Relevant bibliographies by topics / Holistic clinical assessment tool

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  2. Dissertations / Theses
  3. Books
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  5. Conference papers

Academic literature on the topic 'Holistic clinical assessment tool'

Author: Grafiati
Published: 4 June 2021
Last updated: 17 February 2022

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Journal articles on the topic "Holistic clinical assessment tool"

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McKinley, Robert K., Janice Strand, Tracey Gray, Lambert Schuwirth, Tom Alun-Jones, and Helen Miller. "Development of a tool to support holistic generic assessment of clinical procedure skills." Medical Education 42, no. 6 (April 23, 2008): 619–27. http://dx.doi.org/10.1111/j.1365-2923.2008.03023.x.

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Ting, Frederic Ivan, Jose Miguel Callueng, Jeremiah Vallente, Reya Andrea Hurtado, Arjel Ramirez, Lance Isidore Catedral, Rich Ericson King, et al. "Assessing the Quality of Life of Filipino Cancer Patients: A Survey of Filipino Oncologists." Asian Journal of Oncology 6, no. 01 (January 2020): 20–28. http://dx.doi.org/10.1055/s-0040-1703420.

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Abstract Introduction Recent trials of new drugs have placed much emphasis on survival. However, several guidelines have emphasized the need for assessing health-related quality of life (HRQoL) as part of the holistic approach in the management of cancer patients. There are currently no national governing guidelines and no existing data on the status of HRQoL assessments by Filipino oncologists, thus this study. Study Design This was a cross-sectional study that utilized a validated questionnaire. Descriptive and multivariate analyses were used to analyze the data. Results A total of 312 oncologists participated in this study. Majority were medical oncologists (41%), followed by radiation oncologists (25%), hematologists (14%), gynecologic oncologists (12%), and surgical oncologists (8%). About 96% reported that HRQoL assessment was important for clinical work; however, 58% perceived HRQoL to be a vague term and 55% felt they were insufficiently trained to assess HRQoL. About 89% reported that they will be more confident if local HRQoL assessment guidelines will be present, and 93% agreed to the use of a unified HRQoL assessment tool for Filipino cancer patients. About 85% thought that the optimal number of questions for a HRQoL assessment tool should be between 5 and 15 questions. The significant predictors of HRQoL assessment among oncologists were field of oncology and years in practice/training (p < 0.05). Conclusion Filipino oncologists perceived HRQoL patient assessments to be important in clinical practice. However, majority did not know which tool to use and did not feel sufficiently trained to assess HRQoL. The creation of a practice guideline that would facilitate the use of a unified HRQoL assessment tool for Filipino cancer patients is highly recommended.
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Bello, Ghalib A., Gerard G. Dumancas, and Chris Gennings. "Development and Validation of a Clinical Risk-Assessment Tool Predictive of All-Cause Mortality." Bioinformatics and Biology Insights 9s3 (January 2015): BBI.S30172. http://dx.doi.org/10.4137/bbi.s30172.

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In clinical settings, the diagnosis of medical conditions is often aided by measurement of various serum biomarkers through the use of laboratory tests. These biomarkers provide information about different aspects of a patient's health and overall function of multiple organ systems. We have developed a statistical procedure that condenses the information from a variety of health biomarkers into a composite index, which could be used as a risk score for predicting all-cause mortality. It could also be viewed as a holistic measure of overall physiological health status. This health status metric is computed as a function of standardized values of each biomarker measurement, weighted according to their empirically determined relative strength of association with mortality. The underlying risk model was developed using the biomonitoring and mortality data of a large sample of US residents obtained from the National Health and Nutrition Examination Survey (NHANES) and the National Death Index (NDI). Biomarker concentration levels were standardized using spline-based Cox regression models, and optimization algorithms were used to estimate the weights. The predictive accuracy of the tool was optimized by bootstrap aggregation. We also demonstrate how stacked generalization, a machine learning technique, can be used for further enhancement of the prediction power. The index was shown to be highly predictive of all-cause mortality and long-term outcomes for specific health conditions. It also exhibited a robust association with concurrent chronic conditions, recent hospital utilization, and current health status as assessed by self-rated health.
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Gardener, A. Carole, Gail Ewing, Silvia Mendonca, and Morag Farquhar. "Support Needs Approach for Patients (SNAP) tool: a validation study." BMJ Open 9, no. 11 (November 2019): e032028. http://dx.doi.org/10.1136/bmjopen-2019-032028.

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ObjectivesPatient-identified need is key to delivering holistic, supportive, person-centred care, but we lack tools enabling patients to express what they need to manage life with a long-term condition. The Support Needs Approach for Patients (SNAP) tool was developed to enable patients with advanced chronic obstructive pulmonary disease (COPD) identify and express their unmet support needs to healthcare professionals (HCPs), but its validity is unknown. This study aimed to establish face, content and criterion validity of the SNAP tool.DesignTwo-stage mixed-methods study involving patients with advanced COPD and their carers. Stage 1: Face and content validity assessed though focus groups involving patients and carers considering appropriateness, relevance and completeness of the SNAP tool. Data were analysed using conventional content analysis. Stage 2: Content and criterion validity assessed in a postal survey through patient self-completion of the SNAP tool and disease impact measures (Chronic Respiratory Questionnaire, COPD Assessment Test, and Hospital Anxiety and Depression Scale). Content validity assessed using summary statistics; criterion validity via correlations between tool items and impact measures.Settings and participantsTwo hundred and forty patients and carers participated. Stage 1 patient and informal carer participants were recruited from two primary care practices and Stage 2 patients from 28 practices. Participating practices located in the East of England were recruited via the NIHR Clinical Research Network: Eastern.ResultsPatients and carers found the tool patient-friendly and comprehensive, with potential clinical utility. No tool items were redundant. Clear correlations were found between tool items and the majority of items in the impact measures.ConclusionsThe SNAP tool has good face, content and criterion validity. It has potential to support the delivery of holistic, supportive, person-centred care by enabling patients to identify and express their unmet support needs to HCPs.
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Isoherranen, Kirsi, Milla Kallio, Julie Jordan O`Brien, and Heli Lagus. "Clinical characteristics of lower extremity ulcers." Journal of the European Wound Management Association November 2020 21, Issue 1 Volume 21, 2020 (November 12, 2020): 51–58. http://dx.doi.org/10.35279/jewma202011.08.

