While this may be a concern of the Board, it does not address the more crucial information need regarding the use of nurse practitioners in the clinical setting. "); write(""); } fenster.document.close(); } function q2() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This is still a bit vague. We know its an outpatient setting and the intervention is use of nurse practitioners, but we still don't know what outcome is to be used to make a judgement."); write(""); } fenster.document.close(); } function q3() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This is a good question. We know its an outpatient setting, the intervention is the use of nurse practitioners, and the outcome is patient satisfaction or acceptance of health care."); write(""); } fenster.document.close(); } function q4() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This search is too general. This retrieves articles on outpatient clinics and patient satisfaction but the term staffing is too general. Also there may be other terms to consider for the concept of patient saisfaction"); write(""); } fenster.document.close(); } function q5() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This search, while specific to Nurse Practitioners and outpatient clinics, may be too general. It does not address the specific outcome of patient satisfaction or quality of care."); write(""); } fenster.document.close(); } function q6() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This search strategy includes the problem setting (clinics), the intervention (Nurse Practitioners) and the desired outcome (patient satisfaction or quality of care). This strategy also includes the study design."); write(""); } fenster.document.close(); } function q7() { fenster = open("", "Anzeige", "width=200,height=400"); fenster.document.open(); with (fenster.document) { i++; write("
The study does state that patients were - randomly allocated to either a RNP (Rheumatology Nurse Practitioner) or CR (Consultant Rheumatologist). However it does not say how randomization was done. Randomization schemes can vary and it is important to know exactly how they divided the patients. (See PATIENTS AND METHODS/Study design)"); write(""); } fenster.document.close(); } function q8() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
The study does state that patients were - randomly allocated to either a RNP or CR. However it does not say how randomization was done. Randomization schemes can vary and it is important to know exactly how they assigned the patients.(See PATIENTS AND METHODS/Study design)"); write(""); } fenster.document.close(); } function q9() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
70 patients entered the study and only 2 failed to complete it. Follow-up was 97%. (See RESULTS/Clinic attendance)"); write(""); } fenster.document.close(); } function q10() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
Look at the Clinic attendance under the RESULTS section."); write(""); } fenster.document.close(); } function q11() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
All the data is analyzed within the two groups. There is no discussion of patients crossing over to the other group."); write(""); } fenster.document.close(); } function q12() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
All data analysis is done within the two groups."); write(""); } fenster.document.close(); } function q13() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This is a single blind study. Obviously patients could not be blinded to type of clinician. When patients or clinicians cannot be blinded, addtional steps must be taken to reduce bias. In this study the outcomes were measured by an independent assessor. (See PATIENTS AND METHODS/Study design)"); write(""); } fenster.document.close(); } function q14() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
This is a single blind study. It was not possible to blind the patients or the clincians in this study. (See PATIENTS AND METHODS/Study design)
"); write(""); } fenster.document.close(); } function q15() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
The groups were similar with respect to gender, education, and even medication use. It is noted that the CR group was on average 4 years older than the RNP group. You would have to decide how important this age difference is for this study. (See Table II and RESULTS)"); write(""); } fenster.document.close(); } function q16() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
Look at the demographic data in Table II."); write(""); } fenster.document.close(); } function q17() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
It appears that patients were treated the same and assessed in the same way."); write(""); } fenster.document.close(); } function q18() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
Look under both PATIENTS AND METHODS and RESULTS. There is no indication that patients were treated differently."); write(""); } fenster.document.close(); } function q19() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
According to ACP Journal Club, this is a good study and appears to be methodologically sound. While the study was done in Britain, it could have implications for health care in the U.S.
You should now consider the results."); write(""); } fenster.document.close(); } function q20() { fenster = open("", "Anzeige", "width=200,height=300"); fenster.document.open(); with (fenster.document) { i++; write("
There are no major flaws with this study. It does appear to be methodologically sound.
You should now look at the results."); write(""); } fenster.document.close(); } function close() { fenster.document.close(); }