WorldWideScience

Sample records for humanistic care provisions

  1. Concepts of humanistic theory in obstetric care

    OpenAIRE

    Isolda Pereira da Silveira; Ana Fátima Carvalho Fernandes

    2012-01-01

    This study reflects the concepts of Paterson’s and Zderad’s humanistic theory, applied to daily nursing care during labor and childbirth. The objective of the study is to understand the importance of their application to attendant care. We take into account that the application of such concepts in obstetric nursing provides to the nurse and the expectant mother interaction and also a sense of being properly cared on behalf of the patient.

  2. [The humanistic partnership model in health care].

    Science.gov (United States)

    Lecocq, Dan; Lefebvre, Hélène; Néron, André; Van Cutsem, Chantal; Bustillo, Aurélia; Laloux, Martine

    2017-06-01

    The humanistic partnership model in health care has been jointly developed by nursing professionals and partner patients. In line with the evolution of our society and nursing thinking, it provides a new implementation of the discipline's core concepts and invites professionals and partner patients to "move together towards" a co-constructed future which is recorded in the patient's life project. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. Reflection and Critical Thinking of Humanistic Care in Medical Education

    Directory of Open Access Journals (Sweden)

    Shu-Jen Shiau

    2008-07-01

    Full Text Available The purpose of this paper is to stress the importance and learning issues of humanistic care in medical education. This article will elaborate on the following issues: (1 introduction; (2 reflection and critical thinking; (3 humanistic care; (4 core values and teaching strategies in medical education; and (5 learning of life cultivation. Focusing on a specific approach used in humanistic care, it does so for the purpose of allowing the health professional to understand and apply the concepts of humanistic value in their services.

  4. Humanistic Nursing Theory: application to hospice and palliative care.

    Science.gov (United States)

    Wu, Hung-Lan; Volker, Deborah L

    2012-02-01

    This article presents a discussion of the relevance of Humanistic Nursing Theory to hospice and palliative care nursing. The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraces a humanistic caring and holistic approach to patient care. As this resonates with Paterson and Zderad's Humanistic Nursing Theory, an understanding of hospice nurses' experiences can be investigated by application of relevant constructs in the theory. This article is based on Paterson and Zderad's publications and other theoretical and research articles and books focused on Humanistic Nursing Theory (1976-2009), and data from a phenomenological study of the lived experience of Taiwanese hospice nurses conducted in 2007. Theoretical concepts relevant to hospice and palliative nursing included moreness-choice, call-and-response, intersubjective transaction, uniqueness-otherness, being and doing and community. The philosophical perspectives of Humanistic Nursing Theory are relevant to the practice of hospice and palliative care nursing. By 'being with and doing with', hospice and palliative nurses can work with patients to achieve their final goals in the last phase of life. Use of core concepts from Humanistic Nursing Theory can provide a unifying language for planning care and describing interventions. Future research efforts in hospice and palliative nursing should define and evaluate these concepts for efficacy in practice settings. © 2011 Blackwell Publishing Ltd.

  5. Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses' caring ability

    Institute of Scientific and Technical Information of China (English)

    Jiao He; De-Ying Hu; Yi-Lan Liu; Li-Fen Wu; Lian Liu

    2016-01-01

    Objective: To understand the effect of humanistic nursing care model wards in Children Caring Ward School (CCWS) on the nurses' caring ability. Methods: Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory (CAI) before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses' caring ability. Results: The nurses' caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered (p Conclusions: The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

  6. Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses' caring ability

    Directory of Open Access Journals (Sweden)

    Jiao He

    2016-03-01

    Conclusions: The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

  7. Bereavement Care Provision in Europe

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt; Murphy, Irene; Keegan, Orla

    2015-01-01

    The Bereavement Care Taskforce of the EAPC has conducted a survey on bereavement care service provision in Europe. Mai-Britt Guldin, Irene Murphy, Orla Keegan, Barbara Monroe, Maria Antonia Lacasta Reverte and Inger Benkel report on the results. One of the key findings is that not all palliative...

  8. The importance of communication in pediatric oncology palliative care: focus on Humanistic Nursing Theory.

    Science.gov (United States)

    França, Jael Rúbia Figueiredo de Sá; da Costa, Solange Fátima Geraldo; Lopes, Maria Emilia Limeira; da Nóbrega, Maria Miriam Lima; de França, Inacia Sátiro Xavier

    2013-01-01

    to investigate and analyze communication in palliative care contexts from the perspective of nurses, based on Humanistic Nursing Theory. this is a field study with a qualitative approach, in which ten nurses working in the pediatric oncology unit of a Brazilian public hospital participated. Semi-structured interviews were used to collect data. The testimonies were qualitatively analyzed using Humanistic Nursing Theory and based on the five phases of Nursing Phenomenology. two thematic categories emerged from the analysis of the study's empirical material: "strategy to humanize nursing care, with an emphasis on relieving the child's suffering" and "strategy to strengthen ties of trust established between nurse and child." communication is an efficacious element in the care provided to the child with cancer and is extremely important to promoting palliative care when it is based on Humanistic Nursing Theory.

  9. Strengthening Humanistic Care Nursing%加强人文关怀护理

    Institute of Scientific and Technical Information of China (English)

    赵玉娥

    2016-01-01

    随着医学事业的发展,人文关怀护理在临床护理工作中发挥着越来越重要的作用。把人文关怀融入到护理实践中,通过关怀行为建立护理实践标准是发展和加强关怀行为的关键举措。在医疗质量保证的情况下,竞争成败的关键是服务,只有将心比心才能做好人文关怀、病人至上。人文关怀要以患者为中心,对患者给予充分的尊重。应做好人文关怀的培训,以提高服务意识、专业知识和沟通技术。要避免医疗纠纷,就应大力推行人文关怀建设。%With the development of medical science, humanistic care in clinical nursing work is playing a more and more important role. It is the key measure to develop and strengthen the caring behavior to establish the standard of nursing practice through caring behavior in the nursing practice. In medical quality assurance, the success or failure of the competition is key to the service, only care to do a good job of humanistic care, the patient first. Humanistic care should be given to patients as the center, to give full respect to the patient. Should do a good job in the training of humanistic care, in order to enhance service awareness, professional knowledge and communication technology. In order to avoid medical disputes, we should vigorously promote the construction of humanistic care.

  10. A grounded theory of humanistic nursing in acute care work environments.

    Science.gov (United States)

    Khademi, Mojgan; Mohammadi, Eesa; Vanaki, Zohreh

    2016-03-23

    Humanistic nursing practice which is dominated by technological advancement, outcome measurement, reduced resources, and staff shortages is challenging in the present work environment. To examine the main concern in humanistic nursing area and how the way it is solved and resolved by Iranian nurses in acute care setting. Data were collected from interviews and observations in 2009-2011 and analyzed using classic grounded theory. Memos were written during the analysis, and they were sorted once theoretical saturation occurred. In total, 22 nurses, 18 patients, and 12 families from two teaching hospitals in Tehran were selected by purposeful and theoretical sampling. The research was approved by the Ethics Committee of the university and hospitals. The main concern for the nurses is the violation of their rights. They overcome this concern when there is a synergy of situation-education/learning, that is, a positive interaction between education and learning of values and sensitivity of the situation or existence of care promotion elements. They turn to professional values and seeking and meeting others' needs, resulting in "success and accomplishment" of nurse/nursing manager and patient/family. This theory shows that professional values, elements of care promotion, and sensitivity of the situation have a key role in activation of humanistic approach in nursing. Violation of the nurses' professional rights often leads to a decrease in care, but these factors make the nurses practice in an unsparing response approach. It is necessary to focus on development of professional values and provide essential elements of care promotion as changeable factors for realization of humanistic nursing although there is a context in which the nurses' rights are violated. © The Author(s) 2016.

  11. 医学人文关怀的基本内涵%On the Essential Content of Medical Humanistic Care

    Institute of Scientific and Technical Information of China (English)

    李怀东

    2012-01-01

    Medical humanistic care is one of essential criteria of a qualified doctor with the basic principles. This requires the doctor to practice the exceeding care, philanthropy, ultimate goodness, ultimate beauty, cautious action of medical humanistic care. Among them, to bring into effect exceeding care of medical humanistic care is a basal practice target, philanthropy of medical humanistic care is a basal pursuit, ultimate goodness of medical humanistic care is concrete manifestation, ultimate beauty of medical humanistic care is high level of practice desire, cautious action of medical humanistic care is essential practice action. They should be reflected in every step, every detail and every aspect of the clinical work.%医学人文关怀是医务工作者必备的基本素养.它不仅要求医务工作者运用知识、技能诊疗疾病,而且要求医务工作者给予患者广泛而精细的人文关怀.这就要求医者践行关爱、博爱、至善、至关、慎行的医学人文关怀.其中,关爱是医学人文关怀最基本的要求;博爱是医学人文关怀的追求;至善是医学人文关怀具体的体现;至美是医学人文关怀高层次的要求:慎行是医学人文关怀必备的行为.关爱、博爱、至善、至美、慎行应该体现在临床工作中的每一个步骤、每一个环节以至每一个细节.

  12. [Analysis of humanistic theory and interpersonal relations of nurses in newborn care].

    Science.gov (United States)

    Rolim, Karla Maria Carneiro; Pagliuca, Lorita Marlena Freitag; Leitão Cardoso, Maria Vera Lúcia M

    2005-01-01

    Theories are propositions created to evaluate nursing care, allowing nurses to consider and incorporate them in their professional practice. This Masters study was aimed at thinking critically about the practical usefulness of the concepts of Humanistic Nursing Theory. This descriptive-reflexive study was carried out in 2004 and used Meleis' model for the analysis of theories. The "critique of theory" segment was taken from this model to be used as an analytical tool, with emphasis on the "usefulness" parameter. The critical analysis revealed the notorious "usefulness" of interpersonal relations and dialogue, which can be used in daily practice at the Newborn Intensive Care Unit, valuing the human affective relations, which are essential for nursing care. Nursing practice should be guided by theoretical, philosophical, and methodological reference frameworks, responsible for making professionals reflect critically on themselves and their practice.

  13. Physical restraint in acute care psychiatry: a humanistic and realistic nursing approach.

    Science.gov (United States)

    Moylan, Lois Biggin

    2009-03-01

    Despite the many advances in psychiatry, violence in acute care settings continues and may be increasing. This is particularly problematic, considering the desire of mental health professionals to attain the goal of a restraint-free environment. Respecting the inherent worth, dignity, and autonomy of the patient is necessary if a therapeutic outcome is to be achieved; however, protecting the safety of the patient, other patients, and the caregivers is of no less importance, yet this responsibility also carries with it legal and ethical implications. Balancing these two responsibilities can be realized even in a situation where supportive therapeutic interventions have been ineffective in de-escalation of an aggressive patient. When used with a compassionate, humanistic approach, restraint can achieve a therapeutic outcome for the patient while protecting the safety of others.

  14. Modularity in Cancer Care Provision

    DEFF Research Database (Denmark)

    Gobbi, Chiara; Hsuan, Juliana

    2012-01-01

    The paper presents the findings of a case study research conducted within the Danish healthcare system aimed at analyzing how modularity is deployed in the process of delivery cancer care. Three cancer packages are presented into detailed describing the process of defining the diagnosis and treat...

  15. Humanistic Care for Mountain Architectural Eco-Technology%山地建筑生态技术的人文关怀

    Institute of Scientific and Technical Information of China (English)

    马跃峰; 张庆顺; 梁文跃

    2011-01-01

    Mountain architecture, as intermediary of space and behavior between people and mountain environment, the eco-teehnology application for which has the characteristics of eco-pertinence and regional consilience, needs to reflect not only the ecological significance of technical body, but also the emotional care of cultural level. The paper describes the main content for the humanistic care of mountain architectural eco-technology from the four aspects: high integration of eco-technology and emotion, humanistic care for bionic mountain architecture, humanistic care for interior space and poetic expression of eco-appropriate technology.%山地建筑作为人与山地环境之间的空间和行为中介,其生态技术的应用具有生态的针对性和地域的契合性特征,既需要体现技术本体的生态意义,又需要体现人文层面的情感关怀。文章从生态技术与情感的高度统一、仿生山地建筑的人文关怀、室内空间的人文关怀、生态适宜技术的诗意表达等四个方面,阐述了山地建筑生态技术人文关怀的主要内容。

  16. 人文关怀在神经内科中的应用分析%Application Analysis of Humanistic Care in Department of Neurology

    Institute of Scientific and Technical Information of China (English)

    唐娜尊

    2012-01-01

    Objective;To summarize application experience of humanistic care in the nursing of department of neurology. Method:To compare nursing effect of humanistic caring nursing group and routine nursing group. Re-Slilts:The total satisfaction degree of humanistic care nursing group were significantly higher than that of conventional care group. SCL -90 scores of humanistic care nursing group were significantly lower than those of conventional care group. Conclusion;The humanistic nursing care can effectively improve the quality of care and patients 'satisfaction, thus it is worthy popularized.%目的 研究人文关怀在神经内科护理工作中的作用.方法 比较人文关怀护理组和常规护理组的护理效果.结果 人文关怀护理组的总满意度均明显高于常规护理组,人文关怀护理组患者的SCL - 90(临床自评量表)评分显著低于常规护理组.结论 人文关怀护理可以有效提高护理质量和患者满意度,值得进一步推广应用.

  17. Care provision for poststroke visual impairment.

    Science.gov (United States)

    Rowe, Fiona J; Walker, Marion; Rockliffe, Janet; Pollock, Alex; Noonan, Carmel; Howard, Claire; Glendinning, Richard; Feechan, Rachel; Currie, Jim

    2015-06-01

    We sought to explore the care provision for poststroke visual impairment and variations in this in the United Kingdom. Survey questions were developed and piloted with clinicians, academics, and users. Questions addressed types of visual problems; how these were identified, treated, and followed up; care pathways in use; links with other professions; and referral options. The survey was accessed via a Weblink, which was circulated through UK professional organizations to multiprofessional members of ophthalmic and stroke teams. A total of 548 completed electronic surveys were obtained. In all, 49.5% of respondents represented stroke teams, 42.5% eye teams, and 8% from other teams, for example, emergency care. Many respondents (41%) saw patients within 1 week of stroke. Nineteen percent did not personally test vision: 11% had a visiting clinician to test vision, and 22% used screening tools. Validated tests were used for the assessment of visual acuity (39.5%), visual field (57.5%), eye movement (48.5%), and visual function (58.5%). Visual problems suspected by family or professionals were high (88.5%). Typical overall follow-up period of vision care was less than 3 months. In all, 46% of respondents used designated care pathways for stroke survivors with visual problems; 33.5% of respondents did not provide visual information leaflets. Significant inequality exists in care for stroke survivors who experience visual problems. There is great variability in how vision screening is undertaken, which vision tests are used, methods of referral to eye care services, how visual problems are managed, and what vision information is provided to stroke survivors/carers. Further work is required to ensure equality and effective care. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  18. Diabetes care provision in UK primary care practices.

    Directory of Open Access Journals (Sweden)

    Gillian Hawthorne

    Full Text Available BACKGROUND: Although most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care. METHODS: Postal surveys with all healthcare professionals and a random sample of 100 patients with Type 2 diabetes from 99 UK primary care practices. RESULTS: 326/361 (90.3% doctors, 163/186 (87.6% nurses and 3591 patients (41.8% returned a questionnaire. Clinicians reported giving advice about lifestyle behaviours (e.g. 88% would routinely advise about calorie restriction; 99.6% about increasing exercise more often than patients reported having received it (43% and 42% and correlations between clinician and patient report were low. Patients' reported levels of confidence about managing their diabetes were moderately high; a median (range of 21% (3% to 39% of patients reporting being not confident about various areas of diabetes self-management. CONCLUSIONS: Primary care practices have organisational structures in place and are, as judged by routine quality indicators, delivering high quality care. There remain evidence-practice gaps in the care provided and in the self confidence that patients have for key aspects of self management and further research is needed to address these issues. Future research should use robust designs and appropriately designed studies to investigate how best to improve this situation.

  19. Humanistic HCI

    DEFF Research Database (Denmark)

    Bardzell, Jeffrey; Bardzell, Shaowen

    2015-01-01

    Although it has influenced the field of Human-Computer Interaction (HCI) since its origins, humanistic HCI has come into its own since the early 2000s. In that time, it has made substantial contributions to HCI theory and methodologies and also had major influence in user experience (UX) design......, aesthetic interaction, and emancipatory/social change-oriented approaches to HCI. This book reintroduces the humanities to a general HCI readership; characterizes its major epistemological and methodological commitments as well as forms of rigor; compares the scientific report vs. the humanistic essay...... as research products, while offering some practical advice for peer review; and focuses on two major topics where humanistic HCI has had particular influence in the field—user experience and aesthetics and emancipatory approaches to computing. This book argues for a more inclusive and broad reach...

  20. 人文关怀对灾害医疗救援道德的作用%The Role of Humanistic Care in Disaster Medical Rescue

    Institute of Scientific and Technical Information of China (English)

    董沫含; 张京平; 钱嗣维

    2012-01-01

    针对当前灾害医疗救援中可能存在的忽视人文关怀价值的问题,从人文关怀促使灾害医疗救护伦理价值认识的提升出发,联系灾害医疗救护道德基本要求的细化,人文关怀促使灾害医疗救护道德效益的激增,以及世代传承的白求恩精神四个方面,对人文关怀在灾害医疗救援中的作用进行探讨.人文关怀不仅在当代社会主义医德中扮演着重要角色,而且在灾害医疗救援行动中发挥着中坚作用.%In view of possible the problems exist in current disaster medical rescue, this paper discussed the role of humanistic care in disaster medical rescue based on humanistic care to disaster medical rescue ethical understanding of disaster medical rescue, contacting basic moral demands of refinement, humanistic care to disaster medical rescue moral benefit surge, as well as shining the spirit of Bethune. Humanistic care not only plays an important role in the contemporary socialist ethics, but also plays a significant influence in disaster medical rescue action.

  1. Summary of Head Start Provisions on Homelessness and Foster Care

    Science.gov (United States)

    National Association for the Education of Homeless Children and Youth, 2008

    2008-01-01

    On Wednesday, December 12, President Bush signed the "Improving Head Start for School Readiness Act of 2007" into law. The legislation reauthorizes the Head Start Act and contains numerous provisions on homelessness and foster care. A summary of those provisions is provided in this paper.

  2. 人文关怀在优质护理服务工作中的应用%Application of humanistic care in quality care

    Institute of Scientific and Technical Information of China (English)

    张玲; 陆美芹

    2012-01-01

    目的 探讨人文关怀在优质护理服务中的运用,强化护理责任感、落实基础护理,提高护理质量,提高患者满意度.方法 通过营造良好的病区环境,增强护士综合素质和主动服务的意识,夯实基础护理,提供安全的护理,实施出院后的延续护理等措施,为患者提供优质护理.结果 人文关怀在优质护理服务中的运用,切实提高了护士主动服务的意识,患者满意度和护理质量得到了提高,护理纠纷减少,患者满意度由85.77%提高到97.50%(p<0.01).结论 人文关怀在优质护理服务活动中,提升了护士与患者主动沟通的能力,促进患者的恢复,达到真正意义上的护患和谐、医患和谐和社会的和谐.%Objective To investigate the application of humanistic care in quality care, strengthen the care responsibility, implement primary care, improve quality of care and improve satisfaction of patients. Methods We provide quality care for patients by creating good ward environment, strengthening overall quality of nurses and the awareness of nurses' active service, reinforcing primary care, providing safe care and implementing extending care after discharge. Result Humane care using in the quality care can effectively improve the awareness of nurses active service, patient satisfaction and care quality have been improved, at the same time, the nursing dispute have been reduced. Patient satisfaction improve from 85.77% to 97.50%. Conclusion Humanistic care in quality care can improve the active communication ability of nurses to patients, promote the patient's recovery, and achieve the harmony of nurse-patient `physician-patient and social in a real sense.

  3. Optimization of Hospital Human Resource Management with Humanistic Care%用人文关怀优化医院人力资源管理

    Institute of Scientific and Technical Information of China (English)

    潘春晔

    2015-01-01

    基于医院人力资源特点,改进传统薪酬激励的方法,要使以人为本、尊重知识、尊重人才等人文关怀理念充分体现在人力资源管理之中.运用人文关怀来指导和优化人力资源管理.充分尊重员工,关心员工,帮助员工,建立良好的员工关系.用人文关怀激发员工能量,让员工真正分享团队进步带来的荣誉和快乐.%Based on characteristics of hospital human resource, it is necessary to improve traditional methods of salary incentive. We should put people first, respect knowledge and respect talents, reflect ideas of humanistic care in human resource management, apply humanistic care to guide and optimize human resource management, establish good employee relationship by respecting employees, caring about employees and helping them, make use of humanistic care to stimulate dynamism of employees and let employees share honors and happiness brought by team progress.

  4. 血液病优质护理中的人文关怀%The humanistic care in the high quality nursing of hematopathy

    Institute of Scientific and Technical Information of China (English)

    肖彩霞

    2012-01-01

    人文关怀是现代优质护理实践的一个重要维度.在血液病护理过程中,既要注重护理人员专业技能的提升,又要注重护理人员人文关怀意识的培育,才能实现护理技术维度与人文关怀维度的有机融合.%Humanistic care is an important dimension in modern high quality nursing.In the process of hematopathy nursing,we should pay attention to improving the nursing skills of the nursing staff as well as cultivating their humanistic care consciousness,aiming to achieve the harmonious unity of skill dimension and humanity dimension.

  5. 医院一线职工的人文关怀和心理疏导%Humanistic Care and Psychological Guidance on Health Care Providers of the Hospital

    Institute of Scientific and Technical Information of China (English)

    张卫国

    2014-01-01

    本文根据医务人员主要压力的表现,提出了缓解压力的对策。只有重视对一线职工的人文关怀和心理疏导,通过各种方式缓解其的心理压力,才能缓和医患关系,减少医疗纠纷,促进卫生事业健康发展[1]。%According to the major stress of health care providers, this article puts forward the relative countermeasures to relieve their stress. Hospital administrators should pay more attention to the humanistic care and psychological guidance on the providers, to relieve their psychological stress by various of means, in order to harmonize the provider - patient relationship, decrease the medical dispute, and advance the sound development of health undertakings.

  6. Factors associated with the provision of hospice care for children.

    Science.gov (United States)

    Lindley, Lisa C; Mark, Barbara A; Daniel Lee, Shoou-Yih; Domino, Marisa; Song, Mi-Kyung; Jacobson Vann, Julie

    2013-04-01

    Children at the end of life often lack access to hospice care at home or in a dedicated facility. The factors that may influence whether or not hospices provide pediatric care are relatively unknown. The purpose of this study was to understand the institutional and resource factors associated with provision of pediatric hospice care. This study used a retrospective, longitudinal design. The main data source was the 2002 to 2008 California State Hospice Utilization Data Files. The sample size was 311 hospices or 1368 hospice observations over seven years. Drawing on institutional and resource dependence theory, this study used generalized estimating equations to examine the institutional and resource factors associated with provision of pediatric hospice care. Interaction terms were included to assess the moderating effect of resource factors on the relationship between institutional factors and provision of care. Membership in professional groups increased the probability (19%) of offering hospice services for children. Small- (-22%) and medium-sized (-11%) hospices were less likely to provide care for children. The probability of providing pediatric hospice care diminished (-23%) when competition increased in the prior year. Additionally, small size attenuated the accreditation-provision relationship and medium size magnified the membership-provision relationship. Professional membership may promote conformity to industry standards of pediatric care and remove the unknowns of providing hospice care for children. Hospices, especially medium-sized hospices, interested in developing or expanding care for children may benefit by identifying a pediatric champion to join a professional group. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  7. 浅析大学生思想政治教育人文关怀%Analyses the ideological and political education humanistic care for college students

    Institute of Scientific and Technical Information of China (English)

    郭燕红

    2014-01-01

    人文关怀是对人的生存状态的关注,对人的权利的尊重,对人类发展前景和历史命运的思考。大学生思想政治教育人文关怀,主要包括关注大学生权益维护、心理健康、思想成长、价值实现。基于此,本文总结了当前大学生思想政治教育人文关怀适应时代的在内容、途径等方面的成效。%Humanistic care is the focus of people's survival state, respect for the rights of the people, thinking of human development prospects and historical destiny. College students' ideological and political education humanistic care, mainly including focus on college students' rights and interests maintenance, mental health, mental development and value realization. This paper summarizes the current ideological and political education humanistic care to adapt to the era in the aspects of content, the way of results.

  8. 社区慢性心力衰竭患者的人文关怀%Humanistic Care for Patients with Chronic Heart Failure in the Community

    Institute of Scientific and Technical Information of China (English)

    张琦; 许志红; 王瑞英

    2011-01-01

    人文关怀在医疗服务中具有重要意义.在社区慢性心力衰竭患者的管理中树立人文关怀的理念,在工作中遵循患者第一原则、知情同意原则、身心统一原则、最优化原则等,有助于缓解患者的心理不良反应,建立良好的医患关系,提高患者的生存质量.%The new medical model indicates that humanistic care plays an important role in medical treatment. The idea of humanistic care should be emphasized in the management of patients with chronic heart failure in the community. The principles such as patient first principle, medical informed consent principle, body and mind unified principle, optimization principle should be followed. Humanistic care can help us to relieve the patients'mental problems, improve the relationship between doctors and patients, and improve the quality of patients'living.

  9. Emotion-Aware Assistive System for Humanistic Care Based on the Orange Computing Concept

    Directory of Open Access Journals (Sweden)

    Jhing-Fa Wang

    2012-01-01

    Full Text Available Mental care has become crucial with the rapid growth of economy and technology. However, recent movements, such as green technologies, place more emphasis on environmental issues than on mental care. Therefore, this study presents an emerging technology called orange computing for mental care applications. Orange computing refers to health, happiness, and physiopsychological care computing, which focuses on designing algorithms and systems for enhancing body and mind balance. The representative color of orange computing originates from a harmonic fusion of passion, love, happiness, and warmth. A case study on a human-machine interactive and assistive system for emotion care was conducted in this study to demonstrate the concept of orange computing. The system can detect emotional states of users by analyzing their facial expressions, emotional speech, and laughter in a ubiquitous environment. In addition, the system can provide corresponding feedback to users according to the results. Experimental results show that the system can achieve an accurate audiovisual recognition rate of 81.8% on average, thereby demonstrating the feasibility of the system. Compared with traditional questionnaire-based approaches, the proposed system can offer real-time analysis of emotional status more efficiently.

  10. Medical anthropology and Ebola in Congo: cultural models and humanistic care.

    Science.gov (United States)

    Hewlett, B S; Epelboin, A; Hewlett, B L; Formenty, P

    2005-09-01

    Seldom have medical anthropologists been involved in efforts to control high mortality diseases such as Ebola hemorrhagic fever (EHF) This paper describes the results of two distinct but complementary interventions during the first phases of an outbreak in the Republic of Congo in 2003. The first approach emphasized understanding local peoples cultural models and political-economic explanations for the disease while the second approach focused on providing more humanitarian care of patients by identifying and incorporating local beliefs and practices into patient care and response efforts.

  11. Information provision in fertility care: a call for improvement.

    NARCIS (Netherlands)

    Mourad, S.M.; Hermens, R.P.M.G.; Cox-Witbraad, T.; Grol, R.P.T.M.; Nelen, W.L.D.M.; Kremer, J.A.M.

    2009-01-01

    BACKGROUND: Adequate information provision is a crucial dimension of high-quality fertility care. Clinical practice guidelines containing consensus-based recommendations may standardize practice between settings. This study was designed for three purposes: (i) to assess actual adherence to recommend

  12. Competition policy for health care provision in Norway.

    Science.gov (United States)

    Brekke, Kurt R; Straume, Odd Rune

    2017-02-01

    Competition policy has played a very limited role for health care provision in Norway. The main reason is that Norway has a National Health Service (NHS) with extensive public provision and a wide set of sector-specific regulations that limit the scope for competition. However, the last two decades, several reforms have deregulated health care provision and opened up for provider competition along some dimensions. For specialised care, the government has introduced patient choice and (partly) activity (DRG) based funding, but also corporatised public hospitals and allowed for more private provision. For primary care, a reform changed the payment scheme to capitation and (a higher share of) fee-for-service, inducing almost all GPs on fixed salary contracts to become self-employed. While these reforms have the potential for generating competition in the Norwegian NHS, the empirical evidence is quite limited and the findings are mixed. We identify a set of possible caveats that may weaken the incentives for provider competition - such as the partial implementation of DRG pricing, the dual purchaser-provider role of regional health authorities, and the extensive consolidation of public hospitals - and argue that there is great scope for competition policy measures that could stimulate provider competition within the Norwegian NHS.

  13. 对脑卒中后抑郁患者实施人文关怀的方法与效果%The methods and effects of humanistic care in patients with post - stroke depression

    Institute of Scientific and Technical Information of China (English)

    乔艳

    2012-01-01

    目的 探讨对脑卒中后抑郁患者实施人文关怀的方法与效果.方法 组织护理人员进行人文关怀知识培训,对40例脑卒中后抑郁患者实施人文关怀,采取提供人文的住院环境、建立患者个人档案、建立“护士-患者-家属”支持系统、制订人文关怀计划、丰富患者住院生活等方法.结果 实施人文关怀后患者抑郁指数降低(P<0.01),对护理工作满意度提高(P<0.01).结论 对脑卒中后抑郁患者实施人文关怀,可降低患者抑郁状态,提高患者对护理工作的满意度.%Objective To discuss the methods and effects of humanistic care in patients with post - stroke depression. Methods The muses were organized to learn the knowledge of humanistic care, and provided the 40 patients with post - stroke depression humanistic care, such as establishing humanistic environment , establishing individual documentation for the patients, setting up supporting system of " Nurse - Patient - Family", making plan of humanistic care and enriching the patient's life in hospital. Results After the implementation of the humanistic care,the depression index decreased (P<0.0l) and the satisfaction degree to nursing work increased (P <0.01). Conclusion Humanistic care to the patients with post - stroke depression can reduce the level of depression and enhance the satisfaction of nursing work.

  14. Familism and Health Care Provision to Hispanic Older Adults.

    Science.gov (United States)

    Savage, Brittany; Foli, Karen J; Edwards, Nancy E; Abrahamson, Kathleen

    2016-01-01

    The Hispanic older adult population's rapid growth calls for an awareness of values that can affect the rendering and receipt of care. Familism, or familismo, a traditional Hispanic value, places importance of family over the self and can potentially affect health care perceptions and practices for Hispanic older adults. The current article discusses familism, which is upheld by some Hispanic older adults, and the potential for underuse of health care services. The traditional feminine role, marianismo, and masculine role, machismo, are considered, as well as implications for how decision making may be made by family members rather than the patient. Clinical implications for the provision of health care to Hispanic older adults are provided, along with the importance of considering acculturation and ethnic heterogeneity. Health care management strategies that reflect recognition and respect of familism, yet emphasize optimization of adherence and self-care, are described. Copyright 2016, SLACK Incorporated.

  15. Personal protective equipment provision in prehospital care: a national survey.

    Science.gov (United States)

    Krzanicki, D A; Porter, K M

    2009-12-01

    Safety in prehospital practice is a paramount principle. Personal protective equipment (PPE) use is intrinsic to safe practice. There is varied guidance as to what constitutes effective PPE. No evidence is available of what current provision encompasses. A questionnaire-based study directed to all ambulance trusts, British Association for Immediate Care (BASICS) schemes and air ambulance operations in England, Scotland and Wales. Total response rate was in excess of 66%. A specific protocol for PPE use was issued by 81%, 89% and 38% of ambulance trusts, air ambulance and BASICS schemes, respectively. There was a wide variation in provision of PPE both within and between different groups of providers. Fewer than 55% of providers had an evaluation system in place for reviewing PPE use. Many reasons account for the differences in provision. There is a clear need for a standard to be set nationally in conjunction with locally implemented evaluation and re-accreditation processes.

  16. Effect of humanistic caring education deliveried by hospital-school integration on the ability of humanistic care of nursing undergraduates%院-校一体化人文关怀教育对实习护生人文关怀能力的影响

    Institute of Scientific and Technical Information of China (English)

    张伟; 周英华; 郭秀君

    2012-01-01

    Objective To investigate the effects of the humanistic caring education schema deliveried by hospital-school integration ( HIS) on the humanistic care ability of nursing undergraduates. Methods A total of 60 nursing students undergoing clinical practice was equally randomized into two groups. The students in group A were given HIS humanistic caring narrative education lessons about autobiography memory, patients-related narrative and self-examination once a week for three months. The students in group B received conventional humanistic caring lecture given by hospital once a week for three months. Results The total points calculated from the nursing student s humanistic caring ability scale in group A were similar to those in group B before coaching [(127. 96 + 24. 04) points vs. (128. 05±22. 17) points] (P>0. 05). After three-month coaching, the aggregate score of the humanistic care ability of nursing in group A was higher than that in group B [(171.92+19. 69) points vs. (139.11 + 21. 71) points] (P<0. 05). So did the aggregate score of empathy[(63. 44 + 11. 07) points vs. (55. 82 + 12.11) points] (P<0. 05). Conclussion The HIS humanistic caring narrative education can effectively improve the humanistic caring ability of nursing undergraduates.%目的 探讨院-校一体化(HIS)人文关怀教育模式对实习护生关怀能力的影响.方法 60名本科护理实习学生随机均分为实验组和对照组.实验组每周采用自传体记忆、患者病痛叙事、反思等叙事教育方法进行一次HIS人文关怀辅导课.对照组每周进行一次医院组织的常规人文关怀讲座.结果 辅导前,两组学生关怀能力总分相仿[(127.96±24.04)分vs.(128.05±22.17)分](P>0.05).实习3个月后,实验组护生关怀能力和共情能力测评得分均明显高于对照组[(171.92±19.69)分vs.(139.11±21.71)分和(63.44±11.07)分vs.(55.82±12.11)分](P<0.05).结论 HIS人文关怀教育模式能有效提高实习护生人文关怀能力.

  17. 精神科护理管理中人文关怀的思考%Humanistic Care in Psychiatric Nursing Management

    Institute of Scientific and Technical Information of China (English)

    姜杨

    2014-01-01

    Psychiatric care is for patients suffering from mental disorders. Due to mental symptoms caused by a series of abnormal mental activities, patients with mental disorders could conduct attack, assault, self-injury, self-mutilation and other special behaviors, which results in the complexity and danger in psychiatric nursing. Respect and understanding patients and nurses are very important in psychiatric nursing management. Developed countries and regions demonstrate their humanistic care by improving the staff's humanistic quality and building transitions in wards, which highlight the safety, comfort and convenience for patients and staffs in medical activities, and reflect that only ensuring the safety of patients and staffs is the best embodiment of humanistic care.%精神科护理工作的对象是罹患各种精神障碍的病人,精神障碍患者由于精神症状所导致一系列心理活动异常,出现攻击伤人、自伤、自残等特殊病症,使精神科护理更具复杂性、危险性。尊重、理解患者和员工是精神科护理管理中不可忽视的重要内容。发达国家、地区精神科通过提高员工的人文素养,病房环境设计的跃迁等有形、无形服务来体现人文关怀,其理念凸显了患者与员工在医疗活动中的安全、舒适、便捷的重要性,彰显了只有确保患者与员工的安全才是精神科人文关怀的最好体现。

  18. Humanistic Psychology: How Realistic?

    Science.gov (United States)

    Riebel, Linda

    1982-01-01

    Overviews themes relating to humanistic psychology. Discusses the tendency of theorists to unconsciously externalize their own psyches. Examines the historical context of humanistic psychology. Discusses humanistic psychology's contribution to understanding the less healthy person. Provides instances of unrealistic thinking by humanistic…

  19. 人文关怀护理查房对护士关怀能力的影响%Analysis of the Influence of Humanistic Care Ability of Nurses in Nursing Rounds

    Institute of Scientific and Technical Information of China (English)

    田媛

    2015-01-01

    Objective The integration of humanistic care in nursing home, meet the physiological and psychological needs of patients, improve the quality of nursing humanistic care. Methods From 2013 January~12 months by Dr. Wahson "care" ten elements, each month to carry out humanistic nursing ward round. Results The humanistic nursing ward round to meet the physical and psychological needs of patients, harmonious nurse patient relationship. Conclusion The integration of humanistic care in nursing room, to improve the nurse's care ability of nursing and patients satisfaction.%目的将人文关怀融入到护理查房中,满足患者生理及心理需求,提高护士人文关怀素质。方法2013年1月~12月运用华生博士的"关怀十要素",每月开展人文关怀护理查房。结果人文关怀护理查房满足了患者的生理及心理需求,融洽了护患关系。结论将人文关怀融入到护理查房中,有利于提高护士的关怀能力及患者对护理工作的满意度。

  20. Humanistic care of ideological and political education in higher education%高等学校思想政治教育的人文关怀研究

    Institute of Scientific and Technical Information of China (English)

    朱德利; 洪明星

    2011-01-01

    The humanistic care of education is in essence the care of students' ideal, faith and emotions. In the new situation, strengthening the humanistic care of ideological and political education in higher education, leading the students to enhance their self - cultivation, improving their mental realm, and perfecting their personalities have been the only road to cultivate the talents of the 21st century and realize the purpose of university ideological and political education.%教育的人文关怀,实际就是关注学生的理想、信念和情感。在新形势下,加强高校思想政治教育的人文关怀,引导学生加强自身修养,提高精神境界,完善自我人格,是培养21世纪人才和实现高校思想政治教育目标的必由之路。

  1. Improving long-term care provision: towards demand-based care by means of modularity

    NARCIS (Netherlands)

    C. de Blok; K. Luijkx; B. Meijboom; J. Schols

    2010-01-01

    Background: As in most fields of health care, societal and political changes encourage suppliers of long-term care to put their clients at the center of care and service provision and become more responsive towards client needs and requirements. However, the diverse, multiple and dynamic nature of d

  2. Analysis on Humanistic Care of Nurses in Nursing Management%对护士的人文关怀在护理管理中的体现分析

    Institute of Scientific and Technical Information of China (English)

    李中朝

    2016-01-01

    目的:分析在护理管理中对护士进行人文关怀的效果。方法随机选择我院3个科室中的护士28名为研究对象,随机分成观察与对照组,对照组进行护士常规护理管理,观察组在常规护理管理基础上实施人文关怀,比较两组效果。结果观察组工作环境、团队协作、工作回报、职业生涯展望、本职工作以及总体满意度评分均高于对照组。结论在护理管理中对护士实施人文管理有助于提高护士的工作积极性以及对工作的满意度,降低护理事故发生率,保障患者得到更高质量的护理服务。%Objective To analyze to the nurse in nursing management to the effect of humanistic care. Methods Randomly selected from three departments of 28 nurse called the research object, randomly divided into observation and control group, the control group, routine nursing management group on the basis of routine nursing management implementation of humanistic care, compared two groups of results. Results The observation group working environment, teamwork, work reward, career prospects, job, and overall satisfaction score were higher than the control group. Conclusion To the nurse in nursing management implementing humanistic management is helpful to improve nurses' work motivation and job satisfaction, reduced nursing accidents and guarantee patients get higher quality of nursing service.

  3. Application experience of humanistic care in Gynecological Nursing%人文关怀在妇科护理中的应用体会

    Institute of Scientific and Technical Information of China (English)

    王娟; 张蕾

    2015-01-01

    目的:探讨在妇科患者中实施人文关怀护理的措施及效果评价,将传统护理学、现代护理学的理论与技术融为一体,加强护理人员培训工作;建立和谐的人文环境;规范职业形象及护理用语;加强语言沟通、融洽护患关系;采取优质全方位服务。从而改善护患关系。方法:应用人文关怀在妇科护理中的措施。结果:患者满意度由91.7%提高到97.5%(P<0.05)。结论:人文关怀可以满足患者安全和自尊的需要,护理人员加强了伦理道德意识,保障了患者的隐私权利,提高服务质量,减少纠纷,并体现护士的工作价值,维护了良好的护患关系。%Objective: To explore the measures and effect evaluation of humanistic care in patients with gynecology, the theory and technology of traditional nursing, modern nursing, strengthen the training of nursing staff, establish a harmonious humanistic environment, standardize the professional image and nursing language, strengthen language communication, harmonious nurse patient relationship, take quality and service. So as to improve the relationship between nurses and patients. Methods: To apply humanistic care in gynecological nursing. Results: The satisfaction rate of patients increased from 91.7% to 97.5% (P<0.05). Conclusion: Humanistic care can meet the needs of patient safety and self-esteem, nursing staff to strengthen the ethical awareness, protect the patient's privacy rights, improve service quality, reduce disputes, and reflect the value of the work, maintain a good relationship.

  4. Knowledge, attitudes and practices in the provision of nutritional care.

    LENUS (Irish Health Repository)

    Fletcher, Antoinette

    2012-02-01

    The nutritional care of patients is one of the primary responsibilities of all registered nurses (Persenius et al, 2008). A poor nutritional status can lead to malnutrition, which can have serious consequences for an individual\\'s quality of life (Field and Smith, 2008). This paper commences with an introduction to the concept of nutrition, provides an overview of nutritional guidelines and nutritional screening tools which identify those at risk of malnutrition. It reviews the literature on nurses\\' knowledge, attitudes and practices in the provision of nutritional care and debates challenges and opportunities encountered to help nurses ensure adequate patient nutrition.

  5. Palliative care provision for patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Yohannes Abebaw

    2007-04-01

    Full Text Available Abstract Chronic obstructive pulmonary disease (COPD is a major cause of disability, morbidity and mortality in old age. Patients with advanced stage COPD are most likely to be admitted three to four times per year with acute exacerbations of COPD (AECOPD which are costly to manage. The adverse events of AECOPD are associated with poor quality of life, severe physical disability, loneliness, and depression and anxiety symptoms. Currently there is a lack of palliative care provision for patients with advanced stage COPD compared with cancer patients despite having poor prognosis, intolerable dyspnoea, lower levels of self efficacy, greater disability, poor quality of life and higher levels of anxiety and depression. These symptoms affect patients' quality of life and can be a source of concern for family and carers as most patients are likely to be housebound and may be in need of continuous support and care. Evidence of palliative care provision for cancer patients indicate that it improves quality of life and reduces health care costs. The reasons why COPD patients do not receive palliative care are complex. This partly may relate to prognostic accuracy of patients' survival which poses a challenge for healthcare professionals, including general practitioners for patients with advanced stage COPD, as they are less likely to engage in end-of-life care planning in contrast with terminal disease like cancer. Furthermore there is a lack of resources which constraints for the wider availability of the palliative care programmes in the health care system. Potential barriers may include unwillingness of patients to discuss advance care planning and end-of-life care with their general practitioners, lack of time, increased workload, and fear of uncertainty of the information to provide about the prognosis of the disease and also lack of appropriate tools to guide general practitioners when to refer patients for palliative care. COPD is a chronic

  6. The application of humanistic care in the nuring of laser treatment%人文关怀在激光美容护理工作中的应用

    Institute of Scientific and Technical Information of China (English)

    李利群; 赖劲东; 杨娟; 陈仕琼; 何科锦; 黄铭洁

    2014-01-01

    Objective:To discuss the significance of humanistic care in the nursing of laser treatment.Methods:Create a comfortable environment of diagnosis and treatment.Set up the service concept.To satisfy the needs of patients.Results:The patients feeled satisifng when nuring with humanistic care in the treatmen of laser.Conclusion:It can reduce the medical disputes,also can improve the satisfaction of patients.%目的:探讨人文关怀在激光美容护理中的意义。方法:营造舒心的诊疗环境,树立服务理念,满足患者整体需要,提高患者满意度。结果:人文关怀的实施,满足了患者的需求。结论:通过对患者人文关怀的护理后,减少护患纠纷,提高了患者的满意度。

  7. 高校德育人文关怀的内涵及意义初探%The Connotation and Signiifcance of Humanistic Care in University Moral Education

    Institute of Scientific and Technical Information of China (English)

    郑利鹏; 王丽丽

    2013-01-01

    As a new education concept and manner of the moral education in colleges and universities, the humanistic care of the university moral education is the positive care of the status of students’ lives, survival and development, is the active care of students’ subjectivity, initiatives and independent practice, and is the warm care for students’ abilities to adapt, develop and create. It’s important to strengthen the humanistic care of moral education in colleges and universities, which highlights the f ine tradition of the Party’s ideological and political work. It is the inevitable trend of moral education development in the period of social transformation, and is necessary for Chinese college students' all-round development in the context of beautif ul China.%作为高校德育全新的教育理念和方式,人文关怀是对大学生生命、生存、发展现状的积极关注,是对大学生主体性、能动性、自主性实践的主动关照,是对大学生适应、发展和创新能力的热切关怀。加强高校德育的人文关怀有着重要的现实意义,不仅是党的思想政治工作优良传统的人文彰显,是社会转型期高校德育发展的必然趋势,也是美丽中国视野下大学生全面发展的应有之义。

  8. Challenges to the provision of emergency obstetric care in Iraq.

    Science.gov (United States)

    Ameh, Charles A; Bishop, Sophie; Kongnyuy, Eugene; Grady, Kate; Van den Broek, Nynke

    2011-01-01

    To assess the availability of, and challenges to the provision of emergency obstetric care in order to raise awareness and assist policy-makers and development partners in making appropriate decisions to help pregnant women in Iraq. Descriptive and exploratory study based on self-administered questionnaires, an in-depth interview and a Focus Group Discussion. The setting was 19 major hospitals in 8 out of the 18 Governorates and the participants were 31 Iraqi doctors and 1 midwife. The outcome measures were availability of emergency obstetric care (EOC) in hospitals and challenges to the provision of EOC. Only 26.3% (5/19) of hospitals had been able to provide all the 8 signal functions of comprehensive emergency obstetric care in the previous 3 months. All the 19 hospitals provided parenteral antibiotics and uterine evacuation, 94.7% (18/19) were able to provide parenteral oxytocics and perform manual removal of retained placenta, magnesium sulphate for eclampsia was available in 47.4% (9/19) of hospitals, 42.1% (8/19) provided assisted vaginal delivery, 26.5% (5/19) provided blood transfusion and 89.5% (17/19) offered Caesarean section. The identified challenges for health care providers include difficulties travelling to work due to frequent checkpoints and insecurity, high level of insecurity for patients referred or admitted to hospitals, inadequate staffing due mainly to external migration and premature deaths as a result of the war, lack of drugs, supplies and equipment (including blood for transfusion), and falling standards of training and regulation. Most women and their families do not currently have access to comprehensive emergency obstetric care. Health care providers recommend reconstruction and strengthening of all components of the Iraqi health system which may only be achieved if security returns to the country.

  9. Filipino Nurses' Spirituality and Provision of Spiritual Nursing Care.

    Science.gov (United States)

    Labrague, Leodoro J; McEnroe-Petitte, Denise M; Achaso, Romeo H; Cachero, Geifsonne S; Mohammad, Mary Rose A

    2016-12-01

    This study was to explore the perceptions of Filipino nurses' spirituality and the provision of spiritual nursing care. A descriptive, cross-sectional, and quantitative study was adopted for this study. The study was conducted in the Philippines utilizing a convenience sample of 245 nurses. Nurses' Spirituality and Delivery of Spiritual Care (NSDSC) was used as the main instrument. The items on NSDSC with higher mean scores related to nurses' perception of spirituality were Item 7, "I believe that God loves me and cares for me," and Item 8, "Prayer is an important part of my life," with mean scores of 4.87 (SD = 1.36) and 4.88 (SD = 1.34), respectively. Items on NSDSC with higher mean scores related to the practice of spiritual care were Item 26, "I usually comfort clients spiritually (e.g., reading books, prayers, music, etc.)," and Item 25, "I refer the client to his/her spiritual counselor (e.g., hospital chaplain) if needed," with mean scores of 3.16 (SD = 1.54) and 2.92 (SD = 1.59). Nurse's spirituality correlated significantly with their understanding of spiritual nursing care (r = .3376, p ≤ .05) and delivery of spiritual nursing care (r = .3980, p ≤ .05). Positive significant correlations were found between understanding of spiritual nursing care and delivery of spiritual nursing care (r = .3289, p ≤ .05). For nurses to better provide spiritual nursing care, they must care for themselves through self-awareness, self-reflection, and developing a sense of satisfaction and contentment.

  10. The application of the concept of sustainable humanistic care in ICU nursing%持续性人文关怀理念在ICU护理中的应用

    Institute of Scientific and Technical Information of China (English)

    王妍; 唐海霞; 陈小倩

    2015-01-01

    目的:探究在ICU护理中采用持续性人文关怀理念的护理效果。方法:选择在2013年10月至2015年10月期间我院收治的ICU患者90例,采用随机数字法将其分为常规组和实验组,每45例为1组,常规组给予常规护理方法,实验组在常规护理的基础上给予持续性人文关怀理念护理,将常规组和实验组的护理效果进行对比。结果:与常规组相比,实验组患者的焦虑评分明显较低,同时护理满意度明显较高,对比均P<0.05,存在统计学意义。结论:在ICU护理中采用持续性人文关怀理念护理效果较好,值得在临床护理中应用推广。%objective: to explore the ideas of adopting sustainable humanistic care in the ICU nursing effect. Methods: in October 2013 to October 2015, 90 cases of our hospital during the period of ICU patients, by using random Numbers will be divided into the normal group and experimental group, each for 1 group 45 cases, normal group was given routine nursing methods, the experimental group on the basis of conventional nursing support for humanistic care concept of nursing, the nursing effect compared to conventional group and experimental group. Results: compared with normal group, the experimental group score of anxiety in the patients with significantly lower, nursing satisfaction significantly higher at the same time, contrast all P < 0.05, there is statistical significance. Conclusion: adopting sustainable humanistic care in ICU nursing concept care effect is good, is worth application promotion in clinical nursing.

  11. Expectations of stakeholders regarding home care provision in rural Namibia.

    Science.gov (United States)

    Ndatinda lipinge, Scholastika; Botes, A C

    2002-11-01

    As in many countries, the disease pattern in Namibia has changed, health problems are increasing and outweigh the capacity of the existing health resources. Government health facilities in Namibia have limited capacity to accommodate all sick people, especially those who are chronically and terminally ill. Many hospitals in rural Namibia are overcrowded, patients sleep on the floors and, in some cases, children share beds. Morbidities relating particularly to AIDS, chronic conditions and other physical and emotional disabilities are likely to require long-term home care. In most instances, the health system is also not prepared to provide home care, nor provide the support that is required by the caregivers of disabled, chronically sick people. To ease the burden of care felt by the state at health facilities, the Ministry of Health and Social Services in Namibia has, on several occasions, called upon the community and other stakeholders in health care to assist in caring for their loved ones at home (NBC, 1996; MOHSS, 1996). The purpose of the study was to develop and describe a model for capacity building for quality home care in rural Namibia. This article focuses on the first phase of the bigger study, namely the expectations of stakeholders regarding home care provision in rural Namibia. A qualitative, exploratory and descriptive case study design was used. Five cases were purposively selected and thirty stakeholders were interviewed. Data were analysed using a combination of the approaches of Tesch and Morse and Field. To ensure trustworthiness, triangulation and other measures of Lincoln and Guba were used. The expectations were categorised into structures, process and outcome-related expectations. Stakeholders in rural Namibia appear to have dependency tendencies and still expect all resources and services to be provided by someone else, be it the government, the church, the headman and/or any other non-governmental agencies. There is a need empowerment and

  12. Features of nursing care provision for dependent people

    Directory of Open Access Journals (Sweden)

    Begoña López López

    2012-01-01

    Full Text Available Objective: To know the features of care home provision to dependent people . Method: A descriptive cross- sectional study about caregivers of immobilized patients with severe or total dependence over the year 2.009 at San Pablo Health Center in Seville. The statistical analysis was performed through telephone interviews or personal questionnaires. Results: A total of 152 caregivers were included, whose mean age was 62 years (S:12,8, 71.1% (108 were women. 69% (105 were full-time carers, 72.4% (110 received aid, being this in a 78.2% (86 unpaid family help. 87.5% (132 of carers claimed help from social services: 69.2% (92 chose economy benefits, 25,6% (34 domestic help service and 3,8% (5 Day Care Units. Conclusions: The profile of caregivers is 60 years old, female, uneducated or with primary education. The full-time care is a majority in our environment. We can see the increase incorporation of men to family cares, usually carried out by women. Financial aid is the most requested one by the caregivers, but more than a half do not use this financial aid in the family care.

  13. Research on the Lack of Humanistic Care of University Ideological and Political Education and Countermeasures%高校思想政治教育人文关怀缺失与对策研究

    Institute of Scientific and Technical Information of China (English)

    孟超

    2015-01-01

    Strengthening humanistic care is a very effective method of improving university students’ ideological and political educa-tion. Prioritizing humanistic care and psychological counseling in the university ideological and political education contributes to cultiva-ting students’ self-confidence,self-esteem,and positive attitude,thus solving the lack of humanistic care and permeating humanistic care throughout the university concept. We should stick to people-oriented concept and combine students’ personality with moral educa-tion.%加强人文关怀是一种非常有效的提高大学生思想政治教育工作的手段,在高校思想政治教育工作中把人文关怀和心理疏导放在首位,有利于培养学生自信自尊、积极向上的心态,从而解决缺失人文关怀的问题,使人文关怀在整个高校的理念中进行贯穿,坚持以人为本的理念,将学生个性与德育相统一。

  14. 人文关怀在恶性肿瘤护理中的应用效果分析%The Analysis of Application Effect of Humanistic Care in Nursing Care of Patients with Malignant Tumor

    Institute of Scientific and Technical Information of China (English)

    王群如; 陈小平

    2013-01-01

      目的:探讨人文关怀对恶性肿瘤患者护理质量的影响。方法:选取笔者所在科室2010年10月-2012年6月的恶性肿瘤患者236例作为研究对象,分为对照组和研究组,各118例,分别行常规护理及人性化护理,并对两组效果进行评价、对比。结果:在患者的焦虑、恐惧程度,对治疗的配合程度,护理的满意度方面研究组均明显优于对照组。结论:对恶性肿瘤患者进行人文关怀可有效减轻患者焦虑、恐惧情绪,提高患者满意度,提高疗效,提高护理质量。%Objective:To investigate the effect of humanistic care on the quality of care of patients with malignant tumor.Methods:236 patients with malignant tumors as research subjects,from October 2010 to June 2012,divided them into the control and study group,each one with 118 cases,respectively conduct routine care and humanistic car,evaluate and compare results of the two groups.Results:For the patient’s anxiety and fear,the coordination to reatment and satisfaction with care,the study group were significantly better than the control group.Conclusion:Humanistic care can effectively reduce anxiety and fears, improve satisfaction of patients with malignant tumors,and can improve efficacy of treatment,improve the quality of care.

  15. The Humanist Moment

    Science.gov (United States)

    Higgins, Chris

    2014-01-01

    In "The Humanist Moment," Chris Higgins sets out to recover a tenable, living humanism, rejecting both the version vilified by the anti-humanists and the one sentimentalized by the reactionary nostalgists. Rescuing humanism from such polemics is only the first step, as we find at least nine rival, contemporary definitions of humanism.…

  16. Informed consent, dementia and oral health care provision.

    Science.gov (United States)

    Ting, Graeme

    2012-04-01

    Managing patients with dementia requires a practitioner to exercise diverse skills. Communicating with the patient (as their dementia allows), relatives, caregivers and medical personnel are essential elements in the care process. Diagnosis of oral health problems may not be straightforward, clinical examination and treatment planning may be hampered by poor cooperation from the person with dementia. Practitioners must view any treatment from the patient's perspective and balance this with the requirements for sound clinical care. The consent process must be approached in a manner that fulfils the ethical responsibilities that acknowledge patient rights. This can be difficult when managing a patient with dementia. This paper will explore issues surrounding the consent process and the provision of oral health care to people suffering from dementia. It is hoped that readers will be stimulated to review their practice; especially related to informed consent, whether they routinely manage patients with dementia or not. Such practice evaluation should consider the wants and needs of patients and families on a broader than clinical basis and thus enhance the care that is brought to this group of interesting and often challenging patients.

  17. Care provision expectations of remote adult children of ageing parents.

    Science.gov (United States)

    Veil, Klaus D; Soar, Jeffrey; Su, Ying

    2013-01-01

    The expectations of adult children about their elderly parents regarding their care provision was surveyed. We found that the needs and expectations regarding their elderly parents included better information on entitlements of their parents, how to access relevant aged care services, the challenges of remotely dealing with dementia and depression of their parents, accessing medical and non-medical services and access to respite care. The aim was to identify needs that ICTs could potential to assist with. While the majority of respondents (67.2%) stated that they were satisfied or very satisfied with the frequency of contact with their elderly parent(s), they also cited logistical/transport difficulties, lack of time and stress as potential barriers in being in regular contact with their parents. The responses also indicated a high level of interest in a service that could act as a case manager to assist the adult child in discharging their responsibilities, manage access to services and to monitor the well-being of the parent. There is a need for further research to explore how this might be accomplished, whether such a service was viable and what funding models could be applied.

  18. Conscientious objection to provision of legal abortion care.

    Science.gov (United States)

    Johnson, Brooke R; Kismödi, Eszter; Dragoman, Monica V; Temmerman, Marleen

    2013-12-01

    Despite advances in scientific evidence, technologies, and human rights rationale for providing safe abortion, a broad range of cultural, regulatory, and health system barriers that deter access to abortion continues to exist in many countries. When conscientious objection to provision of abortion becomes one of these barriers, it can create risks to women's health and the enjoyment of their human rights. To eliminate this barrier, states should implement regulations for healthcare providers on how to invoke conscientious objection without jeopardizing women's access to safe, legal abortion services, especially with regard to timely referral for care and in emergency cases when referral is not possible. In addition, states should take all necessary measures to ensure that all women and adolescents have the means to prevent unintended pregnancies and to obtain safe abortion.