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Common causes of lower-extremity ulcers are relatively easy to diagnose, but exact wound diagnosis needs always a holistic approach and a careful evaluation of the wound patient. Systematic assessment and the use of check-lists provides diagnostic tools. This review aims to provide clinicians with an overview of the different aetiologies of leg ulcer by describing the clinical characteristics of each aetiology. It also aims to provide tools for health-care providers when assessing a lower-extremity ulcer patient.
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Kyle, Tammy, and Sherry Wright. "Reflecting the Model of Human Occupation in Occupational Therapy Documentation." Canadian Journal of Occupational Therapy 63, no. 3 (August 1996): 192–96. http://dx.doi.org/10.1177/000841749606300306.

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This paper describes an innovative Screening Assessment Form developed at the Ottawa Civic Hospital. The development of the form was prompted by the need for a concise, time efficient guide that could be easily applied to a culturally diverse clientele presenting with various bio-psychosocial difficulties. The department had adopted the Model of Human Occupation as its frame of reference, however it was difficult to consistently covey the structure of the model in report writing. The challenge was to create an assessment tool which incorporated not only essential clinical information but also occupational therapy's unique holistic perspective of function.
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Afseth, Janyne, Lis Neubeck, Thanos Karatzias, and Robin Grant. "Holistic Needs Assessment in Brain Cancer Patients: A Systematic Review of Available Tools." Neuro-Oncology 20, suppl_1 (January 2018): i12. http://dx.doi.org/10.1093/neuonc/nox238.051.

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Khan, Zulaikha, Arun Chidambaram, Michaela Thomson, and Courtney Hurst. "An exploration of MDT views on key factors to consider when determining a service users required level of security." Journal of Forensic Practice 21, no. 1 (January 31, 2019): 38–49. http://dx.doi.org/10.1108/jfp-10-2018-0039.

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Purpose The purpose of this paper is to identify what key factors multi-disciplinary teams (MDT) deem as most important when making the decision to move service users from one level of security (including low, medium and high secure services) to another. The researchers used the findings from this study to further develop a tool; the assessment for level of security tool (ALS), which aims to structure and streamline this decision-making process. Design/methodology/approach Data from 18 interviews (MDT staff) were analysed using the Delphi technique (Dalkey and Helmer, 1963). This revealed a range of factors discussed when considering service users moves. Participants were asked to rate these factors in accordance with the Delphi which resulted in the removal of certain less important factors based on their scores. The researchers then compared these factors of relevance with a checklist of 16 items previously proposed by a consultant psychiatrist within the trust. This comparison allowed the researchers to highlight any similarities and differences present. Findings Findings from staff interviews revealed a range of 20 clinical factors perceived as essential to this process including procedural, relational and physical security aspects. However, variations were evident between the MDT priorities (20 items) and the originally proposed list. This emphasised the need for a tool which facilitates a holistic and streamlined approach. Practical implications The findings from this research have resulted in the development of the ALS tool comprising of 18 key factors. Originality/value It is envisaged the development of the ALS tool will not only facilitate and structure the decision-making process but also ensure a person-centred approach. This is because the ALS allows for a holistic approach based on an array of factors deemed important to that particular service user. Furthermore, the ALS tool contributes towards the paucity of published structured professional judgement tools needed to make such decisions.
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Martin, Colin R. "Commentary: Clinical Effectiveness in Nursing (2001) 5, 104–109 The development of the THROAT: The Holistic and Reliable Oral Assessment Tool (THROAT)." Clinical Effectiveness in Nursing 6, no. 1 (March 2002): 44. http://dx.doi.org/10.1054/cein.2002.0252.

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Zhang, Aihua, Hui Sun, Guangli Yan, Ping Wang, and Xijun Wang. "Metabolomics for Biomarker Discovery: Moving to the Clinic." BioMed Research International 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/354671.

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To improve the clinical course of diseases, more accurate diagnostic and assessment methods are required as early as possible. In order to achieve this, metabolomics offers new opportunities for biomarker discovery in complex diseases and may provide pathological understanding of diseases beyond traditional technologies. It is the systematic analysis of low-molecular-weight metabolites in biological samples and has become an important tool in clinical research and the diagnosis of human disease and has been applied to discovery and identification of the perturbed pathways. It provides a powerful approach to discover biomarkers in biological systems and offers a holistic approach with the promise to clinically enhance diagnostics. When carried out properly, it could provide insight into the understanding of the underlying mechanisms of diseases, help to identify patients at risk of disease, and predict the response to specific treatments. Currently, metabolomics has become an important tool in clinical research and the diagnosis of human disease and becomes a hot topic. This review will highlight the importance and benefit of metabolomics for identifying biomarkers that accurately screen potential biomarkers of diseases.
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Dissertations / Theses on the topic "Holistic clinical assessment tool"

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Wu, Xi Vivien. "Holistic clinical assessment for undergraduate nursing students." Doctoral thesis, Högskolan i Jönköping, Hälsohögskolan, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-29937.

