Challenges To Our Professional Attitudes Jk09
•Download as PPT, PDF•
0 likes•236 views
The document discusses the challenges of uncertainty for doctors in general practice and family medicine. It defines uncertainty as being at the core of medicine due to a lack of complete information about patients' past, present, and future conditions. Doctors must cope with uncertainty in medical histories, diagnoses, potential outcomes, and impacts of interventions. How doctors and patients communicate and cope with uncertainty has implications for medical ethics, referrals, prescribing practices, and overuse of services. Uncertainty is an inevitable part of medicine that doctors and patients must learn to acknowledge and manage together.
Report
Share
Report
Share
![Aims of the presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
Change A Shift
1) Nurses give handover reports at the end of each shift to update the oncoming nurses on patient information and care. These reports are usually given orally and allow nurses to ask questions.
2) The goal of handover reports is to improve patient care through continuity and consistency of information exchanged between nurses.
3) A complete handover report includes patient name, medical details, treatments, allergies, and priority needs to fully prepare the oncoming nurses for each patient's care.
Chapter 7
The document discusses consent in medical care, including the definitions of informed consent and the doctrine of informed consent. It explains that informed consent requires the patient understands and voluntarily agrees to examination or treatment after being informed of what the procedure entails, possible risks and alternatives. The vignette shows how a physician can be found liable if a patient refuses a recommended test but is not adequately informed of the risks of not undergoing it. Problems obtaining consent from minors, issues of language or competency are also addressed.
Give Me Your Data, And I will Diagnose You
Maria Wolters discusses the challenges of using data-driven methods for medical diagnosis and screening. While technology promises objective diagnosis, evidence-based medicine shows diagnostic tests have uncertainties. Case studies demonstrate how true positives can disrupt peoples' lives and identities, while false positives cause distress. Any data-driven health solution must consider a person's context, priorities and coping strategies, and have strong evidence that the benefits outweigh the harms. Diagnosis and screening also require supporting people through complex emotional impacts. Overall, health technologies must first do no harm, respect the individual, and be grounded in scientific evidence.
Gerontological Nurse Practitioners
Gerontological Nurse Practitioners: who are they, what do they do, are they effective and how are they prepared?
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
The Elsie Stephenson lecture is delivered annually at The University of Edinburgh - this was delivered in 2016
iNSPIRe (Nursing Staff Patient Interactive Report) Bedside Report Project
This document contains the results of a survey given to nursing staff about the current bedside shift reporting process. It shows that the current process takes too long, with the average being 55 minutes per nurse. It also contains redundant information between shifts. The document then outlines the new iNSPIRe bedside reporting process and shows data from testing it. With the new process, the average time per nurse decreased to 13 minutes. This results in over 6,800 hours being freed up for patient care annually between two departments. Patient and staff feedback on the new process has been positive.
Tips on proper endorsement
Choose a consistent technique such as body systems, head-to-toe, or reporting by exception to organize patient information for nurse report. Be prepared to give report when the oncoming shift arrives by organizing your time. Review the patient's medical record and formal report sheet to include any missing details when giving nurse report, keeping the exchange of information brief and direct by focusing on variances, the patient's condition, and needed care.
Bedside reporting
Bedside reporting involves including the patient in shift change reports between nurses. It has benefits like increased patient empowerment and safety due to improved communication of the patient's status and care plan. Implementing bedside reporting has shown positive results like higher patient and staff satisfaction, improved accuracy of information, and encouragement of teamwork. However, challenges include the time it takes and engaging reluctant patients. Studies have found that encouraging patient participation, using plain language, and allowing more time can help address these challenges.
Recommended
Change A Shift
1) Nurses give handover reports at the end of each shift to update the oncoming nurses on patient information and care. These reports are usually given orally and allow nurses to ask questions.
2) The goal of handover reports is to improve patient care through continuity and consistency of information exchanged between nurses.
3) A complete handover report includes patient name, medical details, treatments, allergies, and priority needs to fully prepare the oncoming nurses for each patient's care.
Chapter 7
The document discusses consent in medical care, including the definitions of informed consent and the doctrine of informed consent. It explains that informed consent requires the patient understands and voluntarily agrees to examination or treatment after being informed of what the procedure entails, possible risks and alternatives. The vignette shows how a physician can be found liable if a patient refuses a recommended test but is not adequately informed of the risks of not undergoing it. Problems obtaining consent from minors, issues of language or competency are also addressed.
Give Me Your Data, And I will Diagnose You
Maria Wolters discusses the challenges of using data-driven methods for medical diagnosis and screening. While technology promises objective diagnosis, evidence-based medicine shows diagnostic tests have uncertainties. Case studies demonstrate how true positives can disrupt peoples' lives and identities, while false positives cause distress. Any data-driven health solution must consider a person's context, priorities and coping strategies, and have strong evidence that the benefits outweigh the harms. Diagnosis and screening also require supporting people through complex emotional impacts. Overall, health technologies must first do no harm, respect the individual, and be grounded in scientific evidence.