  19. Improving long-term care provision: towards demand-based care by means of modularity

    Directory of Open Access Journals (Sweden)

    Meijboom Bert

    2010-09-01

    Full Text Available Abstract Background As in most fields of health care, societal and political changes encourage suppliers of long-term care to put their clients at the center of care and service provision and become more responsive towards client needs and requirements. However, the diverse, multiple and dynamic nature of demand for long-term care complicates the movement towards demand-based care provision. This paper aims to advance long-term care practice and, to that end, examines the application of modularity. This concept is recognized in a wide range of product and service settings for its ability to design demand-based products and processes. Methods Starting from the basic dimensions of modularity, we use qualitative research to explore the use and application of modularity principles in the current working practices and processes of four organizations in the field of long-term care for the elderly. In-depth semi-structured interviews were conducted with 38 key informants and triangulated with document research and observation. Data was analyzed thematically by means of coding and subsequent exploration of patterns. Data analysis was facilitated by qualitative analysis software. Results Our data suggest that a modular setup of supply is employed in the arrangement of care and service supply and assists providers of long-term care in providing their clients with choice options and variation. In addition, modularization of the needs assessment and package specification process allows the case organizations to manage client involvement but still provide customized packages of care and services. Conclusion The adequate setup of an organization's supply and its specification phase activities are indispensible for long-term care providers who aim to do better in terms of quality and efficiency. Moreover, long-term care providers could benefit from joint provision of care and services by means of modular working teams. Based upon our findings, we are able to

  20. Improving long-term care provision: towards demand-based care by means of modularity

    Science.gov (United States)

    2010-01-01

    Background As in most fields of health care, societal and political changes encourage suppliers of long-term care to put their clients at the center of care and service provision and become more responsive towards client needs and requirements. However, the diverse, multiple and dynamic nature of demand for long-term care complicates the movement towards demand-based care provision. This paper aims to advance long-term care practice and, to that end, examines the application of modularity. This concept is recognized in a wide range of product and service settings for its ability to design demand-based products and processes. Methods Starting from the basic dimensions of modularity, we use qualitative research to explore the use and application of modularity principles in the current working practices and processes of four organizations in the field of long-term care for the elderly. In-depth semi-structured interviews were conducted with 38 key informants and triangulated with document research and observation. Data was analyzed thematically by means of coding and subsequent exploration of patterns. Data analysis was facilitated by qualitative analysis software. Results Our data suggest that a modular setup of supply is employed in the arrangement of care and service supply and assists providers of long-term care in providing their clients with choice options and variation. In addition, modularization of the needs assessment and package specification process allows the case organizations to manage client involvement but still provide customized packages of care and services. Conclusion The adequate setup of an organization's supply and its specification phase activities are indispensible for long-term care providers who aim to do better in terms of quality and efficiency. Moreover, long-term care providers could benefit from joint provision of care and services by means of modular working teams. Based upon our findings, we are able to elaborate on how to further

  1. Hamlet the Humanist

    Institute of Scientific and Technical Information of China (English)

    刘恒

    2014-01-01

    William Shakespeare has left us the remarkable tragedy Hamlet, a typical novel in which the readers are deeply im-pressed by Hamlet, a special hero of his kind and also a humanist in the Renaissance Period.

  2. 简论大学生思想政治教育中的人文关怀和心理疏导%A Discussion on Humanistic Care and Psychological Counseling in Ideological and Political Education for University Students

    Institute of Scientific and Technical Information of China (English)

    姚念龙; 刘颖

    2014-01-01

    As essential parts of college ideological and political education ,humanistic care and psycho-logical counseling mean to care and guide students ’ emotion ,ideology and spiritual life .Humanistic care and psychological counseling put forward higher requirements for the college students ’ ideological and political education by refreshing its objectives ,motivate the students’ subjectivity in the education and hence set new criteria for educators .Currently ,there are three problems in the ideological and po-litical education .First ,humanistic care and psychological counseling have not caught enough attention and there exist some conceptual misunderstandings ;second ,the teaching method is relatively monotonous and outdated ;third ,humanistic quality of the educators in ideological and political educa-tion should be improved .This article proposes three measures to effectively implement humanistic car-ing and psychological counseling ,namely ,developing a student_centered education ,optimizing educa-tion system concerning humanistic care and psychological counseling ,and enhancing educators’ hu-mane quality .%人文关怀和心理疏导,是对人的情感、思想、精神生活方面的关注和引导。人文关怀和心理疏导在高校大学生思想政治教育中占据重要地位:人文关怀和心理疏导对大学生思想政治教育提出了更高的目标要求,充实了新的内容,激发了思想政治教育中大学生的主体性,对教育者提出了新要求。当前,人文关怀与心理疏导在大学生思想政治教育工作中缺失的主要表现为:教育理念上存在误区,教育方法相对单一、落后,思想政治教育工作者的人文素质有待提升。加强大学生思想政治教育中人文关怀和心理疏导需要有效路径:树立以学生为本的教育理念,健全人文关怀和心理疏导工作体系,提高教育工作者的人文素养。

  3. Application of Humanistic Care Details in the Drug Safety in Elderly Patients%人性化细节护理在老年患者服药安全中的应用

    Institute of Scientific and Technical Information of China (English)

    马建英; 杨海燕; 赵梁燕; 余善招

    2012-01-01

    This paper discussed the application of humanistic care details in the elderly patients'taking drugs safely. Thinking that popularizing humanistic care knowledge, strengthening the universal moral and ethical nursing education, expanding nursing elderly care professional knowledge, paying attention to the details of the medicine nursing, will help to promote the nursing staffs'humanistic care service consciousness, promote the degree of satisfaction of patient and family, and improve the service quality of the elderly care.%探讨人性化细节护理在老年患者服药安全中的应用,认为普及人性化护理知识、加强护士职业道德与伦理教育、不断拓宽护理人员的老年护理专业知识、注重细节的服药护理等措施有利于促进护理人员增强人性化护理的服务意识,提升患者及家属的满意度,提升老年护理的服务质量.

  4. 园长,请给幼儿教师多一点人文关怀%Principal, please Give Preschool Teachers more Humanistic Care

    Institute of Scientific and Technical Information of China (English)

    黄彭奇子; 张卫民

    2012-01-01

    At the moment,the preschool teacher is carrying heavy workload,life burden and physical and mental burden.The principal in the attention of the children healthy growth at the same time,more should give "to care for children as own duty" preschool teachers more humanistic care,to alleviate the burden on preschool teachers:the principal for preschool teachers reasonable arrangement of the workload;For early childhood teachers hold colorful campus outside activities;For preschool teacher regular physical examination and psychological knowledge lecture,etc.%当下,幼儿教师承载着沉重的工作负担、生活负担和身心负担。园长们在关注幼儿健康成长的同时,更应该给"对关怀孩子为己任"的幼儿教师多一点人文关怀,为幼儿教师减负:园长要为幼儿教师合理安排工作量;为幼儿教师举办丰富多彩的园内外活动;为幼儿教师定期进行身体检查和心理知识讲座等。

  5. 人文关怀结合姑息护理在晚期癌症患者中的应用研究%The Applsed Research of Humanistic Care Combined with Palliative Care in Patients with Advanced Cancer

    Institute of Scientific and Technical Information of China (English)

    夏友

    2016-01-01

    Objective To explore and analyze humanistic care combined with palliative care in patients with advanced cancer. Methods 60 cases of patients with advanced cancer were selected from our hospital as the object of study, and divided into two groups randomly, observation group and control group, 30 in each group. Observation group was given humanistic care combined with palliative care, control group used palliative care treatment program. The clinical efficacy of two groups were observed and analyzed. Results Unamfortable reaction such as pain, anxiety, depression, loss of appetite in observation group were higher than control group, and nursing work satisfaction in this group was higher than control group (P<0.05), statistically significant. Conclusion In the course of treatment for patients with advanced cancer, humanistic care combined with palliative care treatment program is significantly better than any treatment programs without palliortive care.%目的:探究与分析人文关怀结合姑息护理在晚期癌症患者中的应用研究。方法选取我院收治的60例晚期癌症患者为研究对象,随机分为观察组和对照组,每组各30例。观察组采用人文关怀结合姑息护理的治疗方案;对照组采用常规护理方式。观察并分析两组患者经不同方案治疗后的临床疗效。结果观察组患者在癌症中的不适反应如疼痛、焦虑、抑郁、食欲不振等较对照组患者少,并且对本组护理工作的满意度较对照组高(P<0.05),具有统计学意义。结论在对晚期癌症患者的治疗过程中,人文关怀结合姑息护理治疗方案较不采用任何关怀的方案效果更加显著,不仅能够大大减轻癌症带来的痛苦,还能改善患者生活质量与心理状况,因此在临床上具有一定的积极意义。

  6. Analysis on Connotation of Humanistic Care of Minority College Students ’ Moral and Political Education%少数民族大学生思想政治教育人文关怀的内涵探析

    Institute of Scientific and Technical Information of China (English)

    邢雅楠

    2015-01-01

    少数民族大学生思想政治教育人文关怀,既有利于少数民族大学生自我发展,又有利于社会的稳定和民族的团结。本文在人文关怀内涵、思想政治教育与人文关怀的内在联系、少数民族大学生思想政治教育人文关怀的内涵界定这三个方面,做了相关探析。%Showing humanistic care in minority college students ’ moral and political education is not only ad-vantageous to the minority college students’ self development ,but also to social stability and national unity .A corre-lation analysis is made among the connotation of humanities care ,the internal relations between humanistic care and moral and political education and the definition of humanistic care in minority college students ’ moral and political e-ducation .

  7. 无陪护病房护士人文关怀能力现状调查分析%Survey on humanistic caring ability of nurses working in only-nurse-attending wards

    Institute of Scientific and Technical Information of China (English)

    褚梁梁; 许翠萍; 杨雪莹; 葛洪霞; 刘凯

    2011-01-01

    Objective To comprehend humanistic caring ability of nurses working in only-nurse-attending wards, to analyze the factors influencing the humanistic caring ability of them,and to provide basis to improve their humanistic caring ability. Methods A total of 288 nurses working in only-nurse-attending wards and 304 nurses working in general wards from 6 topnotch hospitals in Shandong province were recruited to fill out nursing humanistic caring ability questionnaire designed by researchers themselves. Results There was no statistical difference in humanistic caring ability between nurses working in general wards and those working in only-nurse-attending wards (P>0. 05). For nurses working in only-nurse-attending wards, levels of humanistic caring ability had significant disparities among those with varied professional titles or those with different hiring forms (P<0. 05.P<0. 01). Conclusion The humanistic caring ability of nurses working in only-nurse-attending wards needs further improvement. Measures should be taken to upgrade the level of humanistic caring ability of them. Nurses with higher professional titles and higher educational levels should have their advantages expressed at work.%目的 了解无陪护病房护士的临床护理人文关怀能力,分析影响无陪护病房护士临床护理人文关怀能力的因素,为提高无陪护病房护士的人文关怀能力提供依据。方法抽取山东省6所三级综合性医院的无陪护病房288名护士与普通病房304名护士为研究对象,采用自制临床护理人文关怀能力量表进行问卷调查。结果无陪护病房与普通病房护士的人文关怀能力得分比较,差异无统计学意义(P>0.05)。无陪护病房不同职称、聘用形式护士的人文关怀能力比较,差异有统计学意义(P<0. 05,P<0.01)。结论无陪护病房护士的人文关怀能力仍有待提高,应采取措施提高护士的人文关怀能力,并体现其职称、学历优势。

  8. Application of humanistic care health education in patients with subarachnoid hemorrhage%人文关怀式健康教育在蛛网膜下腔出血患者中的运用

    Institute of Scientific and Technical Information of China (English)

    董文菊; 任华蓉; 段柯旭; 李开芬

    2011-01-01

    Objective: To investigate the efficacy of humanistic care health education in patients suffered from subarachnoid hemorrhage, reduce the recurrence rate, fatality rate, disabled rate and improve the life quality as well.Methods:106 cases of subarachnoid hemorrhage in May 2008-July 2010 were canied out humanistic care health education and the nursing effect was observed Result 104 cases (98.11%) avoided rehemorrhage caused by nevous, physical activity, defecation,etc.2 cases discharged from hospital automatically because of the severe hemorrhage.105 cases (99.06%) were satisfied with humanistic care health education.Conclusion: Humanistic care health education can reduce the recurrence rate, fatality rate, disabled rate, and decrease the rehemorrhage rate.%目的:探讨人文关怀式健康教育在蛛网膜下腔出血患者治疗中的运用,以降低蛛网膜下腔出血的再发率,减少致死、致残率,提高其生活质量.方法:对2008年5月~2010年7月收治的106例蛛网膜下腔出血患者进行人文关怀式护理,观察其护理效果.结果:104例(98.11%)的患者在住院期间未因为情绪紧张、活动、排便用力等引起再出血,2例患者因为出血量大自动出院,105例(99.06%)的患者对护理服务满意.结论:人文关怀式健康教育能减少蛛网膜下腔出血患者的致死、致残率,能有效降低再出血的发生.

  9. Research on Humanistic Care of Psychological Health Education in Higher Vocational Colleges%高职院校心理健康教育的人文关怀研究

    Institute of Scientific and Technical Information of China (English)

    王天云

    2012-01-01

    At present,psychological health education in higher vocational colleges have the tendency of the technology principle,utilitarianism and the formalism,so we must pour into the element of "humanistic care" and give the students more humanistic care.In order to achieve the goal of the ultimate humanistic care fostering of psychological quality and comprehensive development,psychological health education in higher vocational colleges should focus on "life education","happy education" and "profession education".%目前高职院校心理健康教育存在技术主义、功利主义和形式主义的倾向,亟须注入"人文关怀"的时代元素,给予学生更多的人文关怀式的"底色"。为实现学生心理品质的养成和自由全面的发展这一终极人文关怀,高职院校的心理健康教育应着眼于"生命教育""幸福教育"和"职业生涯教育"的探讨。

  10. Reflections on Countermeasures of Enhancing Humanistic Care and Psychological Counseling in College Ideological and Political Education%加强高校思想政治教育人文关怀和心理疏导的对策思考

    Institute of Scientific and Technical Information of China (English)

    王朝晖

    2013-01-01

      注重人文关怀和心理疏导,是新时期加强和改进高校思想政治教育的必然要求。积极探索高校思想政治教育人文关怀与心理疏导的对策,是高校思想政治教育的重要使命。就高校人文关怀与心理疏导的途径来说,我们必须探索人文关怀与心理疏导的创新,在教育的观念、教育的方法以及管理模式等方面下工夫,开展高校思想政治教育的新局面。%Laying emphasis on humanistic care and psychological counseling is the inevitable demand of enhancing and improving college ideological and political education in the new period. To actively explore the countermeasures of humanistic care and psy-chological counseling is an important mission of college ideologi-cal and political education. We should explore the innovation of humanistic care and psychological counseling, and make efforts to improve education ideas, methods and management modes, so as to open a new situation of college ideological and political ed-ucation.

  11. 高校保健工作中的人文关怀%Humanistic Care of Health Service in Colleges and Universities

    Institute of Scientific and Technical Information of China (English)

    刘武晶

    2014-01-01

    随着人们文化生活水平的提高、健康观念的转变以及病人维权意识的增强,医患矛盾不断出现。高校保健工作也存在同样的问题,为了赢得师生的信任,我们应以人文关怀为基础,转变服务模式,改变服务态度,营造和谐医疗氛围,从而建立良好的医患关系。良好的医患关系有助于疾病的治疗和康复。%Along with the change of people’s cultural life level and health concept ,and with patient rights consciousness enhancement ,the doctor-patient conflict appears constantly .In order to win the trust of the teachers and students ,all we do should be based on the human-istic care ,and we should change service pattern ,change the service attitude ,build a harmonious medical atmosphere so as to establish a good doctor-patient relationship .Good doctor-patient relationship is helpful to the treatment and rehabilitation .

  12. Relationships between scores on the Jefferson Scale of physician empathy, patient perceptions of physician empathy, and humanistic approaches to patient care: a validity study.

    Science.gov (United States)

    Glaser, Karen M; Markham, Fred W; Adler, Herbert M; McManus, Patrick R; Hojat, Mohammadreza

    2007-07-01

    Empathy is the backbone of a positive physician-patient relationship. Physician empathy and the patient's awareness of the physician's empathic concern can lead to a more positive clinical outcome. The Jefferson Scale of Physician Empathy (JSPE) was completed by 36 physicians in the Family Medicine residency program at Thomas Jefferson University Hospital, and 90 patients evaluated these physicians by completing the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and a survey about physicians' humanistic approaches to patient care. A statistically significant correlation was found between scores of the JSPE and JSPPPE (r=0.48, p<0.05). Significant correlations were also obtained between scores of the JSPE and patients' assessments that their physician was concerned about their feelings (r=0.55, p<0.01), and that the physician took their wishes into account in making treatment decisions (r=0.48, p<0.05). A negative correlation was observed between scores of the JSPE and patient's perception that their physician was in hurry (r=-0.50, p<0.01). These findings provide further support for the validity of the JSPE. Implications for the assessments of empathy in the physician-patient relationship as related to clinical outcomes are discussed.

  13. The Humanist Philosophy in Perspective.

    Science.gov (United States)

    Edwords, Frederick

    1984-01-01

    Humanist principles stress the importance of the individual, of scientific methodology, and of human needs. The basic principles of humanist beliefs concerning the world and the position of human beings in natural and social worlds are reviewed. (IS)

  14. Humanist ideology and nurse education. I. Humanist educational theory.

    Science.gov (United States)

    Purdy, M

    1997-06-01

    Nurse education is dominated by the humanist perspective and the educational theory that it generates. Following a brief description of the perspective's phenomenological foundations and definition of humanist ideology, humanist educational theory is illustrated in an outline of the key contributions of John Dewey, Carl Rogers, Malcolm Knowles and Paulo Freire. The article concludes by noting Freire's sociological challenge to the individualism of the humanist perspective. This challenge recognizes the ideological and social control role of education in securing the reproduction of power relations and leads to questioning the function of individualism and the interests that humanist ideology may serve.

  15. Study on Humanistic Nursing Care before Anesthesia%手术麻醉前人性化护理的研究

    Institute of Scientific and Technical Information of China (English)

    王丙红; 于艳杰; 张艳红

    2013-01-01

    Objective:To investigate the effect for humane care before anesthesia in improving the physiological and psychological health, as well as satisfaction in postoperative patients. Methods:All 1078 patients before anesthesia were divided into two groups, namely humane care group with 532 cases and general nursing group with 546 cases, given humane care and routine care separately. Results:Incidence rate and intensity of pain, infection, anxiety in humane care group were largely lower than those of general nursing group, and this difference was statistically significant (P<0.05).Conclusion:Humane care before anesthesia can improve the physiological and psychological health, as well as satisfaction in postoperative patient and it’s superior to conventional general nursing.%  目的:研究手术麻醉前人性化护理对患者术后生理心理健康、服务满意程度的作用。方法:选取1078例手术前病人,随机分为人性化护理组532例,普通护理组546例,分别给予人性化护理与常规护理,次日随访,并比较分析两组术后疼痛度等情况的区别。结果:人性化护理组的术后患者的疼痛等状况均比普通护理组较好,且差别具有统计学显著性(P<0.05)。结论:人性化护理有助于患者术后健康,显著优于普通护理方式。

  16. A Critical Humanist Curriculum

    Science.gov (United States)

    Magill, Kevin; Rodriguez, Arturo

    2015-01-01

    This essay is a critical humanist discussion of curriculum; a departure from the technicist view of education [education meant to support a global capitalist economy] and an analysis of curriculum considering critical humanism, political economy and critical race theory among other modes of critical analysis and inquiry. Our discussion supports a…

  17. Is Psychodiagnostic Assessment Humanistic?

    Science.gov (United States)

    Sugarman, Alan

    1978-01-01

    Humanistic psychologists tend to describe psychodiagnostic assessment as nonhumanistic. They argue that assessment is reductionistic and artificial, ignores the examiner-patient relationship, judges people, and is overly intellectual. These concerns are then addressed from a pro-assessment perspective. (EVH)

  18. William Shakespeare--Humanist

    Institute of Scientific and Technical Information of China (English)

    代丽娟

    2015-01-01

    Absract:Shakespeare is one of the greatest writers in the Renaissance period. His works are full of human characters and relationships.The purpose of this study is to research humanism in Shakespeare’s works in order to certify he is a Renaissance humanist.

  19. Oral Health Care Reform in Finland – aiming to reduce inequity in care provision

    Directory of Open Access Journals (Sweden)

    Widström Eeva

    2008-01-01

    increased by 21% during the study period. Private patients who had previously not been entitled to reimbursements seemed to gain most from the reform. Conclusion The results of this study indicate that implementation of a substantial reform, that changes the traditionally defined tasks of the public and private sectors in an established oral health care provision system, proceeds slowly, is expensive and probably requires more stringent steering than was the case in Finland 2001 – 2004. However, the equity and fairness of the oral health care provision system improved and access to services and cost-sharing improved slightly.

  20. 低年资护士人文关怀品质对核心能力的影响研究%Effects of humanistic care quality of low seniority nurses on core competence

    Institute of Scientific and Technical Information of China (English)

    徐海红; 边亚滨; 邱敏莲; 杨华珠; 朱燕; 王永平

    2016-01-01

    目的:探讨低年资护士人文关怀品质与护士核心能力之间的相关性。方法采用一般情况调查量表、护士人文关怀品质量表、护士核心能力量表对262名工作年限≤3年的注册护士进行调查。结果262名护士人文关怀品质总分为(110.41±11.11)分,护士核心能力总分为(149.16±31.08)分,两者总分及各维度之间呈正相关(r =0.122~0.393,P <0.05)。结论护士人文关怀品质与护士核心能力具有相关性。医院管理者在强化低年资护士人文关怀品质的培训中,应统一设置关怀教育课程,明确关怀实践与管理标准,提高护士整体人文关怀水平,不断培养和发展护士核心能力,促进护理工作的整体水平提升。%Objective To discuss the correlation between the nurse′s humanistic care quality and the core competence of the low seniority nurses.Methods A total of 262 low seniority (work ≤3 years)registered nurses were selected from our hospital and completed the general information scale,nurse′s humanistic care quality scale and nurse′s core competence scale.Results The total score of humanistic caring quality of nurses was (1 1 0.41 ±1 1 .1 1 ).The total score of nurse′s core ability was (1 49.1 6 ±31 .08).Their total score and attributes were in the positive correlation (r =0.1 22-0.393,P <0.05).Conclusions Nurse′s humanistic care quality has the obvious correlation with the nurse′s core competence.When the hospital managers build up the humanistic care quality in the low seniority of nurses,it should carry on the care education,clear the care practicing and the standard of manage,improve the total level of the nurse′s humanistic care quality,training and develop the nurse′s core competence constantly in order to promote the total level nursing work.

  1. Correlations between occupational burnout and humanistic care ability of the nurses in our hospital%我院护士职业倦怠与人文关怀能力现状及其相关性

    Institute of Scientific and Technical Information of China (English)

    黄艳; 芦雅琳; 赵莺柳; 吴赛芬; 黄女玲

    2015-01-01

    目的:了解我院护士职业倦怠与人文关怀能力现状,并探讨两者的相关性。方法采用护士职业倦怠量表(nursing burnout scale,NBS)简化量表及关怀能力量表(caring ability inventory,CAI)对我院542名护士进行调查。结果我院护士职业倦怠总得分96~214分,平均(155.04±17.01)分,其中45.20%处于轻中度倦怠,28.60%处于重度倦怠;护士人文关怀能力总得分94~253分,平均(178.14±23.66)分,其中46.31%人文关怀能力处于中等水平,25.46%处于较低水平。护士职业倦怠与人文关怀能力总分及其认知、勇气和耐心3个维度均呈负相关(P<0.01)。结论护理管理者应合理安排护理人力资源和建立合理培训方式减少护理工作压力源以降低护士职业倦怠;完善护士人文关怀教育以提高护士人文关怀能力。%Objective To study current situations of occupational burnout and humanistic care ability of the nurses in our hospital and explore the relationship between them. Method Nursing burnout scale (NBS) and caring ability inventory(CAI) were adopted in the investigation among 542 nurses in our hospital. Results The total score on the nursing burnout of the nurses of my hospital was 96 to 214, with an average of (155.04 ± 17.01). The burnout among 245 of them (45.20%) was in mild to moderate degree and that among 155 of them (28.60%) in a severe level. The score on humanistic care ability was 94 to 253 with an average of (178.14 ± 23.66). The ability among 46.31%of them was at a middle level and that among 25.46%of them at a low level. The occupational burnout of the nurses was negatively correlated with their humanistic care ability as well as with its three dimensions of cognition, courage and patience (P<0.01). Conclusions The occupational burnout can be alleviated by reducing the pressure in their caregiving practice. Their humanistic care ability can be

  2. The intersection of culture in the provision of dementia care: A systematic review.

    Science.gov (United States)

    Brooke, Joanne; Cronin, Camille; Stiell, Marlon; Ojo, Omorogieva

    2017-08-09

    To understand the intersection of healthcare professionals' and care workers' culture and their provision of person-centred care for people with dementia. Due to the nature of global immigration and recruitment strategies, healthcare is provided by a culturally diverse workforce. Consequently, there is a need to understand healthcare professionals' and care workers' cultural values of illness, disease and dementia. Cultural values and beliefs regarding dementia and care of the older person differ, and currently there is a lack of clarity regarding the intersection of culture in the provision of person-centred dementia care. A search of the following databases was completed: Medline, CINAHL, Psychology and Behavioural Sciences, PsycINFO and PubMed for papers published from 1(st) January 2006 to 31(st) July 2016. A total of seven qualitative studies met the inclusion and exclusion criteria, all explored the impact of healthcare professionals' and care workers' culture in relation to their provision of person-centred dementia care. A meta-synthesis of the data from these studies identified four themes: cultural perceptions of dementia, illness and older people, impact of cultural perceptions on service use, acculturation of the workforce, and cross cultural communication. Limited evidence was found on the impact of healthcare professionals' and care workers' culture on their provision of person-centred dementia care. The intersection of culture and dementia included the understanding of dementia, care and family roles. Acculturation of migrant healthcare workers to the culture of the host country, workplace, and support with the communication was identified as necessary for the provision of person-centred dementia care. Open access education and training to support communication is required, alongside the development of robust interventions to support the process of acculturation of migrant healthcare professionals and care workers to provide culturally competent

  3. Interprofessional student teams augmenting service provision in residential aged care.

    Science.gov (United States)

    Kent, Fiona; Lai, Francis; Beovich, Bronwyn; Dodic, Miodrag

    2016-09-01

    The aim of this study was to determine the usefulness of student-led interprofessional consultations within residential aged care in augmenting patient care and enhancing student education. Volunteer fourth and final year health-care students conducted interprofessional consultations. In a mixed methods design, residents' health-care changes and perspectives were collected prospectively, and student and educator perceptions were measured by survey and interview. Sixteen aged care residents were consulted by interprofessional teams. Students identified two new health issues and proposed 17 recommendations for referrals and five changes to medication management. At six-weeks follow-up, two recommendations had been acted upon clinically, and two medication changes had been implemented. Reasons for the low uptake of recommendations were determined. Residents, students and educators reported high levels of satisfaction. Residential care facilities offer a useful interprofessional learning environment. Student consultations are positively regarded by patients, students and educators and may augment existing health services. © 2016 AJA Inc.

  4. The human dimension of modular care provision: opportunities for personalization and customization.

    NARCIS (Netherlands)

    Blok, C. de; Meijboom, B.; Luijkx, K.; Schols, J.

    2013-01-01

    Various behavioral issues are at stake in the health care sector, for example, the current strong plea for more demand-based care provision as opposed to traditional supply-driven approaches. Healthcare organizations are increasingly in need of systems and approaches that allow them to be more respo

  5. 对少数民族地区患者围麻醉期的人文关怀%The Humanistic Care for Ethnic Minority Patients in Perianesthesia in Remote Regions

    Institute of Scientific and Technical Information of China (English)

    陈美华; 马莉萍; 胡朝林

    2013-01-01

    The specific historical background,natural and social environment greatly influenced the ethnic minority in remote regions make the perianethesia management complicate.In order to give individualized humanistic care to ethnic minority patients,further guarantee patients' lives during perianesthesia,and give more respect for their dignity and rights,the anesthetists are required to foster the concept of humanistic care,break through the language barrier,handle the conflict between folk custom and medical treatment appropriately and make clinical decision on anesthesia way properly.Ultimatly let the humanistic care be embodied in every subtle aspects of clinical pracitce.%受历史及环境因素的影响,加之宗教信仰不同和文化差异,对偏远地区少数民族群众进行围麻醉期的管理和诊疗相对复杂.对偏远地区少数民族患者实施个体化的人文关怀,进一步保障了患者围麻醉期的生命安全,同时也使其人格和人权得到了更好的尊重.这就要求麻醉医师树立人文关怀理念,突破语言沟通障碍,妥善处理民俗文化与医疗救治之间的冲突,并做好麻醉方式的临床决策,最终将人文关怀体现到临床工作中的每一个细微之处.

  6. The application of humanistic care during physical examination in 2 - grade peace - keeping hospitals%人性化护理在维和二级医院健康体检中的应用

    Institute of Scientific and Technical Information of China (English)

    姜伟娜; 李慧莉

    2011-01-01

    目的 探讨人性化护理在维和二级医院健康体检中的应用与效果.方法 营造优美、舒适的体检环境,针对不同语言、文化、宗教信仰、民族习惯、生活方式、道德观念的体检者,设计不同的服务套餐,并把体检护理流程化,提供体检前、中、后人性化护理.结果 检查中未出现漏项、差错和医疗纠纷,体检满意度为100.00%.结论 开展人性化护理可以提高维和医院健康体检服务质量.%Objective To explore the effects of humanistic care applied in the course of physical examination in 2 - grade peace - keeping hospitals.Methods A beautiful and comfortable environment was created and different service packages were designed according to the different languages,culture,religious beliefs, ethnic habits, lifestyles and morals of physical examination.The nursing flow of physical examination had a standardized process, and humanistic care was provided before, during and after the physical examinators.Results There was no omissions of examination items, errors, and medical disputes occurred.The degree of service satisfaction was 100.00%.Conclusion Humanistic care can improve the quality of service in the physical examination of peace - keeping hospitals.

  7. 持续性人文关怀护理在重症患儿中的应用效果观察%Continuous Application of Humanistic Care Nursing in Children With Severe Case

    Institute of Scientific and Technical Information of China (English)

    孙连红

    2016-01-01

    Objective To study the application of sustainable humanistic care nursing in children with severe case.Methods From February 2015 to February 2016in our hospital,104 cases of children with severe,according to its average random indicator method divided into two groups,namely group and the control group(n=52). The control group routine nursing intervention measures,the team on the basis of the application of continuous humanistic care to nurse.Results Family members of team of nursing service satisfaction rate of 100%,88.46% higher than that of control group(P<0.05). Conclusion The control group routine nursing intervention measures,the team on the basis of the application of continuous humanistic care to nurse.%目的:探讨持续性人文关怀护理在重症患儿中的应用效果。方法选择2015年2月~2016年2月通过对收治过的重症患儿104例,根据随机数表法将其平均分为两组,即研究组与对照组各52例。对照组采取常规护理干预措施,研究组在此基础上应用持续性人文关怀护理。结果研究组家属对护理服务满意率为100%,高于对照组的88.46%(P<0.05)。结论持续性人文关怀在重症患儿护理中具有应用效果,有效提高了护理服务质量。

  8. Professional responses to post bureaucratic hospital reforms and their impact on care provision.

    Science.gov (United States)

    Johnsen, Helle

    2015-06-01

    Post bureaucracy is increasingly shaping how health care professionals work. Within hospital settings, post bureaucracy is frequently connected to loss of professional autonomy and protocol-based care. However, this development also affects relationships between care providers and care receivers. To explore experiences of post bureaucratic hospital reforms and their impact on care provision. Data builds on nine mini group interviews with midwives (n=three), nurses (n=three) and physiotherapists (n=three), in all thirty participants. Data was analysed using existing theories of professionalism and post bureaucracy. Two overarching themes were identified: 'Time, tasks and institutional duties' which referred to transformations in care practices, increased use of screening procedures, efficiency requirements and matching linear time to the psychosocial needs of patients. 'Managerial control of work' which described rising administrative demands, engaging in protective measures, younger professionals pressured by documentation obligations and fear of disciplinary procedures. The institutional context appears to play a key role shaping care practices. Although midwives, nurses and physiotherapists share similar experiences of post bureaucratic hospital reforms, changes in care provision can impact these professions in different ways. As a discipline, midwifery is founded on relationships between women and midwives. Standardised clinical care, performativity demands, litigation risks and rising administrative obligations are liable to challenge the provision of woman centred care. These changes may also result in increased inequity in maternity care by affecting some groups of women more than others. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  9. Investigation of humanistic caring ability in nurses from emergency department in tertiary comprehensive hospitals in Beijing%急诊护士人文关怀能力现状调查

    Institute of Scientific and Technical Information of China (English)

    刘爱辉; 周文华; 田丽源; 吴丽萍

    2016-01-01

    目的:调查医院急诊护士人文关怀能力现状,分析不同背景条件下的急诊护士人文关怀能力的差异性,为培养急诊护士关怀能力提供依据。方法:采用便利抽样法,对北京3家三级甲等医院250名急诊护士关怀能力进行问卷调查。结果:调查对象关怀能力总评分及认知维度、勇气维度、耐心维度评分,均低于国际常模最低标准。不同职称急诊护士关怀能力不同,主管护师高于护士和护师(P20年组,分别高于其他工龄组(P40岁组高于其他年龄组(P<0.05)。结论:北京3家三级甲等综合医院急诊护士人文关怀能力低于国际常模。高年资、高职称的急诊护士人文关怀能力较强。%Objective: To describe the status of humanistic caring ability of nurses in the Emergency Department, analyze the differences of the humanistic care ability in emergency nurses under different background, and provide the evidence for the training of nursing care ability. Methods: A convenience sampling method was used to investigate the humanistic caring ability of 250 nurses in 3 tertiary hospitals in Beijing. Results: The scores of the caring ability of the investigated nurses were lower than those of the norm, and the scores of cognitive dimension, courage and patience were also lower than the norm. The care ability of nurses with different titles was different. The scores of nurses in charge were higher than the ordinary nurses, and the difference was statistically signiifcant (P<0.05). The care ability of nurses in different working time groups was different. The scores of those who service more than 20 years were higher than lower working time groups, the difference was statistically significant (P<0.05). Different age groups score different. The care ability of nurses in more than 40 years old group was higher than that in other groups, and the difference was also statistically signiifcant (P<0.05). Conclusion: The

  10. 护理英语教学中融入人文关怀教育的效果研究--以牡丹江医学院为例%Effect of the Integration of Humanistic Care Education With Nursing English Teaching-Taking Mudanjiang Medical University as An Example

    Institute of Scientific and Technical Information of China (English)

    袁月红; 许嘉桐; 付小达

    2015-01-01

    Objective:To study the effect of nursing English teaching combining with humanistic care educa-tion. Methods:Six classes of nursing students of 2011 grade were chosen randomly by sampling as control and ex-perimental group. The control group used the traditional teaching method without humanistic care education. The experimental group combined humanistic care education with nursing English teaching. Nursing students' humanistic caring ability scale and self-designed questionnaire were used to compare the teaching effects of the two groups. Results:The humanistic caring ability of experimental group was higher than that of the control group ( P<0 . 05 ) . The experimental group gives high evaluation on the effect of nursing English combining with humanistic care edu-cation. Conclusion:Nursing English combining with humanistic care education helps to improve nursing students' humanistic concern consciousness and enhance their humanistic caring ability.%目的:探讨护理英语教学中融入人文关怀教育的效果。方法以牡丹江医学院2011级护理专业6个班的学生作为研究对象,随机分为对照组和实验组。对照组在护理英语教学中按常规教学,未融入人文关怀的教育;实验组在护理英语教学中针对教学内容融入人文关怀教育。实验结束后应用护生人文关怀能力量表和自行设计的调查问卷评价实施效果。结果实验组护生人文关怀能力明显高于对照组(P<0.05),实验组护生对护理英语教学中融入人文关怀教育的教学模式给予较高的评价。结论在护理英语教学中融入人文关怀教育,有助于提升护生的人文关怀意识,增强护生的人文关怀能力。

  11. Strengthen Humanistic Care and Psychological Counseling and Improve Counselors' Ideological and Political Education Work%加强人文关怀和心理疏导,提高辅导员思想政治教育工作水平

    Institute of Scientific and Technical Information of China (English)

    邵长威

    2015-01-01

    With the era moving forwards, humanistic care and psychological counseling has been an extremely important as-pect for ideological and political education of college students. It is pointed out that we should strengthen and improve ideol-ogical and political work, focus on the humanistic care and psychological counseling, foster the social mentality featuring self-esteem and confidence, rationality and calamity, vigor and robustness in accordance with the report of the 18th CPC National Congress. From the counselor's perspective, the connotation of humanistic care and psychological counseling is elaborated in this paper, together with the significance. Then, it is pointed out that we should promote the counselor's work level from the humanistic care and psychological counseling. At last, five specific measures are mentioned, such as to strengthen detailed management, to tackle daily difficulties, to cultivate college environment, and so on.%随着时代的发展,人文关怀和心理疏导日益成为大学生思想政治教育中的一个重要课题.党的十八大报告在加强和改进思想政治工作中进一步强调"加强和改进思想政治工作,注重人文关怀和心理疏导,培育自尊自信、理性平和、积极向上的社会心态".本文从辅导员工作的角度出发,首先阐明人文关怀和心理疏导的内涵和意义,然后提出加强人文关怀和心理疏导的迫切性,指出提高辅导员思想政治教育工作水平应当以人文关怀和心理疏导为着力点,并从强化细节管理、解决学生实际困难、营造校园氛围、完善工作体系、提升辅导员自身素养等五个方面进行了具体阐述.

  12. [The UHSA, an improvement in the care provision].

    Science.gov (United States)

    Chanty, Jérôme

    2016-01-01

    Established by the law on the orientation and programming of justice of September 2002, the specially equipped hospital unit (UHSA) provides psychiatric treatment with full medical care to prisoners, in direct cooperation with the prison. In this specific social context, can the organisation of the care and the structure itself represent a lasting solution?

  13. Quality in the provision of headache care. 1

    DEFF Research Database (Denmark)

    Peters, Michele; Perera, Suraj; Loder, Elizabeth

    2012-01-01

    Widely accepted quality indicators for headache care would provide a basis not only for assessment of care but also, and more importantly, for its improvement. The objective of the study was to identify and summarize existing information on such indicators: specifically, did indicators exist, how...

  14. Quality in the provision of headache care. 2

    DEFF Research Database (Denmark)

    Peters, Michele; Jenkinson, Crispin; Perera, Suraj

    2012-01-01

    The objective of this study was to define "quality" of headache care, and develop indicators that are applicable in different settings and cultures and to all types of headache. No definition of quality of headache care has been formulated. Two sets of quality indicators, proposed in the US and U...

  15. 人文关怀在妇科子宫肌瘤全切术患者中的应用%Application of humanistic care in nursing care of patients with uterine fibroids hysterectomy

    Institute of Scientific and Technical Information of China (English)

    叶燕珊; 肖俊英; 潘颖珊

    2015-01-01

    目的:探讨人文关怀在妇科子宫肌瘤全切患者中的应用效果。方法:选择我院2013年1~12月收治的子宫肌瘤手术患者80例患者为研究对象,随机等分为观察组和对照组,对照组术后实施常规护理,观察组在此基础上增加人文关怀,出院前比较两组患者的护理满意度及心理状态改善情况。结果:观察组的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分明显低于对照组(P <0.05);观察组患者满意度明显高于对照组,差异有统计学意义(P <0.05)。结论:对子宫肌瘤全切术后患者实施细致的人文关怀,有助于消除患者不良情绪及满意度,提高生活质量。%Objective:To investigate the effect of the application of humanistic care in hysteromyoma patients with total resection .Methods:uterine fibroids surgery patients in our hospital from January to December in 2013 were 80 cases of patients as the research object,were randomly divided into the observation group and the control group,after surgery in the control group the implementation of routine care,the observation group in the control group on the basis of humanistic care increases, before discharge were compared between the two groups of nursing satisfaction and psychological state of improvement.Results:Self -rating anxiety scale(SAS) and Self -Rating Depression Scale(SDS) scores were significantly lower than the control group (P <0.05);satisfaction of observation group were significantly higher, the difference was statistically significant(P <0.05).Conclusion: of uterine fibroids resection were treated with humane care,help to eliminate the negative emotions of patients,improve customer satisfaction, and improve the quality of life.

  16. 加强对医务人员人文关怀的思考%Discussion on Strengthening Humanistic Care for Medical Personnel

    Institute of Scientific and Technical Information of China (English)

    王阿静

    2016-01-01

    医务人员的执业现状表现为工作压力大、人身安全受到威胁、职业倦怠高发等。这样的现状挫伤了医务人员的工作积极性,而医务人员自身也不满意。其原因主要有:薪酬待遇与付出不对等、医疗资源分配不合理、媒体的偏颇报道。在此基础上,应该从医学伦理的角度加强对医务工作者的人文关怀,一是从理论上阐发,尊重和有利等原则同样适用于医务人员,二是医务人员自身要树立正确的价值观,三是建立合理的薪酬评价考核制度,四是营造一个和谐、公平的社会舆论氛围。%Medical personnel's present practice situation shows that the working is highly stressful, the personal security is threatened, and the occupation burnout is common and so on. This situation has reduced the working en-thusiasm of the medical staffs, and the medical staffs themselves are not satisfied. The reasons include that the sala-ry is not equal to the work, the allocation of medical resources is not reasonable, and the media reports biasedly. On this basis, it should strengthen the humanistic care for medical personnel from the perspective of medical ethics. The first is to elucidate theoretically as the principles of respect and benefit is also applicable to the medical person-nel. The second is that the medical staff should establish the correct values. The third is to establish reasonable sal-ary evaluation appraisal system. The last is to create a harmonious and fair social atmosphere.

  17. Community Perceptions on the Provision of Quality Health Care in ...

    African Journals Online (AJOL)

    2014-10-02

    Oct 2, 2014 ... people with respect to their perceived quality of health care received at health facilities. ... 2003, and, passed into law, legislative instrument, LI 1809 in 2004 ... For this reason, the authors argue that, in trying to understand the.

  18. College Chinese Curriculum Reform and Comprehensive Quality Improvement from the Perspective of Humanistic Care%人文关怀视野下大学语文课程改革与综合素养的提升

    Institute of Scientific and Technical Information of China (English)

    陈亚琼

    2014-01-01

    社会经济的高速发展与大学教育的普及化浪潮巩固了大学应用型、实用型学科课程教学的中心地位,而作为人文科学基础学科的大学语文课却没有得到应有的重视。语文课程是当代大学生内在精神发展的动力,也是提升大学生综合素养的基础所在。鉴于人文关怀的缺失是目前大学课程设置中普遍存在的问题,大学语文课程的改革应当立足于学科的人文性目标定位,通过“知、情、行”三者的有机结合,构建充满人文关怀的语文教学模式。%Rapid social and economic development and college education popularization have consolidated the central role of college applied and practical disciplines in curriculum teaching, but college Chinese, as the basic discipline of humanities, has not been given due attention. The Chinese course is the driving force for the internal spiritual development of contemporary college students, as well as the basis for the improvement of college stu-dents' comprehensive quality. In view of the common problem that humanistic care is insufficient in the current college curricu-lum setting, college Chinese curriculum reform should be orient-ed by its humanistic objective, and construct a Chinese teaching model full of humanistic care through the organic integration of"cognition, emotion and behavior".

  19. Competition policy for health care provision in the Netherlands.

    Science.gov (United States)

    Schut, Frederik T; Varkevisser, Marco

    2017-02-01

    In the Netherlands in 2006 a major health care reform was introduced, aimed at reinforcing regulated competition in the health care sector. Health insurers were provided with strong incentives to compete and more room to negotiate and selectively contract with health care providers. Nevertheless, the bargaining position of health insurers vis-à-vis both GPs and hospitals is still relatively weak. GPs are very well organized in a powerful national interest association (LHV) and effectively exploit the long-standing trust relationship with their patients. They have been very successful in mobilizing public support against unfavorable contracting practices of health insurers and enforcement of the competition act. The rapid establishment of multidisciplinary care groups to coordinate care for patients with chronic diseases further strengthened their position. Due to ongoing horizontal consolidation, hospital markets in the Netherlands have become highly concentrated. Only recently the Dutch competition authority prohibited the first hospital merger. Despite the highly concentrated health insurance market, it is unclear whether insurers will have sufficient countervailing buyer power vis-à-vis GPs and hospitals to effectively fulfill their role as prudent buyer of care, as envisioned in the reform. To prevent further consolidation and anticompetitive coordination, strict enforcement of competition policy is crucially important for safeguarding the potential for effective insurer-provider negotiations about quality and price.

  20. Nursing Staffs' Views on Physical and Psychosocial Care Provision in Slovenian Nursing Homes.

    Science.gov (United States)

    Habjanić, Ana; Elo, Satu; Micetić-Turk, Dusanka; Isola, Arja

    2015-12-01

    The aim of this study was to explore nursing staffs' perceptions of the physical and psychological care needs of elderly residents, their views on the relative importance of these needs and their perceived ability to meet them. The literature reveals that the quality of elder care in nursing homes should comprise both physical and psychosocial care. Despite this, the nursing staffs' perceptions of the physical and psychosocial care provision have not often been researched. As a method cross-sectional research design was used, with structured questionnaires and unstructured interviews. Our sample consisted of members of the nursing staff from four nursing homes in Slovenia (survey: N = 148; interview: N = 16). The resulting data was processed by means of statistical analysis and conventional content analysis. The nursing staff reported more knowledge of, skills with and willingness to meet residents'physical needs than psychosocial needs. On the other hand, communication, conversation, self-care and a home-like environment were considered by nursing staff as marking quality elder care. Consequently, nursing home administrators should try to strengthen psychosocial care provision to improve the residents' quality of life. Conversation, as the most often recognised aspect of psychosocial care, should be promoted, since improvements in this area would not be costly, and each nursing staff member may decide individually how best to include more conversation in the daily routines of elder care provision.

  1. Provision of critical care services for the obstetric population.

    Science.gov (United States)

    Sultan, P; Arulkumaran, N; Rhodes, A

    2013-12-01

    Management of the peripartum patient is a challenging aspect of critical care that requires consideration of both the physiological changes associated with pregnancy as well as the well-being of the foetus. In the UK, for every maternal death, approximately 118 near-miss events or severe acute maternal morbidities (SAMMs) occur. While a dedicated anaesthetic cover is usually provided on larger labour wards in the UK and US, a close communication with intensive care and other medical specialties must still be maintained. Medical outreach teams and early warning scores may help facilitate the early identification of clinical deterioration and prompt treatment. Ultimately level of care is allocated according to the clinical need, not the location, which may be a designated room, a normal labour room or a recovery area. Specialist obstetric units that provide high-dependency care facilities show lower rates of maternal transfer to critical care units and improved continuity of care before and after labour. The benefits of obstetric high-dependency units (HDUs) are likely to be determined by a number of logistic aspects of the hospital organisation, including hospital size and available resources. There remains a striking contrast in the burden of maternal mortality and morbidity and intensive care unit (ICU) resources between high- and low-income countries. The countries with the highest maternal mortality rates have the lowest number of ICU beds per capita. In under-resourced countries, patients admitted to ICUs tend to have higher illness severity scores, suggesting delayed admission to the ICU. The appropriate training of midwives is essential for successful HDUs located within labour wards.

  2. Expectations of stakeholders regarding home care provision in rural Namibia

    Directory of Open Access Journals (Sweden)

    S.N. lipinge

    2002-09-01

    Full Text Available As in many countries, the disease pattern in Namibia has changed, health problems are increasing and outweigh the capacity of the existing health resources. Government health facilities in Namibia have limited capacity to accommodate all sick people, especially those who are chronically and terminally ill. Many hospitals in rural Namibia are overcrowded, patients sleep on the floors and, in some cases, children share beds. Morbidities relating particularly to AIDS, chronic conditions and other physical and emotional disabilities are likely to require longterm home care. In most instances, the health system is also not prepared to provide home care, nor provide the support that is required by the caregivers of disabled, chronically sick people. To ease the burden of care felt by the state at health facilities, the Ministry of Health and Social Services in Namibia has, on several occasions, called upon the community and other stakeholders in health care to assist in caring for their loved ones at home (NBC, 1996; MOHSS, 1996.

  3. Cross-sector Service Provision in Health and Social Care: An Umbrella Review

    Directory of Open Access Journals (Sweden)

    Shannon Winters

    2016-04-01

    Full Text Available Introduction: Meeting the complex health needs of people often requires interaction among numerous different sectors. No one service can adequately respond to the diverse care needs of consumers. Providers working more effectively together is frequently touted as the solution. Cross-sector service provision is defined as independent, yet interconnected sectors working together to better meet the needs of consumers and improve the quality and effectiveness of service provision. Cross-sector service provision is expected, yet much remains unknown about how it is conceptualised or its impact on health status. This umbrella review aims to clarify the critical attributes that shape cross-sector service provision by presenting the current state of the literature and building on the findings of the 2004 review by Sloper. Methods: Literature related to cross-sector service provision is immense, which poses a challenge for decision makers wishing to make evidence-informed decisions. An umbrella review was conducted to articulate the overall state of cross-sector service provision literature and examine the evidence to allow for the discovery of consistencies and discrepancies across the published knowledge base. Findings: Sixteen reviews met the inclusion criteria. Seven themes emerged: Focusing on the consumer, developing a shared vision of care, leadership involvement, service provision across the boundaries, adequately resourcing the arrangement, developing novel arrangements or aligning with existing relationships, and strengthening connections between sectors. Future research from a cross-organisational, rather than individual provider, perspective is needed to better understand what shapes cross-sector service provision at the boundaries. Conclusion: Findings aligned closely with the work done by Sloper and raise red flags related to reinventing what is already known. Future researchers should look to explore novel areas rather than looking into

  4. Medicaid Disproportionate Share Hospital payment: how does it impact hospitals' provision of uncompensated care?

    Science.gov (United States)

    Hsieh, Hui-Min; Bazzoli, Gloria J

    2012-01-01

    This study examines the association between hospital uncompensated care and reductions in Medicaid Disproportionate Share Hospital (DSH) payments resulting from the 1997 Balanced Budget Act. We used data on California hospitals from 1996 to 2003 and employed two-stage least squares with a first-differencing model to control for potential feedback effects. Our findings suggest that nonprofit hospitals did reduce provision of uncompensated care in response to reductions in Medicaid DSH, but the response was inelastic in value. Policymakers need to continue to monitor uncompensated care as sources of support for indigent care change with the Patient Protection and Affordable Care Act (ACA).

  5. Competition policy for health care provision in Germany.

    Science.gov (United States)

    Kifmann, Mathias

    2017-02-01

    Since the 1990s, Germany has introduced a number of competitive elements into its public health care system. Sickness funds were given some freedom to sign selective contracts with providers. Competition between ambulatory care providers and hospitals was introduced for certain diseases and services. As competition has become more intense, the importance of competition law has increased. This paper reviews these areas of competition policy. The problems of introducing competition into a corporatist system are discussed. Based on the scientific evidence on the effects of competition, key lessons and implications for future policy are formulated. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  6. Empowering Dialogues in Humanistic Education

    Science.gov (United States)

    Aloni, Nimrod

    2013-01-01

    In this article I propose a conception of empowering educational dialogue within the framework of humanistic education. It is based on the notions of Humanistic Education and Empowerment, and draws on a large and diverse repertoire of dialogues--from the classical Socratic, Confucian and Talmudic dialogues, to the modern ones associated with the…

  7. Cancer patients, emergencies service and provision of palliative care

    Directory of Open Access Journals (Sweden)

    Bruno Miranda

    2016-06-01

    Full Text Available SUMMARY Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care. Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011 with a minimum length of hospital stay of two hours. Student’s t-test and Pearson chi-square test were used to compare the means. Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%. 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%, breast (13.6% and prostate (10.5%; 70.7% were in advanced stages (IV, 47.1%; 39.4% without any cancer therapy. Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

  8. Collaboration in the provision of mental health care services

    DEFF Research Database (Denmark)

    Jaruseviciene, L.; Valius, L.; Lazarus, J.V.

    2012-01-01

    Background. General practitioners (GPs) often become the first point of care for mental health issues. Improved collaboration between GPs and mental health teams can make a GP's mental health services more efficient. Objective. The aim of this study was to assess the collaboration between GPs and...

  9. [Intensive care capacities in Germany: provision and usage between 1991 and 2009].

    Science.gov (United States)

    Thattil, R; Klepzig, D; Schuster, M

    2012-01-01

    The development of provision and usage of intensive care capacity in Germany in the last two decades has not yet been sufficiently studied. Based on the official statistical data provided by the Federal Statistical Office (Statistisches Bundesamt) with respect to hospitals, the hospitals were analyzed in four categories: small hospitals (≤199 beds), medium size hospitals (200-499 beds), large hospitals (500-999 beds) and very large hospitals (≥1,000 beds). For the period between 1991 and 2009 the development of hospitals, hospital beds, the number and occupancy of intensive care unit beds, the number of cases and the length of stay of intensive care patients were analyzed. While the total number of hospital beds decreased, the number of critical care beds increased. During the period between 1991 and 2009 the occupancy rate increased. Also the proportion of critical care beds from all hospital beds doubled and currently exceeds 8% for very large hospitals. An increase in the length of stay in the intensive care units was also observed. The provision and usage of intensive care capacities have increased steadily and independently of the hospital size in Germany in the last two decades. Major effects of cost reduction measures, such as the introduction of diagnosis-related reimbursement on the provision and usage of intensive care medicine were not observed.

  10. 创业教育:实现新生代农民工人文关怀的重要途径%Entrepreneurship Education:Realizing the Important Way of Humanistic Care for New Generation Migrant Peasant-workers

    Institute of Scientific and Technical Information of China (English)

    张宇

    2012-01-01

    Through the training of entrepreneurship spirit for new generation migrant,entrepreneurship education which is a education that teach knowledge and skills about entrepreneurship and pineering work,and improve the potential of migrant peasant's self-business,such as comprehensive quality,also increase their human capital and social capital accumlation,thus to realize the purpose of humanistic care.So through to imporve the new generation migrant peasant-worker's own quality,also play the function of the government and social aid,it can guarantee that we develop entrepreneurship education for the new generation migrant peasant-worker smothly,and ultimately better achieve the purpose of the humanistic care.%创业教育通过培养新生代农民工的创业精神,传授创业知识和技能,提高综合素质等发掘其自主创业的潜力,增加其人力资本积累和社会资本积累以实现人文关怀的目的。通过新生代农民工自身素质提高、政府职能发挥及社会援助,保证新生代农民工创业教育的顺利开展,更好地达到人文关怀的初衷。

  11. Provision of protein and energy in relation to measured requirements in intensive care patients

    DEFF Research Database (Denmark)

    Allingstrup, Matilde Jo; Esmailzadeh, Negar; Knudsen, Anne Wilkens

    2012-01-01

    BACKGROUND & AIMS: Adequacy of nutritional support in intensive care patients is still a matter of investigation. This study aimed to relate mortality to provision, measured requirements and balances for energy and protein in ICU patients. DESIGN: Prospective observational cohort study of 113 ICU...... patients in a tertiary referral hospital. RESULTS: Death occurred earlier in the tertile of patients with the lowest provision of protein and amino acids. The results were confirmed in Cox regression analyses which showed a significantly decreased hazard ratio of death with increased protein provision......, also when adjusted for baseline prognostic variables (APACHE II, SOFA scores and age). Provision of energy, measured resting energy expenditure or energy and nitrogen balance was not related to mortality. The possible cause-effect relationship is discussed after a more detailed analysis of the initial...

  12. Recruitment and retention strategies for expert nurses in abortion care provision.

    Science.gov (United States)

    McLemore, Monica R; Levi, Amy; James, E Angel

    2015-06-01

    The purpose of this thematic analysis is to describe recruitment, retention and career development strategies for expert nurses in abortion care provision. Thematic analysis influenced by grounded theory methods were used to analyze interviews, which examined cognitive, emotional, and behavioral processes associated with how nurses make decisions about participation in abortion care provision. The purposive sample consisted of 16 nurses, who were interviewed between November 2012 and August 2013, who work (or have worked) with women seeking abortions in abortion clinics, emergency departments, labor and delivery units and post anesthesia care units. Several themes emerged from the broad categories that contribute to successful nurse recruitment, retention, and career development in abortion care provision. All areas were significantly influenced by engagement in leadership activities and professional society membership. The most notable theme specific to recruitment was exposure to abortion through education as a student, or through an employer. Retention is most influenced by flexibility in practice, including: advocating for patients, translating one's skill set, believing that nursing is shared work, and juggling multiple roles. Lastly, providing on the job training opportunities for knowledge and skill advancement best enables career development. Clear mechanisms exist to develop expert nurses in abortion care provision. The findings from our study should encourage employers to provide exposure opportunities, develop activities to recruit and retain nurses, and to support career development in abortion care provision. Additionally, future workforce development efforts should include and engage nursing education institutions and employers to design structured support for this trajectory. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Provision of dental care for special care patients: the view of Irish dentists in the Republic of Ireland.

    LENUS (Irish Health Repository)

    Smith, G

    2010-04-01

    Part 2 of the Disability Act 2005 requires that all people with a disability are entitled to a needs assessment and, by implication, provision of identified care needs. This process started with children aged 0-6 in 2007 and will roll out to all people with disabilities by 2011. Oral health is part of that needs assessment but it may be that dentists are not in a position to provide that care, by virtue of a lack of education, training or facilities. The majority of dental care delivered would seem, from information gathered as part of this study, to be of an emergency nature. This study aimed to identify the shortfalls in service provision, and their potential causes, to inform what it is hoped will be a positive directive on special care dentistry (SCD) in the proposed National Oral Health Strategy.

  14. Provision of dental care for special care patients: the view of Irish dentists in the Republic of Ireland.

    LENUS (Irish Health Repository)

    Smith, G

    2010-04-01

    Part 2 of the Disability Act 2005 requires that all people with a disability are entitled to a needs assessment and, by implication, provision of identified care needs. This process started with children aged 0-6 in 2007 and will roll out to all people with disabilities by 2011. Oral health is part of that needs assessment but it may be that dentists are not in a position to provide that care, by virtue of a lack of education, training or facilities. The majority of dental care delivered would seem, from information gathered as part of this study, to be of an emergency nature. This study aimed to identify the shortfalls in service provision, and their potential causes, to inform what it is hoped will be a positive directive on special care dentistry (SCD) in the proposed National Oral Health Strategy.

