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  1. Article ; Online: Challenges in Achieving Health Equity and Diversity in Otolaryngology.

    Krouse, Helene J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2022  Volume 166, Issue 6, Page(s) 1009–1010

    MeSH term(s) Health Equity ; Humans ; Nose ; Otolaryngology ; Pharynx
    Language English
    Publishing date 2022-06-22
    Publishing country England
    Document type Editorial
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/01945998221083587
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Whatever Happened to Evidence-Based Practice During COVID-19?

    Krouse, Helene J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2020  Volume 163, Issue 2, Page(s) 318–319

    Abstract: Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that ...

    Abstract Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that we engage with our patients and communities in thoughtful dialogue and realistic expectations regarding treatments surrounding COVID-19. The hope for a "miracle" cure and urgency to return back to normal times can stimulate irrational thought and behavior and even desperate measures by individuals or groups. It becomes especially important that we continue to use reasonable, informed clinical judgment in discussing the various options with patients.
    MeSH term(s) Betacoronavirus ; Coronavirus Infections/diagnosis ; Coronavirus Infections/drug therapy ; Evidence-Based Practice ; Humans ; Hydroxychloroquine/adverse effects ; Hydroxychloroquine/therapeutic use ; Otolaryngology ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/drug therapy ; Practice Guidelines as Topic ; Societies, Medical ; United States
    Chemical Substances Hydroxychloroquine (4QWG6N8QKH)
    Keywords covid19
    Language English
    Publishing date 2020-05-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820930239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID-19 and the Widening Gap in Health Inequity.

    Krouse, Helene J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2020  Volume 163, Issue 1, Page(s) 65–66

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic has brought to light significant health inequities that have existed in our society for decades. Blacks, Hispanics, Native Americans, and immigrants are the populations most likely to experience ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic has brought to light significant health inequities that have existed in our society for decades. Blacks, Hispanics, Native Americans, and immigrants are the populations most likely to experience disparities related to burden of disease, health care, and health outcomes. Increasingly, national and state statistics on COVID-19 report disproportionately higher mortality rates in blacks. There has never been a more pressing time for us to enact progressive and far-reaching changes in social, economic, and political policies that will shape programs aimed at improving the health of all people living in the United States.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/ethnology ; Emigrants and Immigrants ; Healthcare Disparities/organization & administration ; Humans ; Minority Groups ; Pandemics ; Pneumonia, Viral/ethnology ; SARS-CoV-2 ; Socioeconomic Factors ; United States/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-05-05
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820926463
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Clinical Practice Guidelines: A Personal Perspective.

    Krouse, Helene J

    ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses

    2019  Volume 34, Issue 3, Page(s) 5

    Language English
    Publishing date 2019-01-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 1389764-0
    ISSN 1064-3842
    ISSN 1064-3842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Membership in Professional Nursing Organizations.

    Krouse, Helene J

    ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses

    2018  Volume 35, Issue 1, Page(s) 4–5

    MeSH term(s) Societies, Nursing
    Language English
    Publishing date 2018-12-27
    Publishing country United States
    Document type Editorial
    ZDB-ID 1389764-0
    ISSN 1064-3842
    ISSN 1064-3842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Otolaryngology Nurses' Awareness of Clinical Practice Guidelines.

    Krouse, Helene J

    ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses

    2018  Volume 35, Issue 1, Page(s) 6–12

    Abstract: Clinical practice guidelines (CPG) are developed to inform clinical decision-making and standardize care based on scientific evidence, benefits and harms of treatment, and patient preferences to achieve optimal health outcomes. This survey study explored ...

    Abstract Clinical practice guidelines (CPG) are developed to inform clinical decision-making and standardize care based on scientific evidence, benefits and harms of treatment, and patient preferences to achieve optimal health outcomes. This survey study explored the level of awareness of otorhinolaryngology (ORL) nurses in using CPGs in clinical practice. The study sought to answer the following: (1) How aware are ORL nurses of CPGs developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF)? (2) Which CPGs are most widely identified by ORL nurses? and (3) Do ORL nurses perceive that AAO-HNSF guidelines can benefit their practice? An online survey was developed, piloted, and launched to all eligible registered nurse SOHN members in October 2015. A total of 146 nurses (29%) completed the survey. Over 60% of respondents were in nursing for more than 20 years, 20% were in ORL for 5 years or less, and 40% worked in the hospital, 25% were aware of one or less of the guidelines, with 75% aware of 2 or more specialty guidelines. Nurses were most aware of the tracheostomy care (64%), tonsillectomy in children (47%), and tympanostomy tubes in children (46%) guidelines. The majority of ORL nurses was aware of specialty CPGs and used them to help guide their clinical practice on a regular basis. They also perceived support by their organizations to engage in evidence-based practice. Increasing nurses' awareness and knowledge of CPGs will likely increase guideline use and advance clinical practices based on these recommendations. Strategies to enhance evidence-based guideline recommendations into practice will also be discussed.
    MeSH term(s) Clinical Competence ; Nurses ; Otolaryngology/standards ; United States
    Language English
    Publishing date 2018-12-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1389764-0
    ISSN 1064-3842
    ISSN 1064-3842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: COVID-19 Disparities and Vaccine Hesitancy in Black Americans: What Ethical Lessons Can Be Learned?