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A major focus in nursing education is on the judgement of clinical performance, and it is a complex process due to the diverse nature of nursing practice. Difficulties in the development of valid and reliable assessment measures in nursing competency continue to pose a challenge in nursing education. A holistic approach in the assessment of competency comprises knowledge, skills and professional attitudes, wherein the notion of competency incorporates professional judgement and management skills in the clinical situation. Therefore, the thesis aims to develop a holistic clinical assessment tool with a reasonable level of validity and reliability to meet the needs of clinical education. The conceptual framework underlying this research is formed by establishing a theoretical connection between the practice of learning, and of pedagogy and assessment. This research consists of five studies. In Study I, a systematic review was conducted to explore the current assessment practices and tools for nursing undergraduates. In Studies II, III and IV, a qualitative approach with focus group discussions was adopted to explore the views of final-year undergraduate nursing students, preceptors, clinical nurse leaders and academics on the clinical assessment. Based on the multiple perspectives, it therefore addresses concerns in clinical assessment. In Study V, a holistic clinical assessment tool was developed, for which a psychometric testing was conducted. The systematic review indicated that limited studies adequately evaluate the psychometric properties of the assessment instrument. The qualitative studies have raised an awareness of professional and educational issues in relation to clinical assessment. Workload, time, availability of resources, adequate preparation of preceptors, and availability of valid and reliable clinical assessment tools were deemed to influence the quality of students’ clinical learning and assessment. In addition, the presence of support systems and formal educational programs for preceptors influenced their preparation and self-confidence. Nursing leaderships in hospitals and educational institutions have a joint responsibility in shaping the holistic clinical learning environment and making holistic clinical assessment for students. The involvement of all stakeholders in the development of a valid and reliable assessment tool for clinical competency is also essential to the process. The Holistic Clinical Assessment Tool (HCAT) was developed by the author based on the systematic review, qualitative findings and the core competencies of registered nurse from the professional nursing boards. The HCAT consists of 4 domains and 36 assessment items. Furthermore, testing of the psychometric properties indicated that the HCAT has satisfactory content validity, construct validity, internal consistency and test-retest reliability. In conclusion, the HCAT is meritorious in that it carries the potential to be used as a valid measure to evaluate clinical competency in nursing students, and provide specific and ongoing feedback to enhance the students’ holistic clinical learning experience. The HCAT not only functions as a tool for self-reflection for the students, but also guides the preceptors in clinical teaching and assessment. In addition, the HCAT can be used for peer-assessment and feedback. It is imperative that the clinical and academic institutions establish various levels of ongoing support for both students and preceptors in the process of clinical assessment.
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Chen, Tao. "The development of a holistic and quantitative tool for the assessment and improvement of survey quality." Thesis, Edinburgh Napier University, 2011. http://researchrepository.napier.ac.uk/Output/4404.

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There are a variety of guidelines and methods available to measure and assess survey quality. Most of these are based on qualitative descriptions. In practice, they are not easy to implement and it is very difficult to make comparisons between surveys. Hence there is a theoretical and pragmatic demand to develop a mainly quantitative based survey assessment tool. This research aimed to meet this need and make contributions to the evaluation and improvement of survey quality. Acknowledging the critical importance of measurement issues in survey research, this thesis starts with a comprehensive introduction to measurement theory and identifies the types of measurement errors associated with measurement procedures through three experiments. Then it moves on to describe concepts, guidelines and methods available for measuring and assessing survey quality. Combining these with measurement principles leads to the development of a quantitative based statistical holistic tool to measure and assess survey quality. The criteria, weights and subweights for the assessment tool are determined using Multi-Criteria Decision-Making (MCDM) and a survey questionnaire based on the Delphi method. Finally the model is applied to a database of surveys which was constructed to develop methods of classification, assessment and improvement of survey quality. The model developed in this thesis enables survey researchers and/or commissioners to make a holistic assessment of the value of the particular survey(s). This model is an Excel based audit which takes a holistic approach, following all stages of the survey from inception, to design, construction, execution, analysis and dissemination. At each stage a set of criteria are applied to assess quality. Scores attained against these assessments are weighted by the importance of the criteria and summed to give an overall assessment of the stage. The total score for a survey can be obtained by a combination of the scores for every stage weighted again by the importance of each stage. The advantage of this is to construct a means of survey assessment which can be used in a diagnostic manner to assess and improve survey quality.
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Setari, Anthony Philip. "CONSTRUCTION AND VALIDATION OF A HOLISTIC EDUCATION SCHOOL EVALUATION TOOL USING MONTESSORI ERDKINDER PRINCIPLES." UKnowledge, 2016. http://uknowledge.uky.edu/edsc_etds/12.

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The purpose of this study was to construct a holistic education school evaluation tool using Montessori Erdkinder principles, and begin the validation process of examining the proposed tool. This study addresses a vital need in the holistic education community for a school evaluation tool. The tool construction process included using Erdkinder literature to justify the development of each item through the use of an item matrix, ultimately leading to the development of the 23 item formative Montessori Erdkinder School Evaluation Survey. The validation process included a series of three Rasch Rating Scale Model analyses with data from a sample school. The validation process used item anchoring estimates from the earlier analyses in the later analyses and included determining the tool’s dimensionality, reliability, item fit, possible differential item functioning, and comparing the order of item difficulty levels to the holistic model of Maslow’s hierarchy of needs. Results of the study showed that six items had issues with fit and would need to be revised, and that the items in the cognitive and moral facet will need to be revised to better match Maslow’s model. This study provides the foundation for the development of a holistic education evaluation or accreditation system, and constructed a resource that could be directly implemented in schools.
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Bosman, Michelle. "Assessment of the effectiveness of electronic gatekeeping as a utilization management tool at Groote Schuur Hospital." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/30151.