  15. Professional responses to post bureaucratic hospital reforms and their impact on care provision

    DEFF Research Database (Denmark)

    Johnsen, Helle

    2015-01-01

    receivers. Question To explore experiences of post bureaucratic hospital reforms and their impact on care provision. Method Data builds on nine mini group interviews with midwives (n = three), nurses (n = three) and physiotherapists (n = three), in all thirty participants. Data was analysed using existing...... of patients. ‘Managerial control of work’ which described rising administrative demands, engaging in protective measures, younger professionals pressured by documentation obligations and fear of disciplinary procedures. Conclusion The institutional context appears to play a key role shaping care practices....... Although midwives, nurses and physiotherapists share similar experiences of post bureaucratic hospital reforms, changes in care provision can impact these professions in different ways. As a discipline, midwifery is founded on relationships between women and midwives. Standardised clinical care...

  16. Study on Effect of Humanistic Nursing Care on Quality of Thoracic Surgical Nursing%人性化护理对胸外科护理质量影响的研究

    Institute of Scientific and Technical Information of China (English)

    黄文静; 张静芳

    2012-01-01

    Objective To analyze and explore the effectiveness of humanistic nursing care on patients with thoracic surgery, and to evaluate the application value of humanistic nursing care in improving the quality of thoracic surgical nursing care. Methods A total of 120 inpatients scheduled for thoracic surgery were randomly divided into control group and experiment group (eachn=60) according to the order of admission. Routine nursing care was taken in control group, while additional humanistic nursing care was applied in experiment group. The satisfaction degree, the score of care quality, the average days of hos-pitalization, and the incidence of complications were compared between the two groups. Results As compared with control group, the satisfaction degree and the score of care quality in experiment group were significantly improved, and the differences were statistically significant (P<0.05). The average days of hospitalization and the incidence of complications in experiment group were significantly lower than those in control group, and the differences were statistically significant (P<0.05). Conclusions Applying humanistic nursing care in patients with thoracic surgery can not only improve the nursing quality of medical professionals, but significantly increase the satisfaction degree of patients with thoracic surgery. It has better shown the holistic nursing connotation of "patient - centered nursing", and is worthy of being popularized in thoracic surgical nursing care and other treatments.%目的 分析探讨人性化护理在胸外科手术患者护理中的效果,评价人性化护理在提高胸外科护理质量中的应用价值.方法 胸外科择期手术住院的患者共120例,按入院的先后顺序随机分为对照组60例和试验组60例,对照组进行胸外科手术常规护理,试验组在对照组的基础上加以人性化的护理,对护理后两组患者的满意度、护理质量评分、平均住院天数及并发症的发生率分

  17. Adverse selection and moral hazard in the provision of clinical trial ancillary care.

    Science.gov (United States)

    Richards, Michael R; Helmchen, Lorens A

    2013-04-01

    As more and more clinical trials are conducted in developing countries, concerns arise about non-trial medical care available to study participants. Recent work argues for ancillary care - medical care not part of the clinical trial per se - to be formally incorporated into these studies. Although the provision of ancillary care is often justified on ethical grounds, a number of crucial implementation issues remain unresolved, including its scope, duration and financing. Drawing on lessons from health insurance benefit design, we highlight two overlooked challenges for ancillary care adoption - adverse selection and moral hazard - and offer recommendations that could attenuate their consequences. Specifically, adverse selection and moral hazard could be reduced by offering a choice between ancillary medical care and monetary compensation or rewarding low ancillary care utilization. Alternatively, researchers' financial risk due to ancillary care could be shifted to a third-party insurer. Recognizing participants' behavioral responses to prospective offers of ancillary medical care would allow funders and research teams to forecast the demand for ancillary care more accurately and to prepare for its provision more adequately.

  18. Older home nursing patients' perception of social provisions and received care.

    Science.gov (United States)

    Dale, Bjørg; Saevareid, Hans Inge; Kirkevold, Marit; Söderhamn, Olle

    2010-09-01

    Social loneliness and isolation may be some of the consequences that older people experience regarding age-related changes and losses, and nurses should be engaged in identifying social networks and social needs in this group. The aims of this study were to describe perceived social provisions in a group of older home-dwelling care-dependent patients, and to explore the relationship between perceived social provisions, physical functioning, mental state and reception of formal and informal care. The sample consisted of 242 persons aged 75+ years from seven municipalities in southern Norway, all receiving home nursing. Data were collected by means of structured interviews. Social support was assessed using the revised Social Provisions Scale. Physical functioning was assessed using the Barthel Index, and mental state using questions about loneliness, depressive symptoms and anxiety. Types and frequencies of social network contacts and formal and informal care were registered. Descriptive statistics, Mann-Whitney U-tests, Cronbach's alpha coefficient and stepwise multiple regression were used in the analyses. In general, the level of perceived social provisions and togetherness in the study group was high, especially among women and the married. Decreased physical functioning and declined mental state were related to lower level of social provisions. The majority of the individuals had frequently contacts with several types of social networks, like friends, neighbours and religious communities, in addition to close family. Contact with these informal networks was found to be close related to perceived social support and togetherness. Reduced social provisions was related to increased amount of home nursing, which could indicate that demand for home care may work as a strategy to gain social contact. In this sense, dependence in daily life functioning could possibly contribute to social contact rather than reduce it.

  19. Hearing health care provision in the national systems of Australia, Denmark, Finland, Germany and Switzerland

    DEFF Research Database (Denmark)

    2012-01-01

    The five western countries represented in this volume share highly developed medical and technological provisions for hearing health, yet they differ in the compliance rates for hearing aid usage. A contributing factor may lie in the diversity of the national health care systems. We examine the s...

  20. Dedicated Doctors: Public and Private Provision of Health Care with Altruistic Physicians

    NARCIS (Netherlands)

    J. Delfgaauw (Josse)

    2007-01-01

    textabstractPhysicians are supposed to serve patients' interests, but some are more inclined to do so than others. This paper studies how the system of health care provision affects the allocation of patients to physicians when physicians differ in altruism. We show that allowing for private provisi

  1. Paediatric respiratory nursing posts in secondary care reduce asthma morbidity, but provision is variable.

    Science.gov (United States)

    McKean, M; Furness, J

    2009-08-01

    British guidelines on asthma recommend nurse delivered structured discharges for all children with asthma. This study carried out a postal and telephone survey to investigate the provision of this service. Twenty out of 34 (59%) hospitals in the Northern and Yorkshire regions do not have a recognised paediatric respiratory nurse post to facilitate this aspect of care.

  2. Provision of pharmaceutical care by community pharmacists across Europe: Is it developing and spreading?

    Science.gov (United States)

    Costa, Filipa A; Scullin, Claire; Al-Taani, Ghaith; Hawwa, Ahmed F; Anderson, Claire; Bezverhni, Zinaida; Binakaj, Zahida; Cordina, Maria; Foulon, Veerle; Garcia de Bikuña, Borja; de Gier, Han; Granås, Anne Gerd; Grinstova, Olga; Griese-Mammen, Nina; Grincevicius, Jonas; Grinceviciene, Svitrigaile; Kaae, Susanne; Kubiliene, Loreta; Mariño, Eduardo L; Martins, Silvia; Modamio, Pilar; Nadin, Giancarlo; Nørgaard, Lotte Stig; Obarcanin, Emina; Tadic, Ivana; Tasic, Ljiljana; McElnay, James C; Hersberger, Kurt E; Westerlund, Tommy

    2017-08-01

    Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006. The provision of comprehensive pharmaceutical care has slightly improved in all European countries that participated in both editions of this survey (n = 8) with progress being made particularly in Denmark and Switzerland. Moreover, there was a wider country uptake, indicating spread of the concept. However, due to a number of limitations, the results should be interpreted with caution. Using combined data from participating countries, the provision of pharmaceutical care was positively correlated with the participation of the community pharmacists in patient-centred activities, routine use of pharmacy software with access to clinical data, participation in multidisciplinary team meetings, and having specialized education. The present study demonstrated a slight evolution in self-reported provision of pharmaceutical care by community pharmacists across Europe, as measured by the BPCS. The slow progress suggests a range of barriers, which are preventing pharmacists moving beyond traditional roles. Support from professional bodies and more patient-centred community pharmacy contracts, including remuneration for pharmaceutical care services, are likely to be required if quicker progress is to be made in the future. © 2017 John Wiley & Sons, Ltd.

  3. Influence of humanistic nursing care on the emotional state of patients with acute myocardial infarction%人性化护理对急性期心肌梗死患者情绪状态的影响

    Institute of Scientific and Technical Information of China (English)

    王爱丽; 郝颖; 梁莉

    2011-01-01

    Objective: To explore the influence of humanistic nursing care on the emotional state of patients with acute myocardial infarction. Methods: 98 patients with acute myocardial infarction were randomly divided into an observation group and a control group ( 49 cases for each group ). The routine nursing care was implemented in the control group and the humanistic nursing care was adopted in the observation group. The scores of SAS, SDS, HAMA, HAMD and SCL -90 were compared between the two groups on the 1st, 3nd and 7th day after the onset of the disease. Resuhs: All the scores of SAS, SDS, HAMA, HAMD and SCL -90 on the 1st, 3nd and 7th day were lower in the observation group than those in the control group ( P < 0.05,P <0.01 ). Conclusion: The humanistic nursing care can improve the emotional state of patients with acute myocardial infarction and it is worthy of being applied clinically.%目的:探讨人性化护理对急性期心肌梗死患者情绪状态的影响.方法:将98例急性期心肌梗死患者随机分为观察组和对照组各49例.对照组实施常规护理,观察组采用人性化护理.比较两组患者发病后第1,3,7天的SAS、SDS、HAMA、HAMD及SCL-90评分.结果:观察组患者发病后第1,3,7天的SAS、SDS、HAMA、HAMD及SCL-90评分均低于对照组(P<0.05,P<0.01).结论:人性化护理能够改善急性期心肌梗死患者的情绪状态,值得临床推广应用.

  4. Application of humanistic care to the reengineering of nursing process at maternity hospital%妇幼保健医院护理流程再造中人文关怀的运用

    Institute of Scientific and Technical Information of China (English)

    姜立荣; 顾则娟; 韩娟; 王蓓; 缪琴; 黄桂琴; 柴德春; 周琴

    2012-01-01

    目的 从流程管理入手,探讨保证护理服务与人文关怀有机融合的有效途径.方法 依据卓越护理流程设计的原则、华生人文关怀理论、患者需求、患者权利,对所有直接服务于患者的护理项目中的人文关怀措施进行个性化设计,对设计后的流程试运行3个月,并在实施过程中不断征求患者的意见,定稿后进行培训和执行.结果 流程再造实施后患者对护理服务11项指标评价及舒适达标、护理质量、安全评价显著优于实施前(均P<0.01).结论 将人文关怀融入各项护理流程再造中,有利于提高护理服务质量和患者满意度.%Objective To find an effective way to ensure humanistic care to be integrated into nursing service from the aspect of process management. Methods Based on principles of excellent nursing process designing, theory of Jean Watson's Human Care, patient individual requirements and patient rights, we made individualized design of all humanistic care measures manifested in all direct nursing service items. And the design was put into practice and underwent 3-month trial. We modified the process during the trial operation, followed patients advices, and eventually made a final version of the design and generalized it into implementation. Results After implementation of reengi-neered nursing process, patients evaluations on 11 items of nursing service were significantly higher than before. Moreover, the comfort degree, nursing quality and safe appraisal were also significantly improved (P<0. 01 for all). Conclusion Integrating humanistic care into redesign of nursing process improves nursing service quality and patient satisfaction.

  5. Competition policy for health care provision in Portugal.

    Science.gov (United States)

    Barros, Pedro Pita

    2017-02-01

    We review the role of competition among healthcare providers in Portugal, which has a public National Health Service (NHS) at the core of the health system. There is little competition among healthcare providers within the NHS. Competition among NHS primary care providers is hindered by excess demand (many residents in Portugal do not have a designated family doctor). Competition among NHS hospitals has been traditionally limited to cases of maximum guaranteed waiting time for surgery being exceeded. The Portuguese Competition Authority enforces competition law. It has focused on mergers between private hospitals and abuse of market power (including cartel cases) by private healthcare providers. The Healthcare Regulation Authority produced several reports on particular areas of activity by private healthcare providers. The main conclusion of these reviews was lack of conditions for effective competition, with the exception of dentistry. Within the NHS, the use of tendering procedures was able to create "competition for the market" in particular areas though it was not problem free. Details in the particular design adopted matter a lot. Overall, the scope for competition policy and for competition among healthcare providers to have a main role in a health system based on a public National Health Service seems limited, with more relevance to "competition for the market" situations than to "competition in the market".

  6. Network Analysis Approach to Stroke Care and Assistance Provision: An Empirical Study

    Directory of Open Access Journals (Sweden)

    Szczygiel Nina

    2017-06-01

    Full Text Available To model and analyse stroke care and assistance provision in the Portuguese context from the network perspective. We used the network theory as a theoretical foundation for the study. The model proposed by Frey et al. (2006 was used to elicit and comprehend possible interactions and relations between organisations expected to be involved in the provision of care and assistance to stroke patients in their pathway to rehabilitation. Providers were identified and contacted to evaluate the nature and intensity of relationships. Network analysis was performed with the NodeXL software package. Analysis of 509 entities based on about 260 000 entries indicates that stroke care provision in the evaluated context is best captured in the coalition-collaboration setting, which appears to best demonstrate the character of the network. Information from analysis of the collaboration stage was not sufficient to determine the network dynamics. Application of the network theory to understand interorganisational dynamics of the complex health care context. Empirical validation of the model proposed by Frey et al. (2006 in terms of its operationalisation and the way it actually reflects the practical context. Examination and analysis of interorganisational relationships and its contribution to management of compound health care context involving actors from various sectors.

  7. Health care provision for older persons: the interplay between ageism and elder neglect.

    Science.gov (United States)

    Band-Winterstein, Tova

    2015-04-01

    The aim of this study was to explore the link between neglect and ageism in health care provision for older persons. Semistructured in-depth interviews were conducted with 30 registered nurses with at least 2 years' experience in 10 long-term care facilities in Israel. Interviews were digitally recorded and transcribed verbatim. Data analysis was performed according to the qualitative method. Three main themes emerged: ageism and neglect as the everyday routine (neglect is built into institution life on the platform of ageism); how the institutional system promotes neglect--between institutional and personal ageism (the ways institutions promote neglect in the shadow of ageism); from vision to reality--how neglect can be prevented in an ageist reality. The attempt to demonstrate the link between ageism and neglect and suggesting how to include them as interrelated phenomena in health care provision programs could promote older persons' quality of life.

  8. The basis, ethics and provision of palliative care for dementia: A review.

    Science.gov (United States)

    Mahin-Babaei, Fariba; Hilal, Jamal; Hughes, Julian C

    2016-01-01

    Interest in palliative care for people with dementia has been around for over two decades. There are clinical and ethical challenges and practical problems around the implementation of good quality palliative care in dementia. This narrative review of the literature focuses on the rationale or basis for services, some of the ethical issues that arise (particularly to do with artificial nutrition and hydration) and on the provision and implementation of services. We focus on the most recent literature. The rationale for palliative care for people with dementia is based on research and on an identified need for better clinical care. But the research largely demonstrates a paucity of good quality evidence, albeit particular interventions (and non-interventions) can be justified in certain circumstances. Numerous specific clinical challenges in end-of-life care for people with dementia are ethical in nature. We focus on literature around artificial nutrition and hydration and conclude that good communication, attention to the evidence and keeping the well-being of the person with dementia firmly in mind will guide ethical decision-making. Numerous challenges surround the provision of palliative care for people with dementia. Palliative care in dementia has been given definition, but can still be contested. Different professionals provide services in different locations. More research and education are required. No single service can provide palliative care for people with dementia.

  9. 加强对更年期患者的人文关怀和干预%Strengthening the Humanistic Care and Intervention towards Menopausal Patients

    Institute of Scientific and Technical Information of China (English)

    黄琴; 明蕾

    2011-01-01

    Menopausal syndrome has become a disease which seriously impacts the quality of life among mid-dleaged and elderly people. The authors appeal that menopausal syndrome should be paid more attention to in the society. In clinical practice, medical workers should meet four ethical requirements as follows; improving humanistic quality and establishing a harmonious relationship with patients; creating a humanistic environment; strengthening ethical awareness and break down the barriers between science and humanity; and enhancing the health education on menopausal patients.%更年期综合征已成为严重影响中老年人生活质量的疾病,应呼吁社会对更年期综合征患者给予更多的关注.在临床上,医务工作者应满足四点伦理要求:提高人文素养,建立和谐的医患沟通;营造人性化的诊疗环境;强化伦理意识,打通科学与人文的壁垒;加强健康宣教.

  10. 人文关怀在癌症化疗期患者护理中的应用%Application of humanistic care in patients with cancer who undergoing chemotherapy

    Institute of Scientific and Technical Information of China (English)

    金娜; 赵翠云; 王焕; 李云仙; 杨艳; 吴婷婷

    2014-01-01

    Medical humanities concern is the concrete embodiment of humanistic spirit in medical activities.Giving humane care for patients with cancer,can strengthen the confidence and courage of them to conquer the disease.Therefore,giving psychological and spiritual care and comfort is very important for patients with cancer.Through analysis of negative psychological reaction often appeared in chemotherapy period of cancer patients,such as fear,anxiety,depression,anorexia,nausea,vomiting,we should strengthen the humanistic care of cancer patients during chemotherapy.Incorporate includes:strengthen the scientific knowledge education in cancer patients,listen to the voice of patients,to strengthen social support,and strengthen social support,personalized treatment.%医学人文关怀是人文精神在医疗活动中的具体体现。给予癌症患者以人文关怀,能增强其战胜疾病的信心和勇气。因此,心理和精神上的关怀和抚慰对癌症患者至关重要。本文通过分析癌症患者在化疗期常出现恐惧、焦虑、抑郁、厌食、恶心、呕吐等负性心理反应,提出应加强癌症患者化疗期间的人文关怀。具体措施:加强癌症患者科普知识教育、倾听患者心声、指导患者行为训练、强化社会支持、制定个性化方案。

  11. Sigmund Koch as critical humanist.

    Science.gov (United States)

    Smith, M B

    2001-05-01

    Just as Sigmund Koch was a good scientist without succumbing to scientism, he was a good humanist without succumbing to the popular distortions trading on the name of humanism. When humanistic psychology was seduced by the touchy-feely encounter group movement, Koch derided its technology of authenticity as shamelessly meretricious. Later, when postmodern humanists of deconstruction and textual analysis began to be heard in psychology, Koch wryly expressed his preference for the old-fashioned kind of humanism. Koch's interests and his conception of the domain of psychology thus transcended scientific and humanistic labels and boundaries. To be good science, human psychological studies have to start with and be guided by openness to all aspects of being human. No less in the present and future than during his lifetime, the implications of Koch's vision of psychological inquiry warrant discerning and disciplined attention.

  12. Effects of nursing students'"empathy"construction on their humanistic care behaviors%护生同理心构建对人文关怀行为的培养效果研究

    Institute of Scientific and Technical Information of China (English)

    汪小冬; 章丽丽; 张雅丽

    2014-01-01

    Objective:To explore the effects of Case Based Study (CBS) combined with Problem-based Learning (PBL) teaching model on nursing students' humanistic care behavior. Methods:From June to July 2011, 60 nursing students in our hospital were randomly divided into experimental and control groups, 30 people in each group. The experimental group received humanistic care observation process based on the model of PBL combined with CBS, while the control group got the learning process only based on the method of Lecture based learning. The observation periods were all 2 weeks. Results:After the observation period, the score of Caring Behavior Inventory, patients' and teacher's feedback evaluation score of the experimental group were all higher than the control group (P<0.05). Conclusion:Nursing students' humanistic care practice, especially based on the CBS combined with PBL teaching methods, could highlight teaching advantages of the nurses who worked as ifrst-line medical staff to contact most closely with patients. It was useful to improve nursing students humanistic care behaviors, especially to construct their"empathy".%目的:课题运用“病例为引导(CBS)”联合“以问题为基础(PBL)”的教学模式,通过构建护生同理心,更好地引导和培养护生人文关怀行为。方法:2011年6-7月在我院见习的护生60名,随机分成实验组和对照组,各30人,实验组采用PBL联合CBS的教学法的人文护理见习,对照组采用以授课为基础教学法(LBL)的人文护理见习。两组见习的时间均为2周。结果:护理见习后,实验组在CBI量表评分、患者反馈评价、带教老师反馈评价方面均优于对照组(P<0.05)。结论:CBS联合PBL教学法的临床带教下的护生人文护理见习,进一步凸显了护理人员作为和患者接触最为密切群体的带教优势,有效促进了护生同理心的构建及人文关怀行为的培养。

  13. 重视人文关怀,促进检验科管理及服务水平的提高%Emphasis on Humanistic Care to Improve the Management and Service Level of the Clinical Laboratory

    Institute of Scientific and Technical Information of China (English)

    王玉丰; 林玲

    2011-01-01

    在当前检验医学日趋呈现"人文缺失"的背景下,提出加强检验人员人文素质教育的必要性及紧迫性,并重点阐明以患者需求为导向,提高检验科人性化服务的具体措施.%Nowadays, there is a growing tendency of"lacking humanistic care"in the clinical laboratory field. The authors point out the importance and urgency to improve humanities quality education level of the clinical laboratory staffs, and elucidate that we must erect the serving idea of the patients' uppermost and sublimate humane service quality according to the patients requirement in the clinical laboratory.

  14. An Exploration on How Trade Union Promotes University Teachers’ Professional Ethics Construction with Humanistic Care%高校工会以人文关怀促进高校师德建设的探讨

    Institute of Scientific and Technical Information of China (English)

    沈文秀

    2012-01-01

    《教育规划纲要》要求采取综合措施,建立师德建设长效机制.本文结合工会工作,就师德建设的意义,工会在师德建设中的地位,以及如何坚持以人为本,积极开展师德建设进行了一些探讨.%The National Program for Medium and Long-term Educational Reform and Development requires to adopt comprehensive measures, set up long-term mechanism of Teachers' Professional Ethics Construction. The article combines trade-union work, discusses the significance of Construction, the role of trade union in the Teachers' Professional Ethics Construction, and how to promote Teachers' Professional Ethics Construction with Humanistic Care.

  15. Roe of Humanistic Care and Psychological Counseling for New Media in the Ideological and Political Work%新媒体:大学思政工作中人文关怀和心理疏导的新载体

    Institute of Scientific and Technical Information of China (English)

    张阳明

    2013-01-01

    In recent years,the new media such as the micro -blog, Internet Forums and QQ has affected the students'stud-y and life greatly ,at the same time , it is of useful for the ideological and political work in the colleges .Humanistic care and psychological counseling .of the ideological and political work should promoted through the new media with the interaction of the new media.%  近年来微博和QQ等新媒体极大地影响着大学生的学习生活,也为新时期大学思政工作提供了新载体。利用新媒体传播快、互动强等特点能更好地推动大学生思政工作的进行。

  16. Application of humanistic care in vaginoplasty using sigmoid colon in patients with perioperative%人文关怀在乙状结肠代阴道成形术患者围术期中的应用

    Institute of Scientific and Technical Information of China (English)

    程安源

    2012-01-01

    Objective:To discuss the application effect of humanistic care for patients accepted sigmotd substitution vaginal. Methods;A total of 60 patients with congenital absence of vagina accepted sigmoid substitution vaginal from January 2008 to June 2010 were randomly divided into test group and control group ,30 patients of control group were given nursing and health instruction as in routine ,30 patients of test group were given humanistic care based on conventional nursing. Curative effects of two groups were evaluated after six mouths. Results:Test group and control group the SAS ,SDS score were significantly decreased, but the test group decreased significantly higher than the control group. In terms of the sexual life satisfaction degree of patients accepted sigmoid substitution vaginal. There was statistical significant difference between the two groups of patients. The sexual life satisfaction degree of patients in test group was superior to that of control group cases. Conclusion: The implementation of humanistic care could alleviate vaginoplasty using sigmoid colon in patients with anxiety,depressive mood, improve their psychological status,humanistic care could effectively improve clinical efficacy and the postoperative quality of sexual life and sexual life satisfaction for them.%目的:探讨人文关怀在乙状结肠代阴道成形术患者围术期中的应用效果.方法:将2008年1月~2010年6月在我院行乙状结肠代阴道成形术的60例先天性无阴道患者随机分为试验组和对照组各30例.对照组实施常规护理和健康指导,试验组在此基础上给予人文关怀护理.6个月后对两组患者进行效果评价.结果:试验组患者的焦虑、抑郁程度均低于对照组(P<0.05),性生活满意率高于对照组(P<0.05),性生活质量优于对照组(P<0.05).阴道成形术后阴道长度恢复情况优于对照组(P<0.05).结论:实施人文关怀可以缓解乙状结肠代阴道成形术患者的焦虑

  17. Humanist Therapies in Postmodernity

    Directory of Open Access Journals (Sweden)

    Magdalena Roxana NECULA

    2012-09-01

    Full Text Available The analysis of the disease from a spiritual perspective means to take into account those theories that do not consider the patient as part of some statistics or the disease as an exclusive psycho-somatic reality, which is due to disturbances of the physiological system. To consider the person exclusively from the stand point of the disease leads to a situation in which the diagnosis creates the patient. To asses that any condition of this nature can be cured or improved solely through medication – as there is pressure from the U.S. health insurance companies – has an effect of shrinking responsibility of the patient who is not involved in the healing process. Fortunately, in the twentieth century, a number of therapies that regard the patient as the central concern, have been developed- obviously, not regarding the chronically ill, which remain the patient of the psychiatric cure- as a person responsible for what happens to him/her, of affection, and the amelioration of his/her health. Of these, in our article we reviewed the principles of existential psychotherapy by Irvin D. Yalom, Viktor Frenkl’s logotherapy and the humanistic psychotherapy (customer centric by Carl R. Rogers.

  18. Embodiment of Humanistic Care at Ideological and Political Work in State-owned Enterprises%人文关怀在国有企业思想政治工作中的现实体现

    Institute of Scientific and Technical Information of China (English)

    谢宗辰

    2012-01-01

    Emphasizing humanistic care is one of the important ways of doing the ideological and political work well under the new situation now, and is also the inevitable requirement to implement the scientific outlook on development. Accomplishing the ideological and political work in state-owned enterprises with the concept of humanistic care means that we should take protecting and developing the fundamental interests of all employees as the basis of this work, persist in the socialist core values, and take fostering the harmonious progressive corporate culture as the means of the work, ensure all the employees to develop in the right way, cope well with the relationship between the employees and the enterprise on interest, and further develop harmonious labor relationship.%在加强和改进思想政治工作中注重人文关怀,是新时期做好思想政治工作的重要途径,是落实科学发展观的必然要求。以人文关怀的理念做好国有企业的思想政治工作,就要把实现好、维护好和发展好广大职工的根本利益作为思想政治工作的出发点和落脚点,坚持以社会主义核心价值观为导向,以培育和谐奋进的企业文化为手段,确保职工正确的发展方向,妥善处理好职工与企业之间的利益关系,进一步发展和谐的劳动关系。

  19. Clinical and perceived quality of care for maternal, neonatal and antenatal care in Kenya and Namibia: the service provision assessment

    OpenAIRE

    2016-01-01

    Background The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient’s perception of their experiences. Methods Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilities have the necessary signal functions for providing emergency and basic maternal (EmOC) and newborn ca...

  20. Taking responsibility for the provision of financial, housing, and emotional support for young people leaving care

    OpenAIRE

    Rogers, R.

    2014-01-01

    This article explores the financial, housing, and emotional support provided to 16–19 year old care leavers, studying in further education in England. Drawing on 28 interviews with social workers and further education college professionals the article discusses the accessibility of existing provision in England, with a particular focus on the relationships and collaborative working practices between further education professionals and social work teams. The article argues that despite the ind...

  1. The magnitude, share and determinants of unpaid care costs for home-based palliative care service provision in Toronto, Canada.

    Science.gov (United States)

    Chai, Huamin; Guerriere, Denise N; Zagorski, Brandon; Coyte, Peter C

    2014-01-01

    With increasing emphasis on the provision of home-based palliative care in Canada, economic evaluation is warranted, given its tremendous demands on family caregivers. Despite this, very little is known about the economic outcomes associated with home-based unpaid care-giving at the end of life. The aims of this study were to (i) assess the magnitude and share of unpaid care costs in total healthcare costs for home-based palliative care patients, from a societal perspective and (ii) examine the sociodemographic and clinical factors that account for variations in this share. One hundred and sixty-nine caregivers of patients with a malignant neoplasm were interviewed from time of referral to a home-based palliative care programme provided by the Temmy Latner Centre for Palliative Care at Mount Sinai Hospital, Toronto, Canada, until death. Information regarding palliative care resource utilisation and costs, time devoted to care-giving and sociodemographic and clinical characteristics was collected between July 2005 and September 2007. Over the last 12 months of life, the average monthly cost was $14 924 (2011 CDN$) per patient. Unpaid care-giving costs were the largest component - $11 334, accounting for 77% of total palliative care expenses, followed by public costs ($3211; 21%) and out-of-pocket expenditures ($379; 2%). In all cost categories, monthly costs increased exponentially with proximity to death. Seemingly unrelated regression estimation suggested that the share of unpaid care costs of total costs was driven by patients' and caregivers' sociodemographic characteristics. Results suggest that overwhelming the proportion of palliative care costs is unpaid care-giving. This share of costs requires urgent attention to identify interventions aimed at alleviating the heavy financial burden and to ultimately ensure the viability of home-based palliative care in future.

  2. Dilemmas in sharing care: maternal provision of professionally driven therapy for children with disabilities.

    Science.gov (United States)

    Leiter, Valerie

    2004-02-01

    This paper explores some of the dilemmas that result when mothers and professionals collaborate in providing care to young children with disabilities within a US public program called Early Intervention. Successful collaboration between professionals and activist parents resulted in the program having a "family centered" approach, but the implementation of that approach is problematic. Professionals transmit therapeutic knowledge and skills to mothers of young children with special needs, urging them to perform therapeutic care work with their children. Through these efforts, professionals create a "therapeutic imperative" for mothers, expecting them to do therapeutic work that usually exceeds the amount of work that professionals do with their children. This paper explores the dilemmas mothers and professionals face when implementing family centered care and the ways in which mothers and professionals negotiate contested understandings of the optimal mixture of public (professional) and private (maternal) provision of therapeutic care to young children with disabilities.

  3. Study on the End-stage Treatment of Critically Ⅲ Patients and Method of Humanistic Care%危重患者终末期治疗与临终人文关怀方法探讨

    Institute of Scientific and Technical Information of China (English)

    孙师元; 袁国莲; 陈尔秀; 丁毅

    2012-01-01

    Objective:To explore the influence of humanistic medical care on the life quality of end - stage patients. Methods: Retrospectively analyze 68 patients with acute or critically ill admitted to our department from March, 2009 to December, 2010, which were randomly divided into trial group and control group with 34 patient respectively. The control group was given routine treatment and nursing. Besides, the observation group was given the humanistic medical care in the construction of the warm environment, the psychological needs meeting, the realization of the heart needs, and family needs love and so on comprehensive, deep humane care treatment and nursing care. The life quality of the patients was statistically analyzed. Results: Therapeutic effect and pain psychological status and medical treatment satisfaction of the observation group were significantly better than that of control group (P < 0.05). Conclusion: Hospice patients to critically ill patients to improve to humane care of comfort and satisfaction and quality of life is very necessary.%目的 研究人文关怀对临终患者生活质量的影响和效果.方法 回顾性分析西安交通大学医学院第二附属医院自2009年3月~2010年12月收治的68例危重患者,随机分为观察组和对照组,对照组给予常规治疗及护理.观察组在此基础上,进行全方位、深层次的人文关怀治疗及护理.结果 在疼痛缓解程度、心理状态及医疗满意度等方面,观察组优于对照组,差异显著(P<0.05).结论 对临终患者给予人文关怀对提高患者的舒适度、满意度及生活质量非常重要.

  4. Palliative care patients' perceptions of the work involved in understanding and managing the network of care provision surrounding them.

    Science.gov (United States)

    Jarrett, N; Porter, K; Davis, C; Lathlean, J; Duke, S; Corner, J; Addington-Hall, J

    2017-06-01

    To explore the work carried out for cancer palliative care patients in understanding and dealing with the often large network of care provision surrounding them. Qualitative thematic analysis of interviews with 24 patients (aged 48-85 years) with 15 different types/sites of cancer and palliative care needs. The main theme of 'patient work-their strategies and project management' is presented. Subthemes included: being organised and keeping records; planning ahead and coordinating care; information gathering; understanding the hierarchy and knowing who the key people are; strategies to remember names and roles; understanding and 'working the system'. Insights are given into the work carried out on patients' behalf by family, although it was unclear who would do this work if no family was available. Some of the challenges faced by patients and families are identified. These included limited information; uncertainty when care is transferred between different teams or locations; deciding who to contact and how; and negotiating through gatekeepers. The number and variety of people contributing to the care of a cancer palliative care patient can be difficult for patients and family to comprehend. Work is required by patients or family on their behalf to achieve the level of understanding required to become accomplished at navigating the system and project managing their care organisation, and is probably influenced by role expectations and previous experience. Much of this additional, often hidden, workload for patients and family could probably be reduced with clear, timely information provision by health professionals. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison.

    Science.gov (United States)

    Huseth-Zosel, Andrea L; Sanders, Gregory; O'Connor, Melissa; Fuller-Iglesias, Heather; Langley, Linda

    2016-02-01

    The current study examined rural-urban differences in health care provider (HCP) perceptions, attitudes, and practices related to driving safety/cessation-related anticipatory guidance provision to older adults. A cross-sectional survey was conducted with HCPs in several north central states. Exploratory factor analysis was used to examine dimensions of HCP perceptions and attitudes related to mobility counseling. Binary logistic regression analyses were conducted to determine if HCP rurality was significantly predictive of HPC provision of mobility counseling by age. Rural HCPs were less likely than urban HCPs to provide mobility counseling to their patients aged 75 or older. Rural HCPs were less likely to refer patients to a driving fitness evaluation resource if they had questions related to driving issues, and were less likely to perceive there were adequate resources to help with driving issues. Rural-urban differences in HCP mobility counseling provision may contribute to potential health disparities between urban and rural patients. Both rural and urban HCPs need training about older driver issues, so they may educate their patients about driving safety/cessation. Future research should examine the association between rural-urban differences in HCP mobility counseling provision and rural older adult overrepresentation in motor vehicle injuries and fatalities statistics.

  6. A dialectic of cooperation and competition: solidarity and universal health care provision.

    Science.gov (United States)

    Butler, Samuel A

    2012-09-01

    The concept of solidarity has achieved relatively little attention from philosophers, in spite of its signal importance in a variety of social movements over the past 150 years. This means that there is a certain amount of preliminary philosophical work concerning the concept itself that must be undertaken before one can ask about its potential use in arguments concerning the provision of health care. In this paper, I begin with this work through a survey of some of the most prominent bioethical, political philosophical and intellectual historical literature concerned with the project of determining a philosophically specific and historically perspicacious meaning of the term 'solidarity'. This provides a conceptual foundation for a sketch of a four-tiered picture of social competition and cooperation within the nation-state. Corresponding to this picture is a four-tiered account of health care provision. These two models, taken together, provide a framework for articulating the conclusion that, while there are myriad examples of solidarity in claiming health care for some, or even many, the concept does not provide a basis for claiming health care for all.

  7. Private capital investments in health care provision through mergers and acquisitions: from long-term to acute care.

    Science.gov (United States)

    Angeli, Federica; Maarse, Hans

    2016-10-01

    This work aims to test whether different segments of healthcare provision differentially attract private capital and thus offer heterogeneous opportunities for private investors' diversification strategies. Thomson Reuter's SDC Platinum database provided data on 2563 merger and acquisition (M&A) deals targeting healthcare providers in Western Europe between 1990 and 2010. Longitudinal trends of industrial and geographical characteristics of M&As' targets and acquirers are examined. Our analyses highlight: (i) a relative decrease of long-term care facilities as targets of M&As, replaced by an increasing prominence of general hospitals, (ii) a shrinking share of long-term care facilities as targets of financial service organizations' acquisitions, in favor of general hospitals, and (iii) an absolute and relative decrease of long-term care facilities' role as target of cross-border M&As. We explain the decreasing interest of private investors towards long-term care facilities along three lines of reasoning, which take into account the saturation of the long-term care market and the liberalization of acute care provision across Western European countries, regulatory interventions aimed at reducing private ownership to ensure resident outcomes and new cultural developments in favor of small-sized facilities, which strengthen the fragmentation of the sector. These findings advance the literature investigating the effect of private ownership on health outcomes in long-term facilities. Market, policy and cultural forces have emerged over two decades to jointly regulate the presence of privately owned, large-sized long-term care providers, seemingly contributing to safeguard residents' well-being. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  8. A qualitative study exploring contextual challenges to surgical care provision in 21 LMICs.

    Science.gov (United States)

    Raykar, Nakul P; Yorlets, Rachel R; Liu, Charles; Greenberg, Sarah L M; Kotagal, Meera; Goldman, Roberta; Roy, Nobhojit; Meara, John G; Gillies, Rowan D

    2015-04-27

    Billions of people worldwide are without access to safe, affordable, and timely surgical care. The Lancet Commission on Global Surgery (LCoGS) conducted a qualitative study to understand the contextual challenges to surgical care provision in low-income and middle-income countries (LMICs), and how providers overcome them. A semi-structured interview was administered to 143 care providers in 21 LMICs using stratified purposive sampling to include both urban and rural areas and reputational case selection to identify individual providers. Interviews were conducted in Argentina (n=5), Botswana (3), Brazil (10), Cape Verde (4), China (14), Colombia (4), Ecuador (6), Ethiopia (10), India (15), Indonesia (1), Mexico (9), Mongolia (4), Namibia (2), Pakistan (13), Peru (5), Philippines (1), Sierra Leone (11), Tanzania (5), Thailand (2), Uganda (9), and Zimbabwe (15). Local collaborators of LCoGS conducted interviews using a standardised implementation manual and interview guide. Questions revolved around challenges or barriers in the area of access to care for patients; challenges or barriers in the area of in-hospital care for patients; and challenges or barriers in the area of governance or health policy. De-identified interviews were coded and interpreted by an independent analyst. Providers across continent and context noted significant geographical, financial, and educational barriers to access. Surgical care provision in the rural hospital setting was hindered by a paucity of trained workforce, and inadequacies in basic infrastructure, equipment, supplies, and access to banked blood. In urban areas, providers face high patient volumes combined with staff shortages, minimal administrative support, and poor interhospital care coordination. At a policy level, providers identified regulations that were inconsistent with the realities of low-resource care provision (eg, a requirement to provide 'free' care to certain populations but without any guarantee for funding

  9. Complexities in the Provision of Respite Care to Family Carers of Persons with Intellectual Disabilities

    Directory of Open Access Journals (Sweden)

    Frieda Finlay

    2011-10-01

    Full Text Available PurposeRespite care is generally thought to benefit family carers of persons with intellectual disabilities and is regarded as an important component of family-centred services.  However, the complexities associated with the provision of such services, from the carer’s perspective, have been rarely investigated.MethodThis qualitative research study was carried out through a participatory action research process that involved collaboration among researchers and family members as co-researchers.  Seven focus groups, involving seventy family carers (fifty mothers, fifteen fathers and five sisters, were held in seven locations across the Republic of Ireland. ResultsThree main themes dominated the discussions.  The first theme related to the ambivalence of carers towards using respite services, as expressed in their reluctance to relinquish care-giving for even a short period; the feelings of guilt they experienced; and the greater needs of other carers.  The second theme related to the benefits of respite breaks, but these were solely with respect to the carer and other family members, rather than to the person with an intellectual disability.  The third theme regarding the quality of provision was dominated by concerns for the care the person received in using the services. ConclusionsRespite care has the potential to make a difference, and these findings call for building much- needed alliances between all members of the family and professionals.  This is in order to support one another through the difficulties associated with the redesign of existing respite provision, and the extension of these services to the growing number of carers who require respite breaks.doi 10.5463/DCID.v22i2.22Key wordsIntellectual disability, respite, family members, Ireland 

  10. Women's anxiety in old age and long-term care provision for the elderly.

    Directory of Open Access Journals (Sweden)

    Kubota M

    2000-04-01

    Full Text Available The purpose of this study was to verify the differences in women's anxiety in old age, the expected long-term care provision, and the expected final location for terminal care for the women themselves and for their parents. In addition, we examined factors that related to their anxiety and needs. The subjects were 1,000 women of the Seikatsu Club customer cooperative association in Chiba; 539 responded to our survey. The subjects were more anxious for their parents than for themselves. They more strongly expected long-term care for their parents to be provided by their family than they expected the same for themselves. Although no differences were observed in the expected location for terminal care, most subjects expected their home to be the terminal location. Analysis by the multiple logistic regression model indicated that the following factors were significantly related to the anxiety in old age: age odds ratio [OR = 1.81], employment [OR = 2.25] for women, and planning to live with parents [OR = 2.42], housing conditions [OR = 0.56] for parents. The following factors were significantly related to the expected long-term care provision: age [OR = 2.22] for women, and age [OR = 2.15], living with parents [OR = 3.58], and employment [OR = 2.33] for parents. Age [OR = 2.14] for women, and planning to live with parents [OR = 2.09] for parents were significantly related to the expected final location of terminal care. This survey showed that women expected long-term care for their parents to be provided by their family, while many expected public long-term care services for themselves. This is the biggest difference in women's outlook on long-term care for their parents and for themselves. Multivariate analysis suggested that women aged 40 years or over, who will need long-term care in the future, tended to expect public home care services for themselves. It is virtually certain that the demand for public home care services will increase in the

  11. Multicultural Humanistic Psychology: Empirical Investigations of Humanistic Concepts.

    Science.gov (United States)

    Chaffins, Belinda J.; McConnell, Stephen C.

    Multicultural psychology examines existential-humanistic concerns in reference to the unique world of the client. Some of these contextual variables include race, age, religion, gender, sexual orientation, ethnicity, sociocultural and sociopolitical influences, as well as the roles of power, privilege, and disadvantage. Diversity impacts…

  12. Finding the Black Self: A Humanistic Strategy.

    Science.gov (United States)

    Jones, Rhett S.

    1980-01-01

    Presents a strategy for the study of Black self-definition. Discusses the use of the constructs "personality" and "culture" by humanistic psychologists. Attends to the utility of humanistic strategies for penetrating Black presentations of self. Explores humanistic developments in anthropology, history, and sociology, as well as in psychology.…

  13. [The provision of population of the Russian Federation with basic personnel resource of public health care system].

    Science.gov (United States)

    Schepin, V O

    2013-01-01

    The article presents the results of complex scientific analysis of number and structure of physicians and paramedical personnel of public and municipal health care system of the Russian Federation. The provision of country population, its federal okrugs and federation subjects with physicians and paramedical personnel of various specialties are analyzed too, including ratio of physicians and paramedical personnel and territorial differentiation of provision of population with basic medical personnel. The study results demonstrate that in 2012 provision of population (per 10 000 of population) with physicians increased from 43.9 to 44.7. At the same time provision with paramedical personnel decreased from 92.3 to 90.8. in the Russian Federation are preserved significant territorial disproportions of provision of population with medical personnel resource. The provision of population with physicians and paramedical personnel is 4.3 times and 1.9 times higher in cities than in rural area. The differences between extreme indicators of provision of population of the Russian Federation with physicians and paramedical personnel are 2.9 and 2.4 times correspondingly. The differences between indicators of provision with physicians of clinical specialties are 2.6 times. The average ratio between physician and paramedical personnel is 1:2.03. The structure of medical manpower corresponds to the need of population in medical care in incomplete measure. The materials substantiate necessity to continue modernization, optimization and development of manpower support of public health care system in the Russian Federation.

  14. 人文关怀及技能训练对精神分裂症患者康复的作用%Humanistic care and skill training for schizophrenia patients in rehabilitation

    Institute of Scientific and Technical Information of China (English)

    苏勉; 王彩琴; 卓剑芳; 梁艳; 邓勤香; 凌翰; 凌礼雄

    2012-01-01

    Objective To investigate the effect of humanistic nursing care and skill training for schizophrenia patients in rehabilitation.Methods 192 patients were randomly divided into research group and control group,96 for each group.The nursing theory of humanistic care,a three-rnonths skill training about life,occupation,social communication,self medication,symptom self-control,and one year follow-up after discharging were carried on the research group.The control group received conventional care.Satisfaction / comfort questionnaire,Social Disability Screening Scale (SDSS),Brief Psychiatric Rating Scale (BPRS),the mentally ill in rehabilitation outcome assessment scale (IPROS),medication adherence,relapse rates and readmission rates were used to assess the efficacy.Results After three months training,six months and 1 year after discharging from hospital,there were significant,differences in SDSS,BPRS,IPROS between the two groups.One year after discharging from hospital,there were significant differences in medication adherence,relapse,and readmission between the two groups.Upon discharging,there was significant differences in satisfaction /comfort level between the two groups (the research group:95.3 points; the control group:84.4 ; x2=4.06,P < 0.05).Conclusions The research data shows that humanistic care conbining with comprehensive skill training can improve patients mental symptoms,reduce relapse rates and readmission rates,improve medication adherence,and has a positive end efficacious effect on patients comprehensive rehabilitation.%目的 探讨护理人文关怀及技能训练对精神分裂症患者康复的作用.方法 将192例研究对象随机分为研究组和对照组,各96例;研究组应用人文关怀理论,实施3个月的生活、职业、社交、药物自我处置、症状自我监控技能训练和出院后1年的跟踪随访,对照组采用常规护理;用满意度/舒适度问卷、社会功能缺陷筛选表( SDSS)、简明精神病评

  15. Teaching Reform and Practice of Nursing Specialty Courses Based on Cultivation of Humanistic Caring Ability%以人文关怀能力培养为本位的护理专业课教学改革与实践

    Institute of Scientific and Technical Information of China (English)

    贾娟娟; 汪洪杰; 黄弋冰

    2013-01-01

    目的探讨以人文关怀能力培养为本位的护理专业课教学改革的效果。方法采用随机整群抽样,从某校二年级专科护生中抽取8个班作为研究对象,按随机数字表法分为观察组和对照组。对照组在护理专业课教学中遵循传统教学,观察组以人文关怀能力培养为本位对护理专业课的教学内容、教学方法及考核方式进行改革。临床实习中期分别对两组学生及其临床带教老师应用护生人文关怀能力量表和自行设计的调查问卷进行调查,评价实施效果。结果学期结束后护生自评及临床带教老师评价均显示观察组人文关怀能力高于对照组(P<0.05)。结论以人文关怀能力培养为本位的护理专业课教学改革有助于提高护生的人文关怀能力。%Objective To evaluate the effect of teaching reform of nursing specialty courses based on the cultivation of humanistic caring ability. Methods By cluster sampling, eight classes of sophomore nursing students were randomly divided into control group and experiment group. Traditional teaching method was applied in control group while in experiment group, based on the cultivation of humanistic caring ability, a new teaching method including reformed teaching content, teaching method and evaluation mode was used. In mid-term of clinical practice, nursing student humanistic caring ability scale and a self-designed questionnaire were used to evaluate the effect. Results Both nursing students’ self-evaluation and the evaluation on clinical teachers showed students in experiment group presented higher humanistic caring ability (P<0.05). Conclusion Nursing specialty courses based on the cultivation of humanistic caring ability help to enhance nursing students ’ humanistic caring ability.

  16. Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences With Care in Europe.

    Science.gov (United States)

    Bruyneel, Luk; Li, Baoyue; Ausserhofer, Dietmar; Lesaffre, Emmanuel; Dumitrescu, Irina; Smith, Herbert L; Sloane, Douglas M; Aiken, Linda H; Sermeus, Walter

    2015-12-01

    This study integrates previously isolated findings of nursing outcomes research into an explanatory framework in which care left undone and nurse education levels are of key importance. A moderated mediation analysis of survey data from 11,549 patients and 10,733 nurses in 217 hospitals in eight European countries shows that patient care experience is better in hospitals with better nurse staffing and a more favorable work environment in which less clinical care is left undone. Clinical care left undone is a mediator in this relationship. Clinical care is left undone less frequently in hospitals with better nurse staffing and more favorable nurse work environments, and in which nurses work less overtime and are more experienced. Higher proportions of nurses with a bachelor's degree reduce the effect of worse nurse staffing on more clinical care left undone. © The Author(s) 2015.

  17. Provision of care to clients of migrant origin: the experiences of maternity care providers.

    OpenAIRE

    Boerleider, A.W.; Francke, A.L.; Wiegers, T.A.; Manniën, J.; Devillé, W.L.J.M.

    2012-01-01

    Background: Women of non-western migrant origin comprise a substantial part of the client population in maternity care. According to Statistics Netherlands, mothers of non-western migrant origin contribute to 17% of all live births. This group is very diverse in origin which implies a variety in needs and expectations with regard to maternity care. Furthermore, clients of nonwestern migrant origin have been shown to make less adequate use of prenatal and postnatal care. This may add to the ch...

  18. Who cares? A comparison of informal and formal care provision in Spain, England and the USA.

    Science.gov (United States)

    Solé-Auró, Aïda; Crimmins, Eileen M

    2014-03-01

    This paper investigates the prevalence of incapacity in performing daily activities and the associations between household composition and availability of family members and receipt of care among older adults with functioning problems in Spain, England and the United States of America (USA). We examine how living arrangements, marital status, child availability, limitations in functioning ability, age and gender affect the probability of receiving formal care and informal care from household members and from others in three countries with different family structures, living arrangements and policies supporting care of the incapacitated. Data sources include the 2006 Survey of Health, Ageing and Retirement in Europe for Spain, the third wave of the English Longitudinal Study of Ageing (2006), and the eighth wave of the USA Health and Retirement Study (2006). Logistic and multinomial logistic regressions are used to estimate the probability of receiving care and the sources of care among persons age 50 and older. The percentage of people with functional limitations receiving care is higher in Spain. More care comes from outside the household in the USA and England than in Spain. The use of formal care among the incapacitated is lowest in the USA and highest in Spain.

  19. The contribution of church health services to maternal health care provision in Papua New Guinea.

    Science.gov (United States)

    Mapira, P; Morgan, C

    2011-01-01

    Access to maternal health services is one key to the reduction of maternal mortality in Papua New Guinea. Church health services (CHS) are known to administer around 45% of rural health facilities. We undertook a descriptive analysis based on health facility service provision data for 2009 from the National Health Information System (NHIS), supported by document review and interviews. We recoded NHIS data on facilities by administration by CHS or government health service, judged their capacity for emergency obstetric care (EmOC) and analysed service provision for 2009. For rural services (i.e., outside of provincial capitals), CHS were recorded as providing 58% of health facility childbirth care and 38% of first antenatal visits. Obstetric referral patterns and facility capacity suggested many facilities were likely to have only basic EmOC and limited referral options. Nationally, CHS provided 21% of temporary methods of contraception (measured in couple-year protection) but 85% of referrals for permanent contraception. There was marked variation across provinces with clear implications for where health system strengthening could be beneficial to maternal survival. Our findings also disclosed gaps in the NHIS around monitoring of complicated childbirth and inclusion of community-based care.

  20. Dentists' attitude to provision of care for people with learning disabilities in Udaipur, India.

    Science.gov (United States)

    Nagarajappa, Ramesh; Tak, Mridula; Sharda, Archana J; Asawa, Kailash; Jalihal, Sagar; Kakatkar, Gauri

    2013-03-01

    This study determines and compares the attitudes of dentists to the provision of care for people with learning disabilities according to gender, qualification, previous experience of treating patients with learning disabilities and work experience of dentists. A cross-sectional study was conducted among 247 dentists (166 men and 81 women) using a pretested structured questionnaire. This questionnaire assessed the respondent's attitude towards learning-disabled patients in five categories: beliefs about treating them, their capabilities, discrimination against these patients, their social behaviour and quality of care to be received by these patients. The information on dentist's gender, qualification, work experience and previous experience of treating patients with learning disabilities was also collected through questionnaire. The Student's t-test and anova test were used for statistical analysis. The mean attitude score was found to be 71.13 ± 8.97. A statistically significant difference was found in the mean attitude scores of dentists with work experience (p = 0.000). Study subjects with postgraduate qualification and previous experience of treating patients with learning disabilities had significantly greater mean attitude score than their counterparts (p = 0.000). The overall attitude of dentists towards provision of care for people with learning disabilities was favourable, which increased with higher qualification and past experience.

  1. 论人文关怀在白血病患儿长期治疗中的作用%Effect of Humanistic Care on Long-term Treatment of Leukemia Children

    Institute of Scientific and Technical Information of China (English)

    王玲; 肖延风; 李金娜; 杨长虹; 王莉; 辛芳芹

    2015-01-01

    Objective:To investigate the psychological changes of leukemia children and their parents during treatment and rehabilitation,and provide the basis for medical staff giving humanistic care to them.Methods:20 leukemia children and their parents were interviewed and accepted one to one individualized intervention after ana-lyzing the information and posing problems.Results:Leukemia children need long-term treatment, and chemo-therapeutic drugs has obvious side effect, which make parents and children painful and easily cause negative emo-tion and psychological problems.Timely psychological intervention and humanistic care are good for disease recov-ery.Conclusion:According to children′s psychological characteristics in different treatment stages and parents′psy-chological needs conclusion was made that humanistic care on leukemia children should include:to make the pa-tient comfortable first, meet the psychological demands of children in different ages, improve medical technology, carry out painless therapy, enhance communication skills between doctors and patients, give the necessary social support, and improve the children′s quality of life.%目的:通过了解白血病患儿及其家长在治疗及康复过程中的心理变化,为临床医护人员对患儿和家长实行人文关怀措施提供借鉴。方法通过访谈形式,先后访问了20例白血病患儿及其父母,将获得的资料分析整理,提出问题,并进行一对一的个体化干预。结果白血病患儿治疗时间长,化疗药物副作用大,带给家长和患儿的痛苦也较大,容易引起患儿和家长的负面情绪,不同程度的存在心理问题,进行适时的心理干预和人文关怀对其疾病的康复有积极作用。结论针对白血病患儿不同治疗时期的心理特点,患儿家长的心理需求,提出对白血病患儿及家长的人文关怀主要包括:优先稳定家长情绪;个性化满足不同年龄段患儿的心理

  2. Discussion on the Humanistic Care in Information Tech-nology Teaching in Junior Middle School%刍议初中信息技术教学中的人文关怀

    Institute of Scientific and Technical Information of China (English)

    汪琛

    2015-01-01

    As the teaching content and teaching mode have changed correspondingly along with the gradual education re-form, junior middle school teachers shall timely adjust their own teaching concepts and reform the teaching methods, thereby mo-tivating the learning enthusiasm of the students and improving the teaching quality. At present, there is a phenomenon of "valuing the technology, ignoring the humanity"in information technology teaching in junior middle school, and the teacher takes himself as the leading factor of teaching and ignores the humanistic care for the students, which weakens the learning initiative of the stu-dents. This paper briefly investigates the connotation of humanis-tic care, analyzes the weaknesses in information technology teaching in junior middle school currently, and puts forward spe-cific improvement measures in order to improve the teaching quality and lay a solid foundation for the development of the stu-dents.%随着当前教学改革进程的逐步深入,教学内容及教学模式也相应发生了变化,作为初中教师,应及时调整自身的观念,对教学方法进行改革,从而帮助学生激发学习积极性,提高教学质量。当前,初中信息技术课程教学期间存在着“重技术,轻人文”的情况,教师以自身作为教学主导,忽视了对学生的人文关怀,从而减弱了学生的学习积极性。本文简要探究了人文关怀的内涵,分析了目前初中信息技术课程教学存在的不足,并提出具体的改进措施,目的在于提高教学质量,为学生以后发展夯实基础。

  3. Systematic review of recent innovations in service provision to improve access to primary care

    Science.gov (United States)

    Chapman, Jenifer L; Zechel, Annegret; Carter, Yvonne H; Abbott, Stephen

    2004-01-01

    Background: In England, there are particularly pressing problems concerning access to adequate primary care services. Consequently, innovative ways of delivering primary care have been introduced to facilitate and broaden access. Aims: The aim of this study was to review the evidence of seven recent innovations in service provision to improve access or equity in access to primary care, by performing a systematic review of the literature. Design of study: Systematic review. Setting: Primary care in the United Kingdom (UK). Method: Seven electronic databases were searched and key journals were hand-searched. Unpublished and ‘grey’ literature were sought via the Internet and through professional contacts. Intervention studies addressing one of seven recent innovations and conducted in the UK during the last 20 years were included. Two researchers independently assessed the quality of papers. Results: Thirty studies (32 papers and two reports) were identified overall. Variation in study design and outcome measures made comparisons difficult. However, there was some evidence to suggest that access is improved by changing the ways in which primary care is delivered. First-wave personal medical services pilots facilitated improvements in access to primary care in previously under-served areas and/or populations. Walk-in centres and NHS Direct have provided additional access to primary care for white middle-class patients; there is some evidence suggesting that these innovations have increased access inequalities. There is some evidence that telephone consultations with GPs or nurses can safely substitute face-to-face consultations, although it is not clear that this reduces the number of face-to-face consultations over time. Nurse practitioners and community pharmacists can manage common conditions without the patient consulting a general practitioner. Conclusion: The evidence is insufficient to make clear recommendations regarding ways to improve access to primary

  4. Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence

    Directory of Open Access Journals (Sweden)

    Louise Newbould

    2017-01-01

    Full Text Available A scoping review was conducted to map the research evidence on the use of videoconferencing for remote health care provision for older adults in care homes. The review aimed to identify the nature and extent of the existing evidence base. Databases used were Embase, Medline, Web of Science, and Cochrane Library Reviews. The review identified 26 articles for inclusion, of which 14 were case studies, making the most used study design. Papers described videoconferencing as being used for assessment, management of health care, clinical support, and diagnosis, with eight of the papers reporting the use of videoconferencing for more than one clinical purpose. A further eight papers reported the use of videoconferencing for assessment alone. The literature reported the collection of various types of data, with 12 papers describing the use of both qualitative and quantitative data. The outcomes mainly addressed staff satisfaction (n=9 and resident satisfaction (n=8. Current evidence supports the feasibility of videoconferencing in care homes. However, research needs to be undertaken to establish the contexts and mechanisms that underpin the successful implementation of videoconferencing in care homes and to define useful measures for success.

