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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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In 1923, G. N. Lewis proposed a generalized definition of acid-base behavior in which acids and bases are identified by their ability to accept or to donate a pair of electrons and form a coordinate covalent bond.
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Some compounds produce hydroxide ions when dissolved by chemically reacting with water molecules. In all cases, these compounds react only partially and so are classified as weak bases. These types of compounds are also abundant in nature and important commodities in various technologies. For example, global production of the weak base ammonia is typically well over 100 metric tons annually, being widely used as an agricultural fertilizer, a raw material for chemical synthesis of other...
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One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template.
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Salts with Acidic Ions
Salts are ionic compounds composed of cations and anions, either of which may be capable of undergoing an acid or base ionization reaction with water. Aqueous salt solutions, therefore, may be acidic, basic, or neutral, depending on the relative acid-base strengths of the salt’s constituent ions. For example, dissolving the ammonium chloride in water results in its dissociation, as described by the equation:
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Sharing simulation-based training courses between institutions: opportunities and challenges.

Torrey A Laack1,2, Ellen A Lones3, Donna R Schumacher1

  • 11Multidisciplinary Simulation Center, Mayo Clinic, Rochester, Minnesota USA.

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|February 17, 2018
PubMed
Summary
This summary is machine-generated.

Sharing simulation-based training (SBT) courses between institutions is feasible and can save time. Initial investment in infrastructure is key to overcoming challenges and realizing time savings for developing new training content.

Keywords:
Mayo ClinicModerate SedationRegular Team MeetingSharing PlatformTarget Audience

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Area of Science:

  • Medical Education
  • Healthcare Simulation

Background:

  • Sharing simulation-based training (SBT) courses across institutions offers potential for reduced content development time.
  • However, the process presents significant logistical and practical challenges that require careful consideration.

Purpose of the Study:

  • To evaluate the feasibility and process of sharing SBT courses between academic medical institutions.
  • To estimate the time investment required for course sharing versus de novo content creation.
  • To identify barriers encountered during course sharing and propose potential solutions.

Main Methods:

  • A mixed-methods study involving two US academic medical institutions.
  • Personal interviews and written surveys were used to gather instructor experiences.
  • Time estimation for developing new content compared to implementing existing SBT courses.

Main Results:

  • Approximately 618 hours were spent establishing a collaboration infrastructure for course sharing.
  • Sharing two SBT courses was estimated to save 391 hours compared to developing new courses.
  • Key benefits included time savings, while barriers involved information access and understanding course flow. Standardized templates and clear communication were suggested improvements.

Conclusions:

  • Sharing simulation-based training courses between institutions is achievable, despite inherent challenges.
  • An upfront investment in a robust sharing infrastructure can lead to substantial downstream time savings.
  • Addressing identified barriers through standardization and improved communication is crucial for successful inter-institutional course sharing.