Gerontological Nurse Practitioners
Gerontological Nurse Practitioners: who are they, what do they do, are they effective and how are they prepared?
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
The Elsie Stephenson lecture is delivered annually at The University of Edinburgh - this was delivered in 2016
iNSPIRe (Nursing Staff Patient Interactive Report) Bedside Report Project
This document contains the results of a survey given to nursing staff about the current bedside shift reporting process. It shows that the current process takes too long, with the average being 55 minutes per nurse. It also contains redundant information between shifts. The document then outlines the new iNSPIRe bedside reporting process and shows data from testing it. With the new process, the average time per nurse decreased to 13 minutes. This results in over 6,800 hours being freed up for patient care annually between two departments. Patient and staff feedback on the new process has been positive.
Tips on proper endorsement
Choose a consistent technique such as body systems, head-to-toe, or reporting by exception to organize patient information for nurse report. Be prepared to give report when the oncoming shift arrives by organizing your time. Review the patient's medical record and formal report sheet to include any missing details when giving nurse report, keeping the exchange of information brief and direct by focusing on variances, the patient's condition, and needed care.
Bedside reporting
Bedside reporting involves including the patient in shift change reports between nurses. It has benefits like increased patient empowerment and safety due to improved communication of the patient's status and care plan. Implementing bedside reporting has shown positive results like higher patient and staff satisfaction, improved accuracy of information, and encouragement of teamwork. However, challenges include the time it takes and engaging reluctant patients. Studies have found that encouraging patient participation, using plain language, and allowing more time can help address these challenges.
Preventing Patient Falls in Acute Care Hospitals
This document provides guidance for healthcare professionals developing falls and fall injury prevention programs. It outlines key factors that contribute to patient falls such as medications, mobility issues, and environmental hazards. The author recommends a multifactorial approach including fall risk screening, customized interventions, staff education, and monitoring programs. As a psychiatric nurse practitioner, the author is well-positioned to lead initiatives that address behavioral and cognitive risks for falls. Standardized communication tools like SBAR can help ensure fall risks are well-communicated between care teams.
Fall Prevention (1)
This document provides information on a fall prevention evidence-based practice project conducted by nursing students at Alvernia University. It includes background information on the problem of falls in hospitals, learning objectives of comparing individual versus multi-component interventions, and a review of literature showing that multi-component programs are more effective at reducing falls than individual interventions. The document also outlines specific fall prevention interventions in place at Good Samaritan Hospital, including a fall risk letter, signage, alarms, and post-fall assessment. It emphasizes the importance of continuous re-evaluation of interventions to improve outcomes.
Bridging Evidence Based Medicine and Patient Centered Care: The Case of Local...
This document discusses bridging evidence-based medicine and patient-centered care in the context of localized prostate cancer treatment decisions. Around 90% of men diagnosed with localized prostate cancer receive immediate treatment, while 10% opt for active surveillance which involves regular monitoring without initial treatment. However, some men eventually choose to leave active surveillance due to disease reclassification or personal preference. The document examines factors influencing men's decisions regarding active surveillance versus treatment and explores how addressing patients' anxieties, concerns, and partnering with primary care providers could help bridge evidence-based medicine and patient-centered approaches.
Tools used for quality improvement act
The document discusses several tools that can be used for quality improvement, including Nolan's Three Questions model and retrospective event analysis. It then considers whether retrospective event analysis could be applied to improve compliance with personal protective equipment (PPE). Some initial factors that could contribute to non-compliance with PPE are identified. In a simple example flowchart, it outlines steps to ensure appropriate PPE is available and applied based on patient needs and guidelines.
Handover
There are issues with clinical handovers in the ICU unit. A son of a patient was unaware of a CT scan done overnight and the doctor on duty did not know about the scan or why it was performed. Later, the doctor was also unaware of an issue with the patient's hand. Clinical handovers are important for transferring responsibility and accountability between care teams. Poor communication during handovers accounts for 80% of preventable medical errors. The unit should develop its own handover tool that is simple, applicable, brief, comprehensive, written, and possibly electronic to help standardize information transfer between shifts.
CEC
This document lists 30 continuing education certificate topics from Wolters Kluwer that cover various areas of healthcare assessment, patient safety, communication, and preceptor training including cardiovascular, gastrointestinal, musculoskeletal, neurologic, and respiratory assessment, pain assessment and management, wound care, patient falls, medication safety, and understanding adolescent and pediatric patients.