  5. The Domiciliary Support Service in Portugal and the change of paradigm in care provision

    Directory of Open Access Journals (Sweden)

    Silvina Santana

    2007-01-01

    Full Text Available Context of case: In Portugal, the integration of care services is still in its infancy. Nevertheless, a home support service called SAD (Serviço de Apoio Domiciliário—Domiciliary Support Service, provided by non-profit institutions to the elderly population is believed to be a first approach to integrated care. Purpose: The aim of this work is to describe and discuss the services provided by the institutions that participate in SAD and understand if this service is the first step in a change towards integrated care. Data sources: The main data sources were documents provided by institutions like INE (Instituto Nacional de Estatística—National Institute of Statistics and a questionnaire that was submitted to 75 institutions in order to capture: (a demographic and structural data; (b the type of information that the professionals need to fulfil their jobs and (c the kind of relationship and constraints, if they exist, to better integration, between the institutions that provide SAD and the patients, the social and health systems, and other entities. Conclusion and discussion: SAD seems to have been promoting a formal collaboration between several entities in the social and health systems. The information shared between these institutions has increased, but where cooperation in care service provision is concerned this seldom surpasses the social bounds because health care is still difficult to integrate.

  6. The performance of different models of primary care provision in Southern Africa.

    Science.gov (United States)

    Mills, Anne; Palmer, Natasha; Gilson, Lucy; McIntyre, Di; Schneider, Helen; Sinanovic, Edina; Wadee, Haroon

    2004-09-01

    Despite the emphasis placed during the last two decades on public delivery of comprehensive and equitable primary care (PC) to developing country populations, coverage remains far from universal and the quality often poor. Users frequently patronise private providers, ranging from informal drug sellers to trained professionals. Interest is increasing internationally in the potential for making better use of private providers, including contractual approaches. The research aim was to examine the performance of different models of PC provision, in order to identify their strengths and weaknesses from the perspective of a government wishing to develop an overall strategy for improving PC provision. Models evaluated were: (a) South African general practitioners (district surgeons) providing services under public contracts; (b) clinics provided in Lesotho under a sub-contract between a construction company and a South African health care company; (c) GP services provided through an Independent Practitioner Association to low income insured workers and families; (d) a private clinic chain serving low income insured and uninsured workers and their families; and (e) for comparative purposes, South African public clinics. Performance was analysed in terms of provider cost and quality (of infrastructure, treatment practices, acceptability to patients and communities), allowing for differences in services and case-mix. The diversity of the arrangements made direct comparisons difficult, however, clear differences were identified between the models and conclusions drawn on their relative performance and the influences upon performance. The study findings demonstrate that contextual features strongly influence provider performance, and that a crude public/private comparison is not helpful. Key issues in contract design likely to influence performance are highlighted. Finally, the study argues that there is a need before contracting out service provision to consider how the

  7. [Bottlenecks in the provision of inpatient care--caused by the Hospital Funding Act].

    Science.gov (United States)

    Jansen, Christoph

    2010-01-01

    The responsibility of the state for ensuring the provision of hospital care services to its citizens derives from the welfare state principle laid down in Sect. 20 para. 1 GG (Grundgesetz, i.e., the German constitutional law). The state fulfils this responsibility by means of planning and funding regulations in the Hospital Funding Act (KHG), the Hospital Remuneration Act (KHEntG), the National Ordinance on Hospital Rates (BPflV), the Hospital Laws of the German federal states and other supplementary legislation. The funding of hospitals is based on a dual funding system, meaning that hospital investment costs generally need to be borne by the German federal states as required, while operating costs will have to be funded through the remuneration for hospital treatments. Because of the tight budget situation of the German federal states a considerable backlog of investment has built up. After a transition period (between 2005 and 2009) operating costs are now funded on the basis of the so-called DRG system (DRG=Diagnosis Related Groups)--irrespective of the actual costs incurred by each individual hospital, which has led to a commodification of hospital care services. Whether this commodification avoids bottlenecks in the provision of health services to hospital patients or creates additional bottlenecks, is a controversial issue.

  8. Staffing in postnatal units: is it adequate for the provision of quality care? Staff perspectives from a state-wide review of postnatal care in Victoria, Australia

    Directory of Open Access Journals (Sweden)

    Lumley Judith

    2006-07-01

    Full Text Available Abstract Background State-wide surveys of recent mothers conducted over the past decade in Victoria, one state of Australia, have identified that women are consistently less satisfied with the care they received in hospital following birth compared with other aspects of maternity care. Little is known of caregivers' perspectives on the provision ofhospital postnatal care: how care is organised and provided in different hospitals; what constrains the provision of postnatal care (apart from funding and what initiatives are being undertaken to improve service delivery. A state-widereview of organisational structures and processes in relation to the provision of hospital postnatal care in Victoria was undertaken. This paper focuses on the impact of staffing issues on the provision of quality postnatal care from the perspective of care providers. Methods A study of care providers from Victorian public hospitals that provide maternity services was undertaken. Datawere collected in two stages. Stage one: a structured questionnaire was sent to all public hospitals in Victoria that provided postnatal care (n = 73, exploring the structure and organisation of care (e.g. staffing, routine observations, policy framework and discharge planning. Stage two: 14 maternity units were selected and invited to participate in a more in-depth exploration of postnatal care. Thirty-eight key informant interviews were undertaken with midwives (including unit managers, associate unit managers and clinical midwives and a medical practitioner from eachselected hospital. Results Staffing was highlighted as a major factor impacting on the provision of quality postnatal care. There were significant issues associated with inadequate staff/patient ratios; staffing mix; patient mix; prioritisation of birth suites over postnatal units; and the use of non-permanent staff. Forty-three percent of hospitals reported having only midwives (i.e. no non-midwives providing postnatal care

  9. Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences with Care in Europe

    NARCIS (Netherlands)

    L. Bruyneel (Luk); B. Li (Baoyue); D. Ausserhofer (Dietmar); E.M.E.H. Lesaffre (Emmanuel); I. Dumitrescu (Irina); H.L. Smith (Herbert L.); D.M. Sloane (Douglas M.); L.H. Aiken (Linda); W. Sermeus (Walter)

    2015-01-01

    textabstractThis study integrates previously isolated findings of nursing outcomes research into an explanatory framework in which care left undone and nurse education levels are of key importance. A moderated mediation analysis of survey data from 11,549 patients and 10,733 nurses in 217 hospitals

  10. Provision of care to clients of migrant origin: the experiences of maternity care providers.

    NARCIS (Netherlands)

    Boerleider, A.W.; Francke, A.L.; Wiegers, T.A.; Manniën, J.; Devillé, W.L.J.M.

    2012-01-01

    Background: Women of non-western migrant origin comprise a substantial part of the client population in maternity care. According to Statistics Netherlands, mothers of non-western migrant origin contribute to 17% of all live births. This group is very diverse in origin which implies a variety in nee

  11. Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences with Care in Europe

    NARCIS (Netherlands)

    L. Bruyneel (Luk); B. Li (Baoyue); D. Ausserhofer (Dietmar); E.M.E.H. Lesaffre (Emmanuel); I. Dumitrescu (Irina); H.L. Smith (Herbert L.); D.M. Sloane (Douglas M.); L.H. Aiken (Linda); W. Sermeus (Walter)

    2015-01-01

    textabstractThis study integrates previously isolated findings of nursing outcomes research into an explanatory framework in which care left undone and nurse education levels are of key importance. A moderated mediation analysis of survey data from 11,549 patients and 10,733 nurses in 217 hospitals

  12. 人文关怀与回归生活——现代残疾人体育的价值取向%Humanistic Care and Regression of Life on the value orientation of modern disability sports

    Institute of Scientific and Technical Information of China (English)

    马飞

    2011-01-01

    残疾人体育作为人类文化形态的一个特殊组成部分,它的发展是人类文明形态进步的标志.现代残疾人体育应走出以竞技为主的误区,体现"以人为本"的人文关怀理念,通过体育锻炼的有效手段,使残疾人不断摆脱各种外在羁绊而走向自由.回归生活、融入生活,适应现实生活.%As a unique integration of human culture, disability sports is a symbol for the progress of human civilization. Modern disability sports should correct the error which gives priority to competitive sports, manifests its humanistic care concept of people orientation, free the disabled people by the effective sports exercise, regress and adapt to the realistic life.

  13. Exploration on Humanistic Care in the Ideological and Political Education of Higher Vocational Students in the Micro Age%微时代高职学生思想政治教育中的人文关怀探究

    Institute of Scientific and Technical Information of China (English)

    景仕荣

    2014-01-01

    随着微时代的到来,高职学生的理想、信念和价值观受到网络媒体的各种冲击,这给学生的思想政治教育带来一定的挑战。微时代的高职学生思想政治教育不仅要关注传统教育,还要赋予人文关怀,引导学生关注自我,以学生为中心,从多角度关注学生需求,对多元价值观导致学生的心理失衡进行心理疏导,引导学生健康成长。%With the advent of the micro age, higher vocational students' ideals, beliefs and values are suffering from various im-pacts of the network media, which has brought certain challenges to the ideological and political education of students. The ideo-logical and political education of higher vocational students in the micro age should not only focus on traditional education, but also contain humanistic care, guide students to concern themselves, pay attention to students' needs from multiple angles, and carry out psychological counseling on students' psychological imbal-ance caused by pluralistic values, so as to guide their healthy growth.

  14. 体育教学过程中对教学组织形式进行人文关怀的研究%Research on Humanistic Care of Organizational Form of Sports Teaching in Physical Teaching

    Institute of Scientific and Technical Information of China (English)

    侯选莉

    2015-01-01

    Taking the organizational form of sports teaching as the research object, through the teaching experiment method, literature analysis and interviews, author analyses the humanities concern in the staff ratio, space-time relation and teaching program among class teaching, group teacher and individual teaching activities of teachers and students together, by which this paper confirms the value and significance of humanistic care in the organization form of sports teaching.%以体育教学的组织形式为研究对象,通过教学实验、文献分析、访谈等方法分析班级教学、分组教学、个别教学的师生共同活动在人员配比和时空关系上的人文关怀,以及师生的共同活动在教学程序方面的人文关怀,确定体育教学组织形式人文关怀的价值和意义。

  15. 唐代端午诗中的节俗文化及其蕴含的人文关照%Festival Culture and Humanistic Care in Poems of Dragon Boat Festival in Tang Dynasty

    Institute of Scientific and Technical Information of China (English)

    于巧

    2015-01-01

    The Dragon Boat Festival started in the Spring & Autumn period and the Warring States period. It had two thousand years history. The Tang Dynasty is a transitional phase in the development of the Dragon Boat Festival. There is a vivid description of Festival customs from the Dragon Boat poem,such as food,items and activities in Dragon Boat Festival. The perspective of this festival folk culture contains the rich humanistic care,including,treasure and blessing of life,the mourning and sing praises of Qu Yuan,and emotional communication between people.%端午节始于春秋战国时期,时至今日已有两千多年的历史。唐代是端午节发展过程中的一个过渡阶段,从唐代端午诗中我们可以看到唐人对端午节俗的生动描写,有端午饮食、端午节物以及端午社交活动,透视这些节俗文化可见其蕴含着的浓厚的人文关照,不仅有对生命的珍爱和祈愿,对屈原的悼念和歌颂,更有人们之间紧密的情感交流。

  16. Provision of health care actions and services for the management of HIV/AIDS from the users’ perspective

    Directory of Open Access Journals (Sweden)

    Luana Alves Figueiredo

    2014-12-01

    Full Text Available Objective To analyse the provision of health care actions and services for people living with AIDS and receiving specialised care in Ribeirão Preto, SP. Method A descriptive, exploratory, survey-type study that consisted of interviews with structured questionnaires and data analysis using descriptive statistics. Results The provision of health care actions and services is perceived as fair. For the 301 subjects, routine care provided by the reference team, laboratory tests and the availability of antiretroviral drugs, vaccines and condoms obtained satisfactory evaluations. The provision of tests for the prevention and diagnosis of comorbidities was assessed as fair, whereas the provisions of specialised care by other professionals, psychosocial support groups and medicines for the prevention of antiretroviral side effects were assessed as unsatisfactory. Conclusion Shortcomings were observed in follow-up and care management along with a predominantly biological, doctor-centred focus in which clinical control and access to antiretroviral therapy comprise the essential focus of the care provided.

  17. Acting with dedication and expertise: Relatives' experience of nurses' provision of care in a palliative unit.

    Science.gov (United States)

    Grøthe, Å; Biong, Stian; Grov, E K

    2015-12-01

    Admission of a cancer patient to a palliative unit when near the final stage of their disease trajectory undoubtedly impacts their relatives. The aim of our study was to illuminate and interpret relatives' lived experiences of health personnel's provision of care in a palliative ward. A phenomenological/hermeneutic approach was employed that was inspired by the philosophical tradition of Heidegger and Ricoeur and further developed by Lindseth and Nordberg. The perspectives of the narrator and the text were interpreted by highlighting relatives' views on a situation in which they have to face existential challenges. The analysis was undertaken in three steps: naïve reading, structural analysis, and comprehensive understanding, including the authors' professional experiences and theoretical background. Six subthemes appeared: the dying person, the bubble, the sight, the cover, the provision for children's needs, and the availability of immediate help. These components were further constructed into three themes: the meaning of relating, the meaning of action, and the meaning of resources. Our comprehensive understanding of the results suggests that the most important theme is "acting with dedication and expertise." The following aspects are crucial for relatives of cancer patients hospitalized in a palliative ward: time and existence, family dynamics, and care adjusted to the situation. Our study results led to reflections on the impact of how nurses behave when providing care to patients during the palliative phase, and how they interact with relatives in this situation. We found that cancer patients in a palliative unit most appreciate nurses who act with dedication and expertise.

  18. Clinical and perceived quality of care for maternal, neonatal and antenatal care in Kenya and Namibia: the service provision assessment.

    Science.gov (United States)

    Diamond-Smith, Nadia; Sudhinaraset, May; Montagu, Dominic

    2016-08-11

    The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient's perception of their experiences. Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilities have the necessary signal functions for providing emergency and basic maternal (EmOC) and newborn care (EmNC), and antenatal care (ANC) using descriptives and multivariate regression. We explore differences by type of facility (hospital, center or other) and by private and public facilities. Finally, we see if patient satisfaction (taken from exit surveys at antenatal care) is associated with the quality of services (specific services provided). We find that most facilities do not have all of the signal functions, with 46 and 27 % in Kenya and 18 and 5 % in Namibia of facilities have high/basic scores in routine and emergency obstetric care, respectively. We found that hospitals preform better than centers in general and few differences emerged between public and private facilities. Patient perceptions were not consistently associated with services provided; however, patients had fewer complaints in private compared to public facilities in Kenya (-0.46 fewer complaints in private) and smaller facilities compared to larger in Namibia (-0.26 fewer complaints in smaller facilities). Service quality itself (measured in scores), however, was only significantly better in Kenya for EmOC and EmNC. This analysis sheds light on the inadequate levels of care for saving maternal and newborn lives in most facilities in two countries of Africa. It also highlights the disconnect between patients' perceptions and clinical quality of services. More effort is needed to ensure that high quality supply of services is present to meet growing demand as an increasing number of women deliver in facilities.

  19. Service provision and barriers to care for homeless people with mental health problems across 14 European capital cities

    Directory of Open Access Journals (Sweden)

    Canavan Réamonn

    2012-07-01

    Full Text Available Abstract Background Mental health problems are disproportionately higher amongst homeless people. Many barriers exist for homeless people with mental health problems in accessing treatment yet little research has been done on service provision and quality of care for this group. The aim of this paper is to assess current service provision and identify barriers to care for homeless people with mental health problems in 14 European capital cities. Method Two methods of data collection were employed; (i In two highly deprived areas in each of the 14 European capital cities, homeless-specific services providing mental health, social care or general health services were assessed. Data were obtained on service characteristics, staff and programmes provided. (ii Semi-structured interviews were conducted in each area with experts in mental health care provision for homeless people in order to determine the barriers to care and ways to overcome them. Results Across the 14 capital cities, 111 homeless-specific services were assessed. Input from professionally qualified mental health staff was reported as low, as were levels of active outreach and case finding. Out-of-hours service provision appears inadequate and high levels of service exclusion criteria were evident. Prejudice in the services towards homeless people, a lack of co-ordination amongst services, and the difficulties homeless people face in obtaining health insurance were identified as major barriers to service provision. Conclusions While there is variability in service provision across European capital cities, the reported barriers to service accessibility are common. Homeless-specific services are more responsive to the initial needs of homeless people with mental health problems, while generic services tend to be more conducive to long term care. Further research is needed to determine the effectiveness of different service delivery models, including the most effective coordination of

  20. Service provision and barriers to care for homeless people with mental health problems across 14 European capital cities

    LENUS (Irish Health Repository)

    Canavan, Réamonn

    2012-07-27

    AbstractBackgroundMental health problems are disproportionately higher amongst homeless people. Many barriers exist for homeless people with mental health problems in accessing treatment yet little research has been done on service provision and quality of care for this group. The aim of this paper is to assess current service provision and identify barriers to care for homeless people with mental health problems in 14 European capital cities.MethodTwo methods of data collection were employed; (i) In two highly deprived areas in each of the 14 European capital cities, homeless-specific services providing mental health, social care or general health services were assessed. Data were obtained on service characteristics, staff and programmes provided. (ii) Semi-structured interviews were conducted in each area with experts in mental health care provision for homeless people in order to determine the barriers to care and ways to overcome them.ResultsAcross the 14 capital cities, 111 homeless-specific services were assessed. Input from professionally qualified mental health staff was reported as low, as were levels of active outreach and case finding. Out-of-hours service provision appears inadequate and high levels of service exclusion criteria were evident. Prejudice in the services towards homeless people, a lack of co-ordination amongst services, and the difficulties homeless people face in obtaining health insurance were identified as major barriers to service provision.ConclusionsWhile there is variability in service provision across European capital cities, the reported barriers to service accessibility are common. Homeless-specific services are more responsive to the initial needs of homeless people with mental health problems, while generic services tend to be more conducive to long term care. Further research is needed to determine the effectiveness of different service delivery models, including the most effective coordination of homeless specific and generic

  1. Incremental health system reform policy: Ecuador's law for the provision of free maternity and child care.

    Science.gov (United States)

    Chiriboga, Sonia Ruiz

    2009-01-01

    This study assessed the impact that the Ley de Maternidad Gratuita y Atencion a la Infancia (LMGAI) [Law for the Provision of Free Maternity and Child Care] in Ecuador has had on health services utilization and infant mortality. These outcomes were also examined by socioeconomic status. This retrospective study used demographic and health surveys, ENDEMAIN 1999 and 2004, with multivariate logistic regression to assess the impact post-LMGAI, controlling for mother's socioeconomic status, maternal and birth history, and demographic characteristics. Primary healthcare services utilization outcomes significantly improved post-LMGAI. Neonatal mortality decreased post-LMGAI. Further evaluation is needed as implementation continues to understand the expansion of primary healthcare services in future health system reforms.

  2. Challenges to access and provision of palliative care for people who are homeless: a systematic review of qualitative research.

    Science.gov (United States)

    Hudson, Briony F; Flemming, Kate; Shulman, Caroline; Candy, Bridget

    2016-12-03

    People who are homeless or vulnerably housed are a marginalized group who often experience high rates of morbidity and die young as a result of complex problems. Access to health care and support can be challenging, with access to palliative care even more so. This review presents a synthesis of published qualitative research exploring from the perspective of homeless people and those working to support them, current challenges to palliative care access and provision, in addition to suggestions for what may improve palliative care for this population. Systematic review of qualitative research analysed using thematic synthesis. PsycINFO, Medline, Sociological Abstracts, Social Services Abstracts, Science citations index and CINAHL were searched up to September 2016. Thematic synthesis involved a three-step inductive process to develop a deeper understanding of the challenges to and suggestions for the access and provision of palliative care for homeless people. Thirteen qualitative articles, reporting nine studies were identified. The challenges to access and provision to palliative care were drawn from the data covering three broad areas, namely "the chaotic lifestyles sometimes associated with being homeless", "the delivery of palliative care within a hostel for homeless people" and provision within "mainstream health care systems". Obstacles were related to homeless persons competing day-to-day priorities, their experience of stigma in mainstream settings, the high burden on hostel staff in supporting residents at the end of life and inflexibility in mainstream health care systems. Suggestions for improving access to palliative care include building trust between homeless persons and health professionals, increasing collaboration between and flexibility within services, and providing more training and support for all professionals. The provision of palliative care can be complicated for all populations, however delivering palliative care for people who are

  3. A stepped-care model of post-disaster child and adolescent mental health service provision

    Directory of Open Access Journals (Sweden)

    Brett M. McDermott

    2014-07-01

    Full Text Available Background: From a global perspective, natural disasters are common events. Published research highlights that a significant minority of exposed children and adolescents develop disaster-related mental health syndromes and associated functional impairment. Consistent with the considerable unmet need of children and adolescents with regard to psychopathology, there is strong evidence that many children and adolescents with post-disaster mental health presentations are not receiving adequate interventions. Objective: To critique existing child and adolescent mental health services (CAMHS models of care and the capacity of such models to deal with any post-disaster surge in clinical demand. Further, to detail an innovative service response; a child and adolescent stepped-care service provision model. Method: A narrative review of traditional CAMHS is presented. Important elements of a disaster response – individual versus community recovery, public health approaches, capacity for promotion and prevention and service reach are discussed and compared with the CAMHS approach. Results: Difficulties with traditional models of care are highlighted across all levels of intervention; from the ability to provide preventative initiatives to the capacity to provide intense specialised posttraumatic stress disorder interventions. In response, our over-arching stepped-care model is advocated. The general response is discussed and details of the three tiers of the model are provided: Tier 1 communication strategy, Tier 2 parent effectiveness and teacher training, and Tier 3 screening linked to trauma-focused cognitive behavioural therapy. Conclusion: In this paper, we argue that traditional CAMHS are not an appropriate model of care to meet the clinical needs of this group in the post-disaster setting. We conclude with suggestions how improved post-disaster child and adolescent mental health outcomes can be achieved by applying an innovative service approach.

  4. Analysis on the Non-dominant Misunderstanding of Humanistic Medical Care in Clinical Medicine%临床医学中人性化医疗的非显性误区辨析

    Institute of Scientific and Technical Information of China (English)

    张锦英; 徐忠杨; 尚游

    2014-01-01

    With the rapid development of modern medical technology ,the inhuman trend of clinical medicine had being increasingly questioned when people enjoy the medical technology services ,so its medical purpose and value need to be re-examined .This paper expounds some non-dominate error of humanistic medical care which is the main reason of medical humanities decline .Face of the contradictory relationship between technology and Humanism , the way out lies in the human direction of medical technology ,so we need to make up the inhuman means with human care and to realize medical humanity renaissance in exploration of medical humanity .%随着现代医疗技术的迅猛发展,人们在享受高新技术提供服务的同时,却对临床医学存在的非人性化趋势提出越来越多的质疑,因此,需要对医学目的和价值进行重新审视。本文阐述了人性化医疗中存在的某些非显性误区,这是医学人文削减的主要内在原因,面对技术与人文之间的矛盾关系,出路在于医疗技术的人性化方向,赋予非人性化手段以人性化关怀,在探索人性化的医疗手段中实现医疗的人性化复兴。

  5. Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults.

    Science.gov (United States)

    Barbaresco, Silvia; Courtemanche, Charles J; Qi, Yanling

    2015-03-01

    The first major insurance expansion of the Affordable Care Act - a provision requiring insurers to allow dependents to remain on parents' health insurance until turning 26 - took effect in September 2010. We estimate this mandate's impacts on numerous outcomes related to health care access, preventive care utilization, risky behaviors, and self-assessed health. We estimate difference-in-differences models with 23-25 year olds as the treatment group and 27-29 year olds as the control group. For the full sample, the dependent coverage provision increased the probabilities of having health insurance, a primary care doctor, and excellent self-assessed health, while reducing body mass index. However, the mandate also increased risky drinking and did not lead to any significant increases in preventive care utilization. Subsample analyses reveal particularly large gains for men and college graduates.

  6. Online Pharmaceutical Care Provision: Full-Implementation of an eHealth Service Using Design Science Research.

    Science.gov (United States)

    Gregório, João; Pizarro, Ângela; Cavaco, Afonso; Wipfli, Rolf; Lovis, Christian; Mira da Silva, Miguel; Lapão, Luís Velez

    2015-01-01

    Chronic diseases are pressing health systems to introduce reforms, focused on primary care and multidisciplinary models. Community pharmacists have developed a new role, addressing pharmaceutical care and services. Information systems and technologies (IST) will have an important role in shaping future healthcare provision. However, the best way to design and implement an IST for pharmaceutical service provision is still an open research question. In this paper, we present a possible strategy based on the use of Design Science Research Methodology (DSRM). The application of the DSRM six stages is described, from the definition and characterization of the problem to the evaluation of the artefact.

  7. The impact of direct provision accommodation for asylum seekers on organisation and delivery of local primary care and social care services: A case study

    Science.gov (United States)

    2011-01-01

    Background Many western countries have policies of dispersal and direct provision accommodation (state-funded accommodation in an institutional centre) for asylum seekers. Most research focuses on its effect on the asylum seeking population. Little is known about the impact of direct provision accommodation on organisation and delivery of local primary care and social care services in the community. The aim of this research is to explore this issue. Methods In 2005 a direct provision accommodation centre was opened in a rural area in Ireland. A retrospective qualitative case study was designed comprising in-depth interviews with 37 relevant stakeholders. Thematic analysis following the principles of framework analysis was applied. Results There was lack of advance notification to primary care and social care professionals and the community about the new accommodation centre. This caused anxiety and stress among relevant stakeholders. There was insufficient time to plan and prepare appropriate primary care and social care for the residents, causing a significant strain on service delivery. There was lack of clarity about how primary care and social care needs of the incoming residents were to be addressed. Interdisciplinary support systems developed informally between healthcare professionals. This ensured that residents of the accommodation centre were appropriately cared for. Conclusions Direct provision accommodation impacts on the organisation and delivery of local primary care and social care services. There needs to be sufficient advance notification and inter-agency, inter-professional dialogue to manage this. Primary care and social care professionals working with asylum seekers should have access to training to enhance their skills for working in cross-cultural consultations. PMID:21575159

  8. The Impact of Direct Provision Accommodation for Asylum Seekers on Organisation and Delivery of Local Primary Care and Social Care Services: A Case Study

    LENUS (Irish Health Repository)

    Pieper, Hans-Olaf

    2011-05-15

    Abstract Background Many western countries have policies of dispersal and direct provision accommodation (state-funded accommodation in an institutional centre) for asylum seekers. Most research focuses on its effect on the asylum seeking population. Little is known about the impact of direct provision accommodation on organisation and delivery of local primary care and social care services in the community. The aim of this research is to explore this issue. Methods In 2005 a direct provision accommodation centre was opened in a rural area in Ireland. A retrospective qualitative case study was designed comprising in-depth interviews with 37 relevant stakeholders. Thematic analysis following the principles of framework analysis was applied. Results There was lack of advance notification to primary care and social care professionals and the community about the new accommodation centre. This caused anxiety and stress among relevant stakeholders. There was insufficient time to plan and prepare appropriate primary care and social care for the residents, causing a significant strain on service delivery. There was lack of clarity about how primary care and social care needs of the incoming residents were to be addressed. Interdisciplinary support systems developed informally between healthcare professionals. This ensured that residents of the accommodation centre were appropriately cared for. Conclusions Direct provision accommodation impacts on the organisation and delivery of local primary care and social care services. There needs to be sufficient advance notification and inter-agency, inter-professional dialogue to manage this. Primary care and social care professionals working with asylum seekers should have access to training to enhance their skills for working in cross-cultural consultations.

  9. Cultivating humanistic caring ability of nursing students in clinical practice%临床带教中培养护理实习生人文关怀理念的实践

    Institute of Scientific and Technical Information of China (English)

    苏娅丽; 王丕琳; 刘均娥; 陈双琴

    2015-01-01

    目的:探索在乳腺外科临床带教中培养护理实习生人文关怀理念的方法和效果。方法采用入科培训、教师示范、沟通培训和参与社会心理干预活动等方式,对护理实习生进行人文关怀理念的培训。在出科时采用自设的问卷,调查实习生所护理患者的满意度,并进行人文关怀实践能力的考核。结果出科时,患者对护理工作的满意度为99.2%(131/132);出科考试成绩优秀率为97.8%(89/91)。结论结合乳腺外科患者特殊的心理问题,采用灵活多样的形式,有利于提高护理实习生的人文关怀理念。%Objective To explore the methods and effects of cultivating nursing students' humanistic caring abili-ty in breast departments. Methods Multiple methods were applied in the training of caring ability for nursing stu-dents in breast departments,including pre-practice training,teachers' role modeling,communication skill training and involving students in psychosocial intervention programs for breast cancer patients. The outcomes were evaluated using caring ability test and investigation of patient satisfaction. Results Patient satisfaction with nursing students was 99.2%(131/132). The excellent rate in caring ability test was 97.8%(89/91). Conclusion Caring ability training based on the specific psychological problems of breast cancer patients achieves good effects in clinical teaching.

  10. Effect of Humanistic Courses and Visual Management on Caring Quality Improvement of Nursing Students%人文课程与目视管理相结合培养护生关怀品质的效果分析

    Institute of Scientific and Technical Information of China (English)

    王海丽; 张秀伟; 袁义厘; 张建国

    2016-01-01

    目的:探索以提升护生人文关怀品质为核心的多途径教学模式,不断完善护生人文素养的培养方案。方法运用“人文课程与目视管理”相结合的方法对2013级护生进行人文关怀品质培养。分别在入学和第1学期末,采用护士人文关怀品质量表对2013级和传统教育下的2012级护生进行人文关怀品质调查,并对2届调查结果进行比较。结果2013级护生第1学期末人文关怀品质总分(116.74±21.44)分高于2012级同期(111.22±14.76)分水平,差异有统计学意义(P<0.05),各维度上2013级护生的关怀理念、关怀感知维度得分高于2012级护生同期水平,差异有统计学意义(P<0.05)。结论以“人文课程与目视管理”相结合的多途径教育模式可在一定程度上提升护生人文关怀品质。%Objective To explore a multi-channel education mode to improve the cultivation method of humane quality for nursing students. Methods The education mode of combining humanistic curriculums and visual management were implemented to construct the curriculums for nursing students in grade 2013. Nurse ’s humane care quality scale was applied to investigated nursing students in grade 2013 and those in grade 2012 with traditional education during admission and at the end of the first semester. Results At the end of the first semester, the overall score of humane quality of nursing students in grade 2013 was higher (116.74 ±21.44) than those from 2012 (111.22±14.76), and the difference had statistical significance (P<0.05). The scores of philosophy of humane caring and perception of humane caring of students in 2013 were higher than those in 2012 and the difference was statistical significance (P<0.05). Conclusion The mode of combining humanistic curriculums and visual management can improve humane quality of nursing students to a certain extent.

  11. Effect Evaluation of Penetrating Humanistic Care Educationinto Clinical Practice Teaching for Nursing Students-Taking Gynecological Nursing as an Example%护理专业大学生临床实习教学中人文关怀教育的渗透及效果评价∗--以妇科护理专业为例

    Institute of Scientific and Technical Information of China (English)

    王大军; 杨佳; 张苏梅; 韩冬芳

    2016-01-01

    Objective:To examine the effect of penetrating humanistic care educationin to gynecological clinical practice teaching to nursing students′humanistic care ability. Methods:A total of 236 nursing students in the First Affiliated Hospital of Xi′an Jiaotong University were allocated to the experimental group ( n=123 ) with the clinical practice teaching methods, of which the core was training humanistic care ability, while the control group ( n=113) in the Second Affiliated Hospital of Xi′an Jiaotong University with the routine method, which mainly trained the operating skills. The humanistic caring ability between these two group students was compared. Results: Be-fore the internship, there was no statistical significance between the two groups (P>0. 05). After the internship, the rewere no significant difference ( P>0 . 05 ) in the scores of "assisting to meet the basic needs","providing a good environment", and"helping to solve the difficulty". For the dimensions of"infusing faith and hope","health education","humanistic and altruistic value","solving health problems scientifically","promoting emotional com-munication", and the total scale, the scores were significantly higher than those of the control group (P0.05);实习后实验组护理专业大学生在“协助满足基本需求”“提供良好环境”“帮助解除困难”三个维度得分与实验组无明显差异(P>0.05);而在“灌输信念和希望”“健康教育”“人道、利他价值观”“科学解决健康问题”“促进情感交流”五个维度得分及人文关怀能力总分明显高于对照组(P<0.05)。结论在临床实习教学中渗透人文关怀教育有助于提高护理专业大学生的人文关怀能力。

  12. Philosophical Humanism as the ideological basis of humanistic educational process

    Directory of Open Access Journals (Sweden)

    Nadejda Novichkova

    2014-06-01

    Full Text Available The article discusses the ideas of humanism as the philosophical basis of humanistic educational process. The essence of the spiritual philosophy of humanism, which directly determines the essential features of humanistic pedagogy and humanistic educational process.

  13. International practice in care provision for post-stroke visual impairment.

    Science.gov (United States)

    Rowe, Fiona J

    2017-07-31

    This study sought to explore the practice of orthoptists internationally in care provision for poststroke visual impairment. Survey questions were developed and piloted with clinicians, academics, and users. Questions addressed types of visual problems, how these were identified, treated, and followed up, care pathways in use, links with other professions, and referral options. The survey was approved by the institutional ethical committee. The survey was accessed via a web link that was circulated through the International Orthoptic Association member professional organisations to orthoptists. Completed electronic surveys were obtained from 299 individuals. About one-third (35.5%) of orthoptists saw patients within 2 weeks of stroke onset and over half (55.5%) by 1 month post stroke. Stroke survivors were routinely assessed by 87%; over three-quarters in eye clinics. Screening tools were used by 11%. Validated tests were used for assessment of visual acuity (76.5%), visual field (68.2%), eye movement (80.9%), binocular vision (77.9%), and visual function (55.8%). Visual problems suspected by family or professionals were high (86.6%). Typical overall follow-up period of vision care was less than 3 months. Designated care pathways for stroke survivors with visual problems were used by 56.9% of orthoptists. Information on visual impairment was provided by 85.9% of orthoptists. In international orthoptic practice, there is general agreement on assessment and management of visual impairment in stroke populations. More than half of orthoptists reported seeing stroke survivors within 1 month of the stroke onset, typically in eye clinics. There was a high use of validated tests of visual acuity, visual fields, ocular motility, and binocular vision. Similarly there was high use of established treatment options including prisms, occlusion, compensatory strategies, and oculomotor training, appropriately targeted at specific types of visual conditions/symptoms. This

  14. Age-friendly primary health care: an assessment of current service provision for older adults in Hong Kong.

    Science.gov (United States)

    Woo, Jean; Mak, Benise; Yeung, Fannie

    2013-01-01

    There has been no study evaluating whether primary care services are sufficiently oriented towards the older population in Hong Kong, particularly those with increasing frailty. Since primary care is a key first interface in promotion and maintenance of health in older people, an assessment of the age-friendliness of service provisions is of critical importance in optimizing the health of aging populations. The age-friendliness of primary care services for older people was assessed using focus groups of elderly people and also of service providers who care for them. Discussion content was based on the WHO guidelines for age-friendly primary care in the following areas: Information, education and training, community-based health care management systems, and the physical environment. Desirable improvements were identified in all domains. The findings underscore the need for wider dissemination of health care needs of older people in the primary care setting.

  15. 垂体肿瘤的长期随访治疗及人文关怀%Long-term Follow-up and Humanistic Care for Patients with Hypophyseal Tumor

    Institute of Scientific and Technical Information of China (English)

    杜函泽; 李康; 朱惠娟; 杜红伟; 潘慧

    2011-01-01

    垂体瘤作为一种颅内肿瘤,由于近年神经影像学技术的发展,其新发病例有升高的趋势.目前常见的治疗方式有手术治疗、放射治疗和药物治疗.本文主要探讨长期治疗和随访在非手术治疗的垂体瘤患者中的应用,并探讨其对垂体瘤预后的影响.同时,随着医学模式从生物医学模式转变为生物-心理-社会医学模式,对患者的治疗不应该仅停留在对疾病的生物学治疗,更应该加强对患者的人文关怀,以关注患者的心理变化,增强患者战胜疾病的信心并提高其生活质量.%The number of new cases of hypophyseal tumor increases along with the advances in neuroimaging technology in recent years. The common treatment models include surgical treatment, radiotherapy,and medical therapies. This article discusses the application of long-term follow-up in non-operative hypophyseal tumor patients and its influence on the prognosis. Meanwhile, since the medical mode has switched from biomedical model to biopsychosocial medical model, management of hypophyseal tumor should not be limited in its biological aspect, but also from the perspective of psychology by providing more humanistic care to meet the patients' psychological needs.

  16. 浅谈如何在神经外科的临床带教中渗透医学人文关怀%The way of showing humanistic care for patients via clinical details during neurosurgical teaching

    Institute of Scientific and Technical Information of China (English)

    王江飞; 袁学森; 谢坚

    2016-01-01

    With the transition of medical mode from biomedicine to bio-psycho-social medicine mode, it is very important to pay close attention to cultivating the medical students’ idea and skill of humanistic care during the clinical education. There are several effective means to enhance the medical students’ doctor-patient communication ability:listening to the patient with patience, transpositional consideration training in the scenario simulation (empathy training), pertinent analyzing and discussing about the patients’ psychological need, paying attention to details in the clinical activities, encouraging the students to use new method of medical knowledge dissemination, etc.%在生物-心理-社会医学模式下,在临床诊疗的带教工作中,关注对医学生人文关怀的理念和技巧培养非常重要。在工作细节中言传身教,强调耐心听取患者的陈述,分析患者的心理需求,主动进行换位思考的情景模拟,针对性地与学生讨论改善医患交流的方式方法,鼓励学生使用擅长的方式进行疾病知识宣传等,是提高医学生医患沟通能力,传递人文关怀,改善个人执业微环境的有效手段。

  17. Critical Contributions of Piaget to Humanistic Psychology.

    Science.gov (United States)

    Cassel, Russell N.

    Humanistic psychologists now embrace many of the same principles which served as the basis for Piaget's theory. These same theories were described earlier by John Locke and Immanuel Kant, and were the basis of the new "Humanism" movement in Germany in the 18th century. If one considers humanistic psychology as a kind of culmination of…

  18. How the changes in the system affect trauma care provision: The assessment of and implications for Lithuanian trauma service performance in 2007–2012

    Directory of Open Access Journals (Sweden)

    Žilvinas Dambrauskas

    2017-01-01

    Conclusions: Changes in operational procedures in the Lithuanian pre-hospital care provision and management of trauma patients in emergency departments of trauma centers improved the efficiency of trauma care delivery over the 2007–2012 period.

  19. Exploration on the Residency Training Management Based on Humanistic Care%基于人文关怀的住院医师培训管理探讨

    Institute of Scientific and Technical Information of China (English)

    蒋辉; 张昌宽; 陈诺琦; 吴彼得

    2013-01-01

    在住院医师培训工作中,医院管理者应注重住院医师的生存压力、职业发展、培训环境、心理状态等的培养,在培训管理中贯穿应有的人文关怀.培训规章制度的制定应兼顾科学与人文,以住院医师为主体,以保护和发展为前提,注重对住院医师的内在激励;培训大纲的落实、轮转计划的安排应在提升临床能力的同时注重医学人文素质的培养;还应不断改善培训条件,努力做好后勤支持,保障住院医师的正当权益,建立起人文关怀机制.%Residency training should pay more attention on the survival of the residency,career development,training environment,mental state,etc.Training management should throughout their humane care.Training rules and regulations should be developed both science and the humanities.As the main residency,in order to protect and develop their interests as a precondition,we should pay attention to the psychological motivation residency.The one hand,we implement the training syllabus and rotation plan,enhance their clinical skills,on the other hand,focus on training the quality of the medical humanities,and constantly improve the training conditions,and strive for the logistical support,to protect the legitimate rights and interests of the resident to establish humane care mechanisms.

  20. 注重人文关怀,构建和谐医患关系%Paying Attention to Humanistic Care and Constructing Harmonious Doctor-patient Relationship

    Institute of Scientific and Technical Information of China (English)

    丁维瑜

    2011-01-01

    Medical personnel play an irreplaceable leading role in the construction of the harmonious doctor-patient relationship. Hospital needs help medical personnel adjust themselves and master psychological communication with patients skills and self psychological extends, implement effective human care service and psychological counseling, adhere to the people-oriented, pay attention to the doctor-patient communication, and improve the quality of medical practice, so as to create a harmonious doctor-patient relationship.%医务人员在和谐医患关系的构建中,发挥着不可替代的主导作用,医院需要帮助医务人员调节自身,掌握与患者心理沟通的必要技巧和自我心理舒解的方法.对患者实行有效的人性化关怀服务和心理疏导,坚持以人为本,注重医患沟通,提高医疗执业素质,从而营造和谐的医患关系.

  1. Secular Weddings in Canada: An Examination of a Humanist Response to the Evolution of Marriage

    Directory of Open Access Journals (Sweden)

    Lloyd Hawkeye Robertson

    2017-06-01

    Full Text Available Despite increasing societal secularization, little research has been undertaken on the needs of non-religious people to engage in marriage ceremony or the means by which such needs are met. Using a jurisdictional scan, focus groups, and an on-line survey, this exploratory survey examines the provision for and use of secular legal marriage in Canada’s regions from a humanist perspective. It is postulated that marriage ceremonies have persisted among the non-religious due to needs to authenticate or recognize transitional changes to the self, but these needs have been met through ad hoc strategies as opposed to a uniform demand for humanist services. Implications for humanist organizations are discussed along with recommendations for further research.

  2. Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries.

    Science.gov (United States)

    Edworthy, Rachel; Sampson, Stephanie; Völlm, Birgit

    2016-01-01

    Laws governing the detention and treatment of mentally disordered offenders (MDOs) vary widely across Europe, yet little information is available about the features of these laws and their comparative advantages and disadvantages. The purpose of this article is to compare the legal framework governing detention in forensic psychiatric care in three European countries with long-established services for MDOs, England, Germany and the Netherlands. A literature review was conducted alongside consultation with experts from each country. We found that the three countries differ in several areas, including criteria for admission, review of detention, discharge process, the concept of criminal responsibility, service provision and treatment philosophy. Our findings suggest a profound difference in how each country relates to MDOs, with each approach contributing to different pathways and potentially different outcomes for the individual. Hopefully making these comparisons will stimulate debate and knowledge exchange on an international level to aid future research and the development of best practice in managing this population. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Affordable Care Act Provision Had Similar, Positive Impacts For Young Adults With And Without Disabilities.

    Science.gov (United States)

    Porterfield, Shirley L; Huang, Jin

    2016-05-01

    Beginning in 2010 the Affordable Care Act (ACA) allowed young adults (ages 19-25) to remain on their parents' private health insurance plans, even if they were not full-time students. This study investigated the impact of the ACA on health insurance coverage for young adults with disabilities, comparing their experience with that of young adults without disabilities and that of a group of older adults (ages 26-34) with disabilities. We analyzed the periods 2006-09 and 2011-14, which were before and after implementation of the dependent coverage provision in the ACA, respectively. Coverage gains for older adults with disabilities were entirely attributable to changes in public insurance. Gains for young adults overall were driven by changes in private insurance. Both young adults with and without disabilities experienced a 4-percentage-point increase in private health insurance coverage between the two time periods, so the gap in private coverage between the two groups did not change significantly over time. Gains in coverage affected perhaps 2.9 million young adults overall and nearly 300,000 young adults with disabilities.

  4. 人性化护理在良性频发性室性早搏患者中的应用分析%Application of Benign Frequent Ventricular Premature Beats Patients Humanistic Nursing Care

    Institute of Scientific and Technical Information of China (English)

    亓莲

    2015-01-01

    Objective To analysis of humanized nursing for benign frequent clinical outcome in patients with ventricular premature beat. Methods From 2011 February to 2013 August in our hospital were benign frequent ventricular premature beat in 42 patients during the period from admission to discharge, patients taking the humanized nursing intervention on the patients, nursing and observation of the therapeutic effect and nursing satisfaction effect, etc. Results The 42 cases of patients after treatment and careful nursing is all better discharge. Patients on hospital environment satisfaction is 97.62%, on the nursing satisfaction is 100%, on the nursing technique level of satisfaction is 95.24%. Conclusion Humanistic nursing care for patients with benign frequent ventricular extrasystole to good effect, improved the quality of nursing and nursing satisfaction, is worth in clinical application.%目的:分析人性化护理对良性频发性室性早搏患者的临床效果。方法选取2011年2月至2013年8月本院收治的良性频发性室性早搏患者42例,从患者入院到出院期间对其采取人性化护理干预,观察患者的治疗效果和护理效果、护理满意度等。结果本组42例患者经过治疗和精心护理已全部病情好转出院。患者对住院环境的满意度为97.62%,对护理服务态度满意度为100%,对护理技术水平的满意度为95.24%。结论人性化护理对于良性频发性室性早搏患者的效果良好,提高了护理质量和护理满意度,值得临床广泛应用。

  5. 桂西护生人文关怀能力与家庭环境的相关性研究%A study on the correlation between humanistic care ability of nursing students and their family en-vironment in western Guangxi

    Institute of Scientific and Technical Information of China (English)

    徐志芳; 司希梅; 牛业来; 李春玲

    2016-01-01

    目的:了解护理专业学生(以下简称护生)人文关怀能力与家庭环境因素的相关性。方法运用整群抽样的方法抽取护生198名,采用一般资料调查表、关怀能力量表以及家庭环境量表进行调查,并分析其相关性。结果198名护生中汉族学生占32.83%(65/198),少数民族学生占67.17%(133/198);护生人文关怀能力总平均分为(190.79±18.84)分,每个条目所得的平均分为(5.16±0.99)分,在人文关怀能力的3个维度上,与国际常模比较差异有统计学意义(t=-16.27~-8.12,均 P<0.01);护生家庭环境总平均分为(42.57±8.88)分,家庭环境10个因子的得分与常模比较,差异有统计学意义(t=-10.94~30.04,均 P<0.01);护生人文关怀能力总分与家庭环境总分无明显相关性,而亲密度、情感表达、知识性、娱乐性与人文关怀总分及各维度呈正相关(P<0.05或0.01),矛盾性、组织性与之呈负相关(P<0.05或0.01)。结论护生人文关怀能力尚处于较低水平,人文关怀能力与家庭环境在多维度上呈现相关性。学校的教育策略应与护生家庭环境要素相结合,以共同促进护生人文关怀能力的提高。%Objective To explore the correlation between humanistic care ability of nursing students and their family environmental factors. Methods A sample of 198 nursing students was recruited with cluster sampling method. Demographic data, humanistic caring capacity, and family environmental factors were collected using a self-designed questionnaire, Caring Ability- Inventory (CAI) and Family Environment Scale (FES- CV) and then an analysis was conducted. Results Han nationality students accounted for 32.83%(65/198), minority students accounted for 67.17%(133/198) . The total average score of humanistic care ability was 190.79±18.84, the average score of items was 5.16±0.99. There were significant differences

  6. Capitation-Based Financing Hampers the Provision of Preventive Services in Primary Health Care

    Science.gov (United States)

    Sándor, János; Kósa, Karolina; Papp, Magor; Fürjes, Gergő; Kőrösi, László; Jakovljevic, Mihajlo; Ádány, Róza

    2016-01-01

    Mortality caused by non-communicable diseases has been extremely high in Hungary, which can largely be attributed to not performed preventive examinations (PEs) at the level of primary health care (PHC). Both structures and financial incentives are lacking, which could support the provision of legally defined PEs. A Model Programme was launched in Hungary in 2012 to adapt the recommendations for PHC of the World Health Organization. A baseline survey was carried out to describe the occurrence of not performed PEs. A sample of 4320 adults representative for Hungary by age and gender was surveyed. Twelve PEs to be performed in PHC as specified by a governmental decree were investigated and quantified. Not performed PEs per person per year with 95% confidence intervals were computed for age, gender, and education strata. The number of not performed PEs for the entire adult population of Hungary was estimated and converted into expenses according to the official reimbursement costs of the National Health Insurance Fund. The rate of service use varied between 16.7 and 70.2%. There was no correlation between the unit price of examinations and service use (r = 0.356; p = 0.267). The rate of not performed PEs was not related to gender, but older age and lower education proved to be risk factors. The total number of not performed PEs was over 17 million in the country. Of the 31 million euros saved by not paying for PEs, the largest share was not spent on those in the lowest educational category. New preventive services offered in the reoriented PHC model program include systematic and scheduled health examination health promotion programs at community settings, risk assessment followed by individual or group care, and/or referral and chronic care. The Model Programme has created a pressure for collaborative work, consultation, and engagement at each level, from the GPs and health mediators up to the decision-making level. It channeled the population into preventive

  7. Provision of dental care in aged care facilities, NSW, Australia - part 1 as perceived by the directors of nursing (care providers).

    Science.gov (United States)

    Webb, Bettine C; Whittle, Terry; Schwarz, Eli

    2013-09-01

    To ascertain the Directors of Nursing (DONs) perception of the provision of dental care and the difficulties in oral health maintenance for residents in New South Wales (NSW) aged care facilities (ACFs). There were no specific figures relating to DONs' perceptions of oral health needs and dental care nor obstructions to dental care of residents. A total of 414 questionnaires, encoded for confidentiality, were posted to all DONs of ACFs in NSW and the data analysed. Questionnaires were returned from 255 ACFs (response rate 61.6%) representing 16 861 residents with a male-to-female ratio of 1:3.45. Of these residents, 48% had a dental assessment on admission by qualified dental staff. In 74.2% of facilities, no regular visits by dental staff took place, and 58.6% considered the perceived unwillingness of dental professionals to visit residents a barrier to good oral health. DONs reported that 53.6% of residents had dentures only, while 18.3% had natural teeth only. The most frequent difficulties reported by staff were residents' use of abusive language (78.2%) and residents refusing to open mouth (60.9%). Lack of involvement of dental professionals in admission assessment and in ongoing programmes was of concern to DONs in ACFs. © 2012 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd.

  8. Humanistic Education: Theory and Teaching Strategies.

    Science.gov (United States)

    King, Elizabeth C.

    1983-01-01

    Discusses the need for appropriate emotions in professional nursing practice within an explanation for humanistic education, presenting Kohlberg's moral development theory. Explains a case study method that helps in achieving moral, emotional development. (JOW)

  9. A Humanistic Existential Perspective on Career Counseling.

    Science.gov (United States)

    Bloland, Paul A.; Walker, Betty A.

    1981-01-01

    Presents an approach to career counseling based on humanistic existentialism (HE). The philosophical and psychological background of HE is reviewed with implications for various counseling dimensions including diagnosis, process, outcomes, interview techniques, test interpretation, and occupational information. (RC)

  10. Potential collaboration with the private sector for the provision of ambulatory care in the Mekong region, Vietnam

    Science.gov (United States)

    Duc, Ha Anh; Sabin, Lora L.; Cuong, Le Quang; Thien, Duong Duc; Feeley, Rich

    2012-01-01

    Background Over the past two decades, health insurance in Vietnam has expanded nationwide. Concurrently, Vietnam's private health sector has developed rapidly and become an increasingly integral part of the health system. To date, however, little is understood regarding the potential for expanding public-private partnerships to improve health care access and outcomes in Vietnam. Objective To explore possibilities for public-private collaboration in the provision of ambulatory care at the primary level in the Mekong region, Vietnam. Design We employed a mixed methods research approach. Qualitative methods included focus group discussions with health officials and in-depth interviews with managers of private health facilities. Quantitative methods encompassed facility assessments, and exit surveys of clients at the same private facilities. Results Discussions with health officials indicated generally favorable attitudes towards partnerships with private providers. Concerns were also voiced, regarding the over- and irrational use of antibiotics, and in terms of limited capacity for regulation, monitoring, and quality assurance. Private facility managers expressed a willingness to collaborate in the provision of ambulatory care, and private providers facilites were relatively well staffed and equipped. The client surveys indicated that 80% of clients first sought treatment at a private facility, even though most lived closer to a public provider. This choice was motivated mainly by perceptions of quality of care. Clients who reported seeking care at both a public and private facility were more satisfied with the latter. Conclusions Public-private collaboration in the provision of ambulatory care at the primary level in Vietnam has substantial potential for improving access to quality services. We recommend that such collaboration be explored by Vietnamese policy-makers. If implemented, we strongly urge attention to effectively managing such partnerships, establishing a

  11. Potential collaboration with the private sector for the provision of ambulatory care in the Mekong region, Vietnam

    Directory of Open Access Journals (Sweden)

    Ha Anh Duc

    2012-04-01

    Full Text Available Background: Over the past two decades, health insurance in Vietnam has expanded nationwide. Concurrently, Vietnam's private health sector has developed rapidly and become an increasingly integral part of the health system. To date, however, little is understood regarding the potential for expanding public-private partnerships to improve health care access and outcomes in Vietnam. Objective: To explore possibilities for public-private collaboration in the provision of ambulatory care at the primary level in the Mekong region, Vietnam. Design: We employed a mixed methods research approach. Qualitative methods included focus group discussions with health officials and in-depth interviews with managers of private health facilities. Quantitative methods encompassed facility assessments, and exit surveys of clients at the same private facilities. Results: Discussions with health officials indicated generally favorable attitudes towards partnerships with private providers. Concerns were also voiced, regarding the over- and irrational use of antibiotics, and in terms of limited capacity for regulation, monitoring, and quality assurance. Private facility managers expressed a willingness to collaborate in the provision of ambulatory care, and private providers facilites were relatively well staffed and equipped. The client surveys indicated that 80% of clients first sought treatment at a private facility, even though most lived closer to a public provider. This choice was motivated mainly by perceptions of quality of care. Clients who reported seeking care at both a public and private facility were more satisfied with the latter. Conclusions: Public-private collaboration in the provision of ambulatory care at the primary level in Vietnam has substantial potential for improving access to quality services. We recommend that such collaboration be explored by Vietnamese policy-makers. If implemented, we strongly urge attention to effectively managing such

  12. Humanistic psychology and contextual behavioral perspectives.

    Science.gov (United States)

    Hayes, Steven C

    2012-12-01

    Humanistic psychology historically defined itself in part by its opposition to behavioral psychology, but the conditions now exist for a fundamental reconsideration of the relationship between these two traditions. Behavioral psychology includes contextualistic variants and is no longer limited to principles drawn from animal learning. Behavioral and cognitive therapies commonly address humanistic topics and have developed process accounts that cast new light on them. In that context, a reconsideration of this relationship could prove to be beneficial for both traditions.

  13. Developing a tool for mapping adult mental health care provision in Europe: the REMAST research protocol and its contribution to better integrated care

    Directory of Open Access Journals (Sweden)

    Luis Salvador-Carulla

    2015-12-01

    Full Text Available Introduction: Mental health care is a critical area to better understand integrated care and to pilot the different components of the integrated care model. However, there is an urgent need for better tools to compare and understand the context of integrated mental health care in Europe.Method: The REMAST tool (REFINEMENT MApping Services Tool combines a series of standardised health service research instruments and geographical information systems (GIS to develop local atlases of mental health care from the perspective of horizontal and vertical integrated care. It contains five main sections: (a Population Data; (b the Verona Socio-economic Status (SES Index; (c the Mental Health System Checklist; (d the Mental Health Services Inventory using the DESDE-LTC instrument; and (e Geographical Data.Expected results: The REMAST tool facilitates context analysis in mental health by providing the comparative rates of mental health service provision according to the availability of main types of care; care placement capacity; workforce capacity; and geographical accessibility to services in the local areas in eight study areas in Austria, England, Finland, France, Italy, Norway, Romania and Spain.Discussion: The outcomes of this project will facilitate cooperative work and knowledge transfer on mental health care to the different agencies involved in mental health planning and provision. This project would improve the information to users and society on the available resources for mental health care and system thinking at the local level by the different stakeholders. The techniques used in this project and the knowledge generated could eventually be transferred to the mapping of other fields of integrated care.

  14. 伦理视域下的高校贫困生思想政治教育中人本关怀%On Humanistic Care for the Poverty-stricken College Students in the Ideological and Political Education from the Perspective of Ethics

    Institute of Scientific and Technical Information of China (English)

    陈登科

    2014-01-01

    高校贫困生思想政治教育人本关怀是贫困生健康成才的基础,是培养贫困生励志精神和感恩意识的客观需要.实现伦理视域下高校贫困生思想政治教育中的人本关怀,必须从认识上理解其伦理意义、内容上突出重点、策略上体现实质.参6.%Humanistic care for the poverty-stricken college students in the ideological and political education sets the basis for their healthy development. It is also an objective requirement for cultivating their spirit of inspiration and the sense of gratitude. To realize the humanistic care of that from the per-spective of ethics, we must realize its significance, focus on the key points in content, and reflect the substance in strategies. 6refs.

  15. The Conflict and Co-development of Technology and Humanistic Care:With the Development of Medical Technology as An Example%技术发展和人文关怀的冲突与并进——以医疗技术的发展为例

    Institute of Scientific and Technical Information of China (English)

    谷芳芳; 张建民

    2011-01-01

    Abstract:With the development of technology, the lack of humanistic care has been increasingly prominent because of the deviation of the selectivity to technical rationality and irresponsible use of technical users. The phenomenon of technical dissimilation is extremely obvious in medical field. The selectivity of the modern medical pattern and technical rationality not only puts forwards the requirements, but also provides the possibility for the co-development of technology and humanistic care. The main body of technology should always grasp the arrow of technical direction, making it ktcking the ultimate goal of human existence.%技术发展背景下技术使用者对技术理性的选择性偏差以及对技术不负责任的使用造成的人文关怀的缺失日益凸显,医学领域的技术异化现象尤为突出.现代医学模式与技术理性的可选择性为技术发展与人文关怀的并进提出了要求也提供了可能.技术的主体应始终把握技术的生存指向,使之发展的终极目的归于人类的更充分的存在.

  16. Humanister på bestilling?

    DEFF Research Database (Denmark)

    Sarauw, Laura Louise

    traditionelle jobs, og hvordan denne viden forholder sig til de politiske idealer om accountability. Som yderligere materiale henvises til de danske universiteters omfattende, kvantitative undersøgelse af humanisternes veje til arbejdsmarkedet 2002-2007 (http://hdl.handle.net/1800/3016).......Diskursen om humanisternes rolle i videnssamfundet abonnerer typisk på en polær retorik om 'politisk pres', 'krise' og 'værdikamp'. Med god grund anråbes en strukturel spænding mellem good old Humboldts non-instrumentelle vidensparadigme og de herskende politiske ideer om accountability, der...... upræcis. Blandt andet fordi humanisterne faktisk aldrig har stået stærkere på arbejdsmarkedet, hvor de i stigende omfang indtager en række helt nye jobtyper, der kan tilskrives globaliseringen. I Danmark gælder det fx, at mere end 50 procent af de nyuddannede humanister i dag får job i den private sektor...