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BACKGROUND: Utilization management ensures the appropriateness of laboratory testing by reducing the performance of tests which can be reasonably avoided with no adverse effects for the patient. Electronic gatekeeping, a utilization management tool, was introduced at Groote Schuur in 2010. Criteria were based on the minimum retesting interval, healthcare location, level of experience and discipline of the requesting clinician and specific ICD-10 codes. METHODS: A retrospective observational study assessing the effectiveness of electronic gatekeeping at Groote Schuur Hospital (Cape Town, South Africa), by comparing the test request volumes by using absolute test numbers and pre-defined ratios in the year prior to gatekeeping, to the two years following implementation. A secondary aim is to apply selected ratios to the other national academic hospitals to determine the potential for cost saving. RESULTS: At the medical wards of Groote Schuur Hospital there was an overall decrease in number and cost of tests of 24% per inpatient day for 2011. The most dramatic difference in cost is seen for chloride (91%) followed by HbA1c (90%), FT3 (89%) and CRP (82%). The application of ratios to Groote Schuur Hospital show a decrease in 2011 in all ratios apart from PCT: FBC+WCC (0.003 vs 0.002) and Mg: Ca (0.86 vs 0.84). AST: ALT remained the same at 0.55. This suggests overall effectiveness of the eGK rules although there is ongoing panel requesting. If the GSH eGK rules were to be applied at all other national academic hospitals, it could translate into a potential cost saving of $13 411 873.96 (R103 196 838.80) per annum. CONCLUSIONS: Electronic gatekeeping is an effective utilization management tool at Groote Schuur Hospital. It is relatively easy to implement and manage, and when combined with additional tools has the potential to result in larger reductions of unnecessary tests, cost savings and improved patient outcome.
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Amorighoye, Lucky Eyituoyo. "Developing an assessment tool for measuring total quality management in SASOL's Steam Station Plant / L.E. Amorighoye." Thesis, North-West University, 2009. http://hdl.handle.net/10394/4304.

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Gillespie, Stephanie Marie 1958. "Reliability and validity of the Clinical Neurologic Assessment (CNA) Tool in children with head trauma." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/278494.

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The Clinical Neurologic Assessment (CNA) Tool is a 21 item instrument designed to assess subtle neurologic changes that often accompany head trauma. This descriptive study was designed to test the reliability and validity of the CNA in children with head trauma. Interrater reliability of the CNA was assessed by determining Cohen's Kappa values for each item. Kappa values ranged from .74 to 1.00. Internal consistency of the CNA was assessed using Cronbach's alpha. The total CNA alpha was estimated to be .98 with subscale alphas ranging from .89 to .96. Concurrent and construct validity of the CNA were also assessed. Concurrent validity was estimated by determining Pearson's Product-Moment Correlation Coefficients for the CNA and the Glasgow Coma Scale (GCS) (r = .93; p = .001). Pearson's correlation coefficients were also estimated based on severity of head trauma (r = .57 to .74; p ≤ .017) and the age of the subject (r = .89 to .99; p ≤ .001). Construct validity was assessed using exploratory factor analysis which demonstrated a three factor solution. These factors reflected the following: a general overview of the level of consciousness, overall body and extremity position and movement, and muscle tone of the extremities.
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Mbongwe, Bontle. "Developing a clinical assessment tool for screening lead exposure levels during pregnancy and after delivery." Thesis, University of Pretoria, 2013. http://hdl.handle.net/2263/25722.

