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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Integrated Healthcare System01:20

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Fundamentals of Nursing Process II01:25

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Reimagining Initial Certification as a Process That Begins During Residency to Support Continuous Development Across

Carol Carraccio, Daniel J Schumacher, Olle Ten Cate

    Academic Medicine : Journal of the Association of American Medical Colleges
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    Summary
    This summary is machine-generated.

    Board certification reimagined as continuous assessment for learning, integrating knowledge and workplace observation. This model supports a smoother transition from training to practice and enhances patient care quality.

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    Area of Science:

    • Medical Education
    • Professional Assessment
    • Continuing Professional Development

    Background:

    • Current US board certification relies heavily on high-stakes knowledge exams post-training.
    • A contemporary approach emphasizes multi-source data and workplace observation for performance evaluation.

    Purpose of the Study:

    • To propose a reimagined model for initial board certification as a continuous assessment for learning.
    • To integrate initial certification with maintenance of certification for a seamless training-to-practice transition.

    Main Methods:

    • Conceptual framework based on a 3-layered competence construct: canonical, contextual, and personalized.
    • Proposal for a program of assessment incorporating knowledge acquisition and application, with workplace observation.
    • Integration of initial certification with the first maintenance of certification cycle.

    Main Results:

    • A shift from single, high-stakes exams to a nuanced, continuous assessment program.
    • Recognition of canonical (knowledge), contextual (workplace), and personalized (expertise) competence.
    • Facilitation of individualized learning needs from training through practice.

    Conclusions:

    • A continuous assessment model offers a more just and robust evaluation of readiness for practice.
    • This approach fosters lifelong learning and improves the quality of patient care.
    • It transforms the training and practice phases into a true continuum.