    Restrepo, Nicolas / Krouse, Helene J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2021  Volume 166, Issue 6, Page(s) 1147–1160

    Abstract: Objective: This state of the art review focuses on bioethical questions and considerations from research findings and methodological issues, including design and recruitment of participants, in studies related to COVID-19 vaccine hesitation in Black ... ...

    Abstract Objective: This state of the art review focuses on bioethical questions and considerations from research findings and methodological issues, including design and recruitment of participants, in studies related to COVID-19 vaccine hesitation in Black individuals. Ethical concerns identified were applied to otolaryngology with recommendations for improving health inequities within subspecialties.
    Data sources: An internet search through PubMed, CINAHL, and socINDEX was conducted to identify articles on COVID-19 vaccine hesitation among the Black population between 2020 and 2021.
    Review methods: A systematic review approach was taken to search and analyze the research on this topic, which was coupled with expert analysis in identifying and classifying vital ethical considerations.
    Conclusions: The most common COVID-19 vaccine hesitation factors were related to the development of the vaccine, mistrust toward government agencies, and misconceptions about safety and side effects. These findings raised bioethical concerns around mistrust of information, low health literacy, insufficient numbers of Black participants in medical research, and the unique positions of health professionals as trusted sources. These bioethical considerations can be applied in otolaryngology and other health-related areas to aid the public in making informed medical decisions regarding treatments, which may reduce health inequalities among Black Americans and other racial and ethnic minority groups.
    Implications for practice: Addressing ethical questions by decreasing mistrust, tailoring information for specific populations, increasing minority representation in research, and using health professionals as primary sources for communicating health information and recommendations may improve relationships with Black communities and increase acceptance of new knowledge and therapies such as COVID-19 vaccination.
    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines/therapeutic use ; Ethnicity ; Humans ; Minority Groups ; Vaccination Hesitancy
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-12-14
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/01945998211065410
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: COVID-19 and the Widening Gap in Health Inequity

    Krouse, Helene J

    Otolaryngol Head Neck Surg

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic has brought to light significant health inequities that have existed in our society for decades. Blacks, Hispanics, Native Americans, and immigrants are the populations most likely to experience ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic has brought to light significant health inequities that have existed in our society for decades. Blacks, Hispanics, Native Americans, and immigrants are the populations most likely to experience disparities related to burden of disease, health care, and health outcomes. Increasingly, national and state statistics on COVID-19 report disproportionately higher mortality rates in blacks. There has never been a more pressing time for us to enact progressive and far-reaching changes in social, economic, and political policies that will shape programs aimed at improving the health of all people living in the United States.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #175750
    Database COVID19

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  9. Article: Whatever Happened to Evidence-Based Practice During COVID-19?

    Krouse, Helene J

    Otolaryngol Head Neck Surg

    Abstract: Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that ...

    Abstract Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that we engage with our patients and communities in thoughtful dialogue and realistic expectations regarding treatments surrounding COVID-19. The hope for a "miracle" cure and urgency to return back to normal times can stimulate irrational thought and behavior and even desperate measures by individuals or groups. It becomes especially important that we continue to use reasonable, informed clinical judgment in discussing the various options with patients.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #306086
    Database COVID19

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  10. Book ; Online: Whatever Happened to Evidence-Based Practice During COVID-19?

    Krouse, Helene J.

    School of Medicine Publications and Presentations

    2020  

    Abstract: Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that ...

    Abstract Contemporary medical practice is grounded in rigorous scientific evidence in concert with best clinical practices and informed shared decision making with patients. During these times of uncertainty, disruption, and even anxiety, it becomes critical that we engage with our patients and communities in thoughtful dialogue and realistic expectations regarding treatments surrounding COVID-19. The hope for a “miracle” cure and urgency to return back to normal times can stimulate irrational thought and behavior and even desperate measures by individuals or groups. It becomes especially important that we continue to use reasonable, informed clinical judgment in discussing the various options with patients.
    Keywords COVID-19 ; evidence-based medicine ; guidelines ; Medicine and Health Sciences ; covid19
    Publishing date 2020-05-01T07:00:00Z
    Publisher ScholarWorks @ UTRGV
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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