EBP Bedside Handoff and Patient Satisfaction
This document summarizes evidence on the impact of bedside nursing handoffs on patient satisfaction. It finds that 9 out of 10 studies reported increased patient satisfaction when bedside handoffs were implemented instead of handoffs outside the patient room. Bedside handoffs also improved nurse satisfaction in some studies and reduced handoff time in others, though the type of handoff tool used did not impact outcomes. Successful implementation of bedside handoffs depended on leadership strategy across all studies.
Patient-Centered Strategies for HCAHPS Improvement
This document discusses strategies for improving patient experience scores on the HCAHPS survey through patient-centered care. It notes that HCAHPS performance is becoming increasingly important for hospital reimbursement. The document recommends partnering with patients, creating a healing physical environment, making data meaningful to staff, focusing on care transitions beyond the hospital, and prioritizing compassionate care. Planetree is introduced as an organization that advocates for these patient-centered approaches and certifies hospitals that meet standards for patient-centered culture and environments.
Patient-Centered Communication: A Useful Clinical Review
Patient-centered communication is important because of the 5 E's: ethics, emotions, efficiency, effectiveness, and equity. This talk was originally given October 1, 2014, at the Baltimore City Medical Society.
Reimagining healing after healthcare harm: the potential for restorative prac...
Reimagining healing after healthcare harm: the potential for restorative prac...Canadian Patient Safety Institute
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.AMEE 2010 Authentic capture of longitudinal care
The document discusses using virtual learning environments to help medical students experience longitudinal patient care. Medical students currently only see clinical snapshots due to time constraints. The virtual environment allows students to follow virtual patients over time from a distance to gain experience with longitudinal care and better understand its complexities. Students felt it could be useful to contrast different patient presentations and see how one family member's illness may affect others. They suggested including patient signs, questions and answers, and clickable elements to access information.
Linking Caritas to HCAHPS: From Theoretical Construct to Empirical Survey Out...
This document describes a project at Kaiser Permanente's Redwood City Medical Center to link Jean Watson's caring science theory to patient satisfaction measures in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Using a process called substruction, the project team created a conceptual model that maps the concepts of Watson's 10 Caritas processes to the 8 dimensions of care in HCAHPS. This visual model aims to help nurses understand how caring science principles relate to concrete aspects of patient experience measured by HCAHPS, with the goal of improving nursing practice and increasing patient satisfaction scores. The project team anticipates this model will provide a mechanism for nurses to mentally connect caring science and HCAHPS
Communication Skills in Between Doctor and Patient and Breaking the bad news
This document discusses communication skills, with a focus on patient counseling and breaking bad news. It covers several key topics:
- The importance of communication in the doctor-patient relationship for comprehensive treatment, patient satisfaction, and improved health outcomes.
- Effective communication involves listening to understand the patient, making sure they understand as well, and receiving feedback from their responses.
- Basic elements of counseling patients include explaining their disease and treatment plan, providing information materials, discussing lifestyle changes, and answering questions about medications and recovery.
- Examples show counseling patients pre- and post-operatively, including discussing diagnosis, treatment plans, diet and pain management, follow-up care and potential complications.
Gates Fallslit R
The document summarizes research on patient fall prevention strategies. It finds that while many fall risk assessment tools and interventions have been developed, there is little consensus on the most effective approach. The literature shows that assessment tools have limitations but clinical studies find they can still reduce falls when used correctly. The document concludes the most promising approach combines using a validated tool, properly selected and enforced interventions tailored for each patient, and monitoring the program over time.
bedside reporting
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found bedside reporting can reduce errors, lengths of stay, and readmission rates while improving satisfaction scores. The recommendations are for hospitals to adopt standardized bedside reporting formats to realize these benefits.
From disease-centered to patient-centered communication in breast cancer
Breast cancer patient perspectives and experiences in patient-doctor communication
Are physicians educated and skilled to communicate difficult diagnoses to cancer patients?
What is patient centered communication?
How doctors think
The patient experience as a catalyst for change
This document summarizes a presentation about using patient experiences to drive improvements in healthcare. It discusses:
1) The potential for learning from negative patient experiences and using them as catalysts for positive change.
2) The emergence of "patient advocates" who partner with healthcare professionals to improve safety and outcomes.
3) Examples of how open communication, transparency, and inclusion of patients can help align culture and expectations to better ensure safe, high-quality care.
Watson Caritas Patient Score
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
Clinical deterioration: what can I do?
Failure to Rescue is ranked #2 in healthcare claims in Canada (HIROC, 2017) Additionally, Health Standards Organization (HSO) recently updated the critical care and inpatient services standards sets to include requirements supporting the recognition and response to clinical deterioration.
