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Getting Published
Gavin Leslie Judy Currey
Andrea MarshallLeanne Aitken
Workshop Outline
• Update on ACC
• Preparing a case study for publication
• Update on electronic publishing
Case Studies - Purpose
• Informative critique of patient care • Facilitates learning from past
experiences • Allows clinicians to share management
plans for challenging patients • Develops problem solving skills • Facilitates development of practice
guidelines
Educational Message
• Essential component of case study
• Might include: – Raising awareness of issue – Outlining new understanding of
condition, complication or treatment – Clarifying previously unclear aspect of
pathophysiology or care
Educational Message
Patterson et al Successful Outcome in Severe Traumatic Brain Injury: A Case Study. J. Neuroscience Nursing 2005; 37(5): 236 – 42:
• Abstract - “This case study explores the potential benefit of combining multimodality monitoring and TBI guidelines in the management of severe TBI”
• Conclusion – “This case study demonstrates how neurocritical care management with MMM can control ICP, maximize CPP and prevent devastating secondary injury.”
Educational MessageDwivedi et al Interactive Care Report: A 28 year
old post partum woman with right sided chest discomfort. BMJ 2006; 332: 406, 471, 643
• Presented in 3 sections: – Case presentation – Case progression – Case outcome
• “highlights the importance of ruling out coronary artery disease …. The exercise test is truly diagnostic in only 40% of patients …. Stress echocardiography is a reliable and cost effective method for diagnosis and risk assessment ….”
Principles
• Describe a real patient who required significant and challenging care
• No intention to generalise care beyond this specific case
• Sufficiently complex to raise interest care issues
• Not so rare that few readers will care for a similar patient
Categories of Case Reports
• Totally original condition / new disease
• Rare and previously sparsely reported condition
• Unusual presentation of a common disease
• Unexpected association between two relatively uncommon symptoms / signs
• Impact of one disease process on another
• Unexpected event in the course of observing or treating a patient
• Impact of a treatment regime of one condition on another disease
• Unexpected complication of treatment or procedure
• New and unique treatment • Honest mistakes in
management
Chelvarajah R & Bycroft J Writing and publishing case reports, Acta Neurochir, 2004; 146: 313-6
Principles cont.
• All aspects of background that impact on care should be described
• Outcome should be included • Incorporate relevant illustrations • Maintain privacy of patient • Critically appraise care • Incorporate literature where
appropriate
Format
• Abstract
• Introduction
• Case description
• Discussion
• Conclusion
Abstract
• Format dependent on journal
• Describe clinical problem or care
• Clearly state what the educational message is
Introduction
• Set the scene
• Identify how common the situation / condition is
• What makes this case interesting?
• Reference this to the known literature so readers can refer
Case Description
• Include all relevant background, e.g.: – Past health history – Social history – Current problem
• Do not provide unnecessary / irrelevant information
• Consider how to sequence information
Case Description cont.
• Aspects of care to incorporate: – Assessment information – Treatment information– Care of the family – Interpersonal care
Discussion
• Provides a critique of the care
• Commentary on care that was not effective and possible reasons
• Incorporate relevant literature and comments on the consistency of this case with the literature
Conclusion
• Links to the introduction
• Emphasises the educational message
• Outline implications for practice and recommendations for future research
Style of a Case Study
• Combination of ways of providing information, e.g.: – Essay style – ‘text boxes’ with clinical details
• Ensure ease of reading
Summary
• Need to be interesting
• Must have educational message
• Follow a structured format