of Acupuncturists (JASA), formerly Meridians: Journal of Acupuncture and Oriental Medicine
- Evidence-Based Acupuncture (EBA)
- Society of Acupuncture Research (SAR) is associated with
- The Journal of Alternative and Complementary Medicine (JACM): Paradigm, Practice, and Policy Advancing Integrative Health
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