Full details: https://goo.gl/cfTUrm
Medico legal aspects of anesthesia
This document discusses various aspects of informed consent in anesthesia practice and medical malpractice litigation. It notes that informed consent is required to respect patient autonomy and involves explaining the risks, benefits and alternatives of a procedure to allow for substantially autonomous decision making. The key elements of competence that a patient must demonstrate to provide valid consent are described. Maintaining thorough anesthesia records and communicating well with patients can help minimize the risk of malpractice lawsuits.
Evidence Based Medicine
The document discusses evidence-based medicine (EBM) and functional medicine. It notes that EBM aims to provide optimal health rather than just treat disease, taking a patient-centered rather than disease-centered approach. Functional medicine uses a systems-based approach and considers lifestyle, environmental, and genetic factors to identify the underlying causes of disease. It factors in influences like genomics, epigenomics, and the microbiome to build on previous paradigms and improve disease prediction and prevention strategies.
Err is human
Err is human ....how could we minimize the preventable medical errors in our healthcare organization
More Related Content
What's hot
Preventing Patient Falls in Acute Care Hospitals
This document provides guidance for healthcare professionals developing falls and fall injury prevention programs. It outlines key factors that contribute to patient falls such as medications, mobility issues, and environmental hazards. The author recommends a multifactorial approach including fall risk screening, customized interventions, staff education, and monitoring programs. As a psychiatric nurse practitioner, the author is well-positioned to lead initiatives that address behavioral and cognitive risks for falls. Standardized communication tools like SBAR can help ensure fall risks are well-communicated between care teams.
Fall Prevention (1)
This document provides information on a fall prevention evidence-based practice project conducted by nursing students at Alvernia University. It includes background information on the problem of falls in hospitals, learning objectives of comparing individual versus multi-component interventions, and a review of literature showing that multi-component programs are more effective at reducing falls than individual interventions. The document also outlines specific fall prevention interventions in place at Good Samaritan Hospital, including a fall risk letter, signage, alarms, and post-fall assessment. It emphasizes the importance of continuous re-evaluation of interventions to improve outcomes.
Bridging Evidence Based Medicine and Patient Centered Care: The Case of Local...
This document discusses bridging evidence-based medicine and patient-centered care in the context of localized prostate cancer treatment decisions. Around 90% of men diagnosed with localized prostate cancer receive immediate treatment, while 10% opt for active surveillance which involves regular monitoring without initial treatment. However, some men eventually choose to leave active surveillance due to disease reclassification or personal preference. The document examines factors influencing men's decisions regarding active surveillance versus treatment and explores how addressing patients' anxieties, concerns, and partnering with primary care providers could help bridge evidence-based medicine and patient-centered approaches.
Tools used for quality improvement act
The document discusses several tools that can be used for quality improvement, including Nolan's Three Questions model and retrospective event analysis. It then considers whether retrospective event analysis could be applied to improve compliance with personal protective equipment (PPE). Some initial factors that could contribute to non-compliance with PPE are identified. In a simple example flowchart, it outlines steps to ensure appropriate PPE is available and applied based on patient needs and guidelines.
Handover
There are issues with clinical handovers in the ICU unit. A son of a patient was unaware of a CT scan done overnight and the doctor on duty did not know about the scan or why it was performed. Later, the doctor was also unaware of an issue with the patient's hand. Clinical handovers are important for transferring responsibility and accountability between care teams. Poor communication during handovers accounts for 80% of preventable medical errors. The unit should develop its own handover tool that is simple, applicable, brief, comprehensive, written, and possibly electronic to help standardize information transfer between shifts.
CEC
This document lists 30 continuing education certificate topics from Wolters Kluwer that cover various areas of healthcare assessment, patient safety, communication, and preceptor training including cardiovascular, gastrointestinal, musculoskeletal, neurologic, and respiratory assessment, pain assessment and management, wound care, patient falls, medication safety, and understanding adolescent and pediatric patients.
EBP Bedside Handoff and Patient Satisfaction
This document summarizes evidence on the impact of bedside nursing handoffs on patient satisfaction. It finds that 9 out of 10 studies reported increased patient satisfaction when bedside handoffs were implemented instead of handoffs outside the patient room. Bedside handoffs also improved nurse satisfaction in some studies and reduced handoff time in others, though the type of handoff tool used did not impact outcomes. Successful implementation of bedside handoffs depended on leadership strategy across all studies.
Patient-Centered Strategies for HCAHPS Improvement
This document discusses strategies for improving patient experience scores on the HCAHPS survey through patient-centered care. It notes that HCAHPS performance is becoming increasingly important for hospital reimbursement. The document recommends partnering with patients, creating a healing physical environment, making data meaningful to staff, focusing on care transitions beyond the hospital, and prioritizing compassionate care. Planetree is introduced as an organization that advocates for these patient-centered approaches and certifies hospitals that meet standards for patient-centered culture and environments.