  17. [Provision of outpatient specialist care for mental disorders : Minor regional differences in treatment needs, major regional differences in availability].

    Science.gov (United States)

    Jacobi, F; Becker, M; Bretschneider, J; Müllender, S; Thom, J; Hapke, U; Maier, W

    2016-11-01

    Due to the high burden attributed to mental disorders, an important purpose of a general healthcare system is to provide comprehensive medical specialist care that is both locally available and in line with demand; however, the density of outpatient physicians and psychotherapists significantly varies between regions in Germany. To verify if these variations reflect regional variations of morbidity rates, routine data of statutory health insurance companies are analyzed on a regular basis. But these administrative data directly depend on the actual regional health care supply. Hence, independent epidemiological data on prevalence rates of mental disorders could be a valuable supplement. Analyses are based on prevalence rates of the representative epidemiological German health interview and examination survey and its mental health module (DEGS1-MH) as well as supplemental data from the German national and regional associations of statutory health insurance physicians. The associations between prevalence rates and density of outpatient physicians and psychotherapists were computed for the DEGS sample points, representing 139 different German districts. Transregional care provision for neighboring regions was taken into account. There were neither significant associations of regional density of outpatient physicians and psychotherapists with prevalence rates of mental disorders in general nor with prevalence rates of severe mental disorders; however, taking into account transregional care provision for neighboring regions the huge variability of provider density decreases. The regional inequality of physician and psychotherapist density cannot be explained by regional differences in treatment needs. The results indicate potential improvements in healthcare provision for mental disorders in Germany through the adaptation to actual morbidity rates; however, the definition of treatment needs in mental disorders requires further evaluation.

  18. Supplier discretion over provision: theory and an application to medical care.

    Science.gov (United States)

    Malcomson, James M

    2005-01-01

    Suppliers who are better informed than purchasers, such as physicians treating insured patients, often have discretion over what to provide. I show how, when the purchaser observes what is supplied but neither the recipient type nor the actual cost incurred, optimal provision differs from what would be efficient if the purchaser had full information, weather or not the supplier can extract informational rent. The analysis is applied to, among other things, data on tests for coronary artery disease and to Medicare diagnosis-related groups defined by the treatment given, not just the diagnosis, illustrating the biases in provision that result.

  19. The Link Between Reproductive Life Plan Assessment And Provision of Preconception Care At Publicly Funded Health Centers.

    Science.gov (United States)

    Robbins, Cheryl L; Gavin, Loretta; Carter, Marion W; Moskosky, Susan B

    2017-09-01

    Federal and clinical guidelines recommend integrating reproductive life plan assessments into routine family planning encounters to increase provision of preconception care. Yet, the prevalence of clinical protocols and of relevant practices at publicly funded health centers is unknown. Administrators and providers at a nationally representative sample of publicly funded health centers that provide family planning services were surveyed in 2013-2014; data from 1,039 linked pairs were used to explore the reported prevalence of reproductive life plan protocols, frequent assessment of patients' reproductive life plan and frequent provision of preconception care. Chi-square tests and multivariable general linear models were used to examine differences in reports of protocols and related practices. Overall, 58% of centers reported having reproductive life plan assessment protocols, 87% reported frequently assessing reproductive life plans and 55% reported frequently providing preconception care. The proportions reporting protocols were lower in community health centers than in other center types (32% vs. 52-91%), in primary care centers than in those with another focus (33% vs. 77-80%) and in centers not receiving Title X funding than in those with such support (36% vs. 77%). Reported existence of a written protocol was positively associated with reported frequent assessment (prevalence ratio, 1.1), and the latter was positively associated with reported frequent preconception care (1.4). Further research is needed on associations between written protocols and clinical practice, and to elucidate the preconception care services that may be associated with reproductive life plan assessment. Copyright © 2017 by the Guttmacher Institute.

  20. On the Importance of Humanistic Care and Psychological Counseling for Students with Family Financial Difficulties in Art Colleges%浅析艺术院校家庭经济困难学生人文关怀与心理疏导的重要性

    Institute of Scientific and Technical Information of China (English)

    洪霞

    2016-01-01

    在艺术院校强化对贫困学生的人文关怀和心理疏导工作,是艺术院校培育高素质人才的保证。本文主要分析对艺术院校家庭经济困难的学生进行人文关怀和心理疏导的重要性,并对此提出关怀和疏导的方法和建议。%In the art colleges and universities to strengthen the poor students of the humanities concern and psychological counseling work, art colleges and universities to cultivate high-quality personnel. This paper mainly analyzes the importance of humanistic care and psychological counseling for students with financial difficulties in art colleges and universities, and puts forward the methods and suggestions for caring and counseling.

  1. Humanistic Psychology: Theoretical-Philosophical Overview and Principles.

    Science.gov (United States)

    Hamachek, Don E.

    1982-01-01

    Provides a theoretical and philosophical overview of humanistic psychology which emphasizes self-concept, self-fulfillment, and self-realization. Discusses the contributions of phenomenology, existential psychology, and the strengths of humanistic psychology. (JAC)

  2. The Humanistic Movement in Psychology and Education: Some Reservations

    Science.gov (United States)

    Humphreys, Lloyd G.

    1971-01-01

    Compares the holistic humanist view of education with the analytic scientific viewpoint, considers their implications for guiding research and instruction, and concludes that the humanist makes some assumptions that are patently invalid." (AL)

  3. On the Main Line of Reasoning and Criticism of Thought Care Abroad:Basedon the Perspective of Humanistic Care of Ideological and Political Education%国外思想关怀的主要理路及其批判--基于思想政治教育人文关怀的视域

    Institute of Scientific and Technical Information of China (English)

    王习胜

    2014-01-01

    Practicing the idea of humanistic care need to create and apply the methods of thought care in mind layer.Foreign scholars have developed and used the theories and methods of psychological counseling,understanding moral education,value clarification,logotherapy,religious spiritual and philosophical practice and many other methods of thought care.As a kind of means or tool,the methods by foreign scholars developed and used reference and use for us,but not the value or its significance with transplantation.We need to create thought care methods of taking on the ideological and political education purpose and task with the characteristics of China.%在观念层面践行人文关怀理念需要创造和运用思想关怀的方法。国外学界曾经开辟并使用了心理咨询、体谅德育、价值澄清、意义治疗、宗教灵修以及哲学实践等诸多思想关怀的理路和方法。作为一种手段或工具,国外学界的方法可以为我们借鉴和移用,但其方法所承载的价值或意义不能随之移植。我们需要开创具有中国特色、承载思想政治教育主旨和任务的思想关怀方法。

  4. Goal conflict, goal facilitation, and health professionals' provision of physical activity advice in primary care: An exploratory prospective study

    Directory of Open Access Journals (Sweden)

    Campbell Neil C

    2011-07-01

    Full Text Available Abstract Background The theory of planned behaviour has well-evidenced utility in predicting health professional behaviour, but focuses on a single behaviour isolated from the numerous potentially conflicting and facilitating goal-directed behaviours performed alongside. Goal conflict and goal facilitation may influence whether health professionals engage in guideline-recommended behaviours, and may supplement the predictive power of the theory of planned behaviour. We hypothesised that goal facilitation and goal conflict contribute to predicting primary care health professionals' provision of physical activity advice to patients with hypertension, over and above predictors of behaviour from the theory of planned behaviour. Methods Using a prospective predictive design, at baseline we invited a random sample of 606 primary care health professionals from all primary care practices in NHS Grampian and NHS Tayside (Scotland to complete postal questionnaires. Goal facilitation and goal conflict were measured alongside theory of planned behaviour constructs at baseline. At follow-up six months later, participants self-reported the number of patients, out of those seen in the preceding two weeks, to whom they provided physical activity advice. Results Forty-four primary care physicians and nurses completed measures at both time points (7.3% response rate. Goal facilitation and goal conflict improved the prediction of behaviour, accounting for substantial additional variance (5.8% and 8.4%, respectively in behaviour over and above intention and perceived behavioural control. Conclusions Health professionals' provision of physical activity advice in primary care can be predicted by perceptions about how their conflicting and facilitating goal-directed behaviours help and hinder giving advice, over and above theory of planned behaviour constructs. Incorporating features of multiple goal pursuit into the theory of planned behaviour may help to better

  5. Exploring the provision of hospital trauma care for road traffic injury victims in Iran: a qualitative approach

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Yarmohammadian

    2013-01-01

    Full Text Available BACKGROUND: Identifying factors affecting the provision of trauma care is essential for improving the quality of care for road traffic injury (RTI victims. The study aimed to explore the perceptions and experiences of trauma care among injured patients and health professionals to identify factors influencing an effective trauma care delivery at emergency departments (EDs in Iran. METHODS: The study was conducted with a grounded theory approach. The study participants consisted of 15 health professionals and 20 injured patients. The data were collected via semi-structured interviews and were analyzed using constant comparative analysis method. RESULTS: Lack of a systematic approach to providing trauma care at EDs emerged as the core category. The leading factors in the development of the core category were unclear national policies and poor organization of care at the ED. Other major factors were contextual factors in the environment of the hospitals such as inappropriate structure and unsupportive environment and also factors specific to the context of Iran such as a rapid increase in the number of traumas. Professionals reacted to the prevailing conditions in ways that contributed to an ineffective trauma care, even though strategies employed by Emergency Medicine Physicians (EMPs improved the quality of trauma care locally. CONCLUSIONS: Building a national trauma system, using available professional resources especially EMPs, and implementing low cost and evidence-based improvements such as establishing trauma teams and trauma training for staff working at the EDs on a regular basis is necessary in order to improve delivery of trauma care at the hospitals. © 2011 KUMS, All right reserved

  6. Are humanistic and positive psychology really incommensurate?

    Science.gov (United States)

    Friedman, Harris

    2014-01-01

    Comments on the article "The humanistic psychology-positive psychology divide: Contrasts in philosophical foundations" by Waterman (see record 2013-12501-001). Waterman has provided some broad-brush generalizations about differences between humanistic psychology and positive psychology, many of which do not hold in all cases, and he has pointed out some difficulties that would be involved in reconciling them. However, he has not presented any convincing argument that the two are irreconcilable. Essentially, Waterman has confounded difficulties with impossibilities by concluding these are incommensurate.

  7. Supplier Discretion over Provision: Theory and an Application to Medical Care

    OpenAIRE

    2005-01-01

    Suppliers who are better informed than purchasers, such as physicians treating insured patients, often have discretion over what to provide. This paper shows how, when the purchaser observes what is supplied but can observe neither recipient type nor the actual cost incurred, optimal provision differs from what would be efficient if the purchaser had full information, whether or not the supplier can extract informational rent. The analysis is applied to, among other things, data on tests for ...

  8. 人文关怀对康复期精神病患者心理健康状况及治疗依从性的影响%Influences of humanistic care on mental health status and treatment compliance of convalescence psychosis patient

    Institute of Scientific and Technical Information of China (English)

    王雪娣

    2013-01-01

    目的探讨人文关怀对康复期精神病患者的心理健康状况及治疗依从性的影响。方法将200例康复期精神分裂症患者随机分为两组,每组100例,两组患者均予以常规治疗及护理管理,在此基础上研究组接受人文关怀护理管理,观察8周。于人文关怀护理8周末采用症状自评量表评定两组的心理健康状况,同时评定两组的住院满意度及治疗依从性。结果人文关怀护理干预8周末研究组症状自评量表各因子评分均显著低于对照组(P<0.01);住院满意度及治疗依从性均显著高于对照组(P<0.01)。结论人文关怀护理能显著提高康复期精神病患者的心理健康水平、住院满意度及治疗依从性,有利于促进患者的全面康复。%Objective To explore the influences of humanistic care on mental health status and treatment compliance of convalescence patients with psychoses .Methods A total of 200 convalescence schizophren-ics were randomly assigned to two groups of 100 ones each ,both groups received routine treatment and nursing ,and research group was plus humanistic care for 8 weeks .Mental health conditions were assessed with the Symptom Checklist-90 (SCL-90) at the end of the 8th week ,so were degree of satisfaction and treatment compliance did .Results Each factor score of the SCL-90 were significantly lower (P<0 .01) and degree of satisfaction and treatment compliance higher (P<0 .01) in research than control group at the end of the 8th week (P<0 .01) .Conclusion Humanistic care could notably improve mental health level , degree of satisfaction and treatment compliance and is beneficial to patients’ comprehensive rehabilitation .

  9. The appropriateness of gatekeeping in the provision of reproductive health care for adolescents in Lithuania:the general practice perspective

    Directory of Open Access Journals (Sweden)

    Levasseur Gwenola

    2006-03-01

    Full Text Available Abstract Background Adolescents' consultation of primary health care services remains problematic despite their accessibility. The reproductive health service seeking behavior of adolescents is the object of much research but little is known about how this behavior is influenced by the gatekeeping system. This study aimed to explore general practitioners' perceptions of the appropriateness of gatekeeping in adolescent reproductive health care. Methods Twenty in-depth interviews regarding factors affecting adolescent reproductive health care were carried out on a diverse sample of general practitioners and analyzed using grounded theory. Results The analysis identified several factors that shaped GPs' negative attitude to gatekeeping in adolescent reproductive health care. Its appropriateness in this field was questionable due to a lack of willingness on the part of GPs to provide reproductive health services for teenagers, their insufficient training, inadequately equipped surgeries and low perceived support for reproductive health service provision. Conclusion Since factors for improving adolescent reproductive health concern not only physicians but also the health system and policy levels, complex measures should be designed to overcome these barriers. Discussion of a flexible model of gatekeeping, encompassing both co-ordination of care provided by GPs and the possibility of patients' self-referral, should be included in the political agenda. Adolescents tend to under-use rather than over-use reproductive health services and every effort should be made to facilitate the accessibility of such services.

  10. Provision of contraceptive services to homeless women: results of a survey of health care for the homeless providers.

    Science.gov (United States)

    Saver, Barry G; Weinreb, Linda; Gelberg, Lillian; Zerger, Suzanne

    2012-01-01

    Homeless women have both a higher rate of pregnancy and a higher proportion of unintended pregnancies than other American women. The authors sought to learn about contraception services offered by providers of health care to homeless women and barriers to provision of long-acting, reversible contraception in these settings. A survey of the 31 member organizations in the national Health Care for the Homeless Practice-Based Research Network was conducted, inquiring about services provided and barriers to service provision. Among the 20 responding organizations (65% response rate), 17 directly provided contraceptive services; two referred patients elsewhere, and one provided no contraceptive services. All 17 that provided such services provided condoms; 15 provided oral contraceptives; 14 provided injectable contraception; 6 provided intrauterine devices, and 2 provided contraceptive implants. Barriers to providing the last two methods included lack of provider training, lack of resources for placement, costs, and concerns about complications. The present survey results suggested very limited access for homeless women across the country to the two most effective means of long-acting, reversible contraception. Modest investments of resources could reduce a number of barriers to providing these services.

  11. Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings.

    Science.gov (United States)

    French, Michael T; Homer, Jenny; Gumus, Gulcin; Hickling, Lucas

    2016-10-01

    To conduct a systematic literature review of selected major provisions of the Affordable Care Act (ACA) pertaining to expanded health insurance coverage. We present and synthesize research findings from the last 5 years regarding both the immediate and long-term effects of the ACA. We conclude with a summary and offer a research agenda for future studies. We identified relevant articles from peer-reviewed scholarly journals by performing a comprehensive search of major electronic databases. We also identified reports in the "gray literature" disseminated by government agencies and other organizations. Overall, research shows that the ACA has substantially decreased the number of uninsured individuals through the dependent coverage provision, Medicaid expansion, health insurance exchanges, availability of subsidies, and other policy changes. Affordability of health insurance continues to be a concern for many people and disparities persist by geography, race/ethnicity, and income. Early evidence also indicates improvements in access to and affordability of health care. All of these changes are certain to ultimately impact state and federal budgets. The ACA will either directly or indirectly affect almost all Americans. As new and comprehensive data become available, more rigorous evaluations will provide further insights as to whether the ACA has been successful in achieving its goals. © Health Research and Educational Trust.

  12. Other-regarding behavior and motivation in health care provision: an experiment with medical and non-medical students.

    Science.gov (United States)

    Hennig-Schmidt, Heike; Wiesen, Daniel

    2014-05-01

    Other-regarding motivation is a fundamental determinant of public service provision. In health care, one example is physicians who act benevolently towards their patients when providing medical services. Such patient-regarding motivation seems closely associated with a personal sacrifice that health service providers are willing to make. Surprisingly, evidence on physicians' motivation is rare. This paper contributes to the literature by investigating prospective physicians', in particular, medical students', motivations and behavior. We measure the willingness to sacrifice own profit in order to increase the patients' health benefit. We conduct the same analysis for non-medical students. In a controlled incentivized laboratory experiment, participants decide, in the role of physicians, on the provision of medical services under fee-for-service or capitation schemes. Overall, 42 medical students and 44 non-medical students participated in five experimental sessions conducted between 2006 and 2008. We find substantial differences under both payment systems: compared to medical students, students of non-medical majors are less patient-regarding, less willing to sacrifice their own profit, and they state less motivation to improve patients' health. This results in significantly lower patient health benefits. Some implications for health care policies in light of physician shortage and for physician payment systems are discussed.

  13. Children, Families, and Disparities: Pediatric Provisions in the Affordable Care Act.

    Science.gov (United States)

    Grace, Aimee M; Horn, Ivor; Hall, Robert; Cheng, Tina L

    2015-10-01

    The Affordable Care Act has caused and continues to cause sweeping changes throughout the health system in the United States. Poorly explained, complex, controversial, confusing, and subject to continuous legal and regulatory definition, the law stands as a hallmark piece of legislation that will change the health sector in America forever. This article summarizes the Affordable Care Act with a focus on children, families, and disparities. Also provided is the context of the current system of health care coverage in the United States.

  14. How medical services mask provision of non-medical supportive care in palliative oncology ?

    OpenAIRE

    Buthion, Valérie; Moumjid, Nora; Margier, Jennifer

    2015-01-01

    OBJECTIVES In the context of cancer, non-medical supportive care improves quality of life. While policymakers expect it to be cheaper than high-tech medical care, we hypothesized that it is in fact embedded in and camouflaged by hospital medical services. METHODS In a cross-sectional descriptive study, we conducted qualitative interviews with healthcare providers, patients and family caregivers in France. We first performed a functional analysis to identify non-medical supportive care functio...

  15. Exploring the impact of austerity-driven policy reforms on the quality of the long-term care provision for older people in Belgium and the Netherlands.

    Science.gov (United States)

    Janssen, David; Jongen, Wesley; Schröder-Bäck, Peter

    2016-08-01

    In this case study, European quality benchmarks were used to explore the contemporary quality of the long-term care provision for older people in the Belgian region of Flanders and the Netherlands following recent policy reforms. Semi-structured qualitative interviews were conducted with various experts on the long-term care provision. The results show that in the wake of the economic crisis and the reforms that followed, certain vulnerable groups of older people in Belgium and the Netherlands are at risk of being deprived of long-term care that is available, affordable and person-centred. Various suggestions were provided on how to improve the quality of the long-term care provision. The main conclusion drawn in this study is that while national and regional governments set the stage through regulatory frameworks and financing mechanisms, it is subsequently up to long-term care organisations, local social networks and informal caregivers to give substance to a high quality long-term care provision. An increased reliance on social networks and informal caregivers is seen as vital to ensure the sustainability of the long-term care systems in Belgium and in the Netherlands, although this simultaneously introduces new predicaments and difficulties. Structural governmental measures have to be introduced to support and protect informal caregivers and informal care networks.

  16. Maternal health care professionals' perspectives on the provision and use of antenatal and delivery care: a qualitative descriptive study in rural Vietnam

    Directory of Open Access Journals (Sweden)

    Krantz Gunilla

    2010-10-01

    reduce their possibility to make independent decisions about their own reproductive health. This issue should be further addressed by policy-makers. Strategies to reduce inequities in maternal health care for pregnant women are needed. The quality of client-provider interaction and management of pregnancy may be strengthened by education, human resources, re-training and provision of essential equipment.

  17. Humanistic Education and Self-Actualization Theory.

    Science.gov (United States)

    Farmer, Rod

    1984-01-01

    Stresses the need for theoretical justification for the development of humanistic education programs in today's schools. Explores Abraham Maslow's hierarchy of needs and theory of self-actualization. Argues that Maslow's theory may be the best available for educators concerned with educating the whole child. (JHZ)

  18. "Humanistic Bildung": Regulative Idea or Empty Concept?

    Science.gov (United States)

    Reichenbach, Roland

    2014-01-01

    The article focuses on the notion and humanistic ideal of self-cultivation and self-transformation, for which the term "Bildung" is/was traditionally used in German educational thought. It is argued that the idea of "Bildung", understood as human development and end-in-itself, is not a German exclusivity. However, to understand…

  19. Humanistic Education and Self-Actualization Theory.

    Science.gov (United States)

    Farmer, Rod

    1984-01-01

    Stresses the need for theoretical justification for the development of humanistic education programs in today's schools. Explores Abraham Maslow's hierarchy of needs and theory of self-actualization. Argues that Maslow's theory may be the best available for educators concerned with educating the whole child. (JHZ)

  20. The Foreign Language Teacher--A "Humanist?"

    Science.gov (United States)

    Herron, Carol

    1983-01-01

    Discusses the term "humanism" as regularly understood within the context of a liberal arts education and as the contemporary foreign language teaching platform. Gives the roots of current humanistic principles and techniques and examines some ramifications of adopting personality development as one of the goals of foreign language programs. (EKN)

  1. Recent Changes in Humanistic Research Practices

    DEFF Research Database (Denmark)

    Johansson, Lasse Gøhler; Vikman, Jutta Maria; Liljenstrøm, Andreas Jan

    2016-01-01

    The present paper analyzes changes in research practices in the humanities around the turn of the millennium. The analysis is based on a reading of all humanistic PhD dissertations in Denmark between 1992 and 2012 (N=1,958). For every dissertation we recorded not only language, format, co-authors...

  2. Humanistic Approaches to Foreign Language Teaching

    Institute of Scientific and Technical Information of China (English)

    YAN Ning-lian

    2016-01-01

    Some educators and teachers stated that the reason of the major failures in foreign language teaching was that teachers could not help their students to discover the personal meaning of the information they provided. To deal with the problem that students were regarded as containers and classroom learning was dull, humanistic approaches were put forward.

  3. The Quest for Equity in the Provision of Health Care in Ghana

    African Journals Online (AJOL)

    simply has no obligation to address social or health inequalities because any measure to ... health care judge actions (allocating resources) to be right or wrong based on ... utilitarian theories of health care justice do not consider individual inequities as ... 12), where no one knows his/her place in society, rational and self-.

  4. 7 CFR 226.19a - Adult day care center provisions.

    Science.gov (United States)

    2010-01-01

    ... beneficiaries. Menus and any other nutritional records required by the State agency shall be maintained to... day care centers shall have Federal, State or local licensing or approval to provide day care services... participate in the Program during the renewal process, unless the State agency has information which...

  5. 7 CFR 226.19 - Outside-school-hours care center provisions.

    Science.gov (United States)

    2010-01-01

    ... Section 226.19 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational... precondition for any outside-school-hours care center's eligibility for CACFP nutrition benefits. In...

  6. 7 CFR 226.17a - At-risk afterschool care center provisions.

    Science.gov (United States)

    2010-01-01

    ... Section 226.17a Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational... in interscholastic or community level competitive sports are not eligible afterschool care programs...

  7. Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

    Directory of Open Access Journals (Sweden)

    Kennie-Kaulbach Natalie

    2012-03-01

    Full Text Available Abstract Background Pharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim of this study was to develop and validate competencies for pharmacists' effective performance in these roles, and in so doing, document the perceived contribution of pharmacists providing collaborative primary health care services. Methods Using a modified Delphi process including assessing perception of the frequency and criticality of performing tasks, we validated competencies important to primary health care pharmacists practising across Canada. Results Ten key informants contributed to competency drafting; thirty-three expert pharmacists replied to a second round survey. The final primary health care pharmacist competencies consisted of 34 elements and 153 sub-elements organized in seven CanMeds-based domains. Highest importance rankings were allocated to the domains of care provider and professional, followed by communicator and collaborator, with the lower importance rankings relatively equally distributed across the manager, advocate and scholar domains. Conclusions Expert pharmacists working in primary health care estimated their most important responsibilities to be related to direct patient care. Competencies that underlie and are required for successful fulfillment of these patient care responsibilities, such as those related to communication, collaboration and professionalism were also highly ranked. These ranked competencies can be used to help pharmacists understand their potential roles in these evolving practices, to help other health care professionals learn about pharmacists' contributions to primary health care, to establish standards and performance indicators, and to prioritize supports and education to maximize effectiveness in this role.

  8. Systems for the provision of oral health care in the black sea countries part 13: cyprus.

    Science.gov (United States)

    Charalambous, Chrystala; Theodorou, Mamas

    2013-03-01

    This paper describes the health care system in Cyprus and the funding arrangements for oral health care. Some epidemiological data and costs are also presented. Although almost 83% of the population is entitled to free of charge oral health care within the public sector, only 10% make use of it. Most patients prefer to use the private sector, where they pay out of pocket on a fee-for-service basis. Additionally, issues regarding the dental workforce in Cyprus are discussed, including the fact that there is no dental school in Cyprus.

  9. Assessing the effect on outcomes of public or private provision of prenatal care in Portugal.

    Science.gov (United States)

    Correia, Sofia; Rodrigues, Teresa; Barros, Henrique

    2015-07-01

    To evaluate whether public and private prenatal care users experience similar outcomes, taking into consideration maternal pre-pregnancy social and clinical risk. We studied 7,325 women who delivered single newborns at five public maternity units in Porto, Portugal. Health behaviors and prenatal care were self-reported; pregnancy complications and delivery data were retrieved from medical files. The odds of inadequate weight gain, continuing to smoke, gestational hypertension, gestational diabetes, caesarean section, preterm birth, low birthweight, and small- and large-for-gestational-age were estimated for public and private providers using logistic regression, stratified by pre-pregnancy risk profile, adjusted for maternal characteristics. 38 % of women used private prenatal care. Among low-risk women, public care users were more likely to gain excessive weight (OR 1.26; 95 % CI 1.06-1.57) and be diagnosed with gestational diabetes (OR 1.37; 95 % CI 1.01-1.86). They were less likely to have a caesarean (OR 0.63; 95 % CI 0.51-0.78) and more likely to deliver small-for-gestational-age babies (OR 1.48; 95 % CI 1.19-1.83). Outcomes were similar in high-risk women although preterm and pre-labor caesarean were less frequent in public care users (OR 0.64 95 % CI 0.45-0.91; OR 0.69 95 % CI 0.49-0.97). The amount of care was not significantly related to risk profile in either case. Public care users experienced similar outcomes to those using private care, despite higher pre-pregnancy disadvantage. Low-risk women need further attention if narrowing inequalities in birth outcomes remains a priority.

  10. An exploration of the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities.

    Science.gov (United States)

    Ryan, Karen; McEvoy, John; Guerin, Suzanne; Dodd, Philip

    2010-09-01

    Research suggests that shortcomings exist in the provision of palliative care to people with intellectual disabilities. This mixed-methods study aimed to describe the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities. The sample was drawn from the population of one Health Service Executive area in Ireland. Staff from intellectual disability and palliative care services completed surveys and participated in focus group discussions. Three hundred and eighty-nine questionnaires were distributed and 16 focus groups were held. Fifty-nine per cent of palliative care staff and 67% of intellectual disability services staff had cared for someone with intellectual disability who had died but level of experience was low. Both palliative care and intellectual disability services staff lacked confidence in their ability to provide palliative care. Staff were challenged by perceived 'differences' and 'difficulties' in the provision of care. They endorsed a partnership approach to care but focus group discussions revealed that a shared desire to cooperate was insufficient to guarantee effective collaboration.

  11. An exploration of the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities.

    LENUS (Irish Health Repository)

    Ryan, Karen

    2010-09-01

    Research suggests that shortcomings exist in the provision of palliative care to people with intellectual disabilities. This mixed-methods study aimed to describe the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities. The sample was drawn from the population of one Health Service Executive area in Ireland. Staff from intellectual disability and palliative care services completed surveys and participated in focus group discussions. Three hundred and eighty-nine questionnaires were distributed and 16 focus groups were held. Fifty-nine per cent of palliative care staff and 67% of intellectual disability services staff had cared for someone with intellectual disability who had died but level of experience was low. Both palliative care and intellectual disability services staff lacked confidence in their ability to provide palliative care. Staff were challenged by perceived \\'differences\\' and \\'difficulties\\' in the provision of care. They endorsed a partnership approach to care but focus group discussions revealed that a shared desire to cooperate was insufficient to guarantee effective collaboration.

  12. Getting personal: can systems medicine integrate scientific and humanistic conceptions of the patient?

    Science.gov (United States)

    Vogt, Henrik; Ulvestad, Elling; Eriksen, Thor Eirik; Getz, Linn

    2014-12-01

    The practicing doctor, and most obviously the primary care clinician who encounters the full complexity of patients, faces several fundamental but intrinsically related theoretical and practical challenges - strongly actualized by so-called medically unexplained symptoms (MUS) and multi-morbidity. Systems medicine, which is the emerging application of systems biology to medicine and a merger of molecular biomedicine, systems theory and mathematical modelling, has recently been proposed as a primary care-centered strategy for medicine that promises to meet these challenges. Significantly, it has been proposed to do so in a way that at first glance may seem compatible with humanistic medicine. More specifically, it is promoted as an integrative, holistic, personalized and patient-centered approach. In this article, we ask whether and to what extent systems medicine can provide a comprehensive conceptual account of and approach to the patient and the root causes of health problems that can be reconciled with the concept of the patient as a person, which is an essential theoretical element in humanistic medicine. We answer this question through a comparative analysis of the theories of primary care doctor Eric Cassell and systems biologist Denis Noble. We argue that, although systems biological concepts, notably Noble's theory of biological relativity and downward causation, are highly relevant for understanding human beings and health problems, they are nevertheless insufficient in fully bridging the gap to humanistic medicine. Systems biologists are currently unable to conceptualize living wholes, and seem unable to account for meaning, value and symbolic interaction, which are central concepts in humanistic medicine, as constraints on human health. Accordingly, systems medicine as currently envisioned cannot be said to be integrative, holistic, personalized or patient-centered in a humanistic medical sense. © 2014 The Authors. Journal of Evaluation in Clinical

  13. Older people's views of a good death in heart failure: implications for palliative care provision.

    Science.gov (United States)

    Gott, M; Small, Neil; Barnes, Sarah; Payne, Sheila; Seamark, David

    2008-10-01

    Palliative care in the UK has been developed to meet the needs of predominantly middle aged and younger old people with cancer. Few data are available regarding the extent to which services respond to the specific needs of an older group of people with other illnesses. This paper draws on in-depth interviews conducted with 40 people (median age 77) with advanced heart failure and poor prognosis to explore the extent to which older people's views and concerns about dying are consistent with the prevalent model of the 'good death' underpinning palliative care delivery. That prevalent model is identified as the "revivalist" good death. Our findings indicate that older people's views of a 'good death' often conflict with the values upon which palliative care is predicated. For example, in line with previous research, many participants did not want an open awareness of death preceded by acknowledgement of the potential imminence of dying. Similarly, concepts of autonomy and individuality appeared alien to most. Indeed, whilst there was evidence that palliative care could help improve the end of life experiences of older people, for example in initiating discussions around death and dying, the translation of other aspects of specialist palliative care philosophy appear more problematic. Ultimately, the study identified that improving the end of life experiences of older people must involve addressing the problematised nature of ageing and old age within contemporary society, whilst recognising the cohort and cultural effects that influence attitudes to death and dying.

  14. Provision of care by medical residents and the impact on quality.

    Science.gov (United States)

    Llopis Pastor, Estefanía; Pérez Guzmán, Estibaliz; Ávila Martínez, Regulo; Villena Garrido, Maria Victoria; Sobradillo Ecenarro, Patricia

    2015-10-01

    The quality of care received by patients is a basic element of modern medicine. Medical residents or interns are essential within the healthcare system, but their lack of experience can raise concerns about the quality of care given. A registrar or specialist has greater knowledge and skills, while a resident has greater motivation and enthusiasm. The aim of training programs is to prepare residents to provide high quality care. This requires close supervision that seems to be lacking, with the consequent impact on both healthcare quality and academic results. The so-called "July effect" refers to the diminished quality of care during the summer months when resident physicians switch over. The results of studies analysing this effect vary widely, but the loss of efficacy during these months does seem to be real. Pulmonology is one of medical specialties that generates the least demand for internships and residencies, but it is impossible to determine if this affects the quality of care. The high prevalence of respiratory diseases and the latest diagnostic and therapeutic advances may mean that this situation will change in coming years.

  15. An evaluation of inpatient morbidity and critical care provision in Zambia.

    Science.gov (United States)

    Dart, P J; Kinnear, J; Bould, M D; Mwansa, S L; Rakhda, Z; Snell, D

    2017-02-01

    The aim of this study was to objectively measure demand for critical care services in a southern African tertiary referral centre. We carried out a point prevalence study of medical and surgical admissions over a 48-h period at the University Teaching Hospital, Lusaka, recording the following: age; sex; diagnosis; Human Immunodeficiency Virus (HIV) status and National Early Warning Score. One-hundred and twenty medical and surgical admissions were studied. Fifty-four patients (45%) had objective evidence of a requirement for critical care review and potential or probable admission to an intensive care unit, according to the Royal College of Physicians (UK) guidelines. A greater than expected HIV rate was also noted; 53 of 75 tested patients (71%). When applied to the estimated 17,496 annual acute admissions, this would equate to 7873 patients requiring critical care input annually at this hospital alone. In contrast to this demand, we identified 109 critical care beds nationally, and only eight at this institution.

  16. Can Humanists Talk to Poststructuralists?

    Science.gov (United States)

    Goldblatt, Mark

    2005-01-01

    Someone possessed of conventional thought processes shouldn't even try to discuss opinions with poststructuralists. Derrida, Barthes, and Foucault couldn't care less about contradictions. P and "Not-P" can exist comfortably together as true premises of an argument that for them is perfectly deductive, and in the name of whatever revolutionary…

  17. Providers’ Perspectives on Provision of Family Planning to HIV-Positive Individuals in HIV Care in Nyanza Province, Kenya

    Directory of Open Access Journals (Sweden)

    Sara J. Newmann

    2013-01-01

    Full Text Available Objective. To inform an intervention integrating family planning into HIV care, family planning (FP knowledge, attitudes and practices, and perspectives on integrating FP into HIV care were assessed among healthcare providers in Nyanza Province, Kenya. Methods. Thirty-one mixed-method, structured interviews were conducted among a purposive sample of healthcare workers (HCWs from 13 government HIV care facilities in Nyanza Province. Structured questions and case scenarios assessed contraceptive knowledge, training, and FP provision experience. Open-ended questions explored perspectives on integration. Data were analyzed descriptively and qualitatively. Results. Of the 31 HCWs interviewed, 45% reported previous FP training. Few providers thought long-acting methods were safe for HIV-positive women (19% viewed depot medroxyprogesterone acetate as safe and 36% viewed implants and intrauterine contraceptives as safe; fewer felt comfortable recommending them to HIV-positive women. Overall, providers supported HIV and family planning integration, yet several potential barriers were identified including misunderstandings about contraceptive safety, gendered power differentials relating to fertility decisions, staff shortages, lack of FP training, and contraceptive shortages. Conclusions. These findings suggest the importance of considering issues such as patient flow, provider burden, commodity supply, gender and cultural issues affecting FP use, and provider training in FP/HIV when designing integrated FP/HIV services in high HIV prevalence areas.

  18. Advance directives in action in a regional palliative care service: "road testing" the provisions of the Medical Treatment Act 1988 (VIC).

    Science.gov (United States)

    Brown, Margaret; Fisher, John W; Brumley, David J; Ashby, Michael A; Milliken, Jan

    2005-11-01

    In order to explore the usefulness and acceptability of the provisions of the Medical Treatment Act 1988 (Vic) for palliative care patients in a rural region in Victoria, Australia, between July and December 2004 patients were given information explaining the Act and the opportunity to discuss it with the research officer. Grounded theory methodology was used to evaluate client responses. Findings suggested that palliative care patients are willing to engage in advance care planning but they have to be well enough and need skilled, practical, face-to-face assistance to complete the required legal forms. Written materials alone are not adequate, but provide the opportunity for medical staff to have conversations about death and dying. Doctors and nurses should understand the provisions of the Act to assist patients and families. It is recommended that advance care planning, appropriate to the jurisdiction, be an integral part of the palliative care assessment process.

  19. Frontline health worker motivation in the provision of maternal and neonatal health care in Ghana

    NARCIS (Netherlands)

    Aberese-Ako, Matilda

    2016-01-01

    The health of mothers and neonates is a concern for many countries, because they form the future of every society. In Ghana efforts have been made to address quality health care in order to accelerate progress in maternal and child health and reduce maternal and neonat

  20. Interfaces in service modularity : A typology developed in modular health care provision

    NARCIS (Netherlands)

    de Blok, C.; Meijboom, B.R.; Luijkx, K.G.; Schols, J.M.G.A.; Schroeder, R.G.

    2014-01-01

    We conduct case research in a particular service context, i.e. the sector for elderly care, in order to explore characteristics of interfaces and the role they play in service customization. Even though the study of modularity in areas other than goods production is increasing, little is known about

  1. Interfaces in service modularity : A typology developed in modular health care provision

    NARCIS (Netherlands)

    de Blok, C.; Meijboom, B.R.; Luijkx, K.G.; Schols, J.M.G.A.; Schroeder, R.G.

    2014-01-01

    We conduct case research in a particular service context, i.e. the sector for elderly care, in order to explore characteristics of interfaces and the role they play in service customization. Even though the study of modularity in areas other than goods production is increasing, little is known about

  2. Evaluation of structure and provision of primary care in Romania: a survey-based project.

    NARCIS (Netherlands)

    Boerma, W.G.W.; Wiegers, T.A.; Baltag, V.; Teunissen, E.; Farcasanu, D.

    2012-01-01

    In many countries in transition, health reforms are part of profound and comprehensive changes in essential societal functions and values. Reforms of (primary) care are not always based on evidence, and progress may be driven by political arguments or the interests of specific professional groups,

  3. Frontline health worker motivation in the provision of maternal and neonatal health care in Ghana

    NARCIS (Netherlands)

    Aberese-Ako, Matilda

    2016-01-01

    The health of mothers and neonates is a concern for many countries, because they form the future of every society. In Ghana efforts have been made to address quality health care in order to accelerate progress in maternal and child health and reduce maternal and

  4. Development and Psychometric Testing of the Humanistic Nurse-Patient Scale.

    Science.gov (United States)

    Boscart, Veronique M; Pringle, Dorothy; Peter, Elizabeth; Wynn, Francine; McGilton, Katherine S

    2016-03-01

    Quality of life and well-being of older patients in chronic care facilities is often determined by their relationships with nurses. The authors developed and tested a scale to assess patients' views of what matters most when relating to nurses. Based on the humanistic nursing theory by Paterson and Zderad (1988), 69 items were created and tested with a sample of 40 patients, resulting in refinement of a scale with 24 items. This scale was factor analysed on responses from 249 patients residing in five facilities in Ontario, Canada. The Humanistic Relationship Importance Scale demonstrated strong internal consistency, stability, and reliability with a five-factor solution (α = .87). Construct validity was supported through factual identification. This scale is a valid measure of patients' perspectives of a nurse-patient relationship in chronic care and can be used to measure health professionals' relationships with their older patients and evaluate interventions to enhance relational care.

  5. Recent Changes in Humanistic Research Practices

    DEFF Research Database (Denmark)

    Johansson, Lasse Gøhler; Vikman, Jutta Maria; Liljenstrøm, Andreas Jan

    2016-01-01

    and analytical methods/techniques such as qualitative interviews, participant observation, categorized coding and statistical analysis. With respect to theoretical sources, many humanistic PhD dissertations also converge with the social sciences. We discuss these findings in the light of the situation......The present paper analyzes changes in research practices in the humanities around the turn of the millennium. The analysis is based on a reading of all humanistic PhD dissertations in Denmark between 1992 and 2012 (N=1,958). For every dissertation we recorded not only language, format, co......-authors and supervisors but also the theoretical sources, data types and analytical methods/techniques used. We show that, while the share of article-based dissertations (as opposed to monographs) is relatively stable, the share of English dissertations grows from around 18 percent in the beginning of the period...

  6. Smart Textiles in Humanistic Hospital Design

    DEFF Research Database (Denmark)

    Mogensen, Jeppe Emil; Fisker, Anna Marie; Poulsen, Søren Bolvig

    2013-01-01

    in Future Hospitals”, stating the overall hypothesis that textiles in hospital interiors possess an unexploited architectural potential in relation to the humanistic visions of healing architecture. Concerned with the operational challenge of unfolding the visionary design principle, we suggest to re......With the construction of new hospitals, the design principle healing architecture is introduced, representing the humanistic vision of improving hospitalised patients’ healing process, supported by stimulating architecture. In this regard, we address focus on the potential influence of the design...... principle, discussing how healing architecture may contribute in making the future hospital institutions more responsive to human needs. The main purpose of this paper is thus to present a review of healing architecture, by considering some of the challenges in the operational use of the design principle...

  7. Physicians' social competence in the provision of care to persons living in poverty: research protocol

    Directory of Open Access Journals (Sweden)

    Bedos Christophe P

    2010-03-01

    Full Text Available Abstract Background The quality of the physician-patient therapeutic relationship is a key factor in the effectiveness of care. Unfortunately, physicians and people living in poverty inhabit very different social milieux, and this great social distance hinders the development of a therapeutic alliance. Social competence is a process based on knowledge, skills and attitudes that support effective interaction between the physician and patient despite the intervening social distance. It enables physicians to better understand their patients' living conditions and to adapt care to patients' needs and abilities. Methods/Design This qualitative research is based on a comprehensive design using in-depth semi-structured interviews with 25 general practitioners working with low-income patients in Montreal's metropolitan area (Québec, Canada. Physicians will be recruited based on two criteria: they provide care to low-income patients with at least one chronic illness, and are identified by their peers as having expertise in providing care to a poor population. For this recruitment, we will draw upon contacts we have made in another research study (Loignon et al., 2009 involving clinics located in poor neighbourhoods. That study will include in-clinic observations and interviews with physicians, both of which will help us identify physicians who have developed skills for treating low-income patients. We will also use the snowball sampling technique, asking participants to refer us to other physicians who meet our inclusion criteria. The semi-structured interviews, of 60 to 90 minutes each, will be recorded and transcribed. Our techniques for ensuring internal validity will include data analysis of transcribed interviews, indexation and reduction of data with software qualitative analysis, and development and validation of interpretations. Discussion This research project will allow us to identify the dimensions of the social competence process that helps

  8. Social outcomes of early childbearing: important considerations for the provision of clinical care.

    Science.gov (United States)

    Fessler, Kathryn Bondy

    2003-01-01

    Traditional understanding of adolescent childbearing includes a belief that the social and economic consequences for both mother and child are almost universally negative. Recent research, however, reveals that the outcomes resulting from the birth of children to young mothers are diverse and complex. Social circumstances contributing to adolescent pregnancy and parenting, such as poverty, poor educational opportunity, and violence, are also causes of less than optimal outcomes for young mothers and their children; thus, attributions of cause and effect are difficult to make. By reviewing outcomes research that approaches this question in a number of more creative ways, clinicians can gain a more complete understanding of this phenomenon. It is hoped that health care providers with access to new evidence about the social consequences of adolescent childbearing will have improved success and satisfaction in providing competent, compassionate care to pregnant and parenting adolescents.

  9. Nurses in the provision of outpatient care for women with malignant fungating wounds in the breasts

    Directory of Open Access Journals (Sweden)

    Flávia Firmino

    2014-06-01

    Full Text Available This study aimed to analyze accounts of nurses who undertake the dressing of fungating wounds of women with breast cancer, and to outline contributions to the nursing care. This is qualitative research, carried out in November 2010 with interviews and thematic analysis involving five nurses from the outpatient department of a public hospital in the city of Rio de Janeiro, specializing in the treatment of breast cancer. Categories were elaborated corresponding to the practice of outpatient nursing; the cancer wound; and, indications for the nursing care. It is concluded that there is a need for specific knowledge in the area of oncology nursing, professional involvement, technical skill and autonomy, the forming of a therapeutic group, clinical attendance interfacing with the palliative approach, and collaborative work as a team.

  10. THE ROLE OF HEALTH INSURANCE COMPANIES IN THE FINANCIAL PROVISION OF FREE MEDICAL CARE

    Directory of Open Access Journals (Sweden)

    Lyudmila Valentinovna Tokun

    2016-01-01

    Full Text Available This article discusses the features of the mandatory health insurance, the financial resources of health care and the characteristics of the Russian health care system. The article defines the need to apply the SWOT-analysis to the activities of medical organizations, it analyses the interconnection between the criteria of quality, availability and payment for services and their accordance to the sector of economics, which produces or pays for the service. Goal / Objectives: The goal of this article is to study the compulsory health insurance system, its pros and cons in the health system. The objectives of this paper is to identify the sources of financing of compulsory health insurance, the definition of the stages of formation of financial flows, the designation of the role of insurance companies in the compulsory health insurance system, the study of the processes of formation of funds of health insurance companies, the definition of the role of the compulsory health insurance in the risk protection and study of the positive and negative aspects of the modern health care system. Methodology: Methods of comparison, analysis and synthesis are used in this article. Results: as a result of the conducted research authors have made conclusions about the need for the major changes in the financing of public health care. The scope of work of health insurance companies requires increase in number of staff , premises, additional hardware and software. Health insurance companies should be motivated to maintain the health of the population and its improvement. Conclusions: The results of this research can be used to build a system of motivation in the health insurance organizations.

  11. Networks for integrated care provision: an economic approach based on opportunism and trust.

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    Meijboom, Bert; de Haan, Job; Verheyen, Piet

    2004-07-01

    In this paper, we provide the economic rationale for an important issue in the health care sector, namely the network formation, e.g., in The Netherlands. The presence of such cooperation structures is hard to explain using the basic concept of the economic organization (EO) theory, i.e., the dichotomy of hierarchy versus market. However, acknowledging the aspect of trust renders the clan concept to be a powerful tool in understanding the viability of intra- and inter-organizational cooperation in the health sector. The main reason for this is the manner in which the professionals involved perform, as well as the importance of the tacit knowledge of the actors employed in the various health institutions. First, we address the conversion from supply towards demand orientation and the resulting pressure on multi-professional cooperation between health care providers. Then, relevant EO concepts will be reviewed, while introducing theory on knowledge, learning, and trust. Moreover, we offer conclusions for the health care sector on a concept-by-concept basis. Finally, we propose the notion of interclan, a clan-inspired notion for inter-organizational cooperation, and analyse the observed network formation.

  12. HUMANISTIC STRATEGIES IN THE EFL SPEAKING CLASS

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    Josefa J. Mardijono

    2001-01-01

    Full Text Available This paper focuses on the humanistic strategies woven into the EFL speaking class activities. The speaking class, which the writer used for her study, is the highest level of speaking course offered in the curriculum of the English Department of Petra Christian University, to develop students' English speaking skills, particularly in public speaking. The humanistic strategies are based on the assumption that a "supportive and co-operative group atmosphere" ((Hadfield, 1995, p.15 will enhance learning to bring out the best of the students. The primary aims are to help the students, through active participation, to develop more positive feelings about themselves and their classmates, to co-operate and support each other to grow and excel at their speech performance. Based on the students' evaluation and the teacher's observation of the students' public speech performance and their academic achievement, it can be concluded that the humanistic strategies have created a co-operative and supportive group atmosphere and has given positive effects on the students' speech performance. This is also a rewarding experience for the teacher.

  13. "Aequanimitas" Redux: William Osler on detached concern versus humanistic empathy.

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    Bryan, Charles S

    2006-01-01

    Recent critics make William Osler "the father of cool detachment" in medicine, largely because of his "Aequanimitas" address emphasizing objectivity and imperturbability. Closer analysis suggests that Osler's aequanimitas resembles more nearly the metriopatheia of later Stoic philosophy than the apatheia of the early Stoics. A previously unpublished memoir clarifies at least in part Osler's motive for teaching control of the "medullary centres" to minimize facial expression: he did not want to frighten patients, who typically had serious illnesses for which he lacked effective therapy. Twenty-first century challenges to medicine as a profession differ substantially from those of Osler's era. Physicians and educators must focus more closely on the tension between detached concern ("competence") and humanistic empathy ("caring") if medicine is to thrive as a learned profession as opposed to a technical service, a commodity to be bought and sold like any other.

  14. Creativity and health: an anti-humanist reflection.

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    Fox, Nick J

    2013-09-01

    Many studies suggest that health benefits from engaging with the creative arts, but explanations of the association remain tenuous. This article explores both creativity and health from an anti-humanist perspective and develops a Deleuze-inspired analysis to supply the theoretical framework for creativity and health. In this view, creativity is an active, experimenting flow within a network or assemblage of bodies, things, ideas and institutions, while health is understood as the capacity of a body to affect and be affected by this assemblage. It is consequently unsurprising that there is a relationship between creative activity and health. This analysis is used to explore how creative production and reception can affect health, and to assess the implications for sociology and for arts in health-care practice.

  15. Education care implementation countermeasures of humanistic spirit in the Chinese teaching%语文教学中对医护生实施人文精神教育的对策探析

    Institute of Scientific and Technical Information of China (English)

    朱瑞雪

    2015-01-01

    人文情怀是医护生必备的良好职业素养。从医者仅仅具有高超的医术还是远远不够的,救死扶伤的天职要求他们对患者要有发自内心的关怀,具有高尚的职业道德。语文学科是人文内涵较为丰富的学科,笔者在语文教学中利用本学科这一特点,侧重对医护生人文精神的培养。%Humanity is medical raw essential good professional quality. Doctors only have superb medical skill is not enough, to heal the wounded and rescue the dying bounden duty asked them to have a genuine concern for patients, with noble professional ethics. The language discipline is the subject of humanities connotation is rich, the author use the feature of this subject in the Chinese teaching, focusing on the cultivation of humanistic spirit of medical raw.

  16. [Provision of continuous health care by a unit connected to primary care centres coordinated by specialist physicians].

    Science.gov (United States)

    Esteban Giner, M J; Giner Galvañ, V; Prats Hernández, J L; Llopis Martínez, F; Cortés i Pérez, P J; Castejón Esteban, J

    2013-10-01

    To evaluate the efficacy and efficiency of a system set up to overcome the current disparity between primary and specialist health care and with the capacity to detect patients with significant diseases. To describe the activity of the Unit for Connection with Primary Care Centres (UCPCC) in the Alcoy Health Area (Alicante) during its first year. A total of 450 visits were made, with 6.5 (95% CI 5.7-7.3) first visits, and 3.9 (95% CI 3.1-4.8) successive ones per day. There were more than 50 reasons for consultation, and more than 60 final diagnoses (65.6% non-significant, 14% undefined and 12.4% significant). Digestive (31%) and functional (14.4%) diseases were the most frequently defined diagnoses, with neoplasic and autoimmune diseases among those defined as significant ones. The great majority (86.9%) of patients required 1-2 visits, with 40% diagnosed by just reviewing the hospital files. More than 20 different complementary examinations were performed, with 38.8%, 34.4%, 21.6%, and 5.2% of patients requiring 0, 1, 2, or ≥ 3, respectively. Patients with a significant pathology were diagnosed more quickly (12.4 ± 19.4 vs. 45.3 ± 52.8 days; P = .001), with less complementary examinations (0,5 ± 0,7 vs. 0,9 ± 0,9 per patient; P = .032. 58.6% vs. 39.6% patients without complementary examinations; P = .052), and were more frequently referred to specialised medicine (58.6% vs. 18.3%, P < .0001). The demonstrated differential management of patients with potentially significant pathology using existing resources, make the UCPCC with internists an efficient model for the connection between health care levels. Copyright © 2012 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  17. Perceived and insurance-related barriers to the provision of contraceptive services in U.S. abortion care settings.

    Science.gov (United States)

    Kavanaugh, Megan L; Jones, Rachel K; Finer, Lawrence B

    2011-01-01

    Abortion facilities represent a potentially convenient setting for providing contraception to women experiencing unintended pregnancies. This analysis examines a range of factors that may act as barriers to integrating contraceptive and abortion services and documents abortion providers' perspectives on their role in their patients' contraceptive care. Administrators from 173 large, nonhospital facilities that provide abortions in the United States responded to a structured survey between May and September 2009. We used chi-square tests to assess differences in categorical outcomes. Although the majority of U.S. abortion facilities offer a range of contraceptive methods on site, facility staff identified multiple barriers to full integration of the two services, in particular, insurance, patient, and cost barriers. Few of these perceived barriers, however, were associated with differences in the actual provision of most contraceptive methods. Specialized abortion clinics that do not accept health insurance were less likely to have highly effective methods, such as intrauterine devices and implants, on site. Facilities located in Medicaid states were more likely to accept both public and private health insurance for contraceptive services. Increased access to contraceptive services during abortion care is one strategy for reducing repeat unintended pregnancy, and stakeholders at all levels--including abortion providers, insurance companies, and policy makers--have a role to play in achieving this goal. Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  18. Internal medicine resident training and provision of diabetes quality of care indicators.

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    Devkota, Bishnu P; Ansstas, Michael; Scherrer, Jeffrey F; Salas, Joanne; Budhathoki, Chakra

    2015-04-01

    Existing research is inconsistent on whether clinical experience is associated with improved management of type 2 diabetes mellitus. We sought to determine whether meeting diabetes quality indicators improves as general internal medicine physicians progress from first to last year of residency. We performed a chart abstraction of electronic health records data covering the period from September 2008 to August 2011. In all, 352 patient records were abstracted and linked to year of resident provider. Type 2 diabetes quality indicators included glycated hemoglobin (A1C), low-density lipoprotein, diastolic and systolic blood pressure control, obtaining urine microalbumin or prescription for angiotensin-converting enzyme inhibitor or angiotensin receptor blocker and documented foot and eye examinations. Chi-square tests and logistic regression analysis were used to determine whether year of residency was associated with quality of care indices before and after adjusting for patient age, gender, race, body mass index and cigarette smoking. Urine microalbumin was the most often met indicator (76.9%), and the least often met indicator was documented eye examination (37.4%). Results of adjusted analysis indicated that the odds of A1C, low-density lipoprotein control, obtaining urine microalbumin and documented eye and foot examinations were greater among patients of second- and third-year residents compared with those of first-year residents (odds ratios range, 1.26-5.12). Urine microalbumin was the indicator most often in optimal control and least often met indicators were eye and foot examinations. We observed improvement in quality of diabetes care throughout residency. However, the low prevalence of several quality indicators indicates a need for additional training and quality improvement. Copyright © 2015 Canadian Diabetes Association. All rights reserved.

  19. The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India.

    Science.gov (United States)

    Salazar, Mariano; Vora, Kranti; De Costa, Ayesha

    2016-07-07

    India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2005 World Health Report benchmarks (WHR2005). A cross-sectional survey of obstetric care facilities reporting 30 or more births in the last three months was conducted (n = 159). Performance of EmOC signal functions and availability of human resources were assessed. EmOC provision was dominated by private facilities (112/159) which were located mainly in district headquarters or small urban towns. The number of basic and comprehensive EmOC facilities was below WHR2005 benchmarks. A high number of private facilities performed C-sections but not all basic signal functions (72/159). Public facilities were the main EmOC providers in rural areas and 40/47 functioned at less than basic EmOC level. The rate of obstetricians per 1000 births was higher in the private sector. The private sector is the dominant EmOC provider in the state. Given the highly skewed distribution of facilities and resources in the private sector, state led partnerships with the private sector so that all women in the state receive care is important alongside strengthening the public sector.

  20. Professionalism for future humanistic doctors

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    SEDIGHEH EBRAHIMI

    2013-07-01

    of professional roles and responsibilities for students (6- 8. Considering the important role of patients in contributing to the educational process and the benefits that exposure to patients will have for the students, it is important to note that medical schools bear the responsibility of training their students in a framework to approach these experiences in a professional way. It is necessary that medical training programs begin to provide adequate and formalised preparation for ethical challenges of working in clinical settings. While a large bulk of feedback from patients showed generally positive attitude toward medical student participation, there may still be the risk of adverse effect on the clinical teaching environment. Thus, patients should be adequately informed and permission should be obtained for medical students’ involvement. Previous studies have indicated that medical students often face ethical dilemmas concerning patient-care. A study conducted by Walters et al. (2003 reported some therapeutic benefits, for patients with common mental disorders contributing in undergraduate teaching in general practice .The study revealed that there were high levels of patient satisfaction; however, a small number of patients reported that they found the encounter distressing (9. Teaching hospitals need to become a safe and sacred place of respect for human rights and dignity (10. There are numerous ethical dilemmas to the patient involvement in medical education that may have unintended consequences such as loss of privacy and missing the patient’s emotional and personal responses. An ethically sensitive organization often faces the probe of having to balance between duty of training the students well and duty of doing the best care for the patients. The main point of this ethical dilemma is beneficence to the students versus nonmalfeasance (harm to patients. Ethical sensitivity can be promoted by development of ethical guidelines proposed for patient

  1. Study of influence of humanistic care on the rehabilitation effect and so-cial function of patients with schizophrenia%人文关怀对精神分裂症患者康复疗效及社会功能的影响研究

    Institute of Scientific and Technical Information of China (English)

    朱伟芳; 杨淑芬; 钟文凯; 付萍萍; 冯燕; 余小珍

    2015-01-01

    Objective To explore the influence of humanistic care on the rehabilitation effect and social function of patients with schizophrenia to accumulate valuable experience for nursing the patients. Methods 68 patients with schizophrenia treated in our hospital from May 2010 to February 2012 were chosen as control group,and given the rou-tine psychiatric nursing method;76 patients with schizophrenia treated in our hospital from May 2012 to February 2014 were chosen as the research group,and given implementation of the concept of humanistic care based on the control group.Social disability screening schedule (SDSS),the brief psychiatric rating scale (BPRS),inpatient psychiatric rehabili-tation rehabilitation outcome scale (IPROS) was used to score for patients,medication compliance,recurrence and rehos-pitalization rate of the patients between two groups was compared respectively. Results After 3 months,6 months,and 12 months intervention,SDSS,BPRS and IPROS score of patients in research group was lower than that in control group (P<0.05) respectively; after 1 years intervention,medication compliance in patients of research group was higher than that of control group,recurrence and rehospitalization was significantly lower than that in control group respectively (P<0.05). Conclusion humanistic care can effectively improve the patients’mental status,promote the return to the society func-tion of patients,and it is conducive to the early recovery of patients.%目的:探讨人文关怀对精神分裂症患者康复疗效及社会功能的影响,为护理该类患者积累宝贵经验。方法选取本院于2010年5月~2012年2月收治的68例精神分裂症患者,设为对照组,采取常规精神病护理方法;选取本院于2012年5月~2014年2月收治的76例精神分裂症患者,设为研究组,在对照组基础上全程贯彻人文关怀理念。干预后分别采用社会功能缺陷筛选表(SDSS)、简明精神病评定量表(BPRS)、住院精

  2. The role of the general practitioner and the orthodontist in the provision of orthodontic care.

    Science.gov (United States)

    Linge, L

    1987-06-01

    Orthodontics is a small branch of dentistry but one of the oldest and most widespread of dental specialties. It is characterized by long-term treatment objectives which are related to dentofacial morphology and function, growth, facial balance and maturation. Owing to the lack of baseline data it has not been included in the recommendations of the FDI for a stepwise procedure towards 'Health for All by the Year 2000'. Serious efforts should be made to allow inclusion of orthodontics by overcoming this data problem. It is strongly recommended that an internationally acceptable index for orthodontic purposes at the community level be developed. Problems of integration of orthodontic services within oral health care programmes are most significant at medium resource levels when priorities have to be established among many highly desirable dental services. In upper resource levels with less caries and periodontal disease than before the general practitioner should be aware of the rapidly increasing needs for service among elderly people due to improved oral health in adults. For the sake of efficiency, control and quality orthodontic treatment should preferably be carried out by appropriately educated orthodontists, even if the case appears simple in the beginning. Simple cases treated by specialists consume fewer resources than are needed for a system of effective communication and delegation to the general practitioner. Continuing education of all practitioners and other members of the dental team should be carried out in personnel categories and across the boundaries between them.

