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Related Concept Videos

Data Validation01:03

Data Validation

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Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
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Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
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Methods of Documentation V: CBE01:23

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Related Experiment Video

Updated: Nov 8, 2025

Author Spotlight: Validation of SICOLE-R for Assessing Cognitive and Reading Skills in Spanish-Speaking Children and Its Role in Personalized Education
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Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and

Cécile Cases1, Adeline Gallini2,3, Stéphanie Lafont Rapnouil1

  • 1CHU Toulouse, Service de psychiatrie et psychologie, psychiatrie Toulouse, Toulouse, France.

Frontiers in Psychiatry
|April 19, 2021
PubMed
Summary

Psychiatric guidelines for borderline personality disorder are largely followed in clinical practice. A review of 333 patient files showed substantial agreement, indicating a practical method for assessing guideline adherence.

Keywords:
care organizationexpert panelguidelineslocal practicemethodspsychiatry

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Area of Science:

  • Psychiatry
  • Clinical Practice Guidelines
  • Healthcare Quality

Background:

  • Adherence to psychiatric clinical guidelines is crucial for consistent patient care.
  • Assessing guideline implementation is a necessary step before evaluating guideline limitations.
  • Discrepancies between guidelines and practice can hinder effective mental healthcare delivery.

Purpose of the Study:

  • To evaluate the adherence to borderline personality disorder (BPD) treatment guidelines in a psychiatric emergency department.
  • To assess the feasibility and reliability of using expert review of medical files to measure guideline concordance.

Main Methods:

  • A panel of eight local psychiatric experts reviewed 333 anonymized patient files.
  • Experts answered six standardized questions to determine if care aligned with BPD guidelines.
  • Inter-rater reliability was assessed using Fleiss Kappa.

Main Results:

  • Substantial agreement was found between expert judgments on guideline adherence (Fleiss Kappa = 0.69).
  • The expert review method proved practical, reliable, and resource-efficient.
  • The findings suggest current practices largely reflect BPD treatment guidelines.

Conclusions:

  • The expert panel method is a feasible and reliable tool for assessing clinical guideline adherence in psychiatric settings.
  • High agreement indicates that BPD guidelines are generally applied in the studied emergency department.
  • This methodology can inform quality improvement initiatives and identify barriers to guideline implementation.