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Lead is a toxic heavy metal associated with adverse health effects ranging from developmental neurotoxicity to reproductive effects. While lead affects people of all ages, infants and children are the most vulnerable and susceptible to the neuro-developmental effects of lead exposure. Maternal blood lead concentrations that do not produce clinical toxicity on pregnant women have been linked to adverse offspring development. Observed reproductive effects to low lead levels during pregnancy include the risk of spontaneous abortions, effects on birth weight and preterm birth. There are particular concerns with regard to reductions in IQ scores. Research evidence suggests that an incremental increase in blood lead levels of 1 µg/dL is associated with approximately 1 IQ point deficit. Of particular concern is that currently no threshold has been observed or exists for developmental neurotoxicity to the chronic low lead exposures levels. While the developed countries have built evidence for lead exposure sources, have identified the most vulnerable groups to lead exposure, and have instituted control actions for lead exposure, it is not the case in developing countries such as Botswana. Currently, there is very little knowledge about the potential sources of lead exposure among different population groups not only in Botswana but also in most developing nations. There is also an evident limited knowledge on the behaviours and practices of different population groups that could potentially expose them to lead in developing countries. This thesis explores the following questions: i) Are there specific risk behaviours and practices peculiar to pregnant women in Botswana that could potentially expose them to lead? ii) What are the environmental lead concentration levels and their potential to expose pregnant women? iii)What are the blood lead concentrations at each stage of pregnancy and after delivery in Botswana and, iv) Can we use the information from these three questions to predict lead exposure levels during pregnancy and after delivery? v) Can we use the new information to a develop a policy dissemination brief to inform policy on lead exposure sources in Botswana, develop guidelines for health professionals for assessing and screening lead exposure levels during pregnancy and after delivery, develop an awareness leaflet for lead education? To address the specific risk behaviour and practices of pregnant women, a comprehensive validated risk assessment questionnaire was administered among 142 pregnant women during the first trimester of pregnancy (defined as 8-12 weeks) in four villages of different geographical settings and nomenclature (small/rural, major and semi urban). For purposes of this work the validation process involved obtaining information (from experts in the field and communities) relevant to the purposes of the study and to confirm that the tools employed for collection of data in all trimesters were suitable in terms of both construct and content. Data was collected between September 2009 and February 2010. To address potential environmental sources of lead exposure during pregnancy soil (n=28), water (n=28) and traditional cosmetic clay - letsoku (n=3) samples were collected in November 2010, February 2011 and May 2011 from the homes and in the vicinity of the study population to determine lead concentrations. To know baseline blood lead levels at each stage of pregnancy, blood samples were collected from September 2009 to February 2011 from pregnant women between weeks 8-12 (first trimester, n=137), 20-24 (second trimester n=126) and weeks 34-36 (third trimester n=106). Blood lead levels of women who completed the entire study from trimester on until after delivery (n=63) were then used to construct blood lead prediction models using statistical models. Pregnant women in the study area ingested non-food items such as soil, match sticks, pencil, chalk and animal feed such as bone meal (86%). Women applied used and unused car oils (in particular brake fluid) and other harmful substances for “treatment of skin conditions and for beautification purposes (74%). Older women (defined as 35 years in this study) were at a significantly higher risk to ingest soils (p<0.01). Mean (±SEM) lead concentrations in water exceeded the WHO drinking water quality standards nineteen fold (0.19±0.019 ppm (n=28) Major villages, had significantly higher Pb concentrations (p<0.05) in soils and water compared to small villages. Mean blood lead levels (±SEM) for the first, second and third trimesters were 1.96(±0.14)µg/dL, 2.49(±0.17) µg/dL, 2.66(±0.19) µg/dL respectively. Blood lead levels increases from the first to third trimester ranged from 1.6-5%. Blood lead concentrations significantly differed among locations (p<0.01). The highest concentrations were observed in women from smaller villages that were poorer (p<0.02). Pica, multiple risk behaviours/practices (engaging in two or more risk behaviours/practices), trimester of pregnancy, poor food supplementation and diet were predictors of blood lead levels ≥ 2µg/dL. There was a dose response relationship between supplement intake and an increase in blood lead levels. These findings suggest that pregnant women and their unborn babies could potentially be exposed to lead because of the environment in which they live, their economic status, lifestyle, behaviors and practices. Drinking water is a potential threat for lead exposure, not only among pregnant women, but other vulnerable groups such as infants and children. This study is the first in Botswana and one of the few in Africa to investigate lead exposure sources at each stage of pregnancy and after delivery. It is also the first to identify new potential lead exposure behaviors and practices such as the application of auto oils by pregnant women for treatment of skin diseases. The findings suggest the need to train health workers and equip them with the skills and knowledge to assess and screen women who could potentially be exposed to lead. Further, pregnant women need to be sensitized on potential lead exposure sources, to prevent lead poisoning. This study has been able to use the results to develop a policy brief for disseminating the results to decision makers, guidelines for utilization by health workers to screen lead exposure levels and an awareness leaflet for pregnant women. These have been validated and pretested at community and Government levels.
Thesis (PhD)--University of Pretoria, 2013.
School of Health Systems and Public Health (SHSPH)
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Catlin, Casey C. "Values Across the Lifespan Questionnaire (VALQUEST)| Development of a New Values Assessment Tool for Use with Older Adults." Thesis, University of Nevada, Reno, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13420927.

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Human values are a perennially important and popular topic in psychology. In Acceptance and Commitment Therapy (ACT), values are one of the six core processes have been shown to contribute to psychological flexibility (the ability consciously to contact the present moment fully and without needless defense, and to persist in or change behavior(s) in pursuit of one’s chosen values). Values in ACT may be conceptualized as a compass guiding a person’s behaviors in a direction. Values are also an important topic in geropsychology, often in the context of healthcare values and preferences. Even outside of healthcare settings, the aging process itself makes values work relevant. As we age, we must adapt to changing environments, diminishing cognitive and physical abilities, shrinking social circles, inevitable losses, and increased exposure to ageism. As the population demographics of the U.S. and other nations continues to shift toward older ages, there is a growing need for better treatments and assessment tools related to values that are suitable for use with older adults.

The Values Across the Lifespan Questionnaire, or VALQUEST, was developed to explore a new and more concrete yet flexible approach for values assessment that could meet the needs of older adults specifically and adults more generally. The VALQUEST was administered to 488 adults (253 over the age of 55) along with other relevant measures. Factor analysis led to a reduction in items, an improved scoring system, and evidence for a three-factor structure consistent with the design of the measure. The VALQUEST showed compelling evidence of concurrent validity with its large correlations with a well-studied measure of values, the Valued Living Questionnaire (VLQ: Wilson, Sandoz, Kitchens, & Roberts, 2010). Construct validity was evidenced through VALQUEST’s significant and consistent correlations with theoretically related measures of psychological flexibility, committed action, depression, and life satisfaction.

The VALQUEST adds the unique components of values identification (specifying and quantifying specific values from a provided list of exemplars) and assessment of the intrinsic or extrinsic motivation behind the values. In comparing the VALQUEST with the VLQ and measures of psychological flexibility and committed action as correlates of depression and life satisfaction, the VALQUEST was consistently related and often accounted for additional variance beyond well-established measures in these areas. Study limitations include collecting data at a single time point, leaving temporal reliability and measure reactivity unknown.