  3. Paying for performance and the social relations of health care provision: an anthropological perspective.

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    Magrath, Priscilla; Nichter, Mark

    2012-11-01

    Over the past decade, the use of financial incentive schemes has become a popular form of intervention to boost performance in the health sector. Often termed "paying for performance" or P4P, they involve "…the transfer of money or material goods conditional upon taking a measurable action or achieving a predetermined performance target" (Eldridge & Palmer, 2009, p.160). P4P appear to bring about rapid improvements in some measured indicators of provider performance, at least over the short term. However, evidence for the impact of these schemes on the wider health system remains limited, and even where evaluations have been positive, unintended effects have been identified. These have included: "gaming" the system; crowding out of "intrinsic motivation"; a drop in morale where schemes are viewed as unfair; and the undermining of social relations and teamwork through competition, envy or ill feeling. Less information is available concerning how these processes occur, and how they vary across social and cultural contexts. While recognizing the potential of P4P, the authors argue for greater care in adapting schemes to particular local contexts. We suggest that insights from social science theory coupled with the focused ethnographic methods of anthropology can contribute to the critical assessment of P4P schemes and to their adaptation to particular social environments and reward systems. We highlight the need for monitoring P4P schemes in relation to worker motivation and the quality of social relations, since these have implications both for health sector performance over the long term and for the success and sustainability of a P4P scheme. Suggestions are made for ethnographies, undertaken in collaboration with local stakeholders, to assess readiness for P4P; package rewards in ways that minimize perverse responses; identify process variables for monitoring and evaluation; and build sustainability into program design through linkage with complementary reforms

  4. Increasing provision of adolescent vaccines in primary care: a randomized controlled trial.

    Science.gov (United States)

    Gilkey, Melissa B; Dayton, Amanda M; Moss, Jennifer L; Sparks, Alicia C; Grimshaw, Amy H; Bowling, James M; Brewer, Noel T

    2014-08-01

    To assess the effectiveness of in-person and webinar-delivered AFIX (Assessment, Feedback, Incentives, and eXchange) consultations for increasing adolescent vaccine coverage. We randomly assigned 91 primary care clinics in North Carolina, serving 107 443 adolescents, to receive no consultation or an in-person or webinar AFIX consultation. We delivered in-person consultations in April through May 2011 and webinar consultations in May through August 2011. The state's immunization registry provided vaccine coverage data for younger patients (ages 11-12 years) and older patients (ages 13-18 years) for 3 adolescent vaccines: tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap); meningococcal; and human papillomavirus (HPV) vaccines (≥1 dose, females only). At the 5-month follow-up, AFIX consultations increased vaccine coverage among younger adolescents. Patients in the in-person arm experienced coverage changes that exceeded those in the control arm for Tdap (3.4% [95% confidence interval (CI): 2.2 to 4.6]), meningococcal (4.7% [95% CI: 2.3 to 7.2], and HPV (1.5% [95% CI: 0.3 to 2.7]) vaccines. Patients in the webinar versus control arm also experienced larger changes for these vaccines. AFIX did little to improve coverage among older adolescents. At 1 year, the 3 arms showed similar coverage changes. The effectiveness of in-person and webinar consultations was not statistically different at either time point (all, P >.05). Webinar AFIX consultations were as effective as in-person consultations in achieving short-term increases in vaccine coverage for younger adolescents. AFIX consultations for adolescents need improvement to have a stronger and more durable impact, especially for HPV vaccine. Copyright © 2014 by the American Academy of Pediatrics.

  5. Improving the dental fitness of the British Army by changing the strategy for dental care provision for recruits from a vertically equitable model to a horizontally equitable model.

    Science.gov (United States)

    Hurley, Sara Jane; Tuck, Jeremy

    2007-11-01

    BACKGROUNDd: The dental health of the British Army has been reported as being in decline for the past 10 years, and this is having a significant impact on operations. One of the major factors in the decline is the increasing number of recruits who enlist with outstanding dental treatment needs. The current policy for provision of routine dental care to recruits targets resources toward those with the worst dental health and provides only emergency dental care for the remainder.AIMSs: The goal was to review recruit dental care provision, to determine whether improvements in the overall dental health of the trained Army could be made during recruit training.RESULTSs: It was found that >85% of recruit dental treatment need could be met with the routine provision of 2 hours of dental treatment during training.CONCLUSIONn: A horizontally equitable model of recruit dental care, whereby all recruits access routine dental care during training, has been recommended to and accepted by the chain of command.

  6. Motivational Factors that Help in Coping with Barriers to Provision of Psychiatric Nursing Care: Perspective of Psychiatric Nurses in a Hospital Setting in Nigeria.

    Science.gov (United States)

    Gimba, Solomon Musa; Duma, Sinegugu

    2015-07-01

    This qualitative case study explored barriers to provision of psychiatric nursing care in a hospital in Plateau State, Nigeria, and revealed motivational factors that helped the nurses to cope with these barriers. Data collection methods included grand tour and in-depth interviews and participant observation. Motivational factors were related to the psychiatric nurse's individual intrinsic belief system, as well as to their intrinsic belief system as influenced by the environment. These motivational factors highlight how psychiatric nurses continue to cope with the barriers they face in provision of care. The findings indicate the need for hospital management to create and sustain an environment to complement the existing intrinsic motivation of psychiatric nurses to provide psychiatric nursing care, and to provide prompt and appropriate emotional and psychological support to psychiatric nurses worldwide.

  7. Inequity in the provision of and access to palliative care for cancer patients. Results from the Italian survey of the dying of cancer (ISDOC

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    Costantini Massimo

    2007-04-01

    Full Text Available Abstract Background The palliative services and programs have been developed with different intensity and modalities in all countries. Several studies have reported that a geographic variation in the availability and provision of palliative care services between and within countries exists, and that a number of vulnerable groups are excluded from these services. This survey estimates the distribution of places of care for Italian cancer patients during the last three months of their lives, the proportion receiving palliative care support at home and in hospital, and the factors associated with the referral to palliative care services. Methods This is a mortality follow-back survey of 2,000 cancer deaths identified with a 2-stage probability sample, representative of the whole country. Information on patients' experience was gathered from the non-professional caregiver through an interview, using an adapted version of the VOICES questionnaire. A section of the interview concerned the places of care and the palliative care services provided to patients. Multivariate logistic regression analyses were conducted to identify the determinants of palliative care service use. Results Valid interviews were obtained for 67% of the identified caregivers (n = 1,271. Most Italian cancer patients were cared for at home (91% or in hospital (63%, but with substantial differences within the country. Only 14% of Italian cancer patients cared for at home against 20% of those admitted to hospital, received palliative care support. The principal determinants identified for receiving these service were: an extended interval between diagnosis and death (P = 0.01 and the caregiver's high educational level (P = 0.01 for patients at home; the low patient's age (P Conclusion In Italy palliative care services are not equally available across the country. Moreover, access to the palliative care services is strongly associated with socio demographic characteristics of the

  8. 人文理念在现代医院的体现%The Practice of Humanistic Idea in Modern Hospital

    Institute of Scientific and Technical Information of China (English)

    马国平; 杨京利; 张永; 高萍; 何明武

    2013-01-01

    Humanistic care and philosophy could be achieved in the procedure of diagnosis and treatment in medical staff by transpositonal consideration,converting the model of medicine,strengthening communication and concerning for details in humanistic care.Humanistic care could be achieved in medical service by beautifying the environment of hospital,optimizing treatment process and medical expenses deduction.Humanistic care could also be achieved in hospital administration by innovating management system,perfecting management mechanism and optimizing personal evaluation system.%医院人文理念和人文关怀体现在诊疗活动中,通过医务人员的换位思考、医学模式的转变、加强沟通和从细节上实施人文关怀等实现;人文关怀体现在医院服务中,通过美化就医环境、优化就医流程和惠民服务等实现;人文关怀也体现在医院的管理中,通过创新管理体制、完善经营机制和优化考评体系等实现.

  9. A Model for Provision of ENT Health Care Service at Primary and Secondary Hospital Level in a Developing Country

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    Lingamdenne Paul Emerson

    2013-01-01

    Full Text Available ENT problems are the most common reason for a visit to a doctor in both rural and urban communities. In many developing countries, there is a lack of ENT specialists and overburdened hospital facilities. To date, there is no comprehensive study that has evaluated the spectrum of ENT disorders in a rural community. Methods. A prospective study was done for a period of three years to profile the cases presenting to the outpatient clinic in a secondary care hospital and in the camps conducted in tribal areas in Vellore District of Tamil Nadu, India. Trained community volunteers were used to identify ENT conditions and refer patients. Results. A total of 2600 patients were evaluated and treated. Otological symptoms were the most commonly reported with allergic rhinitis being the second most commonly reported. Presbycusis was the most common disability reported in the rural community. The other symptoms presented are largely related to hygiene and nutrition. Conclusion. Using trained community workers to spread the message of safe ENT practices, rehabilitation of hearing loss through provision of hearing aids, and the evaluation and surgical management by ENT specialist helped the rural community to access the service.

  10. Psychological needs, service utilization and provision of care in a specialist mental health clinic for young refugees: a comparative study.

    Science.gov (United States)

    Michelson, Daniel; Sclare, Irene

    2009-04-01

    This study addressed psychological needs, patterns of service utilization and provision of care in a specialist mental health service for young refugees and asylum seekers in London. Comparisons were made between two groups with different levels of postulated mental health need: unaccompanied minors (UAMs; n = 49) and children accompanied to the UK by one or more primary caregivers (n = 29). Significant differences were observed in referral pathways, with UAMs more likely to be referred by social services and less likely to be referred from medical agencies. UAMs also attended fewer sessions during treatment, and missed a greater proportion of scheduled appointments. Contrary to prediction, group comparisons revealed similar levels of post-migration stress and overall psychological morbidity. However, UAMs experienced significantly more traumatic events prior to resettlement, and were more likely to exhibit symptoms of post-traumatic stress disorder (PTSD) than their accompanied peers. Despite their elevated risk of PTSD, UAMs were less likely than accompanied children to have received trauma-focused interventions. UAMs were also significantly less likely to have been treated using cognitive therapy, anxiety management and parent/carer training, as well as receiving fewer types of practical assistance with basic social needs. The clinical and service implications of these findings are discussed.

  11. Adequacy of resources for provision of maternal health services at the primary health care level in Nnewi, Nigeria

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    Chinomnso C Nnebue

    2014-01-01

    Full Text Available Background: To determine the adequacy of resources (human and material for provision of maternal health services at the primary health care (PHC level in Nnewi, Nigeria. Materials and Methods: A cross-sectional study of women utilising maternal health services in four public PHC facilities in Nnewi selected using multistage sampling technique was done. Data was collected using a mix of quantitative and qualitative methods. Quantitative data was analysed using statistical package for social sciences (SPSS version 16, while qualitative data was reported verbatim, analysed thematically and necessary quotes presented. Results: Two hundred and eighty women were studied. The mean age of respondents was 29.2 ± 5.9 years, while 231 (82.5% were married. Most of them (82.5% and 184 (66.1%, had their blood pressure and body weight respectively measured, while 196 (70.0% had tetanus toxoid vaccination. Less than half of the respondents (41.4% had urine test for sugar, and protein, while 94 (33.8% had blood test for anaemia. The four facilities studied had most of the equipment and drugs available but in insufficient quantities. In three out of the four facilities, the physical structures were mostly good. None of them is equipped to provide an essential obstetric care (EOC services, while one medical doctor covered all the facilities studied. Conclusions: This study showed that none of the health facilities is equipped with the minimum equipment package, essential drugs nor staff complement required to enable them offer quality maternal health services. With advocacy, technical support and funding, strategies could be implemented to provide quality maternal health services.

  12. Fostering Intrinsic Motivation in Children: A Humanistic Counseling Process

    Science.gov (United States)

    Watts, Randolph H., Jr.; Cashwell, Craig S.; Schweiger, Wendi K.

    2004-01-01

    Humanistic counselors working with children seek to help them grow and develop the motivation needed to make decisions and changes in their lives. Intrinsic motivation, an important component of humanistic counseling, is defined and explicated, research is reviewed, and suggestions are made for counselors who seek to foster intrinsic motivation in…

  13. Humanists and Electronic Information Services: Acceptance and Resistance.

    Science.gov (United States)

    Lehmann, Stephen; Renfro, Patricia

    1991-01-01

    Discussion of how scholars work and how they use information focuses on a case study of the use of new electronic resources by humanist scholars. Interviews with humanists at the University of Pennsylvania about their experiences with the RLIN (Research Libraries Information Network) database are discussed, including content, connectivity, user…

  14. Constructing the Discipline of Humanistic Medicine on Mainland China

    Science.gov (United States)

    Jiang, Baisheng; Liu, Hong

    2014-01-01

    Humanistic medicine, as an interdisciplinary science, synthesizes knowledge concerning medical philosophy, medical ethics, medical law, medical history, medical sociology, medical logic, and doctor-patient communication. On Mainland China, increasing attention is being paid to humanistic medicine, as evidenced by doctoral education programs being…

  15. Humanistic Traditions, East and West: Convergence and Divergence

    Science.gov (United States)

    Kato, Morimichi

    2016-01-01

    The term "humanism" is Western in origin. It denotes the tradition that places special emphasis on cultivation of letters for education. In the West, this tradition was originated with sophists and Isocrates, established by Cicero, and was developed by Renaissance humanists. East Asia, however, also has its own humanistic traditions with…

  16. Rational Emotive Behavior Therapy Has a Humanistic Orientation-Definitely.

    Science.gov (United States)

    Woods, Paul J.

    1996-01-01

    Challenges criticisms that rational emotive behavior therapy (REBT) is not humanistic. Responds to misconceptions regarding the term "rational" and concludes that, although REBT is closely identified with secular humanism, REBT can also be seen as a set of analytical and therapeutic skills that religious humanists can use. (RJM)

  17. Enhancing Teachers' Motivation to Apply Humanist Information Technology Innovations

    Science.gov (United States)

    Assor, Avi

    2009-01-01

    This article focuses on the following issue: How can we build a training and support system that would enhance the motivation and capacity of teachers for high-quality implementation of information technology innovations guided by humanist ideas? That is, a system that would not only increase teachers' motivation to apply Humanist Information…

  18. Rational Emotive Behavior Therapy Has a Humanistic Orientation-Definitely.

    Science.gov (United States)

    Woods, Paul J.

    1996-01-01

    Challenges criticisms that rational emotive behavior therapy (REBT) is not humanistic. Responds to misconceptions regarding the term "rational" and concludes that, although REBT is closely identified with secular humanism, REBT can also be seen as a set of analytical and therapeutic skills that religious humanists can use. (RJM)

  19. Has the Reform of the Japanese Healthcare Provision System Improved the Value in Healthcare? A Cost-Consequence Analysis of Organized Care for Hip Fracture Patients.

    Science.gov (United States)

    Fukuda, Haruhisa; Shimizu, Sayuri; Ishizaki, Tatsuro

    2015-01-01

    To assess the value of organized care by comparing the clinical outcomes and healthcare expenditure between the conventional Japanese "integrated care across specialties within one hospital" mode of providing healthcare and the prospective approach of "organized care across separate facilities within a community". Retrospective cohort study. Two groups of hospitals were categorized according to healthcare delivery approach: the first group included 3 hospitals autonomously providing integrated care across specialties, and the second group included 4 acute care hospitals and 7 rehabilitative care hospitals providing organized care across separate facilities. Patients aged 65 years and above who had undergone hip fracture surgery. Regression models adjusting for patient characteristics and clinical variables were used to investigate the impact of organized care on the improvements to the mobility capability of patients before and after hospitalization and the differences in healthcare resource utilization. The sample for analysis included 837 hip fracture surgery cases. The proportion of patients with either unchanged or improved mobility capability was not statistically associated with the healthcare delivery approaches. Total adjusted mean healthcare expenditure for integrated care and organized care were US$28,360 (95% confidence interval: 27,787-28,972) and US$21,951 (21,511-22,420), respectively, indicating an average increase of US$6,409 in organized care. Our cost-consequence analysis underscores the need to further investigate the actual contribution of organized care to the provision of efficient and high-quality healthcare.

  20. The experiences of staff in a specialist mental health service in relation to development of skills for the provision of person centred care for people with dementia.

    Science.gov (United States)

    Smythe, Analisa; Bentham, Pete; Jenkins, Catharine; Oyebode, Jan R

    2015-03-01

    It is estimated that 820,000 people in the UK have dementia. Dementia costs the UK 17 billion a year and in the next 30 years this will treble to over £50 billion a year. There is a need to raise competence of staff delivering care to people living with dementia across health, social and voluntary sector provision. Effective education and training will build capacity and improve staff knowledge. However, at present not enough is known about the experiences of staff involved in gaining the skills, knowledge and attitudes required to support provision of high quality care for people with dementia. This study was conducted within a large National Health Service Trust in the UK serving an urban, ethnically mixed population, in collaboration with a local university. The trust responded to government policy by seeking to identify staff training needs. The aim was to explore the experiences of staff working within a specialist mental health service in relation to development of skills for the provision of person-centred care for people with dementia. To achieve this, staff roles, experiences of dementia training and the ways in which staff feel they learn were explored through focus group interviews. Relatives' views of staff competencies necessary for effective care provision were also explored to supplement the data from staff. A total of 70 staff and 16 family carers participated and data were subjected to inductive thematic analysis. Five themes emerged: competency-based skills, beliefs, enablers and barriers and ways of learning. Findings suggested participants felt that skills for person-centred care were innate and could not be taught, while effective ways of learning were identified as learning by doing, learning from each other and learning from experience. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  1. 大学生思想政治教育工作加强人文关怀和心理疏导的思考与实践%Thinking and Practice of College Students' Ideological and Political Education Work:Strengthen Humanistic Care and Psychological Counseling

    Institute of Scientific and Technical Information of China (English)

    杨淑欣; 赵志川; 付海玲

    2014-01-01

    Doing well the current students' ideological and political education must pay attention to strengthen the humanistic care and psychological counseling, implement financial aid and close the "heart" service, establish the humanities education mechanism of classification guidance, full participation, covering the entire, build good atmosphere in education with the entire personnel, whole process, omni-directional and the whole link, manifest the education effect, the harmonious campus, so as to develop the comprehensive-development talents.%做好当前的学生思想政治教育工作,必须注重强化人文关怀和心理疏导,实施经济资助与关“心”服务并举,建立分类引领、全员参与、覆盖全程的人文关怀教育机制,营造出全员、全过程、全方位、全环节育人的良好氛围,彰显教育效果、和谐校园,从而培育出全面发展的人才。

  2. The effectiveness of an intervention in increasing community health clinician provision of preventive care: a study protocol of a non-randomised, multiple-baseline trial

    Directory of Open Access Journals (Sweden)

    McElwaine Kathleen M

    2011-12-01

    Full Text Available Abstract Background The primary behavioural risks for the most common causes of mortality and morbidity in developed countries are tobacco smoking, poor nutrition, risky alcohol use, and physical inactivity. Evidence, guidelines and policies support routine clinician delivery of care to prevent these risks within primary care settings. Despite the potential afforded by community health services for the delivery of such preventive care, the limited evidence available suggests it is provided at suboptimal levels. This study aims to assess the effectiveness of a multi-strategic practice change intervention in increasing clinician's routine provision of preventive care across a network of community health services. Methods/Design A multiple baseline study will be conducted involving all 56 community health facilities in a single health district in New South Wales, Australia. The facilities will be allocated to one of three administratively-defined groups. A 12 month practice change intervention will be implemented in all facilities in each group to facilitate clinician risk assessment of eligible clients, and clinician provision of brief advice and referral to those identified as being 'at risk'. The intervention will be implemented in a non-random sequence across the three facility groups. Repeated, cross-sectional measurement of clinician provision of preventive care for four individual risks (smoking, poor nutrition, risky alcohol use, and physical inactivity will occur continuously for all three facility groups for 54 months via telephone interviews. The interviews will be conducted with randomly selected clients who have visited a community health facility in the last two weeks. Data collection will commence 12 months prior to the implementation of the intervention in the first group, and continue for six months following the completion of the intervention in the last group. As a secondary source of data, telephone interviews will be undertaken

  3. RESNA Wheelchair Service Provision Guide

    Science.gov (United States)

    Arledge, Stan; Armstrong, William; Babinec, Mike; Dicianno, Brad E.; Digiovine, Carmen; Dyson-Hudson, Trevor; Pederson, Jessica; Piriano, Julie; Plummer, Teresa; Rosen, Lauren; Schmeler, Mark; Shea, Mary; Stogner, Jody

    2011-01-01

    The purpose of the Wheelchair Service Provision Guide is to provide an appropriate framework for identifying the essential steps in the provision of a wheelchair. It is designed for use by all participants in the provision process including consumers, family members, caregivers, social service and health care professionals, suppliers,…

  4. Pedagogic process modeling: Humanistic-integrative approach

    Directory of Open Access Journals (Sweden)

    Boritko Nikolaj M.

    2007-01-01

    Full Text Available The paper deals with some current problems of modeling the dynamics of the subject-features development of the individual. The term "process" is considered in the context of the humanistic-integrative approach, in which the principles of self education are regarded as criteria for efficient pedagogic activity. Four basic characteristics of the pedagogic process are pointed out: intentionality reflects logicality and regularity of the development of the process; discreteness (stageability in dicates qualitative stages through which the pedagogic phenomenon passes; nonlinearity explains the crisis character of pedagogic processes and reveals inner factors of self-development; situationality requires a selection of pedagogic conditions in accordance with the inner factors, which would enable steering the pedagogic process. Offered are two steps for singling out a particular stage and the algorithm for developing an integrative model for it. The suggested conclusions might be of use for further theoretic research, analyses of educational practices and for realistic predicting of pedagogical phenomena. .

  5. Neuroscience and humanistic psychiatry: a residency curriculum.

    Science.gov (United States)

    Griffith, James L

    2014-04-01

    Psychiatry residencies with a commitment to humanism commonly prioritize training in psychotherapy, cultural psychiatry, mental health policy, promotion of human rights, and similar areas reliant upon dialogue and collaborative therapeutic relationships. The advent of neuroscience as a defining paradigm for psychiatry has challenged residencies with a humanistic focus due to common perceptions that it would entail constriction of psychiatric practice to diagnostic and psychopharmacology roles. The author describes a neuroscience curriculum that has taught psychopharmacology effectively, while also advancing effectiveness of language-based and relationship-based therapeutics. In 2000, the George Washington University psychiatry residency initiated a neuroscience curriculum consisting of (1) a foundational postgraduate year 2 seminar teaching cognitive and social neuroscience and its integration into clinical psychopharmacology, (2) advanced seminars that utilized a neuroscience perspective in teaching specific psychotherapeutic skill sets, and (3) case-based teaching in outpatient clinical supervisions that incorporated a neuroscience perspective into traditional psychotherapy supervisions. Curricular assessment was conducted by (1) RRC reaccreditation site visit feedback, (2) examining career trajectories of residency graduates, (3) comparing PRITE exam Somatic Treatments subscale scores for 2010-2012 residents with pre-implementation residents, and (4) postresidency survey assessment by 2010-2012 graduates. The 2011 RRC site visit report recommended a "notable practice" citation for "innovative neurosciences curriculum." Three of twenty 2010-2012 graduates entered neuroscience research fellowships, as compared to none before the new curriculum. PRITE Somatic Treatments subscale scores improved from the 23rd percentile to the 62nd percentile in pre- to post-implementation of curriculum (p neuroscience curriculum for a residency committed to humanistic psychiatry

  6. The humanistic and behavioral traditions: areas of agreement and disagreement.

    Science.gov (United States)

    Elkins, David N

    2012-12-01

    This comment, a response to Steven Hayes's contribution, addresses areas of agreement and disagreement between the humanistic and behavioral traditions. Areas of agreement include a common interest in humanism, cognition, and contextualism. Areas of disagreement include Hayes's analysis of humanistic psychology's historical focus on human science and qualitative research as well as his view that humanistic psychology is not scientifically based. In the interest of collaboration, the article concludes with a request that behavioral clinicians be more cautious about extolling the specialness of behavioral approaches in psychotherapy.

  7. Regional Development Disparities and the Provision of Services of General Interest. A Case Study on the Health Care Services Availability in the North-East Region of Romania

    Directory of Open Access Journals (Sweden)

    Daniela-Luminita Constantin

    2013-04-01

    Full Text Available This paper proposes an inquiry into the issue of availability of services of general interest, offering as case study the health care services in the North-East region of Romania. The interregional and intraregional (within North-East region disparities in terms of health care services provision are examined in relation to the overall regional development disparities, confirming that the concern with providing a minimum level of social SGI to all citizens has conducted to health care service disparities lower than those in terms of GDP per inhabitant. The paper also provides relevant evidence on the impact of demography, especially in terms of population density on the availability of health care services.

  8. Availability and provision of emergency obstetric care under a public-private partnership in three districts of Gujarat, India: lessons for Universal Health Coverage.

    Science.gov (United States)

    Iyer, V; Sidney, K; Mehta, R; Mavalankar, D

    2016-01-01

    The state of Gujarat in India (population 60 million) has implemented a public-private partnership (PPP) with private obstetricians called the Chiranjeevi Yojana (CY) since 2006. This study investigated the adequacy of basic and comprehensive emergency obstetric care (BEmOC and CEmOC) services through the public and private sectors with reference to the United Nations (UN) guidelines. A cross-sectional facility survey was conducted in three districts. A total of 300 facilities, 151 public and 149 private, had provided obstetric services to a total of 53 896 births in the past 6 months. Nearly half, 135 facilities (104 public and 31 private), individually reported EmOC facilities. All the three districts exceeded the UN recommendation for EmOC availability by 3.3 to 11.3 times. Free provision, through both public and PPP facilities, ranged from 1.42 to 3.43. The actual performance was nearly double the recommendation for CEmOC but inadequate for BEmOC. Public sector EmOC availability and provision is negligible. Private sector availability is well beyond the recommended UN norms. The CY programme has resulted in increased availability and provision of EmOC services. However, the overall provision of EmOC is compromised due to the poor performance of BEmOC functions and clustering of private facilities in towns.

  9. Availability and provision of emergency obstetric care under a public–private partnership in three districts of Gujarat, India: lessons for Universal Health Coverage

    Science.gov (United States)

    Sidney, K; Mehta, R; Mavalankar, D

    2016-01-01

    Objective The state of Gujarat in India (population 60 million) has implemented a public–private partnership (PPP) with private obstetricians called the Chiranjeevi Yojana (CY) since 2006. This study investigated the adequacy of basic and comprehensive emergency obstetric care (BEmOC and CEmOC) services through the public and private sectors with reference to the United Nations (UN) guidelines. Design A cross-sectional facility survey was conducted in three districts. Results A total of 300 facilities, 151 public and 149 private, had provided obstetric services to a total of 53 896 births in the past 6 months. Nearly half, 135 facilities (104 public and 31 private), individually reported EmOC facilities. All the three districts exceeded the UN recommendation for EmOC availability by 3.3 to 11.3 times. Free provision, through both public and PPP facilities, ranged from 1.42 to 3.43. The actual performance was nearly double the recommendation for CEmOC but inadequate for BEmOC. Conclusions Public sector EmOC availability and provision is negligible. Private sector availability is well beyond the recommended UN norms. The CY programme has resulted in increased availability and provision of EmOC services. However, the overall provision of EmOC is compromised due to the poor performance of BEmOC functions and clustering of private facilities in towns. PMID:28588914

  10. The Humanist Bias in Western Philosophy and Education

    Science.gov (United States)

    Peters, Michael A.

    2015-01-01

    This paper argues that the bias in Western philosophy is tied to its humanist ideology that pictures itself as central to the natural history of humanity and is historically linked to the emergence of humanism as pedagogy.

  11. The Implementation of Smart Textiles in Humanistic Hospital Design

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Fisker, Anna Marie

    2012-01-01

    With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions...

  12. NAS Survey: A Push for Physics as a Humanistic Science

    Science.gov (United States)

    Science News, 1972

    1972-01-01

    The emphasis of the humanistic aspects of physics and the need to make physics understandable to the public are viewed as important in reestablishing public and political support for scientific research. (CP)

  13. Digital Storytelling: Bringing Humanistic Inquiry to Management Studies

    Science.gov (United States)

    Nesteruk, Jeffrey

    2015-01-01

    This essay recounts how a teaching experiment with digital storytelling unexpectedly revealed how this humanistic genre enabled by contemporary technology might contribute to a more creative integration of business study with the liberal arts.

  14. Renaissance Humanists:Defenders of Medieval Christian worldview

    Institute of Scientific and Technical Information of China (English)

    刘玥婷

    2006-01-01

    The Renaissance is a new golden age of intellectual achievement with a sharp contrast with the Middle Ages.Though new secular and scientific values begin to supplant traditional religious belief,there exists the continuity between the Middle Ages and the Renaissance,and humanists bear strong Christian character.They never change their devotion to Christianity and keep making their effort to maintain the primacy of Jesus.Humanists in Renaissance are defenders of medieval Christian view of the world.

  15. The Implementation of Smart Textiles in Humanistic Hospital Design

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Fisker, Anna Marie

    2012-01-01

    With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions......With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions...

  16. 人文关怀在肺癌晚期患者姑息治疗中的应用%Application of the humanistic care in palliative treatment in patients with advanced lung cancer

    Institute of Scientific and Technical Information of China (English)

    吴雯; 郑佩; 卢光明

    2013-01-01

    Palliative care in lung cancer late occupy important position in comprehensive treatment ,belonging to support treatment . palliative treatment is to improve the quality of patients’ life and their families .in the course of Palliative care of the cancer patients ,doctors should give prominence to the idea of humanism ,life being respected ,health being taken care of ,the patients suffering being alleviated , the rights and secrets of the patients being concerned and the spirit of humanitarianism being embodied .%在临床上,姑息治疗则主要是在肺癌晚期综合治疗中应用,其具有非常重要的位置,主要是属于一种支持治疗。姑息治疗主要改善患者及家属的生活质量。在姑息治疗过程中突出“人本思想”,体现“人文关怀”,尊重生命,关爱健康,减轻痛苦,尊重患者的权利和隐私,体现人道主义精神。

  17. The development and the reliability and validity test of the satisfaction evaluation questionnaire about humanistic caring of head-nurses to nurses%护士对护士长人文关怀满意度评价问卷的编制及信效度检验

    Institute of Scientific and Technical Information of China (English)

    崔宇婷; 张禹念; 翟惠敏

    2016-01-01

    Objective In order to provide evidence for researches related to evaluating the humanistic caring ability of head-nurses, we developed the questionnaire and launched reliability and validity test for it. Methods Through analyzing in documents, theories and scales, launching a 2-round experts consultation for 19 experts, the questionnaire consists of 3 first-class indicators, 8 second-class indicators and 36 third-class indicators. A total of 217 nurses, from third-grade class-A hospital who had a more than 5-year clinical experience, were selected by convenient sampling. Finally, the reliability and validity of the questionnaire had been summarized. Results The Cronbach α was 0.937 for the total questionnaire and 0.743-0.898 for each sub-scales. The split half reliability coefficient for the total questionnaire was 0.801 and 0.748-8.872 for each sub-scales. Test result of questionnaire content validity demonstrate the CVI was 0.91 for the total factors and 0.83-1.00 for each factor.Through exploratory factor analysis, 8 common factors were abstracted and cumulative variance contribution rate was 65.852%. Conclusions The questionnaire, developed for evaluating the humanistic caring ability of head-nurses, shows acceptable reliability and validity, and it′s worth to be popularizing and using in future.%目的:编制护士对护士长人文关怀满意度评价问卷,检验其信度及效度,为护士长人文关怀能力的相关研究提供依据。方法通过查阅文献、参考相关理论及量表及对19名专家进行的2轮专家咨询,初步形成3项一级指标、8项二级指标及36项三级指标的评价问卷。采用方便抽样法抽取217名在三级甲等医院临床一线工作5年以上的在职护士进行问卷调查,分析问卷的信效度。结果问卷总体Cronbachα系数为0.937,各维度Cronbachα系数为0.743~0.898。问卷总体折半信度系数为0.801,各维度折半信度系数为0.748~0.872。问卷内容

  18. HUMANISTIC APPROACH IN MOBILE ADHOC NETWORK: HAMANET

    Directory of Open Access Journals (Sweden)

    Md. Amir Khusru Akhtar

    2013-02-01

    Full Text Available Human society is a complex and most organized networks, in which many communities have different cultural livelihood. The creation/formation of one or more communities within a society and the way of associations can be mapped to MANET. By involving human characteristics and behavior, surely it would pave a new way, for further development. In this paper we have presented a new approach called “HAMANET” which is not only robust and secure but it certainly meets the challenges of MANET (such as name resolution, address allocation and authentication. Our object oriented design defines a service in terms of Arts, Culture, and Machine. The ‘Art’ is the smallest unit of work (defined as an interface, the ‘Culture’ is the integration/assembling of one or more Arts (defined as a class and finally the ‘Machine’ which is an instance of a Culture that defines a service. The grouping of the communicable Machines of the same Culture forms a ‘Community’. We have used the term ‘Society’ for MANET consisting of one or more communities and modeled using humanistic approach. We have compared our design with GloMoSim and proposed the implementation of file transfer service using the said approach. Our approach gives better results in terms of implementation of the basic services, security, reliability, throughput, extensibility, scalability etc.

  19. Barriers and facilitators in the provision of post-abortion care at district level in central Uganda - a qualitative study focusing on task sharing between physicians and midwives.

    Science.gov (United States)

    Paul, Mandira; Gemzell-Danielsson, Kristina; Kiggundu, Charles; Namugenyi, Rebecka; Klingberg-Allvin, Marie

    2014-01-21

    Abortion is restricted in Uganda, and poor access to contraceptive methods result in unwanted pregnancies. This leaves women no other choice than unsafe abortion, thus placing a great burden on the Ugandan health system and making unsafe abortion one of the major contributors to maternal mortality and morbidity in Uganda. The existing sexual and reproductive health policy in Uganda supports the sharing of tasks in post-abortion care. This task sharing is taking place as a pragmatic response to the increased workload. This study aims to explore physicians' and midwives' perception of post-abortion care with regard to professional competences, methods, contraceptive counselling and task shifting/sharing in post-abortion care. In-depth interviews (n = 27) with health care providers of post-abortion care were conducted in seven health facilities in the Central Region of Uganda. The data were organized using thematic analysis with an inductive approach. Post-abortion care was perceived as necessary, albeit controversial and sometimes difficult to provide. Together with poor conditions post-abortion care provoked frustration especially among midwives. Task sharing was generally taking place and midwives were identified as the main providers, although they would rarely have the proper training in post-abortion care. Additionally, midwives were sometimes forced to provide services outside their defined task area, due to the absence of doctors. Different uterine evacuation skills were recognized although few providers knew of misoprostol as a method for post-abortion care. An overall need for further training in post-abortion care was identified. Task sharing is taking place, but providers lack the relevant skills for the provision of quality care. For post-abortion care to improve, task sharing needs to be scaled up and in-service training for both doctors and midwives needs to be provided. Post-abortion care should further be included in the educational curricula of

  20. Prising open the 'black box': An epistemological critique of discursive constructions of scaling up the provision of mental health care in Africa.

    Science.gov (United States)

    Cooper, Sara

    2015-09-01

    Global mental health research is increasingly highlighting the high levels of untreated mental illness in Africa and calling for the scaling-up of services in order to redress this situation. A particular model of care is being strongly advocated for such scale-up, and a recent explosion of research is providing guidelines for its implementation. This article seeks to open up the 'black box' of international research on scaling up the provision of mental health care in Africa, unearthing the hidden assumptions and power dynamics underpinning the knowledge produced. It insists that gaining a better understanding of care provision demands that we not only fill the gaps in knowledge but also problematize the assumptions upon which existing knowledge is based. This article demonstrates how two interrelated paradigms are strongly mediating research in this area - those of 'scientific evidence' and 'human rights'. Drawing on recent research within the sociology of scientific knowledge, and strands of postcolonial thought, it demonstrates how these paradigms are both underpinned by several contentious epistemological assumptions, assumptions which are deeply inserted within the epistemological order of Western modernity. The main argument is that through their shared ideological undertones of 'objectivity', 'universalism' and 'rationalism', these paradigms are potentially marginalizing other possibly important ways of thinking about care in Africa, ways which might not originate from modernist forms of consciousness. This article makes a plea for a more inclusive and plural archive of knowledge on scaling up mental health care in Africa, one which is more hospitable to diverse epistemological politics and moral landscapes. © The Author(s) 2014.

  1. Provision of Private Care by Doctors Employed in Public Health Institutions: Ethical Considerations and Implications for Clinical Training.

    Science.gov (United States)

    Benbassat, Jochanan

    2015-06-01

    This paper summarizes the difficulties that may emerge when the same care-provider attends to private and public patients within the same or different clinical settings. First, I argue that blurring the boundaries between public and private care may start a slippery slope leading to "black" under-the-table payments for preferential patient care. Second, I question whether public hospitals that allow their doctors to attend to private patients provide an appropriate learning environment for medical students and residents. Finally, I propose a way to both maintain the advantages of private care and avoid its negative consequences: complete separation between the public and the private health care systems.

  2. [Mental health care systems and provisions in the immediate and acute phase of the Great East Japan Earthquake: situational and support activities in Miyagi Prefecture].

    Science.gov (United States)

    Matsumoto, Kazunori

    2014-01-01

    -term support in mental health service provisions by external support teams was necessary in some remote areas. Measures were taken to care for the elderly and children, to tackle alcohol-related problems, and provide support for volunteers, but many challenges remain. When a disaster hits, measures appropriate to the nature and size of the disaster become necessary, and the need arises to construct a model to facilitate such responses. It is now necessary to integrate mental health measures with a municipality's plan for medical care in a disaster, along with develop a permanent system to provide support for mental health care at the time of a disaster.

  3. Early impact of the Patient Protection and Affordable Care Act on insurance among young adults with cancer: Analysis of the dependent insurance provision.

    Science.gov (United States)

    Parsons, Helen M; Schmidt, Susanne; Tenner, Laura L; Bang, Heejung; Keegan, Theresa H M

    2016-06-01

    The Patient Protection and Affordable Care Act (ACA) included provisions to extend dependent health care coverage up to the age of 26 years in 2010. The authors examined the early impact of the ACA (before the implementation of insurance exchanges in 2014) on insurance rates in young adults with cancer, a historically underinsured group. Using National Cancer Institute Surveillance, Epidemiology, and End Results data for 18 cancer registries, the authors examined insurance rates before (pre) (January 2007-September 2010) versus after (post) (October 2010-December 2012) dependent insurance provisions among young adults aged 18 to 29 years when diagnosed with cancer during 2007 through 2012. Using multivariate generalized mixed effect models, the authors conducted difference-in-differences analysis to examine changes in overall and Medicaid insurance after the ACA among young adults who were eligible (those aged 18-25 years) and ineligible (those aged 26-29 years) for policy changes. Among 39,632 young adult cancer survivors, the authors found an increase in overall insurance rates in those aged 18 to 25 years after the dependent provisions (83.5% for pre-ACA vs 85.4% for post-ACA; P<.01), but not among individuals aged 26 to 29 years (83.4% for pre-ACA vs 82.9% for post-ACA; P = .38). After adjusting for patient sociodemographics and cancer characteristics, the authors found that those aged 18 to 25 years had a 3.1% increase in being insured compared with individuals aged 26 to 29 years (P<.01); however, there were no significant changes noted in Medicaid enrollment (P = .17). The findings of the current study identify an increase in insurance rates for young adults aged 18 to 25 years compared with those aged 26 to 29 years (1.9% vs -0.5%) that was not due to increases in Medicaid enrollment, thereby demonstrating a positive impact of the ACA dependent care provisions on insurance rates in this population. Cancer 2016;122:1766-73. © 2016 American Cancer Society.

  4. Provision of continued nursing care for discharged patients with stomas%造口患者的院外延续护理

    Institute of Scientific and Technical Information of China (English)

    王晓凤; 魏苏艳; 侯铭

    2011-01-01

    Objective To establish a model for ensuring continuity of nursing care for discharged patients with stomas in Xinjiang province, and to improve nursing quality of patients with stomas. Methods Three nurses were chosen from stoma-related departments to provide continued nursing care to 154 discharged stoma patients by using telephone follow-up, web-based health education, and nursing clinic. Results Compared with the baseline before discharge, patients' stoma-related knowledge, attitude, and quality of life were significantly improved after 1-year provision of continued nursing care, and stoma complication rates were decreased. Strictly, 96. 11% patients were satisfied with provision of continued nursing care. Conclusion Provision of continued nursing care to stoma patients in Xinjiang can improve their perception and quality of life, and reduce incidence of long-term complications.%目的 探索新疆地区造口患者院外延续护理的运作模式,提升出院造口患者的护理质量.方法 从造口相关科室选择3名护理骨干,对154例出院造口患者采取电话随访、基于网络平台的健康教育、开设造口护理专科门诊的方式开展院外延续护理.结果 出院1年后,患者造口相关知识、态度及其生活质量显著高于出院前;常见造口并发症低于出院前.96.11%患者对院外延续护理服务满意.结论 院外延续护理可提高新疆地区造口患者的认知水平和生存质量,降低造口远期并发症.

  5. Toward a humanistic model in health communication.

    Science.gov (United States)

    Werder, Olaf

    2017-03-01

    Since the key to effective health communication lies in its ability to communicate well, some of its core problems are those that relate to the sharing of meaning between communicators. In elaborating on these problems, this paper offers two key propositions: one, health communication has to pass through the filter of a particular world view that creates a discrepancy between expected and actual message reception and response. Two, the assumption of a rational human actor made implicitly by most health psychological models is a contestable issue, as many times message recipients do not follow a cognitive judgment process. The phenomenon of resisting health messages by reasonable people asks the question whether we ought to rethink our adherence to a particular vision of human health as many times the adverse reaction to behaviour modification occurs as the result of a particular dialogical or discursive situation. At the same time, most motivational decisions in people's daily routines are automatic and use a concept known as self-identity to give stability to their behaviour patterns. Finally, health communication as part of organised government practices adheres to predominant value perspectives within health promotion practice that affect the manner in which health issues become problematised. This paper proposes a humanistic model that aims to pay attention to the intricacies of human communication by addressing all of the above problems in turn. It interprets the sharing of meaning element in human communication and addresses the question of how the idea of health is created through discourse. As such, it offers a complementary and constructive paradigm and set of approaches to understand health, its meanings and communication.

  6. Collaboration between the specialties in provision of end-of-life care for all in the UK: reality or utopia?

    Science.gov (United States)

    Procter, Elizabeth

    2012-07-01

    The UK End of Life Care Strategy (EoLCS) requires specialist palliative care services to contribute to end-of-life care for all. This systematic review aims to critically appraise literature published in the UK to identify how specialist palliative care professionals can collaborate with other health professionals within four of the key National Service Framework areas: heart failure, chronic obstructive pulmonary disease, neurological conditions, and dementia. Relevant literature was identified by electronic searches of various databases and websites and via secondary sources. A limited amount of quality research was found. Thematic analysis was applied and the over-riding themes were barriers to collaboration, organizational issues, and patients' and carers' views. The review concludes that when a collaborative approach to care is used, quality end-of-life care is achieved. Each disease pathway needs greater clarity regarding how it links with the EoLCS.

  7. Factors influencing the provision of oral hygiene care following stroke: an application of the Theory of Planned Behaviour.

    Science.gov (United States)

    Ab Malik, Normaliza; Mohamad Yatim, Saari; Lam, Otto L T; Jin, Lijian; McGrath, Colman

    2017-01-27

    This study aimed to examine "intention to" and "performance of" oral hygiene care to stroke patients using the Theory of Planned Behavior. A large scale survey of 13 centers in Malaysia was conducted involving 806 nurses in relation to oral hygiene care intentions and practices. In addition, information on personal and environmental factors was collected. The response rate was 95.6% (778/806). The domains of the Theory of Planned Behavior were significantly associated with general intention to perform oral hygiene care: attitudes (β = 0.21, p stroke patients. Several provider and environmental factors were also associated with intentions and practices. This has implications for understanding and improving the implementation of oral hygiene care in stroke rehabilitation. Implications for Rehabilitation Oral hygiene care is crucial for stroke patients as it can prevent oral health problems and potentially life threatening events (such as aspiration pneumonia). Despite oral hygiene care being relative simple to perform, it is often neglected during stroke rehabilitation. A large-scale national survey was conducted to understand "intentions to" and "performance of" oral hygiene care to stroke patients using the Theory of Planned Behavior social cognition model. These study findings may have implications and use in promoting oral hygiene care to stroke patients:i) by understanding the pathways and influences to perform oral hygiene care.ii) to conduct health promotion and health education based on behavioral models such as Theory of Planned Behavior.

  8. Cuidado humanístico e percepções de enfermagem diante da dor do recém-nascido Atención humanística y percepciones de enfermería delante de dolor del recién nacido Humanistic care and nursing perceptions facing the pain of newborns

    Directory of Open Access Journals (Sweden)

    Ana Luíza Paula de Aguiar Lélis

    2011-12-01

    predominantemente no farmacológicas, involucrando acciones desarrolladas al recién nacido y ambiente de la unidad.This study aimed to apprehend the meaning of the care provided by nurses to newborns in painful procedures and know the interventions performed by nurses to relieve the pain of newborns. Descriptive study carried out in the Neonatal Intensive Care Unit of a public hospital in Fortaleza-CE-Brazil in July 2010. The subjects were ten nurses and the data collection happened through a questionnaire. Data were organized in three categories: The meaning of care facing the pain of newborns; Humanized care with newborns; and Nursing interventions facing the pain of newborns. These were analyzed under the light of the humanistic theory of Paterson and Zderad. It was verified that the care to newborns should be addressed to minimize the stress factors during the painful situation, and the interventions mentioned were predominantly non-pharmacological, involving actions developed with newborns and the Unit environment.

  9. The role of primary care in service provision for people with severe mental illness in the United Kingdom.

    Directory of Open Access Journals (Sweden)

    Siobhan Reilly

    Full Text Available BACKGROUND: Severe mental illness is a serious and potentially life changing set of conditions. This paper describes and analyses patient characteristics and service usage over one year of a representative cohort of people with a diagnosis of severe mental illness across England, including contacts with primary and secondary care and continuity of care. METHODS AND FINDINGS: Data were collected from primary care patient notes (n = 1150 by trained nurses from 64 practices in England, covering all service contacts from 1(st April 2008 to 31st March 2009. The estimated national rate of patients seen only in primary care in the period was 31.1% (95% C.I. 27.2% to 35.3% and the rates of schizophrenia and bipolar disorder were 56.8% (95% C.I. 52.3% to 61.2% and 37.9% (95% C.I. 33.7% to 42.2%. In total, patients had 7,961 consultations within primary care and 1,993 contacts with mental health services (20% of the total. Unemployed individuals diagnosed more recently were more likely to have contact with secondary care. Of those seen in secondary care, 61% had at most two secondary care contacts in the period. Median annual consultation rates with GPs were lower than have been reported for previous years and were only slightly above the general population. Relational continuity in primary care was poor for 21% of patients (Modified Modified Continuity Index = <0.5, and for almost a third of new referrals to mental health services the primary care record contained no information on the referral outcome. CONCLUSIONS: Primary care is centrally involved in the care of people with serious mental illness, but primary care and cross-boundary continuity is poor for a substantial proportion. Research is needed to determine the impact of poor continuity on patient outcomes, and above all, the impact of new collaborative ways of working at the primary/secondary care interface.

  10. Practicing what we preach in humanistic and positive psychology.

    Science.gov (United States)

    Churchill, Scott D; Mruk, Christopher J

    2014-01-01

    Comments on the article "The humanistic psychology-positive psychology divide: Contrasts in philosophical foundations" by Waterman (see record 2013-12501-001). With a largely backward glance cast toward humanistic psychology's early successes, Waterman's article concluded by turning toward positive psychology's "vibrant" future and pointed to irreconcilable differences that would limit further dialogue between the two fields. From the current authors' perspective, such an assessment results in premature closure on the relationship between the two subdisciplines, as we in the humanistic tradition continue to appreciate and place our trust in the power of dialogue. Psychologists on both sides of this epistemological boundary might therefore benefit from focusing on the possibilities offered by an interface between the two approaches rather than on a divide that is far more likely to push us apart.

  11. A Review and Critical Analysis of Humanistic Approaches to Treating Disturbed Clients.

    Science.gov (United States)

    Hansen, James T.

    1999-01-01

    Humanistic psychotherapies for disturbed clients, including client-centered and existential-phenomenological treatments, are reviewed. It is concluded that humanistic treatments are effective and provide a good conceptual framework for working with disturbed clients. (Author/MKA)

  12. 医学人文教育与PBL教学法有机融合的思考%A Thinking of Integration of Medical Humanistic Education and PBL Teaching Method

    Institute of Scientific and Technical Information of China (English)

    冯琴; 肇毅

    2015-01-01

    The whole idea is expounding“what is humanities” -“what is humanistic care” -“what is medical humanities” -“ the importance of humanistic care in the process of medical practice” -“ How to improve the humanistic quality of medical students” -“ How to integrate the medical humanities education with problem based learning ( PBL) teaching process”, and thereby, the purpose of enhancing the humanistic quality of medical students is finally reached.%通过阐述什么是人文—什么是人文关怀—什么是医学人文—行医过程中人文关怀的重要性—如何提高医学生的人文素养—PBL( problem based learning)教学过程中如何融入医学人文,从而达到提升医学生人文素质的目的。

  13. The importance of communication in pediatric oncology palliative care: focus on Humanistic Nursing Theory Importancia de la comunicación en los cuidados paliativos en oncología pediátrica: un enfoque en la Teoría Humanística de Enfermería Importância da comunicação nos cuidados paliativos em oncologia pediátrica: enfoque na Teoria Humanística de Enfermagem

    Directory of Open Access Journals (Sweden)

    Jael Rúbia Figueiredo de Sá França

    2013-06-01

    Full Text Available OBJECTIVE: to investigate and analyze communication in palliative care contexts from the perspective of nurses, based on Humanistic Nursing Theory. METHOD: this is a field study with a qualitative approach, in which ten nurses working in the pediatric oncology unit of a Brazilian public hospital participated. Semi-structured interviews were used to collect data. The testimonies were qualitatively analyzed using Humanistic Nursing Theory and based on the five phases of Nursing Phenomenology. RESULTS: two thematic categories emerged from the analysis of the study's empirical material: "strategy to humanize nursing care, with an emphasis on relieving the child's suffering" and "strategy to strengthen ties of trust established between nurse and child." CONCLUSION: communication is an efficacious element in the care provided to the child with cancer and is extremely important to promoting palliative care when it is based on Humanistic Nursing Theory. OBJETIVO: investigar y analizar la comunicación en los cuidados paliativos en oncología pediátrica, bajo el punto de vista de los enfermeros, con base en la Teoría Humanística de Enfermería. MÉTODO: se trata de una investigación de campo, con abordaje cualitativo, de la cual participaron diez enfermeros actuantes en oncología pediátrica en un hospital público brasileño. Para la recolección de los datos, fue utilizada la técnica de entrevista semiestructurada. Las declaraciones fueron analizadas cualitativamente, bajo el marco de la Teoría Humanística de Enfermería, y de las cinco fases de la Enfermería Fenomenológica. RESULTADOS: del análisis del material empírico del estudio, surgieron dos categorías temáticas: "estrategia para humanizar el cuidar en enfermería, con énfasis en el alivio del sufrimiento del niño", y "estrategia para fortalecer el vínculo de confianza entre el enfermero y el niño". CONCLUSÍON: la comunicación se configura como un elemento eficaz del cuidado

  14. Training intervention for health care staff in the provision of existential support to patients with cancer: a randomized, controlled study.

    Science.gov (United States)

    Henoch, Ingela; Danielson, Ella; Strang, Susann; Browall, Maria; Melin-Johansson, Christina

    2013-12-01

    When a patient receives a cancer diagnosis, existential issues become more compelling. Throughout the illness trajectory, patients with cancer are cared for in oncology wards, by home care teams or in hospices. Nurses working with these patients are sometimes aware of the patients' existential needs but do not feel confident when discussing these issues. To determine the effects of a training intervention, where the focus is on existential issues and nurses' perceived confidence in communication and their attitude toward caring for dying patients. This was a randomized, controlled trial with a training intervention comprising theoretical training in existential issues combined with individual and group reflection. In total, 102 nurses in oncology and hospice wards and in palliative home care teams were randomized to a training or non-training group. Primary outcomes, confidence in communication, and attitude toward the care of dying patients were measured at baseline, immediately after the training, and five to six months later. Confidence in communication improved significantly in the training group from baseline (before the training) to both the first and second follow-up, that is, immediately after the training and five months later. The attitude toward caring for the dying did not improve in the training group. This study shows that short-term training with reflection improves the confidence of health care staff when communicating, which is important for health care managers with limited resources. Further studies are needed to explore how patients experience the communication skills of health care staff after such training. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  15. The provision of diabetes care in nursing homes in Galway city and county: a survey of nursing homes

    LENUS (Irish Health Repository)

    Hurley, Lorna

    2014-03-01

    In addition to the increasing prevalence of diabetes, our population is growing older and living longer. This survey aimed to determine the care provided to residents with diabetes in Nursing Homes.\\r\

  16. Scientific Literacy: A Freirean Perspective as a Radical View of Humanistic Science Education

    Science.gov (United States)

    Dos Santos, Wildson L. P.

    2009-01-01

    In this article, a rationale for advancing a new idea in humanistic science education is developed from a Paulo Freire perspective. Paulo Freire developed a well-known approach to adult literacy based on his humanistic ideas through the dialogical process. From Freirean educational principles, the idea unfolds that a Freirean humanistic science…

  17. Analysis of the Status Quo of Humanistic Quality-Oriented Education in Medical Colleges and Universities

    Science.gov (United States)

    Liu, Shulei; Li, Yamin

    2012-01-01

    With transformation of contemporary modern medical educational modes and improvement of requirement upon doctors' humanistic quality, it seems quite important to strengthen humanistic quality-oriented education in medical colleges and universities. Medical humanistic quality-oriented education in China started late, which determines that there are…

  18. Should the provision of home help services be contained?: Validation of the new preventive care policy in Japan

    Directory of Open Access Journals (Sweden)

    Ishibashi Tomoaki

    2010-08-01

    Full Text Available Abstract Background To maintain the sustainability of public long-term care insurance (LTCI in Japan, a preventive care policy was introduced in 2006 that seeks to promote active improvement in functional status of elderly people who need only light care. This policy promotes the use of day care services to facilitate functional improvement, and contains the use of home help services that provide instrumental activity of daily living (IADL support. However, the validity of this approach remains to be demonstrated. Methods Subjects comprised 241 people aged 65 years and over who had recently been certified as being eligible for the lightest eligibility level and had began using either home help or day care services between April 2007 and October 2008 in a suburban city of Tokyo. A retrospective cohort study was conducted ending October 2009 to assess changes in the LTCI eligibility level of these subjects. Cox's proportional hazards model was used to calculate the relative risk of declining in function to eligibility Level 4 among users of the respective services. Results Multivariate analysis adjusted for factors related to service use demonstrated that the risk of decline in functional status was lower for users of home help services than for users of day care services (HR = 0.55, 95% CI: 0.31-0.98. The same result was obtained when stratified by whether the subject lived with family or not. Furthermore, those who used two or more hours of home help services did not show an increase in risk of decline when compared with those who used less than two hours. Conclusions No evidence was obtained to support the effectiveness of the policy of promoting day care services and containing home help services for those requiring light care.