Patient-Centered Communication: A Useful Clinical Review
Patient-centered communication is important because of the 5 E's: ethics, emotions, efficiency, effectiveness, and equity. This talk was originally given October 1, 2014, at the Baltimore City Medical Society.
Reimagining healing after healthcare harm: the potential for restorative prac...
Reimagining healing after healthcare harm: the potential for restorative prac...Canadian Patient Safety Institute
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.AMEE 2010 Authentic capture of longitudinal care
The document discusses using virtual learning environments to help medical students experience longitudinal patient care. Medical students currently only see clinical snapshots due to time constraints. The virtual environment allows students to follow virtual patients over time from a distance to gain experience with longitudinal care and better understand its complexities. Students felt it could be useful to contrast different patient presentations and see how one family member's illness may affect others. They suggested including patient signs, questions and answers, and clickable elements to access information.
Linking Caritas to HCAHPS: From Theoretical Construct to Empirical Survey Out...
This document describes a project at Kaiser Permanente's Redwood City Medical Center to link Jean Watson's caring science theory to patient satisfaction measures in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Using a process called substruction, the project team created a conceptual model that maps the concepts of Watson's 10 Caritas processes to the 8 dimensions of care in HCAHPS. This visual model aims to help nurses understand how caring science principles relate to concrete aspects of patient experience measured by HCAHPS, with the goal of improving nursing practice and increasing patient satisfaction scores. The project team anticipates this model will provide a mechanism for nurses to mentally connect caring science and HCAHPS
Communication Skills in Between Doctor and Patient and Breaking the bad news
This document discusses communication skills, with a focus on patient counseling and breaking bad news. It covers several key topics:
- The importance of communication in the doctor-patient relationship for comprehensive treatment, patient satisfaction, and improved health outcomes.
- Effective communication involves listening to understand the patient, making sure they understand as well, and receiving feedback from their responses.
- Basic elements of counseling patients include explaining their disease and treatment plan, providing information materials, discussing lifestyle changes, and answering questions about medications and recovery.
- Examples show counseling patients pre- and post-operatively, including discussing diagnosis, treatment plans, diet and pain management, follow-up care and potential complications.
Gates Fallslit R
The document summarizes research on patient fall prevention strategies. It finds that while many fall risk assessment tools and interventions have been developed, there is little consensus on the most effective approach. The literature shows that assessment tools have limitations but clinical studies find they can still reduce falls when used correctly. The document concludes the most promising approach combines using a validated tool, properly selected and enforced interventions tailored for each patient, and monitoring the program over time.
bedside reporting
This document discusses the benefits of implementing bedside shift reporting compared to reporting at the nurse's station. It identifies increased patient and nurse satisfaction as key outcomes of bedside reporting. Benefits for patients include feeling more involved in their care, safer, and more comfortable. Benefits for nurses include improved accountability, communication, and teamwork. The literature review found bedside reporting can reduce errors, lengths of stay, and readmission rates while improving satisfaction scores. The recommendations are for hospitals to adopt standardized bedside reporting formats to realize these benefits.
From disease-centered to patient-centered communication in breast cancer
Breast cancer patient perspectives and experiences in patient-doctor communication
Are physicians educated and skilled to communicate difficult diagnoses to cancer patients?
What is patient centered communication?
How doctors think
The patient experience as a catalyst for change
This document summarizes a presentation about using patient experiences to drive improvements in healthcare. It discusses:
1) The potential for learning from negative patient experiences and using them as catalysts for positive change.
2) The emergence of "patient advocates" who partner with healthcare professionals to improve safety and outcomes.
3) Examples of how open communication, transparency, and inclusion of patients can help align culture and expectations to better ensure safe, high-quality care.
Watson Caritas Patient Score
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
Clinical deterioration: what can I do?
Failure to Rescue is ranked #2 in healthcare claims in Canada (HIROC, 2017) Additionally, Health Standards Organization (HSO) recently updated the critical care and inpatient services standards sets to include requirements supporting the recognition and response to clinical deterioration.
Full details: https://goo.gl/cfTUrm
What's hot (19)
Bridging Evidence Based Medicine and Patient Centered Care: The Case of Local...
Bridging Evidence Based Medicine and Patient Centered Care: The Case of Local...
Patient-Centered Strategies for HCAHPS Improvement
Patient-Centered Strategies for HCAHPS Improvement
Patient-Centered Communication: A Useful Clinical Review
Patient-Centered Communication: A Useful Clinical Review
Reimagining healing after healthcare harm: the potential for restorative prac...
Reimagining healing after healthcare harm: the potential for restorative prac...
Linking Caritas to HCAHPS: From Theoretical Construct to Empirical Survey Out...