The VALQUEST is a viable measure that can be used now and can be easily modified for future purposes. The present study provides a "proof of concept" for the strategy deployed to create VALQUEST. While originally conceived with older adults as a special population of interest, the values measurement approach can readily be applied to values measurement development with other groups, such as specific cultural groups, military veterans, medical students, and so on. It could also be used to assess broad values, not separated by life domains; or many additional domains beyond the three in the current version. Subparts of the VALQUEST would be well-suited for use in time series designs assessing the dynamic interplay between values and other variables in daily life using ecological momentary assessment. The VALQUEST provides unique qualitative information about individual values while still maintaining a low response burden and collecting quantitative data, opening up many new areas of research into human values.

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Toro, Brigitte. "The design, development and testing of a sagittal plane observational gait assessment tool for clinical practice." Thesis, University of Salford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.413461.

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Rasetshwane, Itumeleng. "Evaluating The Psychometric Properties of the Clinical Assessment Tool Used in The Midwifery Programme In Botswana." Diss., University of Pretoria, 2021. http://hdl.handle.net/2263/78119.

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Background: Clinical assesssment tools play an essential role in clinical practice and assessment. Clinical assessment tools have to be evaluated for pyschometric properties to enhance objectivity and fairness when evaluating students. Reliability and validity are considered the main psychometric properties of clinical assessment tools. However, determining the psychometric properties of clinical assessment tools still remains a major problem. Hence, some tools are designed and used without adequate assessment of their reliability and validity. There is no evidence of the psychometric properties, mainly internal consistency, reliability and content validity of the clinical assessment tool used in Midwifery Programme in Botswana. Aim/Purpose: The aim of the study was to evaluate the internal consistency reliability and content validity psychometric properties of the clinical assessment tool used in the Midwifery Programme in Botswana. Design: A methodological design was used to evaluate the internal consistency reliability and content validity psychometric properties of the clinical assessment tool used in the Midwifery Programme in Botswana. Research process: Data was collected from the completed clinical assessment tools which were used to assess midwifery students registered for intrapartum care (MID 421) in semester 2 and intrapartum care practicum (MID 543) in semester 4 in 2019, from the midwifery training schools, n=114. Data collected from these clinical assessment tools was captured and analyzed using the downloaded IBM® Statistical Package for the Social Sciences (SPSS) software, version 25. Inter-item analysis and the corrected item–total correlation were calculated to determine the internal consistency reliability of the clinical assessment tool used in midifery programme. Cronbach’s alpha was used to determine the reliability of the entire clinical assessment tool. The Subject Matter Expects in midwifery working in the academic field and those working in the Nursing and Midwifery Council in Botswana, were used to evaluate the content validity regarding the relevance and clarity of the competencies in the clinical assessment tool. The Content Validity Index (CVI), Item Content Validity Index (I-CVI), Content Validity Ratio (CVR), the overall scale (S-CVI/Ave) and Scale Content Validity Index using Universal Agreement (S-CVI-UA) were calculated to determine the content validity of the clinical assessment tool used in the Midwifery Programme in Botswana. Results: The results of this study with regard to internal consistency reliability, revealed an overall Cronbach’s alpha of the clinical assessment tool of 0.837. The results of this study, with regard to content validity, revealed an overall CVR of 0.95 and an overall CVI of 0.97. The I-CVI value of the competencies for content validity ranged from 0.8 to 1. The S-CVI/Ave and the S-CVI/UA values of the competencies for content validity were 0.97 and 0.75 respectively. Conclusion: The clinical assessment tool used in the Midwifery Programme in Botswana is reliable and valid. However, there is a need to review some of the competencies to improve its internal consistency reliability and content validity. Keywords: Clinical Assessment, Clinical Assessment Tool, Midwifery Training Institutions, Midwifery Students, Midwifery Programme, Botswana, Reliability, Validity, Psychometric Properties.
Dissertation (MNSc)--University of Pretoria, 2021.
Nursing Science
MNSc
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Books on the topic "Holistic clinical assessment tool"

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Clinical echocardiography review: A self-assessment tool. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2011.

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Commission for Health Improvement (Great Britain). Self assessment tool for child protection for clinical teams. Norwich: TSO, 2004.

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Riegel, Fernando, Maria da Graça Oliveira Crossetti, and Peter A. Facione. Modelo teórico para mensuração do pensamento crítico holístico no ensino do processo diagnóstico de enfermagem. Brazil Publishing, 2021. http://dx.doi.org/10.31012/978-65-5861-321-3.

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The theoretical model book for measuring holistic critical thinking (PCH) in the teaching of the nursing diagnostic process (PDE) highlights the complexity of the PDE based on the application of the PCH of nursing students in face of the requirement of making accurate clinical decisions; in addition, it demonstrates the applicability of the Holistic Critical Thinking Scoring Rubric (HCTSR) instrument authored by professors Peter A. Facione and Noreen Facione; for the assessment of holistic critical thinking in nursing and health, becoming an important diagnostic and formative assessment tool at different levels of education, which can contribute to the advancement of nursing science with regard to the training of critical nurses and reflective in the application of the nursing diagnostic process that is structured in the stages of investigation, interpretation and nursing diagnoses with a view to making accurate nursing decisions. To reach these stages, the nurse must develop skills of holistic critical thinking (PCH), in order to make decisions focused on the best results. Based on this theoretical model, it will be possible to implement different strategies to develop holistic critical thinking in teaching the diagnostic process according to the students' PCH level.
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Grisso, Thomas, and Paul S. Appelbaum. Macarthur Competence Assessment Tool for Clinical Research. Professional Resource Press, 2001.

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Basic to Advanced Clinical Echocardiography. A Self-Assessment Tool for the Cardiac Sonographer. LWW, 2020.