  19. Seeking harmony in the provision of care to the stroke-impaired: views of Chinese family caregivers.

    Science.gov (United States)

    Lee, Regina L T; Mok, Esther S B

    2011-05-01

    To explore the coping strategies of Chinese family caregivers of stroke-impaired older relatives. Many stroke-impaired patients rely heavily on support from their families, and the daily lives of such family caregivers are severely impacted. However, services and support for family caregivers of stroke-impaired relatives in the home setting have received little attention. Appropriate and relevant information and support to family caregivers are important in facilitating the care-giving task. It is, therefore, necessary to understand the nature and demands of care-giving before planning specific educational and support programmes. Grounded theory. Fifteen Chinese family caregivers of stroke-impaired older relatives were recruited and interviewed in 2003 and 2004. Theoretical sampling and constant comparative analysis were used to recruit the sample and perform data analysis. Seeking harmony to provide care for the stroke-impaired was the core category for describing and guiding the family care-giving process, with five main stages: (1) living with ambiguity, (2) monitoring the recovery progress, (3) accepting the downfalls, (4) meeting family obligations and (5) reconciling with harmony. These issues were seldom discussed openly with health professionals. The findings indicated that Chinese family caregivers determine their own needs by seeking harmony to continue to provide care without thinking about getting help from others or their own health problems. These findings help to define some of the complex dynamics that have an impact on the development of partnership care and might challenge nurses practising in the community. Community nurses should assess and understand the coping strategies of family caregivers and assist them to engage in stress-reducing practices. This is an important partnership to be formed in stroke care for family caregivers in the community. The study findings will guide further development of family care-giving aspects in nursing practice

  20. Meaning and barriers to quality care service provision in Child and Adolescent Mental Health Services: Qualitative study of stakeholder perspectives.

    Science.gov (United States)

    Svirydzenka, Nadzeya; Ronzoni, Pablo; Dogra, Nisha

    2017-02-20

    Defining quality in health presents many challenges. The Institute of Medicine (IOM) defined quality clinical care as care that is equitable, timely, safe, efficient, effective and patient centred. However, it is not clear how different stakeholders within a child and adolescent mental health service (CAMHS) understand and/or apply this framework. This project aims to identify key stakeholders" understanding of the meaning of quality in the context of CAMHS. The study sample comprised of three groups: (i) patients and carers, (ii) CAMHS clinical staff, and (iii) commissioners (Total N = 24). Semi-structured interviews were used to collect data and thematic analysis was applied to explore participant's views on the meaning and measurement of quality and how these might reflect the IOM indicators and their relevance in CAMHS. An initial barrier to implementing quality care in CAMHS was the difficulty and limited agreement in defining the meaning of quality care, its measurement and implementation for all participants. Clinical staff defined quality as personal values, a set of practical rules, or clinical discharge rates; while patients suggested being more involved in the decision-making process. Commissioners, while supportive of adequate safeguarding and patient satisfaction procedures, did not explicitly link their view on quality to commissioning guidelines. Identifying practical barriers to implementing quality care was easier for all interviewees and common themes included: lack of meaningful measures, recourses, accountability, and training. All interviewees considered the IOM six markers as comprehensive and relevant to CAMHS. No respondent individually or within one stakeholder group identified more than a few of the indicators or barriers of a quality CAMHS service. However, the composite responses of the respondents enable us to develop a more complete picture of how to improve quality care in practice and guide future research in the area.

  1. The energy intake through regular nontherapeutic meals provision in long-term care: impact on nutritional status and related Geriatric Nutritional Risk Index.

    Science.gov (United States)

    Sturtzel, Baerbel; Elmadfa, Ibrahim; Ohrenberger, Gerald

    2016-01-01

    To investigate how the energy intake of institutionalized long-term-care patients through the regular nontherapeutic meals provision is associated with the nutritional status and the Geriatric Nutritional Risk Index (GNRI). A 9 month longitudinal, observational study. Long-term-care Hospital. 66 long-term-care patients with multiple medical conditions and solely oral food-intake. 47 (71 %) patients, predominantly women (n = 39/47), with a mean age of 83.04 (±9.58) years completed study time and 19 (29 %) deceased. At week 1 and week 36 of observation time energy intake was measured by means of three-days-weighing-records. Body composition was assessed with bioelectrical impedance analysis. Serum albumin, body weight and body height were taken from the medical report. Albumin content, body weight and height were used to calculate the Geriatric Nutritional Risk Index: GNRI = [1.489 × albumin (g/L)] + [41.7 × (weight/ideal body weight)]. Energy intake was significantly below 24 kcal/kg body weight per day. The GNRI of the deceased patients was significantly (p = 0.002) lower than the GNRI of the completers. During observation time energy-intake p nutritional status and likewise the GNRI. The malnourishment and the nutrition related clinical risk of the geriatric patients aggrevated during observation time.

  2. A survey of dental school's emergency departments in Ireland and the UK: provision of undergraduate teaching and emergency care

    OpenAIRE

    2015-01-01

    Aim Emergency dental care is a vital service that new graduates should be prepared to offer. There are few published data relating to emergency dental care education. To assess this, and to gain a profile of accident and emergency departments (A&E) in dental schools, an online survey was sent to all of the dental schools in the Republic of Ireland and the UK. Setting The survey addressed the school's A&E curriculum, teaching methods, undergraduate exposure and departmental details. Results Th...

  3. Clinical Impact of Education Provision on Determining Advance Care Planning Decisions among End Stage Renal Disease Patients Receiving Regular Hemodialysis in University Malaya Medical Centre

    Science.gov (United States)

    Hing (Wong), Albert; Chin, Loh Ee; Ping, Tan Li; Peng, Ng Kok; Kun, Lim Soo

    2016-01-01

    Introduction: Advance care planning (ACP) is a process of shared decision-making about future health-care plans between patients, health care providers, and family members, should patients becomes incapable of participating in medical treatment decisions. ACP discussions enhance patient's autonomy, focus on patient's values and treatment preferences, and promote patient-centered care. ACP is integrated as part of clinical practice in Singapore and the United States. Aim: To assess the clinical impact of education provision on determining ACP decisions among end-stage renal disease patients on regular hemodialysis at University Malaya Medical Centre (UMMC). To study the knowledge and attitude of patients toward ACP and end-of-life issues. Materials and Methods: Fifty-six patients were recruited from UMMC. About 43 questions pretest survey adapted from Lyon's ACP survey and Moss's cardiopulmonary resuscitation (CPR) attitude survey was given to patients to answer. An educational brochure is then introduced to these patients, and a posttest survey carried out after that. The results were analyzed using SPSS version 22.0. Results: Opinion on ACP, including CPR decisions, showed an upward trend on the importance percentage after the educational brochure exposure, but this was statistically not significant. Seventy-five percent of participants had never heard of ACP before, and only 3.6% had actually prepared a written advanced directive. Conclusion: The ACP educational brochure clinically impacts patients’ preferences and decisions toward end-of-life care; however, this is statistically not significant. Majority of patients have poor knowledge on ACP. This study lays the foundation for execution of future larger scale clinical trials, and ultimately, the incorporation of ACP into clinical practice in Malaysia.

  4. The Humanistic Approach: A Model For Dental Health Curriculums.

    Science.gov (United States)

    Beall, Sue; Hurley, Robert S.

    1982-01-01

    A special dental health curriculum, called the Tattletooth Curriculum, demonstrates the use of the humanistic model in health education and its concern for the learner as a total person. The main concept in the development of this curriculum is that the prospect for changing behavior is unlikely unless the health information is personally…

  5. Development of Dialectics and Development of Humanistic Psychology

    Science.gov (United States)

    Buss, Allan R.

    1976-01-01

    The historical development of the dialectic is briefly traced from Hegel to Marx. Certain aspects of both Hegelian and Marxian dialects are brought to bear on a critical assessment as to how the development of a humanistic psychology should proceed. (MS)

  6. Is Gestalt Therapy a Humanistic Form of Psychotherapy?

    Science.gov (United States)

    Bergantino, Len

    1977-01-01

    Believes the therapeutic situation that offers the greatest awareness with the least amount of dehumanization is a synthesis of the gestalt and the existential humanistic (EH) orientations. Considers the relationship and possible synthesis of the existential and gestalt positions. (Author/RK)

  7. Education Policymaking for Social Change: A Post-Humanist Intervention

    Science.gov (United States)

    Pedersen, Helena

    2010-01-01

    The humanist tradition in Western education systems is increasingly coming under critical scrutiny by posthumanist scholars, arguing that Enlightenment humanism accommodates a number of serious shortcomings such as being essentialist, exclusive, and unable to meet its own criteria of value pluralism, tolerance, and equity for all. This article…

  8. Humanistic and economic burden of fibromyalgia in Japan [Corrigendum

    Directory of Open Access Journals (Sweden)

    Lee LK

    2016-12-01

    Full Text Available Lee LK, Ebata N, Hlavacek P, DiBonaventura M, Cappelleri JC, Sadosky A. Humanistic and economic burden of fibromyalgia in Japan. Journal of Pain Research. 2016;9:967–978.Figures 3, 4, 5, and 6 contain errors in the key. Fibromyalgia should be dark gray and matched controls should be light gray.Read the original article.

  9. PLA-Based Curriculum: Humanistic Model of Higher Education

    Science.gov (United States)

    Popova-Gonci, Viktoria; Tobol, Amy Ruth

    2011-01-01

    The authors believe that there is no inherent academic validity or lack of thereof in the notion of prior learning assessment (PLA)-based curriculum. If mishandled, it can become the tool for carrying out diploma mill practices. Conversely, if implemented and facilitated appropriately, PLA-based curricula can offer humanistic educational values…

  10. Response to Hansen: Economic Pressures, Not Science, Undermine Humanistic Counseling

    Science.gov (United States)

    Leibert, Todd W.

    2012-01-01

    The author contends that it was economic interests, not reductionist scientific methods, that displaced the humanities as the basis for counseling profession. Attacking scientific methods may inadvertently marginalize humanistic counselors. Instead, science in counseling should be viewed more broadly and thereby support the humanities as a basis…

  11. Suffering in silence? : The adequacy of Dutch mental health care provision for ethnic Chinese in the Netherlands

    NARCIS (Netherlands)

    Liu, Cha-Hsuan

    2014-01-01

    Compared to other ethnic groups in the Netherlands, Chinese are less likely to use mental health care yet present more serious symptoms at the first consultation. However, the reason for these differences is unknown because of the scarcity of research. This doctoral research sets out to fill this ga

  12. Suffering in silence? : The adequacy of Dutch mental health care provision for ethnic Chinese in the Netherlands

    NARCIS (Netherlands)

    Liu, Cha-Hsuan

    2014-01-01

    Compared to other ethnic groups in the Netherlands, Chinese are less likely to use mental health care yet present more serious symptoms at the first consultation. However, the reason for these differences is unknown because of the scarcity of research. This doctoral research sets out to fill this

  13. Suffering in silence? : The adequacy of Dutch mental health care provision for ethnic Chinese in the Netherlands

    NARCIS (Netherlands)

    Liu, Cha-Hsuan

    2014-01-01

    Compared to other ethnic groups in the Netherlands, Chinese are less likely to use mental health care yet present more serious symptoms at the first consultation. However, the reason for these differences is unknown because of the scarcity of research. This doctoral research sets out to fill this ga

  14. 38 CFR 17.37 - Enrollment not required-provision of hospital and outpatient care to veterans.

    Science.gov (United States)

    2010-07-01

    ... healthcare system: (a) A veteran rated for service-connected disabilities at 50 percent or greater will... a service-connected disability will receive VA care provided for in the “medical benefits package” set forth in § 17.38 for that service-connected disability. (c) A veteran who was discharged...

  15. Gambling on the Market: The Role of For-Profit Provision in Early Childhood Education and Care

    Science.gov (United States)

    Penn, Helen

    2011-01-01

    Since 1997 there has been an unprecedented expansion of the childcare for-profit market in the UK. The repercussions of this for understanding of "quality" and definitions of good practice for early education and care have barely been explored. But in the current economic recession the market is now beginning to shrink, and there is…

  16. Comparison of Provision of Stroke Care in Younger and Older Patients: Findings from the South London Stroke Register

    Science.gov (United States)

    Crichton, Siobhan L.; Wolfe, Charles D. A.; Rudd, Anthony G.; McKevitt, Christopher

    2012-01-01

    Background. Evidence-based stroke care should be available to all patients. However, evidence exists of inequalities according to age. This study compared access to care for younger adults to that for over 65s. Methods. Using population-based data from 4229 patients with first-ever stroke between 1995 and 2010, associations between age and 21 care indicators were investigated using multivariable logistic regression. Results. Age was not associated with stroke unit admission for ischaemic stroke (P = 0.666). Younger PICH patients were least likely to be admitted to stroke units (P = 0.001), instead treated on neurosurgical or ICU wards. Younger age was also associated with admission to neurosurgery or ICU after SAH (P = 0.006), increased occupational or physiotherapy at 1 year (P = 0.043), and contact with a GP 3 months after stroke (P < 0.001). Conclusion. Younger patients have equal or greater access to evidence-based care. However, there is a need to ensure that services meet the needs of this group. PMID:22593833

  17. Comparison of Provision of Stroke Care in Younger and Older Patients: Findings from the South London Stroke Register

    Directory of Open Access Journals (Sweden)

    Siobhan L. Crichton

    2012-01-01

    Full Text Available Background. Evidence-based stroke care should be available to all patients. However, evidence exists of inequalities according to age. This study compared access to care for younger adults to that for over 65s. Methods. Using population-based data from 4229 patients with first-ever stroke between 1995 and 2010, associations between age and 21 care indicators were investigated using multivariable logistic regression. Results. Age was not associated with stroke unit admission for ischaemic stroke (P=0.666. Younger PICH patients were least likely to be admitted to stroke units (P=0.001, instead treated on neurosurgical or ICU wards. Younger age was also associated with admission to neurosurgery or ICU after SAH (P=0.006, increased occupational or physiotherapy at 1 year (P=0.043, and contact with a GP 3 months after stroke (P<0.001. Conclusion. Younger patients have equal or greater access to evidence-based care. However, there is a need to ensure that services meet the needs of this group.

  18. Chasm in primary care provision in a universal health system: Findings from a nationally representative survey of health facilities in Malaysia

    Science.gov (United States)

    Sivasampu, Sheamini; Khoo, Ee Ming; Mohamad Noh, Kamaliah

    2017-01-01

    Background Malaysia has achieved universal health coverage since 1980s through the expansion of direct public provision, particularly in rural areas. However, no systematic examination of the rural-urban distribution of primary care services and resources has been conducted to date for policy impact evaluation. Methods We conducted a national cross-sectional survey of 316 public and 597 private primary care clinics, selected through proportionate stratified random sampling, from June 2011 through February 2012. Using a questionnaire developed based on the World Health Organization toolkits on monitoring health systems strengthening, we examined the availability of primary care services/resources and the associations between service/resource availability and clinic ownership, locality, and patient load. Data were weighted for all analyses to account for the complex survey design and produce unbiased national estimates. Results Private primary care clinics and doctors outnumbered their public counterparts by factors of 5.6 and 3.9, respectively, but the private clinics were significantly less well-equipped with basic facilities and provided a more limited range of services. Per capita densities of primary care clinics and workforce were higher in urban areas (2.2 clinics and 15.1 providers per 10,000 population in urban areas versus 1.1 clinics and 11.7 providers per 10,000 population in rural areas). Within the public sector, the distribution of health services and resources was unequal and strongly favored the urban clinics. Regression analysis revealed that rural clinics had lower availability of services and resources after adjusting for ownership and patient load, but the associations were not significant except for workforce availability (adjusted odds ratio [OR]: 0.82; 95% confidence interval [CI]: 0.71–0.96). Conclusions Targeted primary care expansion in rural areas could be an effective first step towards achieving universal health coverage, especially in

  19. Orchestrating care through the fast-track perspective: A qualitative content analysis of the provision of individualised nursing care in orthopaedic fast-track programmes.

    Science.gov (United States)

    Berthelsen, Connie Bøttcher; Frederiksen, Kirsten

    2017-02-01

    The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim and Lundman. The main theme of the overall interpretation was Orchestrating care through the fast-track perspective, accompanied by three sub-themes: Identifying and legitimising relevant individual care in the fast-track programme, Struggling to fit all patients in the fast-track programme and Justifying individualised care-related actions in the fast-track programme. The study concluded that, even though the nurses struggled to comply with the programme, they still found themselves compromising their nursing care and ethics to follow the standardised regime. There is a need to establish more specific inclusion criteria to maintain the effective elements in the programme and to facilitate nurses' opportunities to offer individual care, thereby ensuring that fragile patients have access to other possibilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Process of implementing collaborative care and its impacts on the provision of care and rehabilitation services to patients with a moderate or severe traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Talbot LR

    2014-07-01

    Full Text Available Lise R Talbot,1,2 Annie Lévesque,1 Josée Trottier1 1School of Nursing Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke, 2Étienne-Le Bel Clinical Research Centre and the Research Centre on Aging, Sherbrooke, QC, Canada Objective: The introduction of new services in a rehabilitation center is a unique opportunity to introduce a new model of care and services between two institutions. A hospital and a rehabilitation center experienced a clinical management model inspired by an American approach – collaborative care. The purpose of this study was to describe the implementation of this approach and to provide a perception of the quality of care and services provided to patients with moderate or severe traumatic brain injury and to their caregivers. Materials and methods: In this qualitative study, individual semistructured interviews were conducted with patients and their caregivers in the hospital and rehabilitation center where the patients were treated. Individual semistructured interviews were conducted with administrators, and two focus groups were held with clinicians before and after the implementation. Results and conclusion: Ten days’ waiting time were saved with the collaborative approach. Implementing the collaborative care approach has been found to have several benefits, including improved communication, coordination of services between institutions, and better preparation, awareness, and involvement of patients and their families. Administrators, clinicians, patients, and caregivers expressed their opinions on the organization of care and services, the needs and expectations of patients and their caregivers, their participation in terms of roles and responsibilities, their perception of continuity of care, their satisfaction with the care process, and their suggestions for improvements. Keywords: traumatic brain injury, collaborative care, rehabilitation, quality of care

  1. Nest site selection and nutritional provision through excreta: a form of parental care in a tropical endogeic earthworm

    Directory of Open Access Journals (Sweden)

    Angel I. Ortiz-Ceballos

    2016-05-01

    Full Text Available Nest construction is a common form of parental care in soil organisms. However, it is unknown whether the tropical earthworm Pontoscolex corethrurus produces nests in soils with low nutritional quality habitats. Here we studied the reproductive behaviour and nest site selection of P. corethrurus, and tested the hypothesis whether P. corethrurus produces more cocoons in habitats with low nutritional quality. In bidimensional terrariums we evaluated the combined effect of the nutritional quality of habitat: (Poor Quality Habitat = PQH, Medium Quality Habitat = MQH, High Quality Habitat = HQH and soil depth (Shallow, Intermediate, Deep in a factorial 32 design. The number and biomass of cocoons, progeny and the production of internal and external excreta were evaluated. The quality habitat and depth of soil and their interaction had a significant effect on nest site construction and the deposition of internal excreta. Pontoscolex corethrurus built a higher amount of nests in the PQH-Intermediate and MQH-Intermediate treatments while more internal excreta were found in the HQH-Intermediate treatment. Offspring biomass was positively associated with internal excreta in the PQH (soil only and MQH (soil + grass treatments, suggesting that this could be a form of parental care. Since P. corethrurus produces more cocoons in low and medium quality habitats, while produces more internal excreta at high quality habitats, there does not seem to be an association between number of offspring and parental care. We suggest P. corethrurus could have two reproductive strategies that act as diversified bet-hedging (do not put all cocoons in one basket behavior in unpredictable environment, and thus build a higher amount of nests in low and medium quality habitats; and another where they produce more internal excreta as a form of parental care in high quality habitats. Parental care in the form of internal excreta may be particularly important in poor and medium

  2. Development of a support tool for complex decision-making in the provision of rural maternity care.

    Science.gov (United States)

    Hearns, Glen; Klein, Michael C; Trousdale, William; Ulrich, Catherine; Butcher, David; Miewald, Christiana; Lindstrom, Ronald; Eftekhary, Sahba; Rosinski, Jessica; Gómez-Ramírez, Oralia; Procyk, Andrea

    2010-02-01

    Decisions in the organization of safe and effective rural maternity care are complex, difficult, value laden and fraught with uncertainty, and must often be based on imperfect information. Decision analysis offers tools for addressing these complexities in order to help decision-makers determine the best use of resources and to appreciate the downstream effects of their decisions. To develop a maternity care decision-making tool for the British Columbia Northern Health Authority (NH) for use in low birth volume settings. Based on interviews with community members, providers, recipients and decision-makers, and employing a formal decision analysis approach, we sought to clarify the influences affecting rural maternity care and develop a process to generate a set of value-focused objectives for use in designing and evaluating rural maternity care alternatives. Four low-volume communities with variable resources (with and without on-site births, with or without caesarean section capability) were chosen. Physicians (20), nurses (18), midwives and maternity support service providers (4), local business leaders, economic development officials and elected officials (12), First Nations (women [pregnant and non-pregnant], chiefs and band members) (40), social workers (3), pregnant women (2) and NH decision-makers/administrators (17). We developed a Decision Support Manual to assist with assessing community needs and values, context for decision-making, capacity of the health authority or healthcare providers, identification of key objectives for decision-making, developing alternatives for care, and a process for making trade-offs and balancing multiple objectives. The manual was deemed an effective tool for the purpose by the client, NH. Beyond assisting the decision-making process itself, the methodology provides a transparent communication tool to assist in making difficult decisions. While the manual was specifically intended to deal with rural maternity issues, the NH

  3. Nest site selection and nutritional provision through excreta: a form of parental care in a tropical endogeic earthworm.

    Science.gov (United States)

    Ortiz-Ceballos, Angel I; Pérez-Staples, Diana; Pérez-Rodríguez, Paulino

    2016-01-01

    Nest construction is a common form of parental care in soil organisms. However, it is unknown whether the tropical earthworm Pontoscolex corethrurus produces nests in soils with low nutritional quality habitats. Here we studied the reproductive behaviour and nest site selection of P. corethrurus, and tested the hypothesis whether P. corethrurus produces more cocoons in habitats with low nutritional quality. In bidimensional terrariums we evaluated the combined effect of the nutritional quality of habitat: (Poor Quality Habitat = PQH, Medium Quality Habitat = MQH, High Quality Habitat = HQH) and soil depth (Shallow, Intermediate, Deep) in a factorial 3(2) design. The number and biomass of cocoons, progeny and the production of internal and external excreta were evaluated. The quality habitat and depth of soil and their interaction had a significant effect on nest site construction and the deposition of internal excreta. Pontoscolex corethrurus built a higher amount of nests in the PQH-Intermediate and MQH-Intermediate treatments while more internal excreta were found in the HQH-Intermediate treatment. Offspring biomass was positively associated with internal excreta in the PQH (soil only) and MQH (soil + grass) treatments, suggesting that this could be a form of parental care. Since P. corethrurus produces more cocoons in low and medium quality habitats, while produces more internal excreta at high quality habitats, there does not seem to be an association between number of offspring and parental care. We suggest P. corethrurus could have two reproductive strategies that act as diversified bet-hedging (do not put all cocoons in one basket) behavior in unpredictable environment, and thus build a higher amount of nests in low and medium quality habitats; and another where they produce more internal excreta as a form of parental care in high quality habitats. Parental care in the form of internal excreta may be particularly important in poor and medium quality habitats

  4. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care

    DEFF Research Database (Denmark)

    Andersen, L. B.; Bech, M.; Lauridsen, J.

    2012-01-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying...... spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data...... from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore...

  5. The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India

    OpenAIRE

    Salazar, Mariano; Vora, Kranti; De Costa, Ayesha

    2016-01-01

    Background: India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2...

  6. The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India

    OpenAIRE

    Salazar, Mariano; Vora, Kranti; De Costa, Ayesha

    2016-01-01

    Background: India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2...

  7. Competing knowledge claims in the provision of antenatal care: a qualitative study of traditional birth attendants in rural Zimbabwe.

    Science.gov (United States)

    Mathole, Thubelihle; Lindmark, Gunilla; Ahlberg, Beth Maina

    2005-01-01

    In this article we examine the role of traditional birth attendants (TBAs) in their care of women during pregnancy and childbirth, and highlight their views on the training they receive and the application of knowledge they gain. We also discuss the ways women and men reason around the practices of TBAs. Data were generated using focus group discussions and individual interviews with TBAs, women, and men. The accounts of the TBAs, women, and men indicate that the women combined traditional and professional care, reasoning that in this way they get the different forms of assurance that each offers for the proper pregnancy outcome. The accounts, moreover, suggest that little of the knowledge gained from the training, including the referral of women at high risk, was implemented. One reason for this appears to be the failure to reflect on local knowledge and realities in TBA training. We conclude that any efforts or plans to incorporate the two systems of care should acknowledge local knowledge and realities. Only then can the aim of reducing maternal and infant morbidity and mortality be achieved.

  8. A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses

    Science.gov (United States)

    Walshe, Catherine; Luker, Karen A.

    2015-01-01

    Abstract Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of ‘plugged in’ as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care. PMID:26333295

  9. A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses.

    Science.gov (United States)

    Nagington, Maurice; Walshe, Catherine; Luker, Karen A

    2016-01-01

    Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of 'plugged in' as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care. © 2015 The Authors. Nursing Philosophy Published by John Wiley & Sons Ltd.

  10. Actively Exploration on the Effective Way of Humanistic Care in Corporate Bankruptcy:Discussion on the Direction of Public Opinion of Crisis Communication in Sudden Mass Incidents of Corporate Bankruptcy%积极探索人文关怀在企业破产工作中的有效途径——兼论企业破产突发群体性事件中危机传播的舆论导向

    Institute of Scientific and Technical Information of China (English)

    赵洪伟; 陈硕

    2012-01-01

    Doing a good job in state-owned enterprises has been paid attention by society, and many state-owned enterprises have embarked on the road of bankruptcy reorganization in northeast old industrial base. For staff, enterprise bankruptcy leads to problems, such as thought fluctuations and antagonism, even causes employees collectively appeal to authorities. Insolvent enterprises should focus on humanistic care and help workers enhance their understanding to ensure the smooth progress of the enterprise bankruptcy.%搞好搞活国有企业一直备受社会瞩目,在东北老工业基地,很多国有企业都走上了破产重组的道路.企业破产对职工来说在不同程度地存在思想波动和对抗情绪等问题,破产工作稍有不慎,就容易引发职工群体上访等事件.本文主要是从破产企业注重人文关怀,帮助职工提高思想认识,确保企业破产的顺利进行.

  11. 42 CFR 403.756 - Sunset provision.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Sunset provision. 403.756 Section 403.756 Public... PROVISIONS SPECIAL PROGRAMS AND PROJECTS Religious Nonmedical Health Care Institutions-Benefits, Conditions of Participation, and Payment § 403.756 Sunset provision. (a) Effective date. Beginning with FFY...

  12. Culture and language differences as a barrier to provision of quality care by the health workforce in Saudi Arabia

    Science.gov (United States)

    Almutairi, Khalid M.

    2015-01-01

    Objectives: To identify, synthesize, and summarize issues and challenges related to the culture and language differences of the health workforce in Saudi Arabia. Methods: A comprehensive systematic review was conducted in May 2014 to locate published articles. Two independent researchers in consultation with several experts used 4 electronic databases (ISI Web of Knowledge, Science Direct, PubMed, and Cochrane) to scrutinize articles published from January 2000 - March 2014. Each of the studies was given a quality assessment rating of weak, moderate, or strong, and was evaluated for methodological soundness using Russell and Gregory’s criteria. Results: The online literature search identified 12 studies that met the inclusion criteria. Lack of knowledge of non-Muslim nurses or culture in Saudi Arabia, difficulties in achieving cultural competence, and culture shock were documented as cultural difference factors. Issues in language difference include the clarity of language use by health care providers in giving information and providing adequate explanation regarding their activities. Conclusion: The available information provided by this review study shows that there is a communication barrier between patients and health care workers such as healthcare workers demonstrate low cultural competency. Despite the fact that the government provides programs for expatriate healthcare workers, there is a need to further improve educational and orientation programs regarding the culture and language in Saudi Arabia. PMID:25828278

  13. Culture and language differences as a barrier to provision of quality care by the health workforce in Saudi Arabia.

    Science.gov (United States)

    Almutairi, Khalid M

    2015-04-01

    To identify, synthesize, and summarize issues and challenges related to the culture and language differences of the health workforce in Saudi Arabia. A comprehensive systematic review was conducted in May 2014 to locate published articles. Two independent researchers in consultation with several experts used 4 electronic databases (ISI Web of Knowledge, Science Direct, PubMed, and Cochrane) to scrutinize articles published from January 2000 - March 2014. Each of the studies was given a quality assessment rating of weak, moderate, or strong, and was evaluated for methodological soundness using Russell and Gregory's criteria. The online literature search identified 12 studies that met the inclusion criteria. Lack of knowledge of non-Muslim nurses or culture in Saudi Arabia, difficulties in achieving cultural competence, and culture shock were documented as cultural difference factors. Issues in language difference include the clarity of language use by health care providers in giving information and providing adequate explanation regarding their activities. The available information provided by this review study shows that there is a communication barrier between patients and health care workers such as healthcare workers demonstrate low cultural competency. Despite the fact that the government provides programs for expatriate healthcare workers, there is a need to further improve educational and orientation programs regarding the culture and language in Saudi Arabia.

  14. Patient-centred performance monitoring systems and multi-agency care provision: a case study using a stakeholder participative approach.

    Science.gov (United States)

    Connell, N A; Goddard, A R; Philp, I; Bray, J

    1998-05-01

    We describe the processes involved in the development of an information system which can assess how care given by a number of agencies could be monitored by those agencies. In particular, it addresses the problem of sharing information as the boundaries of each agency are crossed. It focuses on the care of one specific patient group--the rehabilitation of elderly patients in the community, which provided an ideal multi-agency setting. It also describes: how a stakeholder participative approach to information system development was undertaken, based in part on the Soft Systems Methodology (SSM) approach (Checkland, 1981, 1990); some of the difficulties encountered in using such an approach; and the ways in which these were addressed. The paper goes on to describe an assessment tool called SCARS (the Southampton Community Ability Rating Scale). It concludes by reflecting on the management lessons arising from this project. It also observes, inter alia, how stakeholders have a strong preference for simpler, non-IT based systems, and comments on the difficulties encountered by stakeholders in attempting to reconcile their perceptions of the needs of their discipline or specialty with a more patient-centred approach of an integrated system.

  15. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care.

    Science.gov (United States)

    Andersen, Lotte Bøgh; Bech, Mickael; Lauridsen, Jørgen

    2012-07-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore, dentists appear to be the most important actors for the spatial spillover effects, and these effects are especially strong for municipalities situated in the same county that use private dental clinics. There is no evidence of political spatial spillover effects between municipalities.

  16. 'I used to fight with them but now I have stopped!': conflict and doctor-nurse anaesthetists' motivation in maternal and neonatal care provision in a specialist referral hospital

    NARCIS (Netherlands)

    Aberese-Ako, M.; Agyepong, I.A.; Gerrits, T.; van Dijk, H.

    2015-01-01

    Background and Objectives: This paper analyses why and how conflicts occur and their influence on doctors and nurse-anaesthetists' motivation in the provision of maternal and neonatal health care in a specialist hospital. Methodology: The study used ethnographic methods including participant observa

  17. The provision and impact of online patient access to their electronic health records (EHR and transactional services on the quality and safety of health care: systematic review protocol

    Directory of Open Access Journals (Sweden)

    Freda Mold

    2013-09-01

    Full Text Available Background Innovators have piloted improvements in communication, changed patterns of practice and patient empowerment from online access to electronic health records (EHR. International studies of online services, such as prescription ordering, online appointment booking and secure communications with primary care, show good uptake of email consultations, accessing test results and booking appointments; when technologies and business process are in place. Online access and transactional services are due to be rolled out across England by 2015; this review seeks to explore the impact of online access to health records and other online services on the quality and safety of primary health care.Objective To assess the factors that may affect the provision of online patient access to their EHR and transactional services, and the impact of such access on the quality and safety of health care.Method Two reviewers independently searched 11 international databases during the period 1999–2012. A range of papers including descriptive studies using qualitative or quantitative methods, hypothesis-testing studies and systematic reviews were included. A detailed eligibility criterion will be used to shape study inclusion .A team of experts will review these papers for eligibility, extract data using a customised extraction form and use the Grading of Recommendations Assessment, Development and Evaluation (GRADE instrument to determine the quality of the evidence and the strengths of any recommendation. Data will then be descriptively summarised and thematically synthesised. Where feasible, we will perform a quantitative meta-analysis.Prospero (International Prospective Register of Systematic Reviews registration number: crd42012003091.

  18. Nairobi Newborn Study: a protocol for an observational study to estimate the gaps in provision and quality of inpatient newborn care in Nairobi City County, Kenya

    Science.gov (United States)

    Murphy, Georgina A V; Gathara, David; Aluvaala, Jalemba; Mwachiro, Jacintah; Abuya, Nancy; Ouma, Paul; Snow, Robert W; English, Mike

    2016-01-01

    Introduction Progress has been made in Kenya towards reducing child mortality as part of efforts aligned with the fourth Millennium Development Goal. However, little advancement has been made in reducing mortality among newborns, which now accounts for 45% of all child deaths. The frequently unanticipated nature of neonatal illness, its severity and the high dependency of sick newborns on skilled care make the provision of inpatient hospital services one key component of strategies to improve newborn survival. Methods and analyses This project aims to assess the availability and quality of inpatient newborn care in hospitals in Nairobi City County across the public, private and not-for-profit sectors and align this to the estimated need for such services, providing a description of the quantity and quality gaps between capacity and demand. The population level burden of disease will be estimated using morbidity incidence estimates from a literature review applied to subcounty estimates of population-adjusted births, providing a spatially disaggregated estimate of need within the county. This will be followed by a survey of neonatal services across all health facilities providing 24/7 inpatient newborn care in the county. The survey will include: a retrospective audit of admission registers to estimate the usage of facilities and case-mix of patients; a structural assessment of facilities to gain insight into capacity; a questionnaire to nursing staff focusing on the process of delivering key obstetric and neonatal interventions; and a retrospective case audit to assess adherence to guidelines by clinicians. Ethics and dissemination This study has been approved by the Kenya Medical Research Institute Scientific and Ethics Review Unit (SSC protocol No.2999). Results will be disseminated: to participating facilities through individualised reports and a joint workshop; to local and national stakeholders through meetings and a summary report; and to the international

  19. Understanding reactions to an internet-delivered health-care intervention: accommodating user preferences for information provision

    Directory of Open Access Journals (Sweden)

    Yardley Lucy

    2010-09-01

    Full Text Available Abstract Background It is recognised as good practice to use qualitative methods to elicit users' views of internet-delivered health-care interventions during their development. This paper seeks to illustrate the advantages of combining usability testing with 'theoretical modelling', i.e. analyses that relate the findings of qualitative studies during intervention development to social science theory, in order to gain deeper insights into the reasons and context for how people respond to the intervention. This paper illustrates how usability testing may be enriched by theoretical modelling by means of two qualitative studies of users' views of the delivery of information in an internet-delivered intervention to help users decide whether they needed to seek medical care for their cold or flu symptoms. Methods In Study 1, 21 participants recruited from a city in southern England were asked to 'think aloud' while viewing draft web-pages presented in paper format. In Study 2, views of our prototype website were elicited, again using think aloud methods, in a sample of 26 participants purposively sampled for diversity in education levels. Both data-sets were analysed by thematic analysis. Results Study 1 revealed that although the information provided by the draft web-pages had many of the intended empowering benefits, users often felt overwhelmed by the quantity of information. Relating these findings to theory and research on factors influencing preferences for information-seeking we hypothesised that to meet the needs of different users (especially those with lower literacy levels our website should be designed to provide only essential personalised advice, but with options to access further information. Study 2 showed that our website design did prove accessible to users with different literacy levels. However, some users seemed to want still greater control over how information was accessed. Conclusions Educational level need not be an

  20. George Eliot’s Humanistic View and Feminist View

    Institute of Scientific and Technical Information of China (English)

    TANG Jing-chun

    2013-01-01

    George Eliot is a great authoress in the Victorian age. She has made great contribution in many fields such as:philoso-phy, literature and humanism. However she is a controversial novelist as well not only because her life experience which revolts against the traditional way of life at that time but also her unique humanistic and feminist view. The purpose of the study is to get the panoramic view of George Eliot.

  1. Humanistic Approach and Affective Factors in Foreign Language Teaching

    Institute of Scientific and Technical Information of China (English)

    罗馨

    2010-01-01

    For a long time,Chinese EFL teaching has been following the teacher-centered model,which emphasizes the cognitive aspect but ignores the affective factors. So "emotional illiteracy" is a common phemenon and harmful to language learning and students' all-round development. This essay lays special stress on humanistic approach and analyzes the influence of some important affective factors on language learning,for the purpose of inviting teachers' attention to students' emotions in fulfilling their teaching task.

  2. Further reflections on the humanistic psychology-positive psychology divide.

    Science.gov (United States)

    Waterman, Alan S

    2014-01-01

    Replies to comments by Morley (see record 2014-01475-010), Serlin (see record 2014-01475-011), Friedman (see record 2014-01475-012), Churchill and Mruk (see record 2014-01475-013), and Schneider (see record 2014-01475-014) on the current author's original article "The humanistic psychology-positive psychology divide: Contrasts in philosophical foundations" (see record 2013-12501-001). The article contrasting humanistic psychology and positive psychology with respect to their ontological, epistemological, and practical philosophical foundations has generated commentaries from leading proponents of varying perspectives within humanistic psychology. There is a great deal of material within those commentaries with which the current author is in full accord. It is worth noting at the outset that no one appears to be challenging the observations (a) that published exchanges between proponents of humanistic and positive psychology have been marked by tension and ambivalence, albeit with occasional efforts at reconciliation and rapprochement; (b) that proponents of the two perspectives differ with respect to the philosophers they most frequently cite in their writings; or (c) that such citations reflect the philosophical assumptions serving as foundations for the theoretical, research, and counseling/therapeutic endeavors of psychologists in both groups. The principal points of concurrence in the critiques published here are that the current underestimates the extent to which mutually supportive, collaborative work can be accomplished across the philosophical divide and that the recommendations the current author has made has advanced serious potential negative consequences for the field. The current author will address these points here in the reply, although space does not permit him to address other substantive points raised by individual commentators.

  3. PARENT’S SATISFACTION WITH SOME FEATURES OF EARLY CARE PROVISIONS FOR CHILDREN WITH DIFFERENT LEVELS OF INTELLECTUAL DISABILITIES

    Directory of Open Access Journals (Sweden)

    Ljiljana PINTARIC MLINAR

    2013-09-01

    Full Text Available Probably from the very beginning of the human curiosity in disability features for family’s values, structures, parenting styles, circles of support, strengths and others, have been just as appealing as the child or adult with disabilities themselves. As many studies confirmed, professionals' approach to parents, getting adequate information and type of treatment present a challenge to families of children with established developmental disabilities and those at risk for disability. The main purpose of this study was to analyze parents' satisfaction with these three main features of support in early treatment of their child with intellectual disability. The sample consisted of 81 families with intellectually disabled child, recruited from seven types of care provided in three towns in Croatia. Data were analyzed with one-way ANOVA comparing variety of parents satisfaction in four groups formed according to the level of intellectual disability. The method revealed a significant difference among groups in the variable referring to the parents satisfaction with treatment accessibility and its frequency provided.

  4. Professional identity formation in medical education for humanistic, resilient physicians: pedagogic strategies for bridging theory to practice.

    Science.gov (United States)

    Wald, Hedy S; Anthony, David; Hutchinson, Tom A; Liben, Stephen; Smilovitch, Mark; Donato, Anthony A

    2015-06-01

    Recent calls for an expanded perspective on medical education and training include focusing on complexities of professional identity formation (PIF). Medical educators are challenged to facilitate the active constructive, integrative developmental process of PIF within standardized and personalized and/or formal and informal curricular approaches. How can we best support the complex iterative PIF process for a humanistic, resilient health care professional? How can we effectively scaffold the necessary critical reflective learning and practice skill set for our learners to support the shaping of a professional identity?The authors present three pedagogic innovations contributing to the PIF process within undergraduate and graduate medical education (GME) at their institutions. These are (1) interactive reflective writing fostering reflective capacity, emotional awareness, and resiliency (as complexities within physician-patient interactions are explored) for personal and professional development; (2) synergistic teaching modules about mindful clinical practice and resilient responses to difficult interactions, to foster clinician resilience and enhanced well-being for effective professional functioning; and (3) strategies for effective use of a professional development e-portfolio and faculty development of reflective coaching skills in GME.These strategies as "bridges from theory to practice" embody and integrate key elements of promoting and enriching PIF, including guided reflection, the significant role of relationships (faculty and peers), mindfulness, adequate feedback, and creating collaborative learning environments. Ideally, such pedagogic innovations can make a significant contribution toward enhancing quality of care and caring with resilience for the being, relating, and doing of a humanistic health care professional.

  5. Perceptions of HIV, AIDS and tuberculosis among patients on antiretroviral therapy in Bulawayo, Zimbabwe: implications for the provision of HIV and TB care services.

    Science.gov (United States)

    Rödlach, Alexander; Dlodlo, Riitta A; Hwalima, Zanele E

    2012-06-01

    The objectives of the research were to explore perceptions of HIV, AIDS and tuberculosis (TB) among individuals enrolled in antiretroviral therapy (ART) at two municipal clinics in Bulawayo, Zimbabwe, and to assess the implications of these perceptions on the provision of HIV and TB care services. Data were collected using the freelist technique to elicit the elements of a cultural domain as well as open-ended interviews with ART clients, conducted during June and July 2009. Participants were recruited through non-probability convenience sampling. The freelist data were analysed using multidimensional scaling and hierarchical clustering, and the interview data were analysed using the grounded theory method. The results suggest that: 1) the participants had substantial knowledge about HIV, AIDS and TB; 2) the participants' perceptions of HIV, AIDS and TB constituted three distinct, though overlapping, cultural domains; 3) because of the availability of ART and TB treatment, a diagnosis of HIV infection or TB alone was generally perceived with hope that one would be able to live a normal life, while AIDS illness or TB/HIV coinfection were associated with notions of death and despair; and, 4) such perceptions may negatively impact the uptake of testing for HIV and TB, and thereby contribute to delayed start of the respective treatment. Health messages should build on these meanings which have the potential to either enhance or compromise available health programmes and their use by people living with HIV or TB.

  6. [Homeopathy: a humanistic approach to medical practice].

    Science.gov (United States)

    Teixeira, Marcus Zulian

    2007-01-01

    During the last decade, the traditional medical model has endeavoured to retrieve an improvement in the patient-physician relationship by means of propositions for humanization in the areas of education, medical care and policies. To enhance holistic characteristics of non-conventional practices in health, the incorporation of several aspects of humanities in understanding the process of the individual's illness, stressing that the physician's interest in aspects apparently not related to the impaired organ (history of the patients life, personality, interests, etc.) should be added to the technical and less humanized consultation. Since homeopathy embraces this wide semiological approach as inherent practice, using the totality of characteristic symptoms to evaluate organic unbalance and choose means of treatment, homeopathic clinical practice can significantly contribute to humanism in medicine.

  7. Desigualdades socioeconómicas relacionadas con el cuidado y el control del embarazo Socioeconomic inequalities in the provision and uptake of prenatal care

    Directory of Open Access Journals (Sweden)

    Gemma Cano-Serral

    2006-02-01

    Full Text Available Objetivo: Describir las desigualdades socioeconómicas relacionadas con el cuidado y el control del embarazo de las gestantes de Barcelona durante 1994-2003. Métodos: Diseño transversal de las gestantes de Barcelona que tuvieron un hijo sin anomalías congénitas. La información se obtuvo de las historias hospitalarias y una encuesta realizada a las madres del Registro de Defectos Congénitos de Barcelona, que recoge una muestra aleatoria del 2% del total de nacimientos de esta ciudad (n = 2.299. Se estudiaron las siguientes variables dependientes: visitas al obstetra, trimestre de la primera visita, número de ecografías, ecografía del quinto mes, realización de una prueba invasiva, consumir ácido fólico, planificación del embarazo, consumo y abandono del tabaco. Las variables independientes fueron la edad y la clase social. Se ajustaron modelos de regresión logística para cada variable dependiente. Resultados: Las gestantes de clases sociales con ocupaciones manuales realizan, en mayor proporción, menos de 6 visitas y la primera visita después del primer trimestre; además, tienen menor probabilidad de realizar alguna prueba invasiva, tomar ácido fólico, planificar el embarazo, no fumar y abandonar el consumo de tabaco. Y las gestantes de clases no manuales realizan, en mayor proporción, más de 12 visitas y más de 3 ecografías. Conclusiones: Hay desigualdades socioeconómicas relacionadas con el cuidado y el control del embarazo en Barcelona. Las gestantes de las clases sociales más favorecidas realizan un mejor cuidado y control del embarazo, pero en todas se observa una excesiva medicalización. Una racionalización del uso de recursos sanitarios y una reducción de la medicalización podría disminuir las desigualdades relacionadas con el cuidado y el control de la gestación en Barcelona.Objective: To describe socioeconomic inequalities in the provision and uptake of prenatal care among women in Barcelona (Spain between

  8. HUMANIST VALUES OF SPORT AND THE PROBLEMS OF SOCIAL GLOBALIZATION

    Directory of Open Access Journals (Sweden)

    Lyubov SHEREMET

    2015-12-01

    Full Text Available The article is dedicated to the consideration of sport activity under the perspective of social philosophy, with special attention given to core values of the contemporary sport manifested particularly by the Olympic movement. It is argued that the main intellectual source of the Olympism is the translation of liberal ideology into the sphere of sport, with the idea of dialogue as a norm of interpersonal relation serving as a pivotal in socio-cultural foundations of the contemporary Olympic movement. The current crisis of sport is described in the paper in terms of further commercialization and professionalization that corrupts its immanent original ideal used to manifest the humanistic and universal values of sport for all the humankind in general. The contemporary market economy is demonstrated as the one which has transformed sport into means for achieving business success, individualistic ‘record’ prestige and anthropological representation. It is stated that the denoted trend could be opposed by the humanization of sport, its main criterion being the role of the dialogue: sport is humane as far as it is discursive. The author argues that to preserve discourse in sport is to perform the task for humanism movement best defined by the principle ‘sport for human person, and not human person for sport’. VALORILE UMANISTE ALE SPORTULUI ŞI PROBLEMELE GLOBALIZĂRII SOCIALEAcest articol are ca subiect activitatea sportivă cercetată din perspectiva filosofiei sociale, o atenţie deosebită fiind acordată valorilor de bază ale sportului contemporan manifestate, în special, în mişcarea olimpică. Se susţine că sursa intelectua­lă de bază a olimpismului este ideologia liberală implementată în sfera sportului, promovând ideea că dialogul, ca o normă a relaţiilor inter­personale, serveşte în calitate de fundaţie socioculturală a mişcării olimpice contemporane. Criza actuală a sportului este descrisă în lucrare

  9. The humanistic and economic burden of chronic wounds: a protocol for a systematic review.

    Science.gov (United States)

    Järbrink, Krister; Ni, Gao; Sönnergren, Henrik; Schmidtchen, Artur; Pang, Caroline; Bajpai, Ram; Car, Josip

    2017-01-24

    Chronic non-healing wounds present a substantial economic burden to healthcare system; significant reductions in quality of life for those affected, and precede often serious events such as limp amputations or even premature deaths. This burden is also likely to increase with a larger proportion of elderly and increasing prevalence of life-style diseases such as obesity and diabetes. Reviews of the evidence on the burden of illness associated with chronic wounds have not been comprehensive in scope and have not provided an assessment of the distribution of the health care costs across categories of resource use. This study is a systematic review of multiple databases for studies on adult patients with chronic wounds and with the primary objective to assess the impact on health-related quality of life by category of ulcers, and associated direct and indirect costs. Eligible studies will primary be empirical studies evaluating, describing or comparing measurement of quality of life and economic impact. Two reviewers will independently screen titles and abstracts and select studies involving adults with chronic wounds. These investigators will also independently extract data using a pre-designed data extraction form. Differences in applied methodologies and uncertainties will clearly be accounted for. Conservative valuations of costs and impact on health-related quality of life will be prioritised. Variations that may depend on age distribution, the categorisation of ulcer, healthcare system etc. will be described clearly. The proposed systematic review will yield a comprehensive assessment of the humanistic and economic burden of chronic wounds in an adult population. A better understanding of the humanistic and economic burden of chronic wounds is essential for policy and planning purposes, to monitor trends in disease burden and not at least in order to estimate the real-world cost-effectiveness of new treatments and therapies. PROSPERO CRD42016037496.

  10. George Kelly: cognitive psychologist, humanistic psychologist, or something else entirely?

    Science.gov (United States)

    Benjafield, John G

    2008-11-01

    George Kelly was regarded by some of his contemporaries as a cognitive psychologist and by others as a humanistic psychologist. Kelly himself resisted being rubricized. He did, however, name several people who had been influential in his life and work, one of whom was J.F. Herbart. A comparison of Herbart and Kelly reveals several similarities. Both shared a belief that psychology was fundamentally a mathematical discipline. Both eliminated distinctions usually taken for granted in psychology, such as emotion versus cognition. Reconstructing Kelly's relation to Herbart allows one to see more clearly why Kelly was such a unique figure in 20th century psychology.

  11. CONTRADICTION BETWEEN TECHNOCRATIC AND HUMANISTIC SYSTEMS OF VALUES

    Directory of Open Access Journals (Sweden)

    M. I. Kazakevich

    2013-12-01

    Full Text Available Purpose. The purpose of the paper is determination of difference between technocratic and humanistic value systems. The authors also suggest to outline the range of issues specific to modern technological civilization, reflect its controdictory nature, as well as to focus on the university activity fields concerning formation and/or restoration of technocratic and humanitarian balance. Methodology. The most important methodological principle of the work is a systematic approach. It has determined logic of description and conclusion. During the study authors analyzed separate aspects of social development of the late 20th – early 21st centuries, as well as content analysis of the global information flow (documentary and non-documentary on this topic and their own observations, obtained during the implementation of long-term educational and scientific practices at the university. It is, for example, drawing up a comparative table of technocratic and humanistic value systems. The authors have conducted a comparative analysis of 2 Sociological Research data (2009 and 2013 years among university youth of Dnipropetrovsk "Modern Library by Students′ Eyes" and trending concerning the issues about the role of reading in the students lives. Findings. The difference between the technocratic and humanistic value systems was determined. Contemporary problems of the personal intellectual development in the process of education and training in technical universities during the dominance of technocratic value systems were outlined. Attention is focused on the university directions on formation and / or restoration of technocratic and humanitarian balance. Originality. The authors have analyzed and outlined a range of issues specific to contemporary industrial civilization, its controversial nature was reflected. Rebalancing of the technocratic and humanitarian is one of the major tasks in our time. The directions of universities activities were determined

  12. Political participation from an emancipatory and humanist perspective.

    Directory of Open Access Journals (Sweden)

    Anna Beltrán Marín

    2014-06-01

    Full Text Available Through this work we propose an analysis regarding to the political participation today, through the consultation of various literature sources. It addresses questions such as: What are the forms of political participation more prevalent in the present? What are the conditions that the participation may have to be really effective? What would be the balance from the Humanist perspective, of a greater participation in decision-making processes? The main method used is the document review; other methods were the scientific description and scientific criticism.

  13. Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines.

    Science.gov (United States)

    Banke-Thomas, Aduragbemi; Wright, Kikelomo; Sonoiki, Olatunji; Banke-Thomas, Oluwasola; Ajayi, Babatunde; Ilozumba, Onaedo; Akinola, Oluwarotimi

    2016-01-01

    Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the 'handbook', has been used to monitor availability, utilization, and quality of EmOC. To assess application and explore experiences of researchers in LMICs in assessing EmOC. Multiple databases of peer-reviewed literature were systematically reviewed on EmOC assessments in LMICs, since 2009. Following set criteria, we included articles, assessed for quality based on a newly developed checklist, and extracted data using a pre-designed extraction tool. We used thematic summaries to condense our findings and mapped patterns that we observed. To analyze experiences and recommendations for improved EmOC assessments, we took a deductive approach for the framework synthesis. Twenty-seven studies met our inclusion criteria, with 17 judged as high quality. The highest publication frequency was observed in 2015. Most assessments were conducted in Nigeria and Tanzania (four studies each) and Bangladesh and Ghana (three each). Most studies (17) were done at subnational levels with 23 studies using the 'handbook' alone, whereas the others combined the 'handbook' with other frameworks. Seventeen studies conducted facility-based surveys, whereas others used mixed methods. For different reasons, intrapartum and very early neonatal death rate and proportion of deaths due to indirect causes in EmOC facilities were the least reported indicators. Key emerging themes indicate that data quality for EmOC assessments can be improved, indicators should be refined, a holistic approach is required for EmOC assessments, and assessments should be conducted as routine processes. There is clear justification to review how EmOC assessments are being conducted. Synergy between researchers, EmOC program managers, and other key stakeholders would be critical for

  14. Contraceptive method preferences and provision after termination of pregnancy: a population-based analysis of women obtaining care with the British Pregnancy Advisory Service.

    Science.gov (United States)

    Aiken, Ara; Lohr, P A; Aiken, C E; Forsyth, T; Trussell, J

    2017-04-01

    To examine contraceptive choices among women seeking termination of pregnancy (TOP) and the provision of the chosen methods. Population-based study. British Pregnancy Advisory Service (BPAS) clinics in England and Wales. Between 1 January 2011 and 31 December 2014, 211 215 women had a TOP at BPAS, were offered contraceptive counselling, and were eligible to obtain contraception at no cost. We examined electronic records from BPAS and assessed the proportions of women who accepted contraceptive counselling and chose a contraceptive method, as well as the distributions of methods chosen, analysed by provider and by TOP type. We calculated the proportions receiving their chosen method and the methods chosen by women using no method at conception. We used logistic regression to examine the factors associated with choice of an intrauterine contraceptive (IUC) or implant. Post-TOP contraceptive method choice. Receipt of chosen method post-TOP. Eighty-five per cent of women accepted contraceptive counselling and 51% chose to obtain a method from BPAS rather than from a GP or contraception and sexual health clinic post-TOP. [correction added on 25 November 2016 after first online publication: 51% has been inserted in the preceding sentence.] Among those who wanted to receive contraception from BPAS, 51% chose an IUC or implant and 19% chose oral contraceptives. Ninety-one per cent of women who obtained contraception from BPAS received their chosen method. Women were more likely to choose an IUC or implant if they obtained contraception from BPAS, had a surgical TOP, were parous, young, white, or had one or more previous TOPs. The standards set for patient-centred TOP care should emphasise the need for a full range of contraceptive options to be offered and provided post-TOP. Uptake targets for long-acting reversible methods do not reflect women's post-TOP contraceptive preferences. © 2016 Royal College of Obstetricians and Gynaecologists.

  15. Homer's Odyssey and Humanistic Education: Towards a Theory of the Humanities.

    Science.gov (United States)

    Boland, Clay A., Jr.

    Homer's Odyssey can serve as a good source of working definitions of humanism, humanist, humanities, and their relation to humanistic education, a concept which has been adulterated by some, misplaced by others, and diluted by many. Humanism is defined as an attitude that man is independent of any devine realm and therefore responsible for himself…

  16. Kazimierz Dabrowski's Theory of Positive Disintegration and the American Humanistic Psychology.

    Science.gov (United States)

    Weckowicz, T. E.

    1988-01-01

    Discusses the differences and similarities between Dabrowski's theory of positive disintegration and the theories of the American humanistic psychologists. Stresses the suffering associated with attaining higher levels of spiritual development. Suggests that Dabrowski and humanists followed different theodicies. (Author/ABL)

  17. Humanistic Content in the Chinese Language Textbooks for Nine Year Compulsory Education

    Science.gov (United States)

    Yang, Xiao; Sargent, Tanja

    2011-01-01

    In this paper, we employ quantitative and qualitative content analysis to investigate the nature of humanistic value content in the Chinese language arts curriculum and whether or not this varies across old and new versions of the textbooks. Our findings illustrate the various dimensions of humanistic value content in the Chinese language arts…

  18. Gaming between Humanistic Anxiety and Sport High Technology--The Development of Sport High Technology Based on Humanistic Evaluation%人文忧思与体育高技术的博弈--基于人文评价视角的体育高技术发展

    Institute of Scientific and Technical Information of China (English)

    孙欣荣

    2013-01-01

    By means of literature review, The author analyzes the trend that humanistic evaluation to high technology has become a important factor of influencing the future of high technology, And attempts to assess the development of Sport high technology in the future. The author concludes that, Without humanistic evaluation, sport will be out of control like a untamed horse and loses its inherent value. Meanwhile, Excessive humanistic anxiety which leads to pessimism toward sport technology and the loss of sport 's vigor, Is not acceptable as well. Positive humanistic anxiety can be transformed into positive humanistic care and power to promote human sport development. The author suggests that sport high-tech should adapt to the social environment, Conform to humanistic environment and create harmonious environment. Sport high technology and humanistic evaluation should combine“birth”with“cultivation”,“talent”with“virtue”, and“criticism”with“appraise”.%采用文献资料等方法,对高技术的人文评价成为影响高技术未来走向进行分析,意欲为我国未来体育高技术的发展进行定位。主要结论:对体育高技术全然没有人文反思是不可取的,那样就会使体育成为脱缰的野马,失去了体育本有的价值,同样,对体育高技术的过度的人文忧思也是不可取的,那样就会走向体育技术的悲观主义,失去了体育的活力。积极的人文忧思,可以转化为一种积极的人文关怀,转化为人类体育运动发展的动力。建议:体育高技术应当是:适应社会环境、符合人文环境、创造和谐环境。体育高技术与人文评价应当是:“生”与“养”的融合、“才”与“德”的融合、“批”与“赞”的融合。

  19. Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

    Directory of Open Access Journals (Sweden)

    Aduragbemi Banke-Thomas

    2016-08-01

    Full Text Available Background: Lack of timely and quality emergency obstetric care (EmOC has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs. Since 2009, the global guideline, referred to as the ‘handbook’, has been used to monitor availability, utilization, and quality of EmOC. Objective: To assess application and explore experiences of researchers in LMICs in assessing EmOC. Design: Multiple databases of peer-reviewed literature were systematically reviewed on EmOC assessments in LMICs, since 2009. Following set criteria, we included articles, assessed for quality based on a newly developed checklist, and extracted data using a pre-designed extraction tool. We used thematic summaries to condense our findings and mapped patterns that we observed. To analyze experiences and recommendations for improved EmOC assessments, we took a deductive approach for the framework synthesis. Results: Twenty-seven studies met our inclusion criteria, with 17 judged as high quality. The highest publication frequency was observed in 2015. Most assessments were conducted in Nigeria and Tanzania (four studies each and Bangladesh and Ghana (three each. Most studies (17 were done at subnational levels with 23 studies using the ‘handbook’ alone, whereas the others combined the ‘handbook’ with other frameworks. Seventeen studies conducted facility-based surveys, whereas others used mixed methods. For different reasons, intrapartum and very early neonatal death rate and proportion of deaths due to indirect causes in EmOC facilities were the least reported indicators. Key emerging themes indicate that data quality for EmOC assessments can be improved, indicators should be refined, a holistic approach is required for EmOC assessments, and assessments should be conducted as routine processes. Conclusions: There is clear justification to review how EmOC assessments are being conducted. Synergy between

  20. 技术产品化呼唤人文创造%The Product of Technology Requiring Humanistic Creation

    Institute of Scientific and Technical Information of China (English)

    刘国豪

    2009-01-01

    为减少"技术理性"对人和环境的负面影响,对创造技术产品人文价值的途径进行了探讨.用观察思维法、归纳思维法和定性分析法,对技术去人文化问题进行了概括和揭示,对影响现代技术产品人文内涵的因素进行了定性分析.结果表明,多种因素如文化、市场、技术和设计制约技术人性化和产品人性化,工业设计具有统筹考虑或物化技术、市场、文化因素,创造人文产品的功能.最后指出,利用生态设计、体验设计和非物质设计的功能特点,充分发挥工业设计对技术产品化过程筛选、过滤和净化的功能,能丰富和提升技术产品的人文内涵.%To reduce the negative impact of"technical reason"to human and enviroment,it presents the method to create the technical product's humanistic value.Through the observational thinking,inductive thinking and qualitative analysis,it reveals and generalizes the humanistic care's lose because of technology,and makes a deep qualitative analysis of actors such as culture,market and technology.The Industrial design can merge these actors and transfer them to humanistic product.So the function of ecological design,experiential design and immaterial design must be paid more attention to the purified function of industrial design,enrich and elevate the humanistic concept in technical products.