Linking Caritas to HCAHPS: From Theoretical Construct to Empirical Survey Out...
Communication Skills in Between Doctor and Patient and Breaking the bad news
Communication Skills in Between Doctor and Patient and Breaking the bad news
From disease-centered to patient-centered communication in breast cancer
From disease-centered to patient-centered communication in breast cancer
Similar to Challenges To Our Professional Attitudes Jk09
Medico legal aspects of anesthesia
This document discusses various aspects of informed consent in anesthesia practice and medical malpractice litigation. It notes that informed consent is required to respect patient autonomy and involves explaining the risks, benefits and alternatives of a procedure to allow for substantially autonomous decision making. The key elements of competence that a patient must demonstrate to provide valid consent are described. Maintaining thorough anesthesia records and communicating well with patients can help minimize the risk of malpractice lawsuits.
Evidence Based Medicine
The document discusses evidence-based medicine (EBM) and functional medicine. It notes that EBM aims to provide optimal health rather than just treat disease, taking a patient-centered rather than disease-centered approach. Functional medicine uses a systems-based approach and considers lifestyle, environmental, and genetic factors to identify the underlying causes of disease. It factors in influences like genomics, epigenomics, and the microbiome to build on previous paradigms and improve disease prediction and prevention strategies.
Err is human
Err is human ....how could we minimize the preventable medical errors in our healthcare organization
Communicating hope and truth: A presentation for health care professionals
This document discusses improving cancer communication between doctors and patients. It begins with some cancer epidemiology statistics in the US. The main points are:
- The language used in oncology, such as "war on cancer", can imply meanings that increase patient anxiety and imply blame.
- Terms like "early detection" and "screening saves lives" may give patients a false sense of prevention or cure.
- Doctors should acknowledge patient emotions, use plain language, present information in bite-sized chunks, and encourage participation in decision making.
- When discussing risks, benefits, and the future, doctors should address patient concerns directly and not minimize their experiences. The goal is to provide trust and hope while still being honest.
Evidence Informed Practice Is A Critical Part Of Nursing Care
This article critically analyzes a qualitative nursing research article that studied critical care patients' experiences using helmet continuous positive airway pressure (hCPAP). The analysis uses a critiquing tool to examine the study's strengths and limitations. It was published in a peer-reviewed journal about critical care nursing. While the sample size was small, the study provided insights into patients' perspectives on a treatment that can improve critical care practice and outcomes. However, limitations included lack of discussion around researcher influence and ethics.
Medical malpractice
The document discusses several topics related to medical malpractice including:
- Medical error is estimated to occur at a rate equivalent to 3 jumbo jet crashes per day.
- Common reasons patients sue doctors include diagnostic errors, surgical errors, and improper medical treatment. The doctors most often sued are surgeons, anesthesiologists, and obstetricians.
- While a negligent doctor has a 3 in 100 chance of being sued, a non-negligent doctor has only a 13 in 10,000 chance - suggesting most malpractice claims are not frivolous.
- Medical malpractice is defined as when a doctor fails to act as a reasonable physician would under the circumstances. Proving malpractice
breaking bad news
This document outlines best practices for breaking bad news to patients based on several models, including SPIKES, ABCDE, and BREAK. It discusses preparing for the conversation, building rapport, exploring the patient's understanding, announcing the diagnosis, addressing emotions, and documenting the discussion. The goal is to disclose information compassionately while supporting the patient and addressing their needs.
Quality of life experiences no.4
Perfecting the art of medical hypnosis as an alternative to traditional anesthesia, learnings from Sodexo's International Leaders' Survey, addressing the challenges and opportunities created by the multi-generational workforce in hospitals, improving transport services to increase efficiency, news around the world.
"This is how i want to die" DPT Study Day 16th September 2011
The document discusses advance care planning (ACP) and its importance in end-of-life care. It defines ACP as a voluntary process where patients discuss future medical treatment preferences with healthcare providers. Key points include:
- ACP allows patients to communicate their values and wishes should they become unable to make decisions later.
- Triggers for initiating ACP include prognosis from chronic illness or a "gut feeling" from clinicians. Sensitive conversations are important.
- Documents like Preferred Priorities of Care and Advance Decisions to Refuse Treatment can record a patient's wishes if properly completed.
- Valid advance decisions must be specific, signed/witnessed, and state they apply even if life is at
Transgender Healthcare for Nurses
Celina, I want to make sure I understand and respect who you are. What name and pronouns would you like me to use?
Celina: Please call me Celina and use she/her pronouns.
Medical professionalism & motivation for doctors- Dr Vijay Sardana
The document discusses various aspects of doctor-patient relationships and medical professionalism. It covers topics such as definitions of success for doctors, stages of a medical career, maintaining patient satisfaction, communication skills, dealing with violence against doctors, and maintaining professional responsibilities and ethics.
