Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media
To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="mai...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Sorrento, Ann - RN, CS, PNP, MSN [verfasserIn] Pichichero, Michael E. - MD [verfasserIn] |
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| Format: |
E-Artikel |
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| Erschienen: |
Oxford, UK: Blackwell Publishing Ltd ; 2001 |
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| Schlagwörter: |
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| Umfang: |
Online-Ressource |
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| Reproduktion: |
2005 ; Blackwell Publishing Journal Backfiles 1879-2005 |
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| Übergeordnetes Werk: |
In: Journal of the American Academy of Nurse Practitioners - Malden, Mass. [u.a.] : Wiley-Blackwell, 1989, 13(2001), 11, Seite 0 |
| Übergeordnetes Werk: |
volume:13 ; year:2001 ; number:11 ; pages:0 |
| Links: |
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| DOI / URN: |
10.1111/j.1745-7599.2001.tb00019.x |
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| Katalog-ID: |
NLEJ243498594 |
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| 245 | 1 | 0 | |a Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media |
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| 520 | |a To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. | ||
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10.1111/j.1745-7599.2001.tb00019.x doi (DE-627)NLEJ243498594 DE-627 ger DE-627 rakwb Sorrento, Ann RN, CS, PNP, MSN verfasserin aut Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media Oxford, UK Blackwell Publishing Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| acute otitis media Pichichero, Michael E. MD verfasserin aut In Journal of the American Academy of Nurse Practitioners Malden, Mass. [u.a.] : Wiley-Blackwell, 1989 13(2001), 11, Seite 0 (DE-627)NLEJ243926340 (DE-600)2116099-5 1745-7599 nnns volume:13 year:2001 number:11 pages:0 http://dx.doi.org/10.1111/j.1745-7599.2001.tb00019.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 13 2001 11 0 |
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10.1111/j.1745-7599.2001.tb00019.x doi (DE-627)NLEJ243498594 DE-627 ger DE-627 rakwb Sorrento, Ann RN, CS, PNP, MSN verfasserin aut Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media Oxford, UK Blackwell Publishing Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| acute otitis media Pichichero, Michael E. MD verfasserin aut In Journal of the American Academy of Nurse Practitioners Malden, Mass. [u.a.] : Wiley-Blackwell, 1989 13(2001), 11, Seite 0 (DE-627)NLEJ243926340 (DE-600)2116099-5 1745-7599 nnns volume:13 year:2001 number:11 pages:0 http://dx.doi.org/10.1111/j.1745-7599.2001.tb00019.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 13 2001 11 0 |
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10.1111/j.1745-7599.2001.tb00019.x doi (DE-627)NLEJ243498594 DE-627 ger DE-627 rakwb Sorrento, Ann RN, CS, PNP, MSN verfasserin aut Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media Oxford, UK Blackwell Publishing Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| acute otitis media Pichichero, Michael E. MD verfasserin aut In Journal of the American Academy of Nurse Practitioners Malden, Mass. [u.a.] : Wiley-Blackwell, 1989 13(2001), 11, Seite 0 (DE-627)NLEJ243926340 (DE-600)2116099-5 1745-7599 nnns volume:13 year:2001 number:11 pages:0 http://dx.doi.org/10.1111/j.1745-7599.2001.tb00019.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 13 2001 11 0 |
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10.1111/j.1745-7599.2001.tb00019.x doi (DE-627)NLEJ243498594 DE-627 ger DE-627 rakwb Sorrento, Ann RN, CS, PNP, MSN verfasserin aut Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media Oxford, UK Blackwell Publishing Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| acute otitis media Pichichero, Michael E. MD verfasserin aut In Journal of the American Academy of Nurse Practitioners Malden, Mass. [u.a.] : Wiley-Blackwell, 1989 13(2001), 11, Seite 0 (DE-627)NLEJ243926340 (DE-600)2116099-5 1745-7599 nnns volume:13 year:2001 number:11 pages:0 http://dx.doi.org/10.1111/j.1745-7599.2001.tb00019.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 13 2001 11 0 |
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10.1111/j.1745-7599.2001.tb00019.x doi (DE-627)NLEJ243498594 DE-627 ger DE-627 rakwb Sorrento, Ann RN, CS, PNP, MSN verfasserin aut Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media Oxford, UK Blackwell Publishing Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| acute otitis media Pichichero, Michael E. MD verfasserin aut In Journal of the American Academy of Nurse Practitioners Malden, Mass. [u.a.] : Wiley-Blackwell, 1989 13(2001), 11, Seite 0 (DE-627)NLEJ243926340 (DE-600)2116099-5 1745-7599 nnns volume:13 year:2001 number:11 pages:0 http://dx.doi.org/10.1111/j.1745-7599.2001.tb00019.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 13 2001 11 0 |
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Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. 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Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media |
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Sorrento, Ann RN, CS, PNP, MSN |
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Journal of the American Academy of Nurse Practitioners |
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2001 |
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Sorrento, Ann Pichichero, Michael E. |
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Sorrento, Ann |
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10.1111/j.1745-7599.2001.tb00019.x |
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verfasserin |
| title_sort |
assessing diagnostic accuracy and tympanocentesis skills by nurse practitioners in management of otitis media |
| title_auth |
Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media |
| abstract |
To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. |
| abstractGer |
To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. |
| abstract_unstemmed |
To assess healthcare provider accuracy in rec-ognizing the physical examination findings of acute otitis media (AOM) and otitis media with effusion (OME) and technical compe-tence in performing tympanocentesis using a simulation model.<section xml:id="abs1-2"><title type="main">Data SourcesA descriptive study of 1,271 pediatricians and 206 nurse practitioners (NPs) who viewed 9 dif-ferent video-recorded pneumatic otoscopic examinations of tympanic membranes (TMs) during a continuing medical education (CME) course. Diagnostic differentiation of AOM, OME and normal was ascertained. A mannequin model of a one-two year old child was used to assess technical proficiency of performing tympa-nocentesis on artificial tympanic membranes.<section xml:id="abs1-3"><title type="main">ConclusionsOverall, the average correct diagnosis by all healthcare providers was 46% (range=25% to 71%); by pediatricians it was 50% (25% to 71%) and by NPs 42% (25% to 68%). Pediatricians and NPs correctly recognized the absence of normality 86% to 99% and 68% to 99% of the time; they over-diagnosed AOM in 7% to 58% (average 27%) and 10% to 65% of examinations (average 31%), respectively. Performance of tympanocentesis was optimal-ly performed by 73% of NPs.<section xml:id="abs1-4"><title type="main">Implications for PracticeThe distinction between AOM and OME is important for antibiotic management deci-sions; tympanocentesis may be useful in diag-nosis of AOM in selected patients. Healthcare providers may misdiagnose AOM and OME with some frequency. Nurse pactitioners and pediatricians have the skills to be trained in the tympanocentesis procedure. Interactive CME courses with simulation technology may enhance skills and lead to a willingness to change and improve diagnostic accuracy and treatment paradigms. |
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Assessing Diagnostic Accuracy and Tympanocentesis Skills by Nurse Practitioners in Management of Otitis Media |
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Pichichero, Michael E. MD |
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