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Mike, Slade, and Royal College of Psychiatrists, eds. CAN: Camberwell assessment of need : a comprehensive needs assessment tool for people with severe mental illness. London: Gaskell, 1999.

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Chu, Larry. Clinical Anesthesiology Board Review: A Test Simulation and Self-Assessment Tool (McGraw-Hill Specialty Board Review). McGraw-Hill Medical, 2005.

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Clinical Anesthesiology Board Review: A Test Simulation and Self-Assessment Tool (McGraw-Hill Specialty Board Review). McGraw-Hill Medical, 2005.

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Kalsi-Ryan, Sukhvinder. The Quadriplegia Hand Assessment Tool (Q-HAT): The development of a clinical assessment measure of the hand for the cervical spinal cord injured individual. 2006.

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Barthélémy, Romain, Etienne Gayat, and Alexandre Mebazaa. Pathophysiology and clinical assessment of the cardiovascular system (including pulmonary artery catheter). Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0014.

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Haemodynamic instability in acute cardiac care may be related to various mechanisms, including hypovolaemia and heart and/or vascular dysfunction. Although acute heart failure patients are often admitted for dyspnoea, many mechanisms can be involved, including left ventricular diastolic and/or systolic dysfunction and/or right ventricular dysfunction. Many epidemiological studies show that clinical signs at admission, morbidity, and mortality differ between the main scenarios of acute heart failure: left ventricular diastolic dysfunction, left ventricular systolic dysfunction, right ventricular dysfunction, and cardiogenic shock. Although echocardiography often helps to assess the mechanism of cardiac dysfunction, it cannot be considered as a monitoring tool. In some cases (in particular, in cases of refractory shock secondary to both vascular and heart dysfunction or in cases of refractory haemodynamic instability associated with severe hypoxaemia), pulmonary artery catheter can help to assess and monitor cardiovascular status and to evaluate response to treatments. Last, macro- and microvascular dysfunctions are also important determinants of haemodynamic instability.
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Book chapters on the topic "Holistic clinical assessment tool"

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Prasad, Umesh, Abhaya Ranjan Srivastava, and Soumitro Chakravarty. "‘Rubrics’ as a Tool for Holistic Assessment." In Transforming Higher Education Through Digitalization, 173–81. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003132097-10.

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Thellmann, Arthur-Hans, Tim Schouwer, Wibke Mayland, and Santiago Ferrer Mur. "Development of a Tool for the Assessment of Lightweight Bulkheads and Decks Made of Composite Materials." In A Holistic Approach to Ship Design, 91–131. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71091-0_4.

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Camardella, Cristian, Luis Pelaez Murciego, Shangjie Tang, Federica Bertolucci, Carmelo Chisari, Michele Barsotti, and Antonio Frisoli. "Simple Tool for Functional and Physiological Stroke Patients Assessment." In Converging Clinical and Engineering Research on Neurorehabilitation III, 779–82. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-01845-0_155.

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Rubio, B., J. Nirme, E. Duarte, A. Cuxart, S. Rodriguez, A. Duff, and P. F. M. J. Verschure. "Virtual Reality Based Tool for Motor Function Assessment in Stroke Survivors." In Converging Clinical and Engineering Research on Neurorehabilitation, 1037–41. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-34546-3_170.

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Neves, David, Ruben Ramos, Luís Raposo, Sérgio Baptista, and Pedro de Araújo Gonçalves. "FFR as a Clinical Tool and Its Applications in Specific Scenarios." In Physiological Assessment of Coronary Stenoses and the Microcirculation, 209–21. London: Springer London, 2017. http://dx.doi.org/10.1007/978-1-4471-5245-3_15.

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Alecian, Matylda, and François Medjkane. "Diagnostic Classification: 0-3R. A Tool for Early Interactive Clinical Assessment." In Early Interaction and Developmental Psychopathology, 205–17. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04769-6_12.

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Miljkovic, Nadica, Haritz Zabaleta, Cristina Rodriguez-de-Pablo, Thierry Keller, and Gonzalo A. Garcia. "EMG Topography of Low Back Muscles as a Tool for Posture Evaluation and for the Assessment of Lumbalgia Treatments Progress." In Converging Clinical and Engineering Research on Neurorehabilitation, 495–99. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-34546-3_79.

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Jaspers, M. E. H., and P. Moortgat. "Objective Assessment Tools: Physical Parameters in Scar Assessment." In Textbook on Scar Management, 149–58. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_17.

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AbstractObjective assessment tools can be used to evaluate whether (new) scar treatment is effective and to monitor the scar’s response to interventions in clinical practice. It is important to take the clinimetric properties of each tool into account, especially when used for the follow-up of an individual patient. An overview is provided for three important physical scar parameters that can be assessed by noninvasive objective tools: color, elasticity, and perfusion. To assess the color of a scar, an array of tools is available, all using reflectance spectroscopy and determining color by measuring the intensity of reflected light of specific wavelengths. The handheld DSM III ColorMeter offers read-out of erythema and melanin index values as well as CIEL∗a∗b values. The interrater reliability is best for the parameter a∗ of the DSM III ColorMeter. To assess scar elasticity, the Cutometer is the most widely used tool. Scar deformation is measured using negative pressure and reflected in relative and absolute elasticity parameters. On the contrary, firmness or hardness of scar tissue can be quantified by tonometry, a technique that works by exerting pressure on the skin. Lastly, it is of interest to measure scar blood flow (i.e., perfusion) as several treatment regimens work by destructing the microvasculature and/or reducing the blood flow to enhance shrinkage of hypertrophic scar tissue. Laser Doppler imaging and laser speckle imaging can be used to quantify and visualize scar blood flow, but a thorough clinimetric evaluation of these tools in scars is not performed yet.
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Úbeda, A., A. Del Vecchio, I. Vujaklija, and D. Farina. "Analysis of Intramuscular Motor Unit Coherence in the Tibialis Anterior Muscle as a Tool for the Assessment of Robot-Assisted Rehabilitation." In Converging Clinical and Engineering Research on Neurorehabilitation III, 231–35. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-01845-0_46.