Pedriatric
Here are the key steps I would take to prepare to start post-secondary training:
1. Research programs and requirements - Learn the admission requirements, prerequisite courses, and overall curriculum structure for the programs I'm interested in. Make sure I understand all necessary steps to apply and be accepted.
2. Improve academic record - Retake any prerequisite courses I did not do well in previously. Maintain strong grades in current coursework to improve my overall GPA.
3. Study for entrance exams - If required for my program(s) of interest, register for and study diligently for exams like the SAT, ACT, or GRE.
4. Gather application materials - Compile transcripts, letters of recommendation, personal statement
Similar to Challenges To Our Professional Attitudes Jk09 (12)
Communicating hope and truth: A presentation for health care professionals
Communicating hope and truth: A presentation for health care professionals
Evidence Informed Practice Is A Critical Part Of Nursing Care
Evidence Informed Practice Is A Critical Part Of Nursing Care
"This is how i want to die" DPT Study Day 16th September 2011
"This is how i want to die" DPT Study Day 16th September 2011
Medical professionalism & motivation for doctors- Dr Vijay Sardana
Medical professionalism & motivation for doctors- Dr Vijay Sardana
More from Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskihMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Kersnik kako prepoznati nujno stanje 2013
Kersnik kako prepoznati nujno stanje 2013Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Wonca ws ece maja
Wonca ws ece majaMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
This document describes an early clinical exposure (ECE) curriculum in Slovenia that aims to provide primary care experiences for medical students. The curriculum includes interviewing nursing home residents, observing general practitioner office visits, and assessments. Student feedback indicated that the ECE was important for personal and professional development and they appreciated learning communication skills and life experiences from elderly patients, though some students found interacting with residents too demanding initially. The curriculum was found to be educationally effective by teachers and feasible to implement, though subjective in practical assessments. Some dilemmas included students' inadequate communication skills and personal immaturity in some cases.Wonca workshop 2011 pp
Wonca workshop 2011 ppMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
This document describes an early clinical exposure (ECE) curriculum implemented at medical schools in Slovenia. [1] The curriculum introduces first-year medical students to patients through a "Communication" course. [2] Students learn communication skills through lectures, role-playing exercises, interviewing nursing home residents, and observing general practitioners. [3] Feedback from students and teachers was positive, finding the ECE educationally effective and helping students develop confidence and identity as future physicians. However, some challenges around student preparedness and assessment subjectivity were noted.Udruženje lpm u sloveniji sarajevo 2013
Udruženje lpm u sloveniji sarajevo 2013Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Uloga nastave iz porodicne medicine sarajevo (2013 05-11)
Uloga nastave iz porodicne medicine sarajevo (2013 05-11)Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Uloga euracta u edukaciji st 2011 kersnik
Uloga euracta u edukaciji st 2011 kersnikMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Interprofessional collaboration and education wonca 2013
Interprofessional collaboration and education wonca 2013Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
The document discusses interprofessional education (IPE) and collaborative practice (IPCP) in family medicine. It defines IPE as students from different professions learning together to enable effective collaboration and improve health outcomes. IPCP is defined as multiple healthcare workers from different backgrounds working as a team with patients, families, and communities to provide the highest quality care. The document advocates for IPE and IPCP, arguing it can improve mutual respect between professions, knowledge sharing, decision-making, and ultimately lead to better patient care through a more coordinated healthcare system.Quality poster
Quality posterMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
1) This document reviews literature on evaluating the psychosocial dimension in family medicine.
2) Of the 743 initial articles identified, 68 met inclusion criteria after detailed review, with 36 being finally selected.
3) The review found little evidence about the quality of psychosocial approaches in family medicine, due both to poor definitions and a lack of appropriate quality indicators. Further research is needed.Focus groups about decision for family medicine specialist training
Focus groups about decision for family medicine specialist trainingMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Focus groups were conducted with medical students to understand their perspectives on choosing family medicine as a specialization. Key highlights included:
- Students saw positives in family medicine being less stressful, allowing them to start working quickly with good work-life balance. They also valued the individual doctor-patient relationship and role in prevention.
- Negatives included lower respect from colleagues, lower salary, and perceived problems in the healthcare system including time pressures. Students also cited fears of lack of challenge, burnout, and limited career progression options.
