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Further developments in global research ethics require more reflection, paying attention to the practical realities of implementing the ethical principles in real world context.
While our goal is not refute the scientific evidence in support of high impact prevention, which is the guiding framework for 'Seek, Test and Treat' initiatives, we consider that these programmes require more reflection.
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This is most likely a reflection of the fact that severe conditions require more complicated procedures and thus a longer period of anesthesia, without the prolonged anesthesia itself being cause of increased mortality.
The remaining EBP activities Formulating questions, Searching databases and Compiling information can be performed by an individual alone, which might require more of cognitive skills and multiple thinking strategies, e.g., critical thinking, reflection, clinical reasoning and judgment.
Others require more participants.
Others require more adrenaline.
Others require more care.
Others require more light.
In contrast, the positive psychology interventions were more cognitively focused and required more time and reflection.
Creating long-term value — for ourselves and for others — requires more authentic connection, reflection, and the courage to delay immediate gratification.
Educating for capability and clinical judgement requires more shared learning, feedback, reflection and mentoring for which narrative-based clinical supervision is ideally suited [ 56].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com