In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our ap...

BACKGROUND Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1) validate, and 2) prioritize these dimensions. METHOD A two-round web-based Delphi study was conducted. 297 international experts we...

The Projahnmo-II Project in Mirzapur upazila (sub-district), Tangail district, Bangladesh, is promoting care-seeking for sick newborns through health education of families, identification and referral of sick newborns in the community by community health workers (CHWs), and strengthening of neonatal care in Kumudini Hospital, Mirzapur. Data were drawn from records maintained by the CHWs, referr...

Background: A study to assess the effectiveness of patient education program focused on improving knowledge in reducing stress among primary infertile couples undergoing ART in Royan Institute. Materials and Methods: In total, 50 primary infertile Couples fulfilling the inclusion criteria undergoing ART, 25 each in experimental and control groups completed the intervention. A well educated and ...

Background: The most important barriers to patient education are nurses’ poor motivation and training, and poor quality of managerial supervision. Clinical supervision could be a powerful tool for overcoming these barriers. However, the associated patient, staff, and organization-related outcomes still require further research. Aim: The present study aimed to evaluate the patient-, staff-, and ...

describes several excellent strategies to optimize intrinsic load and minimize extraneous load. As noted by the authors, there is legitimate disagreement about the construct of germane cognitive load and how it relates to intrinsic load. However, we do not agree with Leppink and Van den Heuvel’s rejection of germane load as an independent construct. Four of six prior studies performed by Leppin...