- Views differed based on personal characteristics, with some students preferring high stress/adrenaline fields and others valuing a moderate work environment. Overall perceptions of family medicine were mixed.Psihosocialne perspektive dela zdravnika družinske medicine Wonca Dunaj
Psihosocialne perspektive dela zdravnika družinske medicine Wonca DunajMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
The document summarizes a review of literature on evaluating the psychosocial dimension in family medicine. The review identified 68 relevant articles from an initial pool of 743. These articles measured quality indicators like health outcomes, quality of life, and patient-centered care. The review found little evidence about the quality of psychosocial approaches in family medicine. It concluded that further studies are needed to better define psychosocial approaches and develop quality indicators to evaluate them.Prispevek družinske medicine v pouku na medicinski fakulteti (27.6.2012)
Prispevek družinske medicine v pouku na medicinski fakulteti (27.6.2012)Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Inavguralno predavanje o pomenu poučevanja družinske medicine na medicinski fakulteti.Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskihMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Key note lecture at EGPRN meeting Ljubljana, May 2012
Key note lecture at EGPRN meeting Ljubljana, May 2012Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Presentation on the importance not to loose perspective on holistic and comprehensive apporach in managing pateints with chornic conditions.Evidence based medicine Riga 2012-05-07
Evidence based medicine Riga 2012-05-07Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
This document provides an overview of a presentation on evidence-based medicine (EBM). The presentation covers the principles of EBM, demonstrating how to search for evidence, and assessing evidence. It begins with defining EBM and outlining the presentation structure. It then demonstrates how to form a clear clinical question using the PICO framework and search for evidence using databases like MEDLINE, Cochrane, and Clinical Evidence. The document provides guidance on appraising evidence, discussing the hierarchy of evidence, study designs, and criteria for evaluating papers, guidelines, and meta-analyses. It emphasizes developing skills in efficiently finding and critically assessing the best available evidence to inform clinical decision-making.Anxiety and depression in family pracitce
Anxiety and depression in family pracitceMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
This study examined the prevalence of mental health problems among patients in family practice settings. The researchers administered a short questionnaire to assess anxiety and depression symptoms to patients. The results found that 49.4% of patients scored above the cut-off point, indicating a high prevalence of mental health issues. Females, those under 45 years old, and those with lower education levels or chronic health conditions were more likely to experience mental health problems. The researchers concluded that family practices should focus on early detection, treatment, and empowering patients to better manage their mental health.Patient satisfaction in private contractors
Patient satisfaction in private contractorsMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
Patients in Slovenia were more satisfied with some aspects of care from private primary health care practitioners compared to public ones. A survey of over 2000 patients found those seeing private practitioners were significantly more satisfied with communication, technical care, and organization of services, though there was no difference in satisfaction with explanation style. The introduction of private health services was beneficial for some areas of patient satisfaction, and public clinics could improve satisfaction by focusing more on communication skills and organizational techniques.Impact of waiting time on patient satisfaction
Impact of waiting time on patient satisfactionMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
The document examines how consultation length impacts patient satisfaction. It surveyed 720 patients from 12 family practices about their last visit. It found that longer consultations led to higher patient satisfaction. Specifically, consultations of 15 minutes or more resulted in patient satisfaction scores that were on average 4 points higher than shorter consultations. Consultations under 10 minutes saw satisfaction drop considerably. Therefore, the study concludes that consultation length is an important predictor of patient satisfaction.More from Medical Schools University Maribor and University Ljubljana, Nursing Science University Primorska (20)
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Uloga nastave iz porodicne medicine sarajevo (2013 05-11)
Uloga nastave iz porodicne medicine sarajevo (2013 05-11)
Interprofessional collaboration and education wonca 2013
Interprofessional collaboration and education wonca 2013
Focus groups about decision for family medicine specialist training
Focus groups about decision for family medicine specialist training
Psihosocialne perspektive dela zdravnika družinske medicine Wonca Dunaj
Psihosocialne perspektive dela zdravnika družinske medicine Wonca Dunaj
Prispevek družinske medicine v pouku na medicinski fakulteti (27.6.2012)
Prispevek družinske medicine v pouku na medicinski fakulteti (27.6.2012)
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Pojavnost in pogostost različnih bolezenskih simptomov pri slovenskih
Key note lecture at EGPRN meeting Ljubljana, May 2012
Key note lecture at EGPRN meeting Ljubljana, May 2012
Recently uploaded
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Fallopian tube blockage may cause female infertility. For treatment, herbal medicine Fuyan Pill can be a solution.
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Patellar Instability: Diagnosis Management
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
What are the different types of Dental implants.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfChulalongkorn Allergy and Clinical Immunology Research Group
Pollen and Fungal allergy
Presented by Chaloemchai Chumsaengchotsakul, MD.
June 14, 2024Nano-gold for Cancer Therapy chemistry investigatory project
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montrealTop Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Recently uploaded (20)
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and Synonyms
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
Challenges To Our Professional Attitudes Jk09
- 1. Challenges to our professional attitudes – ethical implications of uncertainty in GP/FM The uncertain doctor Professor Janko Kersnik , PhD, MSc, MD Family Medicine Department Medical School Ljubljana and Maribor Slovenia