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Berardi, Anna, Giovanni Galeoto, Marco Tofani, Massimiliano Mangone, Serena Ratti, Arianna Danti, Julita Sansoni, and Maria Auxiliadora Marquez. "The Validity of Rasterstereography as a Technological Tool for the Objectification of Postural Assessment in the Clinical and Educational Fields: Pilot Study." In Advances in Intelligent Systems and Computing, 55–62. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23884-1_8.

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Conference papers on the topic "Holistic clinical assessment tool"

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Berisha, Visar, Rene Utianski, and Julie Liss. "Towards a clinical tool for automatic intelligibility assessment." In ICASSP 2013 - 2013 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP). IEEE, 2013. http://dx.doi.org/10.1109/icassp.2013.6638172.

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Bounas, Kanaris, Anna Georgiadou, Michalis Kontoulis, Spiros Mouzakitis, and Dimitrios Askounis. "TOWARDS A CYBERSECURITY CULTURE TOOL THROUGH A HOLISTIC, MULTI-DIMENSIONAL ASSESSMENT FRAMEWORK." In 13 th IADIS International Conference Information Systems 2020. IADIS Press, 2020. http://dx.doi.org/10.33965/is2020_202006c016.

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Knapton, Rebecca, Michelle McKenzie Smith, and Jo Cameron. "OP11 The development of the ‘care and clinical skills assessment tool’." In Abstracts from the HEE Yorkshire and the Humber Clinical Skills and Simulation Conference, Leeds, UK, 4th July 2018. The Association for Simulated Practice in Healthcare, 2018. http://dx.doi.org/10.1136/bmjstel-2018-heeconf.17.

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Zallio, Matteo, Damon Berry, and Niccolo Casiddu. "Adaptive environments for enabling senior citizens: An holistic assessment tool for housing design and IoT-based technologies." In 2016 IEEE 3rd World Forum on Internet of Things (WF-IoT). IEEE, 2016. http://dx.doi.org/10.1109/wf-iot.2016.7845463.

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Good, Anna, Sara Burns, Mark Stogdon, Trudi Leighton, and Manjit Aujla-Starr. "P-12 Development of the preparation star™-a tool to support holistic assessment and vital conversations." In Dying for change: evolution and revolution in palliative care, Hospice UK 2019 National Conference, 20–22 November 2019, Liverpool. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjspcare-2019-huknc.36.

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Cruz, Joana, Cristina Jácome, and Alda Marques. "Validity of the Brief physical activity assessment tool for clinical use in COPD." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa2565.

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Catalan Serra, Pablo, Bernardino Alcázar, Marc Miravitlles, Maribel Marzo, and Juan José Soler-Cataluña. "VALIDATION OF AN ASSESSMENT TOOL FOR CONTROL IN COPD: ANALYSIS OF CLINICAL VARIABLES." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa3866.

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Anvari, Elnaz, Lorenzo Leardini, and Matteo Cont. "SSS.infra Guideline: a new quantitative tool for the performance assessment of civil infrastructure." In IABSE Symposium, Guimarães 2019: Towards a Resilient Built Environment Risk and Asset Management. Zurich, Switzerland: International Association for Bridge and Structural Engineering (IABSE), 2019. http://dx.doi.org/10.2749/guimaraes.2019.1520.

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<p>The function of all infrastructure in organised societies, is to provide for personal security, establish a basis for public health and institutionalise a quality of life equal to the expectations of those it serves. That’s why many accredited rating systems are currently available on the market to assess sustainability of both buildings and infrastructural works. Unfortunately, these protocols are mainly based on a qualitative approach, being difficult to implement in everyday design practice.</p><p>Considering this fact, SSS.infra Guideline has been developed to overtake subjectivity, endorsing a rational evaluation of the achieved performance and promoting a holistic and design oriented technical approach. The aim of this paper is to present the Guideline, showing how sustainability goals can be reached through conventional design stages and presenting the findings of a meaningful pilot project, the Tehran-Shomal Freeway).</p>
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Patel, C., C. Thompson, J. Tran, R. Downs, P. Carlson, S. DePaola, C. Chen, and M. J. Leveno. "Clinical Institute Withdrawal Assessment (CIWA) Based Protocols for Alcohol Withdrawal: A Clinical Decision Support Tool to Address Common Misunderstandings and Avoid Misuse." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a6607.

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Fediw, Will. "Waterway Suitability Assessment: Art and Science." In ASME/USCG 2017 4th Workshop on Marine Technology and Standards. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/mts2017-0401.

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The purpose of this paper is to briefly explain the Waterway Suitability Assessment (WSA) process required for U.S. liquefied natural gas (LNG) terminals, highlight the quantitative risk assessment tools utilized and how they work together to adequately assess the risks, and introduce qualitative best-practices to reduce review time and improve stakeholder collaboration and receptivity. As each maritime port has a different composition of commercial vessel traffic and operating practices, these tools and methods are combined to form a Risk-Based Approach, rather than a prescriptive assessment tool, ensuring a holistic understanding and mitigation plan concerning localized LNG transportation. Paper published with permission.
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