  1. 7 CFR 226.25 - Other provisions.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Other Provisions § 226.25 Other provisions... 7 CFR part 3016 or 7 CFR part 3019, as applicable. (b) State requirements. Nothing contained in...

  2. 45 CFR 149.105 - Transition provision.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Transition provision. 149.105 Section 149.105 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE EARLY RETIREE REINSURANCE PROGRAM Reinsurance Amounts § 149.105 Transition provision....

  3. The Humanistic Thoughts in the Medieval Secular Literature

    Institute of Scientific and Technical Information of China (English)

    唐思思

    2016-01-01

    At the early medieval period, because of the brutal destruction to the ancient culture after the barbarian invasion, the Christian culture rejects to al the secular culture, as wel as the social reality such as the economic poverty, political corruption, and frequent war. As other ideology, literature became the slaves of theology, making the medieval literature as a literature in the "dark age". Humanists, however, used their own ways as the cardinal point, to “strongly agree against every stereotype that was created by the middle age in the form of art performance”. This article wil analyze the three dimensions about the understanding and the performance of human through three main literary styles at that time.

  4. The humanistic approach in the Public Accountant Education

    Directory of Open Access Journals (Sweden)

    José Carlos Dextre Flores

    2011-06-01

    Full Text Available The objective of this article is to show the importance of the humanistic approach of the accounting student considering the social orientation of accounting knowledge whose main objectives are the preparation, interpretation and assessing of the financial information of the different economical events. These reflections results from three years work devoted to the preparation and implementation of a new career program based on competences for the Facultad de Administración y Contabilidad of the Pontificia Universidad Católica del Perú (PUCP and the result of a research about the needs and interests of the academic, social and business agents related to the accounting field. The career program adopted take the graduated of the career to prepare moral positive judgments and to understand that the occupation training is just a part of the human approach.

  5. Humanist trends preschool education in Japan: theoretical and methodological research

    Directory of Open Access Journals (Sweden)

    L. G. Tarabasova

    2014-08-01

    The main focus of the educational strategy in Japan is on the intrinsic value of every child, regardless of the AI characteristics and abilities. Respect for human subjectivity permeates its entire livelihoods Japanese, from pre­school age, and is the fundamental principle of education. Humanistic principles of education in Japan declares: «untalented children there!». The purpose of education in the Japanese education more educational than education is implemented in the idea of «kokoro», which translated from Japanese means: heart, soul, mind, humanity. Contents concept of « kokoro « include: respect for people and animals, sympathy and generous attitude towards others, the search for truth, the ability to feel a great and high, have self­control, protect nature, to contribute to society. This principle permeates the content of all programs, objects, and daily life. The main objectives of pre­school Japanese teachers determine: training as a benefit for the child.

  6. Developing teachers' social and emotional competence: a humanistic psychology perspective

    Directory of Open Access Journals (Sweden)

    Pablo Palomero Fernández

    2009-08-01

    Full Text Available The social and emotional competences of teachers have a notable influence on the type of teaching that is carried out and on the type of relationships that are built in the classroom. Training teachers in personal aspects is a current urging need. Since the end of the last century there have a great deal of enriching research, courses and publications on teachers' emotional and social intelligence. From the point of view of training, this article presents some limitations of certain emerging proposals. Next, an alternative is proposed, based on the principles of humanistic psychology and promoting the development of five attitudes directly related to the teacher's emotional and social competence: phenomenological disposition, autonomy, responsibility, criteria independence and cooperative disposition. Finally, some the possible shortcomings and negative aspects of the proposed model are discussed, highlighting the need to further investigate the efficiency and relevance of training proposals such as the one presented here in order to increase their social impact.

  7. 42 CFR 412.531 - Special payment provisions when an interruption of a stay occurs in a long-term care hospital.

    Science.gov (United States)

    2010-10-01

    ... long-term care hospital within 3 days of the discharge from the long-term care hospital. The 3-day or... discharge to an acute care hospital, the applicable fixed day period is between 4 and 9 consecutive days. The counting of the days begins on the date of discharge from the long-term care hospital and......

  8. 上海市开展癌症连续性照护服务的制约因素研究%Factors influencing provision of continuity of care for cancer patients in Shanghai

    Institute of Scientific and Technical Information of China (English)

    汤维娟; 徐燕

    2012-01-01

    目的 探讨上海市开展癌症连续性照护服务的制约因素,为完善癌症连续性照护服务体系提供参考.方法 半结构式访谈13所医疗机构的17名医护人员和管理者,运用Colaizzi分析程序对访谈结果进行分析.结果 制约上海市开展癌症连续性照护服务的因素包括3个方面:服务提供方的因素有医院观念不足,人力、财力受限,信息缺乏及社区资源配备不足、能力限制、缺乏与上级医院的合作协调;服务接受方因素为患者对社区服务不信任、对社区服务认识不足;政策因素为严格的社区药品管理规定、机构的自我保护及服务补偿不足等.结论 需要从医院、社区和政策3个方面共同努力,为癌症患者提供连续性照护服务.%Objective To explore factors influencing provision of continuity of care for cancer patients in Shanghai, and to provide re ferences for improving service system. Methods Seventeen care providers or managers working in 13 healthcare institutions were in terviewed using semi structure interviews. Data were analyzed by using Colaizzi process. Results Factors influencing provision of continuity of care were summarized from the following 3 aspects: from care provider s aspect, lack of awareness of continuity of care in hospital care providers, shortage of manpower and financial support, lack of information, insufficient resources in communi ties, poor care capacity of community care providers, and lack of coordination between communities and hospitals; from care re ceiver s aspect, patients distrust in service provided by community care providers and lack of awareness of community services; from policy aspect, strict medication regulations for community healthcare organizations, self protection of healthcare institutions, and lack of service compensation. Conclusion Efforts should be made by hospitals, community healthcare organizations and policy making departments to provide continuity of care

  9. A comparative study of the financing, provision and quality of care in nursing homes: the approach of four European countries: Belgium, Denmark, Germany and the Netherlands.

    NARCIS (Netherlands)

    Meijer, A.; Campen, C. van; Kerkstra, A.

    2000-01-01

    As result of an increase in the numbers of frail elderly people, most European countries are facing problems with the financing and provision of services by nursing homes. At the same time, the expectations of quality of these services continue to rise. The main question investigated in this study

  10. 人文素质教育在中专护生临床带教中的应用%Application of Humanistic Quality Education in the Clinical Teaching for Technical Secondary Nursing School Students

    Institute of Scientific and Technical Information of China (English)

    唐小丽; 何剑; 寇红艳

    2012-01-01

    Objective;To pertinently combine humanities and quality education with clinical care and nursing teaching in technical secondary nursing school students, to train the nursing personnel with the humanistic spirit, to provide quality care for patients. Methods: By improving and regulating teaching management organizations, creating a good cultural practice environment and the corresponding measures were taken for training technical secondary nursing school students. Results: After carrying out the humanistic quality education, the humanistic quality of nursing students was improved and satisfaction of patients was also significantly improved ( P < 0. 01 ). Conclusion; The training of professional skills along with the implementation of the humanistic quality education can improve the human qualities of the technical secondary nursing school students, and provide better humanistic care to patients.%目的 有针对性地将人文素质教育融入中专护生临床护理教学中,培养具有人文精神的护理人才,为患者提供优质护理服务.方法 完善教学管理组织和规范教学管理,营造良好的人文实习环境,并针对中专护生的特点采取相应措施.结果 实施人文素质教育后,中专护生人文素质和患者满意度均明显提高(P<0.01).结论 培养中专护生专业技能的同时,实施人文素质教育,可以提高中专护生的人文素质,从而更好地为患者提供人文关怀服务.

  11. Application of Humanistic Medical Services in Diagnosis and Treatment in Cancer%人性化医疗服务在癌症诊治中的应用

    Institute of Scientific and Technical Information of China (English)

    唐耀华; 唐波涌; 唐净

    2012-01-01

    Humanistic medical service should develop from the "flight attendant type" , "friends and relatives type" to a higher level of " good faith type". Humanistic medical service also should go throughout the whole process of diagnosis and treatment of cancer, and the medical worker not only cure the disease of patients, but also care about the patients psychological feeling, physiological needs and human dignity and then improve cancer cure rate, and prolong patients'survival time and improve the quality of life. Humanistic medical service still needs medical personnel to strengthen the doctor -patient communication, and constantly learning, improve the professional ethics and medical technology level.%人性化医疗服务应从“空姐式”、“亲友式”向更高层次的“诚信式”医疗服务发展.人性化医疗服务需贯穿癌症诊疗的全过程,医务工作者不仅要关注患者的心理感受、生理需要和人格尊严,还要提高癌症治愈率、延长患者生存期、提高其生活质量.同时人性化医疗服务还需要医务人员加强医患沟通,不断学习,提高职业道德和医学技术水平.

  12. Excavation and Sublimation of Medical Humanistic Quality Education%医学人文素养教育的发掘与升华

    Institute of Scientific and Technical Information of China (English)

    艾丽菲热·买买提; 杨毅宁; 马依彤

    2015-01-01

    Under the circumstance of biological-psychological-social medical model, humanistic cultivation becomes increasingly central to medical education in these days, not only because humanistic cultivation contributes a lot to bring up physically and mentally healthy doctors, but also it could help doctors to treat and care for the patients correctly. Humanistic cultivation could be reflected in every aspect in medical education. Everyone in the society is obliged to create a profound humanity atmosphere which could promote its development continuously.%在当今生物-心理-社会医学模式下的医学教育中人文素养教育愈发显现其重要性,人文素养有助于培养优秀且身心健康的医生,亦有助于医治和关怀患者。人文素养教育体现在学生学习、教师教学及校园文化等方方面面,全社会都应参与营造一个深厚的人文素养氛围,并促进其发展。

  13. Application of humanistic nursing for cancer patients%人性化护理在肿瘤患者中的应用

    Institute of Scientific and Technical Information of China (English)

    陈素梅

    2009-01-01

    Objective To explore the humanistic nursing quality and enhance the satisfaction of the hospitalized patients with tumor. Methods Hospitalized Cancer patients from March 2007 to October 2008 were chosen to observe through implementing the humanistic nursing model by strengthening the communication between nurses and patients, improving the hospital environment and changing in nursing services, Results Satisfaction rate of the patients during hospitalization was above 97%. Conclusions The satisfaction of patients with tumor can be improved effectively by enhancing humanistic nursing care.%目的 探讨人性化护理优质举措,提高肿瘤患者住院满意度.方法 选择我科2007年3月至2008年10月住院的肿瘤患者,通过加强护患沟通,改善住院环境,转变护理人员服务理念,实施人性化护理模式.结果 住院患者在住院期间的满意度均为97%以上.结论 重视人性化护理,提升护理质量,可以有效提高患者住院的满意度.

  14. Análise da teoria humanística e a relação interpessoal do enfermeiro no cuidado ao recém-nascido Análisis de la teoría humanística y de la relación interpersonal del enfermero en el cuidado al recién nacido Analysis of humanistic theory and interpersonal relations of nurses in newborn care

    Directory of Open Access Journals (Sweden)

    Karla Maria Carneiro Rolim

    2005-06-01

    que la práctica del enfermero debe estar orientada por referencias teóricas, filosóficas y metodológicas, responsables por llevar al profesional a una crítica reflexiva sobre el "ser" y el "hacer".Theories are propositions created to evaluate nursing care, allowing nurses to consider and incorporate them in their professional practice. This Masters study was aimed at thinking critically about the practical usefulness of the concepts of Humanistic Nursing Theory. This descriptive-reflexive study was carried out in 2004 and used Meleis' model for the analysis of theories. The "critique of theory" segment was taken from this model to be used as an analytical tool, with emphasis on the "usefulness" parameter. The critical analysis revealed the notorious "usefulness" of interpersonal relations and dialogue, which can be used in daily practice at the Newborn Intensive Care Unit, valuing the human affective relations, which are essential for nursing care. Nursing practice should be guided by theoretical, philosophical, and methodological reference frameworks, responsible for making professionals reflect critically on themselves and their practice.

  15. A Course on Humanistic Creativity in Later Life: Literature Review, Case Histories, and Recommendations.

    Science.gov (United States)

    Nuessel, Frank; Van Stewart, Arthur; Cedeno, Aristofanes

    2001-01-01

    Presents case histories of late-life creativity in literature (May Sarton), painting (Marcel Duchamp), music (Leos Janacek), dance (Martha Graham), and theatre (Jessica Tandy). Offers suggestions for a course on humanistic creativity in later life. (Contains 74 references.) (SK)

  16. Models of Public Service Provision

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh; Kristensen, Nicolai; Pedersen, Lene Holm

    2013-01-01

    This article extends the framework of Le Grand (2003, 2010) to encompass responsiveness, and the main argument is that the combination of employee motivation, user capacity, and models of public service provision potentially has serious implications for responsiveness across service areas. Although...... research on employee motivation thrives, especially in the public service motivation (PSM) literature, few studies have investigated user capacity empirically, and we know little about the combination of PSM, user capacity and models of service provision. Analyzing four central service areas (day care......, schools, hospitals, and universities), we find variations in both user capacity and PSM. Taking this variation as a point of departure we discuss what implications different combinations of employee motivation, user capacity, and models of public service provision may have for responsiveness....

  17. Inciting the Metric Oriented Humanist: Teaching Bibliometrics in a Faculty of Humanities

    DEFF Research Database (Denmark)

    Zuccala, Alesia Ann

    2016-01-01

    principles and practices associated with teaching bibliometrics to humanists, with the aim of encouraging students to reflect upon new indicators relevant to scholarly research outputs across the humanities. Emphasis is placed on the “biblio” in bibliometrics (i.e., books), digital record-keeping across...... the humanities, the work of humanists who have sought to explain the development of new knowledge through objective pattern-seeking, and the complementary value of alternative versus traditional indicators of scholarly research performance....

  18. The humanistic, economic and societal burden of herpes zoster in Europe: a critical review.

    Science.gov (United States)

    Gater, Adam; Uhart, Mathieu; McCool, Rachael; Préaud, Emmanuelle

    2015-02-27

    Herpes zoster (HZ) or "shingles" is common in persons aged 50 years or over. HZ is characterised by a painful dermatological rash which typically resolves in approximately one month. Persistent pain for months or years after rash onset, however, is a common complication of HZ; referred to as post-herpetic neuralgia (PHN). Both HZ and PHN have a significant impact on patients' lives, with considerable implications for healthcare systems and wider society. The aim of the present review is to provide comprehensive documentation and critical appraisal of published data concerning the humanistic, economic and societal burden of HZ in Europe. Systematic literature searches were conducted in Medline, EMBASE, PsycINFO, EconLit, HEED and CRD databases. Searches were conducted in July 2014 and restricted to articles published in the past 20 years. Articles were selected for full review by two independent researchers in accordance with predefined eligibility criteria. From a review of 1619 abstracts, 53 eligible articles, were identified which reported data concerning healthcare resource use (n = 38), direct costs (n = 20), indirect costs (n = 16), total costs (n = 10) and impact on health-related quality of life (HRQoL) (n = 21). Findings highlight that PHN is associated with greater impairments in HRQoL and higher costs of management than HZ. For both HZ and PHN, pain severity is a significant predictor of impact on individuals, healthcare systems and society. While the incidence of HZ and PHN increase with age, age does not appear to be a key driver of overall costs for HZ and PHN. Specifically, while direct costs (e.g. GP, specialists, medications, hospitalisations) tend to be higher for older patients, indirect costs (e.g. work time missed) are higher for younger patients. Available evidence highlights that HZ and PHN result in significant humanistic and economic burden for patients, healthcare systems and wider societies. A tendency to focus upon healthcare resource use

  19. A humanist's legacy in medical informatics: visions and accomplishments of Professor Jean-Raoul Scherrer.

    Science.gov (United States)

    Geissbühler, A; Lovis, C; Spahni, S; Appel, R D; Ratib, O; Boyer, C; Hochstrasser, D F; Baud, R

    2002-01-01

    To report about the work of Prof. Jean-Raoul Scherrer, and show how his humanist vision, his medical skills and his scientific background have enabled and shaped the development of medical informatics over the last 30 years. Starting with the mainframe-based patient-centered hospital information system DIOGENE in the 70s, Prof. Scherrer developed, implemented and evolved innovative concepts of man-machine interfaces, distributed and federated environments, leading the way with information systems that obstinately focused on the support of care providers and patients. Through a rigorous design of terminologies and ontologies, the DIOGENE data would then serve as a basis for the development of clinical research, data mining, and lead to innovative natural language processing techniques. In parallel, Prof. Scherrer supported the development of medical image management, ranging from a distributed picture archiving and communication systems (PACS) to molecular imaging of protein electrophoreses. Recognizing the need for improving the quality and trustworthiness of medical information on the Web, Prof. Scherrer created the Health-On-the-Net (HON) foundation. These achievements, made possible thanks to his visionary mind, deep humanism, creativity, generosity and determination, have made of Prof. Scherrer a true pioneer and leader of the human-centered, patient-oriented application of information technology for improving healthcare.

  20. A HUMANISTIC PHYLOSOPHICAL ANALYSIS ON WOMEN EXISTENCE IN THE FIQH OF SYAFII

    Directory of Open Access Journals (Sweden)

    Iffatin Nur

    2015-06-01

    Full Text Available In the fiqh of Shāfi‘ī, a humanistic philosophical analysis on women existence is given serious attention, particularly in his investigation on the matters of women. It is very vivid in his magnum opuses entitled al-Umm (The Mother, al-Risālah fi Us\\ūl al-Fiqh and his periodicals qawl qadīm (old view and qawl jadīd (new view. This article seeks to provide thorough analysis on the women empowerment through humanistic values from methodological and legal products aspects generated by Shāfi‘ī. In the aspect of methodology (us\\ūl fiqh, the use of qiyās (analogy is an indication of the humanistic value in the development of the mas\\lah\\ah\\ (beneficial principles. The legal products aspect can be explored through the following three classifications. Firstly, humanistic values of women in the law regarding the properties. Secondly, the humanistic values of women in the state law on economic issues related to religious conversion and social relations in political settings. Thirdly, the humanistic values of women in the marriage laws.

  1. Bernardo de Aldrete, humanist and laminario

    Directory of Open Access Journals (Sweden)

    Woolard, Kathryn A.

    2003-12-01

    Full Text Available The humanist scholar and philologist Bernardo de Aldrete had a contradictory relationship to the Sacromonte affair. His first book in 1606 was a pathbreaking history of the Spanish language. Notable for its rigorous methods of linguistic inquiry, that work demonstrated the Latin origins of Spanish and rejected its existence before the time of the Visigoths. Aldrete's thesis was attacked for impugning the authenticity of the Turpiana parchment. In a second book Aldrete defended both his earlier work and the Sacromonte discoveries. He assisted Archbishop de Castro in the defense of the lead books, but that role has received little attention from historians. This article draws together Aldrete's published work and his correspondence with the Archbishop's house- hold to bring his role in the Sacromonte case into focus. It attempts to identify the continuities as well as the more often noted contradictions between Aldrete's roles as laminario and humanist scholar.

    La relación de Bernardo de Aldrete, humanista y filólogo, con el caso del Sacromonte fue ambigua. Su primer libro, publicado en 1606, fue una historia innovadora de la lengua española. Notable por sus métodos rigurosos de investigación lingüística, la obra mostró los orígenes latinos del español y rechazó su existencia antes de la época de los godos. La tesis de Aldrete fue atacada por impugnar la autenticidad del pergamino de la Torre Turpiana. En otro libro, Aldrete defendió su obra anterior y también los hallazgos del Sacromonte. Aldrete ayudó al Arzobispo de Castro en la defensa de los libros plúmbeos, un papel que ha llamado poco la atención de historiadores del Sacromonte. Este artículo compagina la obra publicada de Aldrete y su correspondencia con la casa del Arzobispo, para enfocar su papel en el caso del Sacromonte. Pretende identificar tanto las continuidades como las contradicciones entre el trabajo de Aldrete como laminario y como humanista.

  2. 试析地方高校成人高等教育中的人文素质教育%the Training of Humanistic Quality for Higher Adult Education in Local Universities

    Institute of Scientific and Technical Information of China (English)

    甘杰

    2009-01-01

    In this paper the deficiency of humanistic quality for higher adult education in local universities is analyzed, and the methods are investigated on how to reflect the training purpose of humanistic quality in the training plan, how to emphasize the training method in the classroom teaching, and how to display humanistic care in the teaching manage-ment. It is important to find some approaches to show the personality and characteristic for each student in various activi-ties, and to strengthen the training of humanistic quality for higher adult education in local universities.%文章分析了地方高校成人高等教育中学员人文素质缺失的成因,探讨了在教学计划中体现人文素质的培养目标,在课堂教学中注重人文素质的培养手段,在教学管理中凸显人文关怀,在各类活动中彰显学员的个性,加强地方高校成教学员人文素质的培养.

  3. [The Electronic Health Information System (eGIS) of the National Association of Statutory Health Insurance Physicians (KBV): a basis for small-scale analyses of health-care provision].

    Science.gov (United States)

    Kopetsch, T; John, S

    2014-02-01

    As one of the main players in the German health system, the National Association of Statutory Health Insurance Physicians (KBV) is heavily involved in issues around research and planning for the current and future provision of medical care. The KBV is particularly concerned with tackling the challenge of establishing a uniform source of data and is working to bridge the"data divide" in the research and planning of medical care. To this end, it has developed the Electronic Health Information System (eGIS). The procedure for setting up the EGIS was as follows: (1) Merging externally available data from the relevant sectors of the German health system with the KBV's own data to form a single database. (2) Merging and aggregating the cross-sector data at a single small-scale geographical level. (3) Capturing several years' worth of data in order to be able to carry out time series analyses and identify trends. eGIS provides a single database and uniform evaluation methods, thus ensuring that the principles of homogeneity and comparability are adhered to. The access it gives to the available regionalized data facilitates comprehensive analyses, such as regional, time series and regression analyses, at a small-scale level. The design chosen for the eGIS ensures that its analyses achieve high consistency in answering questions related to the provision of medical care. With the help of the eGIS, an exceptionally broad range of issues in the field of health and medical care can be studied at a regional level.

  4. Riddle of light: a seminar course for scientists and humanists

    Science.gov (United States)

    Stoicheff, Boris P.

    2000-06-01

    Recently a new program of `First Year Seminar Courses' was initiated in the Faculty of Arts and Science at the University of Toronto to introduce in-coming undergraduates to the excitement of university scholarship. These are full- year elective courses, and in each course students work closely with a faculty member in groups of no more than 20 students. I shall review my experiences in these past three years in organizing a course on light, optics, and photonics. The primary aim was to use the rich story of light to bring together students of a variety of intellectual interests, in the hope of demonstrating the valuable knowledge that the cultures of the humanists and scientists can bring to an understanding of the modern world. As we are all aware, the story of light is so all- embracing that this course included not only the science of light and optics, with lasers and photonics, but light in the open air, astronomy, religion, literature, art, architecture, film, stage, health and medicine, with several of the topics discussed by guest speakers. After a brief review of the story of light from its earliest beginnings, an outline of the course will be given along with the many contributions by the students and evaluation of their efforts.

  5. 人性化护理对外科患者满意度的影响%Influence of Humanistic Nursing on the Patients' Satisfaction Surgery

    Institute of Scientific and Technical Information of China (English)

    孟泉辛

    2015-01-01

    Objective To explore the influence of humanistic nursing on the patients' satisfaction surgery.Methods 300 cases of surgical patients as research subjects,the patients were randomly divided into control group and observation group,each 150 cases,the control group was given conventional nursing,the observation group was given the humanistic nursing care, compared two groups of patients' satisfaction to nursing care.Results Observation of the total satisfaction of patients was 96.7%,significantly higher than 82.7% in the control group,the difference was statisticaly significant(P<0.05).Conclusion Humanistic nursing care can improve the mental status of surgical patients,improve patient satisfaction.%目的:探讨人性化护理对外科患者满意度的影响。方法将300例外科患者作为研究对象,将患者完全随机分为对照组和观察组,各150例,对照组患者给予传统护理,观察组患者给予人性化护理,比较两组患者的护理满意度。结果观察组患者总满意度为96.7%,明显高于对照组的82.7%,差异有统计学意义(P<0.05)。结论人性化护理可改善外科患者的心理状况,提高患者的满意度。

  6. Mapping Self-Confidence Levels of Nurses in Their Provision of Nursing Care to Others with Alcohol and Tobacco Dependence, Using Rasch Scaling

    Science.gov (United States)

    Blackman, Ian; de Crespigny, Charlotte; Parker, Steve

    2006-01-01

    This study seeks to identify factors that influence the perceived complexity of providing nursing care to others (who are dependent on alcohol and tobacco) and the confidence of undergraduate student nurses to carry out this care. The research project is designed to explore whether there is a difference between the perceived complexities of 57…

  7. Learning from the public: citizens describe the need to improve end-of-life care access, provision and recognition across Europe

    NARCIS (Netherlands)

    Daveson, B.A.; Alonso, J.P.; Calanzani, N.; Ramsenthaler, C.; Gysels, M.; Antunes, B.; Moens, K.; Groeneveld, E.I.; Albers, G.; Finetti, S.; Pettenati, F.; Bausewein, C.; Higginson, I.J.; Harding, R.; Deliens, L.; Toscani, F.; Ferreira, P.L.; Ceulemans, L.; Gomes, B.

    2014-01-01

    Background: Despite ageing populations and increasing cancer deaths, many European countries lack national policies regarding palliative and end-of-life care. The aim of our research was to determine public views regarding end-of-life care in the face of serious illness. Methods: Implementation of a

  8. Barriers to the provision of high-quality palliative care for people with dementia in England: a qualitative study of professionals' experiences

    NARCIS (Netherlands)

    Davies, N.; Maio, L.; Vedavanam, K.; Manthorpe, J.; Vernooij-Dassen, M.J.F.J.; Iliffe, S.

    2014-01-01

    Approaches to palliative care that were originally developed for people with cancer are now being adopted for people with dementia, as a response to many reports of poor-quality care for people with dementia at the end of life. This study explored perceived barriers to the delivery of high-quality p

  9. Bench-to-bedside review: Humanism in pediatric critical care medicine – a leadership challenge

    Science.gov (United States)

    Kissoon, Niranjan

    2005-01-01

    A humanistic approach to leadership is especially important in the case of children in the technology-rich intensive care unit (ICU) environment. Leaders should create a humanistic milieu in which the needs of critically ill children, their families and staff are never overlooked. Humanistic leaders are tactful, accessible, approachable and versatile, and have a sense of humour. Humanness in the ICU environment has many faces and poses a challenge to many in leadership positions. Humanistic leaders treat others as they hope they will become. They are constantly questioning themselves, seeking awareness of themselves and others, but most importantly they are constantly learning and evolving. Ultimately, humanistic leadership creates an ICU culture that supports all, is conducive to enriching lives, and is sensitive to the needs of patients and their families. PMID:16137386

  10. Application Experience of Humanistic Concern in Pediatric Nursing%人文关怀在儿科护理中的应用体会

    Institute of Scientific and Technical Information of China (English)

    王小霞

    2015-01-01

    目的:探讨人文关怀在儿科临床护理工作中的应用体会。方法:结合当今医疗护理工作中“以人为本”的新理念,分析和探讨儿科临床护理工作中的人文关怀服务。结果:人文关怀服务促使儿科患者及其家属在临床护理工作中感受到温暖、关怀和信任,同时也促使护理人员感受到被尊重、信任和温暖,符合“以人为本,用心服务”的新理念要求。结论:人文关怀服务在儿科临床护理实践中的实施,能为患者及其家属营造和谐的环境,促进患者配合和家属认可,并建立起良好的护患关系,减轻护理人员工作、心理负担,提高临床护理工作的整体服务水平和质量。%Objective: To investigate the application of humanistic care in pediatric nursing. Methods: Based on the new concept of Human-oriented in the work of medical nursing, the humanistic care in pediatric clinical nursing is analyzed and discussed. Results: The humanistic solicitude service prompted pediatric patients and their families feel warm, caring, and trust in the clinical nursing work, but also to promote the nursing staff to feel respected, trust and warm in line with the requirements of the new concept of Human- oriented and considerate services. Conclusion: Implementation of humanistic care in pediatric clinical nursing practice, for patients and their families to create harmonious environment, promote the cooperation of patients and their families recognition and establish a good nursing patient relationship, reduce the nursing work and psychological burden, improve the overall service level and quality of the clinical nursing work.

  11. Valuing Human Significance: Connecting Leadership Development to Personal Competence, Social Competence, and Caring.

    Science.gov (United States)

    Haber-Curran, Paige; Allen, Scott J; Shankman, Marcy Levy

    2015-01-01

    This chapter examines humanistic ways of understanding learning; connects leadership learning to the concepts of personal competence, social competence, and caring; and introduces the model of emotionally intelligent leadership. © 2015 Wiley Periodicals, Inc., A Wiley Company.

  12. 'I Used to Fight with Them but Now I Have Stopped!': Conflict and Doctor-Nurse-Anaesthetists' Motivation in Maternal and Neonatal Care Provision in a Specialist Referral Hospital.

    Directory of Open Access Journals (Sweden)

    Matilda Aberese-Ako

    Full Text Available This paper analyses why and how conflicts occur and their influence on doctors and nurse-anaesthetists' motivation in the provision of maternal and neonatal health care in a specialist hospital.The study used ethnographic methods including participant observation, conversation and in-depth interviews over eleven months in a specialist referral hospital in Ghana. Qualitative analysis software Nvivo 8 was used for coding and analysis of data. Main themes identified in the analysis form the basis for interpreting and reporting study findings.Ethical clearance was obtained from the Ghana Health Service Ethics Review board (approval number GHS-ERC:06/01/12 and from the University of Wageningen. Written consent was obtained from interview participants, while verbal consent was obtained for conversations. To protect the identity of the hospital and research participants pseudonyms are used in the article and the part of Ghana in which the study was conducted is not mentioned.Individual characteristics, interpersonal and organisational factors contributed to conflicts. Unequal power relations and distrust relations among doctors and nurse-anaesthetists affected how they responded to conflicts. Responses to conflicts including forcing, avoiding, accommodating and compromising contributed to persistent conflicts, which frustrated and demotivated doctors and nurse-anaesthetists. Demotivated workers exhibited poor attitudes in collaborating with co-workers in the provision of maternal and neonatal care, which sometimes led to poor health worker response to client care, consequently compromising the hospital's goal of providing quality health care to clients.To improve health care delivery in health facilities in Ghana, health managers and supervisors need to identify conflicts as an important phenomenon that should be addressed whenever they occur. Effective mechanisms including training managers and health workers on conflict management should be put in

  13. Experiences with provision of post-abortion care in a university teaching hospital in south-east Nigeria: a five year review.

    Science.gov (United States)

    Kalu, Collins A; Umeora, O U J; Sunday-Adeoye, I

    2012-03-01

    The objective of the study was to review the implementation of Post Abortion Care and effective linkage to other post abortion services in Ebonyi State University Teaching Hospital, Abakaliki, Nigeria. Data on PAC over a five year period (July, 2004 to June, 2009) were analyzed and a standardized questionnaire was administered to 45 direct PAC service providers. Abortion complications constituted 41.4% of all Gynaecological admissions. Maternal mortality from complications of abortion was 11.5% of all the maternal mortality at the centre. Women aged 19 years and less were 37 (7.1%) and single women were 132, constituting 25.3% of all cases. About 31% of the PAC care providers had formal training for the implementation of the PAC services. Fifteen percent of the care givers were satisfied with the linkage between PAC and the Family Planning services. There is poor integration between emergency post abortion care and other reproductive health services in the centre.

  14. Primary care provision by volunteer medical brigades in Honduras: a health record review of more than 2,500 patients over three years.

    Science.gov (United States)

    Martiniuk, Alexandra L C; Adunuri, Nikesh; Negin, Joel; Tracey, Patti; Fontecha, Claudio; Caldwell, Paul

    2012-01-01

    The weak health system in Honduras contributes to poor health indicators. To improve population health, a number of volunteer medical brigades from developed countries provide health services in Honduras. To date, there is little information on the brigades' activities and impact. The primary objective of this article is to increase understanding of the type of health care provided by voluntary medical brigades by evaluating and presenting data on patients' presenting symptoms, diagnoses, and care outcomes. The article focuses on an ongoing medical brigade organized by Canadian health professionals in conjunction with Honduras' largest national non-governmental organization. This is a descriptive study of data that are routinely collected by volunteer Canadian health care professionals. Data on all patients presenting to temporary primary health care facilities across Honduras between 2006 and 2009 were analyzed. The data were used to analyze patient demographics, presenting symptoms, diagnoses, and treatments. We found that the brigades provide additional human resources to the relatively weak Honduran health care system. However, while brigades may increase solidarity between Hondurans and Canadians, concerns persist regarding cost-effectiveness and continuity of care for conditions treated by short-term brigade volunteers. Greater scrutiny is needed to increase brigades' effectiveness and ensure they are supportive of domestic health systems.

  15. 人性化护理在产科母婴分离中对产妇的积极作用探究%The Humanistic Nursing in Maternal Separation in Positive Effects on Maternal Analysis

    Institute of Scientific and Technical Information of China (English)

    王晶

    2014-01-01

    人性化护理对产科母婴分离时产妇是十分重要的,通过人性化关爱护理,可以使产科母婴分离时产妇保持良好的情绪、树立信心、各种合理的服务需求得到满足。实施人性化护理。对产妇进行全面评估及心理护理;针对性给予产妇必要的知识及技能指导;加强人文关怀,对增加产妇对新生儿疾病的恢复信心率,母乳喂养、婴儿护理知识及技能掌握有显著的提升。本文着重谈一些产科母婴分离时产妇的人性化护理体会。%Humanistic nursing is very important for obstetric maternal separation when the maternal, the humanity care, can make the obstetric maternal separation when the maternal keep good mood, establish confidence, al reasonable service needs are met. The implementation of humanistic care. To conduct a comprehensive assessment and psychological nursing for parturient; the necessary knowledge and skills to maternal guidance; strengthening humanistic care, the increased maternal neonatal diseases to restore confidence, breastfeeding, infant care knowledge and skills have improved. Experience of humanistic nursing obstetric maternal separation when maternal focused on in this paper.

  16. Does involving volunteers in the provision of palliative care make a difference to patient and family wellbeing? A systematic review of quantitative and qualitative evidence.

    Science.gov (United States)

    Candy, Bridget; France, Rachel; Low, Joe; Sampson, Liz

    2015-03-01

    Despite the extent of volunteers' contribution to palliative care, and their role in direct patient care, there has been no systematic evaluation of the evidence-base on volunteers in relation to patient and family wellbeing. To critically review research, on the impact of volunteers involved in the direct care of palliative patients and their families. We searched for studies, reporting patient and family data on the impact of volunteer services in palliative care in thirteen citation databases up to May 2013. We included quantitative comparative studies. We also noted any non-comparative studies, enabling us to give a comprehensive review of the existing research. We also included qualitative studies that explored the experiences of patients and families who received volunteer support, potentially illustrating which aspects of volunteer activities patients and families value. We applied quality appraisal criteria to all studies meeting inclusion criteria. Two researchers undertook key review processes. We found eight studies. Only two studies were undertaken outside of North America; one in the Netherlands and the other in Uganda. All studies were in adult palliative care services. All evaluated volunteers were in home care settings, three of the studies included other settings such as hospitals and nursing homes. All of the studies fulfilled our quality appraisal criteria. Six of them were quantitative studies and two were comparative: one found that those families who experienced greater (as opposed to lesser) volunteer involvement were significantly more satisfied with care; the other found that patients survived significantly longer if they had received home visits from a volunteer. Four cross-sectional studies focused on satisfaction ratings. No study considered possible disadvantages or adverse effects of volunteer involvement. Two qualitative studies were identified; both highlighted the uniqueness of the role volunteers may fulfil in care support, from

  17. Humanistic and positive psychology need each other, and to advance, our field needs both.

    Science.gov (United States)

    Schneider, Kirk J

    2014-01-01

    Comments on the article "The humanistic psychology-positive psychology divide: Contrasts in philosophical foundations" by Waterman (see record 2013-12501-001). Alan Waterman's article is an illuminating contribution that will be reviewed and debated for years to come. The current author is appreciative of Waterman for raising key questions about the respective worldviews of humanistic and positive psychology and their potential for rapprochement. That said, the current author thinks Waterman's conclusion that both perspectives are better off pursuing their own independent agendas is a short-sighted one that is likely to have debilitating, if not dire, effects on the future of our profession. The current author believes that there are many ways for existential-humanistic and positive psychology researchers to collaborate.

  18. Delay in the provision of adequate care to women who died from abortion-related complications in the principal maternity hospital of Gabon.

    Science.gov (United States)

    Mayi-Tsonga, Sosthene; Oksana, Litochenko; Ndombi, Isabelle; Diallo, Thierno; de Sousa, Maria Helena; Faúndes, Aníbal

    2009-11-01

    Deaths resulting from unsafe induced abortions represent a major component of maternal mortality in countries with restrictive abortion laws. Delays in obtaining care for maternal complications constitute a known determinant of a woman's risk of death. However, data on the role of delays in providing care at health care facilities are sparse. The association between the cause of maternal death (abortion versus post-partum haemorrhage or eclampsia) and the time interval between admission to hospital and the initiation of treatment were evaluated among women who died at the Maternité du Centre Hospitalier de Libreville, Gabon, between 1 January 2005 and 31 December 2007. The women's characteristics and the time between diagnosis of the condition that led to death and the initiation of treatment were compared for each cause of death. After controlling for selected variables, the mean time between admission and treatment was 1.2 hours (95% CI: 0.0-5.6) in the case of women who died from post-partum haemorrhage or eclampsia and 23.7 hours (95% CI: 21.1-26.3) in the case of women who died of abortion-related complications. In conclusion, delay in initiating care was far greater in cases of women with complications of unsafe abortion compared to other pregnancy-related complications. Such delays may constitute an important determinant of the risk of death in women with abortion-related complications.

  19. Improving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care - A multicentre study in seven European countries

    NARCIS (Netherlands)

    Bernsten, C; Bjorkman, [No Value; Caramona, M; Crealey, G; Frokjaer, B; Grundberger, E; Gustafsson, T; Henman, M; Herborg, H; Hughes, C; McElnay, J; Magner, M; van Mil, F; Schaeffer, M; Silva, S; Sondergaard, B; Sturgess, [No Value; Tromp, D; Vivero, L; Winterstein, A

    2001-01-01

    Objective: This study aimed to measure the outcomes of a harmonised, structured pharmaceutical care programme provided to elderly patients: (greater than or equal to 65 years of age) by community pharmacists in a multicentre international study performed in 7 European countries. Design and setting:

  20. Application of Humanistic Concern and Health Education in Neurosurgery%人文关怀及健康教育在神经外科中的应用

    Institute of Scientific and Technical Information of China (English)

    熊飞

    2012-01-01

    Objective: Investigate the application and effect of humanistic concern and health education in Neurosurgery. Method: Questionnaires about the humanistic concern and health education were used in 120 patients admitted in hospital from June,2010 to October,2011. R8SliltS;The higher patient satisfaction rate project was the daily list on the implementation (92. 3% ) , diet and rest guidance (89. 17% ) , active knowing the disease condition (86.67% ) , doctors'diagnosis and treatment attitudes (85.83% ) ; The lower patient satisfaction rate project was the explanation of disease (47. 5% ) , consultation in drug use and checking (58. 33% ). Survey results showed that humanistic care and health education in neurosurgery were ideal. Conclusion: Humanistic care and health education helps to improve the medical service quality, reduce the medical dispute.%目的 对人文关怀及健康教育在神经外科中的应用及效果进行调查和分析.方法 以调查问卷方式对本院2010年6月-2011年10月期间神经外科120例患者人文关怀及健康教育效果进行评价.结果 患者满意率较高的项目为每日清单执行情况(92.5%),饮食及休息指导(89.17%),主动了解病情(86.67%),医师诊疗服务态度(85.83%);患者满意率较低的项目为对病情解释(47.5%)及用药和检查征求意见(58.33%).调查结果表明本院神经外科人文关怀及健康教育效果较为理想.结论 人文关怀和健康教育有助于提高医疗服务质量,减少护患纠纷.

  1. Formation of the Humanistic Position of a Teenager in the Course of Collective Activity

    Directory of Open Access Journals (Sweden)

    Kovtun G. V.

    2014-01-01

    Full Text Available The pedagogical conditions for the formation of a humanistic position of a teenager in the process of interaction in the team are examined on the basis of implementation of the ideas of pedagogy and methods of I. P. Ivanov in the conditions of summer camp, working on the training program for volunteers. The results of experimental work allow ascertaining of the formation of humanistic values of teenager included in the process of social creativity aimed at the unselfish concern about the society.

  2. The provision of out-of-hours care and associated costs in an urban area of Switzerland: a cost description study

    Directory of Open Access Journals (Sweden)

    Senn Oliver

    2010-12-01

    Full Text Available Abstract Background In Switzerland, General Practitioners (GPs play an important role for out-of-hours emergency care as one service option beside freely accessible and costly emergency departments of hospitals. The aim of this study was to evaluate the services provided and the economic consequences of a Swiss GP out-of-hours service. Methods GPs participating in the out-of-hours service in the city of Zurich collected data on medical problems (ICPC coding, mode of contact, mode of resource use and services provided (time units; diagnostics; treatments. From a health care insurance perspective, we assessed the association between total costs and its two components (basic costs: charges for time units and emergency surcharge; individual costs: charges for clinical examination, diagnostics and treatment in the discretion of the GP. Results 125 GPs collected data on 685 patient contacts. The most prevalent health problems were of respiratory (24%, musculoskeletal (13% and digestive origin (12%. Home visits (61% were the most common contact mode, followed by practice (25% and telephone contacts (14%. 82% of patients could be treated by ambulatory care. In 20% of patients additional technical diagnostics, most often laboratory tests, were used. The mean total costs for one emergency patient contact were €144 (95%-CI: 137-151. The mode of contact was an important determinant of total costs (mean total costs for home visits: €176 [95%-CI: 168-184]; practice contact: €90 [95%-CI: 84-98]; telephone contact: €48 [95%-CI: 40-55]. Basic costs contributed 83% of total costs for home visits and 70% of total costs for practice contacts. Individual mean costs were similarly low for home visits (€30 and practice contacts (€27. Medical problems had no relevant influence on this cost pattern. Conclusions GPs managed most emergency demand in their out-of-hours service by ambulatory care. They applied little diagnostic testing and basic care. Our

  3. Partnership for fragility bone fracture care provision and prevention program (P4Bones: study protocol for a secondary fracture prevention pragmatic controlled trial

    Directory of Open Access Journals (Sweden)

    Gaboury Isabelle

    2013-01-01

    Full Text Available Abstract Background Fractures associated with bone fragility in older adults signal the potential for secondary fracture. Fragility fractures often precipitate further decline in health and loss of mobility, with high associated costs for patients, families, society and the healthcare system. Promptly initiating a coordinated, comprehensive pharmacological bone health and falls prevention program post-fracture may improve osteoporosis treatment compliance; and reduce rates of falls and secondary fractures, and associated morbidity, mortality and costs. Methods/design This pragmatic, controlled trial at 11 hospital sites in eight regions in Quebec, Canada, will recruit community-dwelling patients over age 50 who have sustained a fragility fracture to an intervention coordinated program or to standard care, according to the site. Site study coordinators will identify and recruit 1,596 participants for each study arm. Coordinators at intervention sites will facilitate continuity of care for bone health, and arrange fall prevention programs including physical exercise. The intervention teams include medical bone specialists, primary care physicians, pharmacists, nurses, rehabilitation clinicians, and community program organizers. The primary outcome of this study is the incidence of secondary fragility fractures within an 18-month follow-up period. Secondary outcomes include initiation and compliance with bone health medication; time to first fall and number of clinically significant falls; fall-related hospitalization and mortality; physical activity; quality of life; fragility fracture-related costs; admission to a long term care facility; participants’ perceptions of care integration, expectations and satisfaction with the program; and participants’ compliance with the fall prevention program. Finally, professionals at intervention sites will participate in focus groups to identify barriers and facilitating factors for the integrated

  4. The provision of out-of-hours care and associated costs in an urban area of Switzerland: a cost description study.

    Science.gov (United States)

    Eichler, Klaus; Imhof, Daniel; Chmiel, Corrine; Zoller, Marco; Senn, Oliver; Rosemann, Thomas; Huber, Carola A

    2010-12-20

    In Switzerland, General Practitioners (GPs) play an important role for out-of-hours emergency care as one service option beside freely accessible and costly emergency departments of hospitals. The aim of this study was to evaluate the services provided and the economic consequences of a Swiss GP out-of-hours service. GPs participating in the out-of-hours service in the city of Zurich collected data on medical problems (ICPC coding), mode of contact, mode of resource use and services provided (time units; diagnostics; treatments). From a health care insurance perspective, we assessed the association between total costs and its two components (basic costs: charges for time units and emergency surcharge; individual costs: charges for clinical examination, diagnostics and treatment in the discretion of the GP). 125 GPs collected data on 685 patient contacts. The most prevalent health problems were of respiratory (24%), musculoskeletal (13%) and digestive origin (12%). Home visits (61%) were the most common contact mode, followed by practice (25%) and telephone contacts (14%). 82% of patients could be treated by ambulatory care. In 20% of patients additional technical diagnostics, most often laboratory tests, were used. The mean total costs for one emergency patient contact were €144 (95%-CI: 137-151). The mode of contact was an important determinant of total costs (mean total costs for home visits: €176 [95%-CI: 168-184]; practice contact: €90 [95%-CI: 84-98]; telephone contact: €48 [95%-CI: 40-55]). Basic costs contributed 83% of total costs for home visits and 70% of total costs for practice contacts. Individual mean costs were similarly low for home visits (€30) and practice contacts (€27). Medical problems had no relevant influence on this cost pattern. GPs managed most emergency demand in their out-of-hours service by ambulatory care. They applied little diagnostic testing and basic care. Our findings are of relevance for policy makers even from other

  5. Role of traditional birth attendants (TBAs) in provision of antenatal and perinatal care at home amongst the urban poor in Delhi, India.

    Science.gov (United States)

    Singh, Samiksha; Chhabra, Pragti; Sujoy, Rachna

    2012-01-01

    More than 80% of deliveries amongst the urban poor are conducted at home, mostly by traditional birth attendants (TBAs). In all, 29 eligible TBAs in the study area were identified and interviewed to assess their knowledge and practices regarding antenatal and perinatal care. Their knowledge about complications in antenatal and perinatal period was inadequate. The majority provided inadequate advice to the mothers. Over seventy-nine percent (79.3%) gave injections of oxytocin. Sixteen (55.2%) did not wait or waited for less than 10 minutes for the mother to expel the placenta. Fourteen (48.3%) encountered excessive vaginal bleeding, but none knew how to manage it. Overall knowledge and care provided by the TBAs was poor.

  6. Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

    OpenAIRE

    Banke-Thomas, Aduragbemi; Wright, Kikelomo; Sonoiki, Olatunji; Banke-Thomas, Oluwasola; Ajayi, Babatunde; Ilozumba, Onaedo; Akinola, Oluwarotimi

    2016-01-01

    Background: Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the ‘handbook’, has been used to monitor availability, utilization, and quality of EmOC. Objective: To assess application and explore experiences of researchers in LMICs in assessing EmOC. Design: Multiple databases of peer-reviewed literature were sys...

  7. Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada

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    Macaulay Ann C

    2011-10-01

    Full Text Available Abstract Background Aboriginal peoples globally, and First Nations peoples in Canada particularly, suffer from high rates of type 2 diabetes and related complications compared with the general population. Research into the unique barriers faced by healthcare providers working in on-reserve First Nations communities is essential for developing effective quality improvement strategies. Methods In Phase I of this two-phased study, semi-structured interviews and focus groups were held with 24 healthcare providers in the Sioux Lookout Zone in north-western Ontario. A follow-up survey was conducted in Phase II as part of a larger project, the Canadian First Nations Diabetes Clinical Management and Epidemiologic (CIRCLE study. The survey was completed with 244 healthcare providers in 19 First Nations communities in 7 Canadian provinces, representing three isolation levels (isolated, semi-isolated, non-isolated. Interviews, focus groups and survey questions all related to barriers to providing optimal diabetes care in First Nations communities. Results the key factors emerging from interviews and focus group discussions were at the patient, provider, and systemic level. Survey results indicated that, across three isolation levels, healthcare providers' perceived patient factors as having the largest impact on diabetes care. However, physicians and nurses were more likely to rank patient factors as having a large impact on care than community health representatives (CHRs and physicians were significantly less likely to rank patient-provider communication as having a large impact than CHRs. Conclusions Addressing patient factors was considered the highest impact strategy for improving diabetes care. While this may reflect "patient blaming," it also suggests that self-management strategies may be well-suited for this context. Program planning should focus on training programs for CHRs, who provide a unique link between patients and clinical services

  8. Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

    OpenAIRE

    Banke-Thomas, Aduragbemi; Wright, Kikelomo; Sonoiki, Olatunji; Banke-Thomas, Oluwasola; Ajayi, Babatunde; Ilozumba, Onaedo; Akinola, Oluwarotimi

    2016-01-01

    Background: Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the ‘handbook’, has been used to monitor availability, utilization, and quality of EmOC. Objective: To assess application and explore experiences of researchers in LMICs in assessing EmOC. Design: Multiple databases of peer-reviewed literature were sys...

  9. Measuring geographical accessibility to palliative and end of life (PEoLC) related facilities: a comparative study in an area with well-developed specialist palliative care (SPC) provision.

    Science.gov (United States)

    Pearson, Clare; Verne, Julia; Wells, Claudia; Polato, Giovanna M; Higginson, Irene J; Gao, Wei

    2017-01-26

    Geographical accessibility is important in accessing healthcare services. Measuring it has evolved alongside technological and data analysis advances. High correlations between different methods have been detected, but no comparisons exist in the context of palliative and end of life care (PEoLC) studies. To assess how geographical accessibility can affect PEoLC, selection of an appropriate method to capture it is crucial. We therefore aimed to compare methods of measuring geographical accessibility of decedents to PEoLC-related facilities in South London, an area with well-developed SPC provision. Individual-level death registration data in 2012 (n = 18,165), from the Office for National Statistics (ONS) were linked to area-level PEoLC-related facilities from various sources. Simple and more complex measures of geographical accessibility were calculated using the residential postcodes of the decedents and postcodes of the nearest hospital, care home and hospice. Distance measures (straight-line, travel network) and travel times along the road network were compared using geographic information system (GIS) mapping and correlation analysis (Spearman rho). Borough-level maps demonstrate similarities in geographical accessibility measures. Strong positive correlation exist between straight-line and travel distances to the nearest hospital (rho = 0.97), care home (rho = 0.94) and hospice (rho = 0.99). Travel times were also highly correlated with distance measures to the nearest hospital (rho range = 0.84-0.88), care home (rho = 0.88-0.95) and hospice (rho = 0.93-0.95). All correlations were significant at p < 0.001 level. Distance-based and travel-time measures of geographical accessibility to PEoLC-related facilities in South London are similar, suggesting the choice of measure can be based on the ease of calculation.

  10. Multiple barriers against successful care provision for depressed patients in general internal medicine in a Japanese rural hospital: a cross-sectional study

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    Saitoh Akiyoshi

    2010-04-01

    Full Text Available Abstract Background A general internist has an important role in primary care, especially for the elderly in rural areas of Japan. Although effective intervention models for depressed patients in general practice and primary care settings have been developed in the US and UK medical systems, there is little information regarding even the recognition rate and prescription rate of psychotropic medication by general internists in Japan. The present study surveyed these data cross-sectionally in a general internal medicine outpatient clinic of a Japanese rural hospital. Methods Patients were consecutively recruited and evaluated for major depressive disorder or any mood disorder using the Patient Health Questionnaire (PHQ. Physicians who were blinded to the results of the PHQ were asked to diagnose whether the patients had any mental disorders, and if so, whether they had mood disorders or not. Data regarding prescription of psychotropic medicines were collected from medical records. Results Among 312 patients, 27 (8.7% and 52 (16.7% were identified with major depressive disorder and any mood disorder using the PHQ, respectively. Among those with major depressive disorder, 21 (77.8% were recognized by physicians as having a mental disorder, but only three (11.1% were diagnosed as having a mood disorder. Only two patients with major depressive disorder (7.4% had been prescribed antidepressants. Even among those (n = 15 whom physicians diagnosed with a mood disorder irrespective of the PHQ results, only four (26.7% were prescribed an antidepressant. Conclusions Despite a high prevalence of depression, physicians did not often recognize depression in patients. In addition, most patients who were diagnosed by physicians as having a mood disorder were not prescribed antidepressants. Multiple barriers to providing appropriate care for depressed patients exist, such as recognizing depression, prescribing appropriate medications, and appropriately referring

  11. One size fits all? Standardised provision of care for survivors of sexual violence in conflict and post-conflict areas in the Democratic Republic of Congo.

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    Jerlie Loko Roka

    Full Text Available BACKGROUND: Outcomes of sexual violence care programmes may vary according to the profile of survivors, type of violence suffered, and local context. Analysis of existing sexual violence care services could lead to their better adaptation to the local contexts. We therefore set out to compare the Médecins Sans Frontières sexual violence programmes in the Democratic Republic of Congo (DRC in a zone of conflict (Masisi, North Kivu and post-conflict (Niangara, Haut-Uélé. METHODS: A retrospective descriptive cohort study, using routine programmatic data from the MSF sexual violence programmes in Masisi and Niangara, DRC, for 2012. RESULTS: In Masisi, 491 survivors of sexual violence presented for care, compared to 180 in Niangara. Niangara saw predominantly sexual violence perpetrated by civilians who were known to the victim (48% and directed against children and adolescents (median age 15 (IQR 13-17, while sexual violence in Masisi was more directed towards adults (median age 26 (IQR 20-35, and was characterised by marked brutality, with higher levels of gang rape, weapon use, and associated violence; perpetrated by the military (51%. Only 60% of the patients in Masisi and 32% of those in Niangara arrived for a consultation within the critical timeframe of 72 hours, when prophylaxis for HIV and sexually transmitted infections is most effective. Survivors were predominantly referred through community programmes. Treatment at first contact was typically efficient, with high (>95% coverage rates of prophylaxes. However, follow-up was poor, with only 49% of all patients in Masisi and 61% in Niangara returning for follow-up, and consequently low rates of treatment and/or vaccination completion. CONCLUSION: This study has identified a number of weak and strong points in the sexual violence programmes of differing contexts, indicating gaps which need to be addressed, and strengths of both programmes that may contribute to future models of context

  12. International non-governmental organizations' provision of community-based tuberculosis care for hard-to-reach populations in Myanmar, 2013-2014.

    Science.gov (United States)

    Soe, Kyaw Thu; Saw, Saw; van Griensven, Johan; Zhou, Shuisen; Win, Le; Chinnakali, Palanivel; Shah, Safieh; Mon, Myo Myo; Aung, Si Thu

    2017-03-24

    National tuberculosis (TB) programs increasingly engage with international non-governmental organizations (INGOs), especially to provide TB care in complex settings where community involvement might be required. In Myanmar, however, there is limited data on how such INGO community-based programs are organized and how effective they are. In this study, we describe four INGO strategies for providing community-based TB care to hard-to-reach populations in Myanmar, and assess their contribution to TB case detection. We conducted a descriptive study using program data from four INGOs and the National TB Program (NTP) in 2013-2014. For each INGO, we extracted information on its approach and key activities, the number of presumptive TB cases referred and undergoing TB testing, and the number of patients diagnosed with TB and their treatment outcomes. The contribution of INGOs to TB diagnosis in their selected townships was calculated as the proportion of INGO-diagnosed new TB cases out of the total NTP-diagnosed new TB cases in the same townships. All four INGOs implemented community-based TB care in challenging contexts, targeting migrants, post-conflict areas, the urban poor, and other vulnerable populations. Two recruited community volunteers via existing community health volunteers or health structures, one via existing community leaderships, and one directly involved TB infected/affected individuals. Two INGOs compensated volunteers via performance-based financing, and two provided financial and in-kind initiatives. All relied on NTP laboratories for diagnosis and TB drugs, but provided direct observation treatment support and treatment follow-up. A total of 21 995 presumptive TB cases were referred for TB diagnosis, with 7 383 (34%) new TB cases diagnosed and almost all (98%) successfully treated. The four INGOs contributed to the detection of, on average, 36% (7 383/20 663) of the total new TB cases in their respective townships (range: 15-52%). Community-based TB

  13. Comparing Care

    NARCIS (Netherlands)

    Evert Pommer; Isolde Woittiez; John Stevens

    2007-01-01

    Home care is one of the most important means of compensating for disabilities and ensuring continuity in people's daily functioning. Home care services in the Netherlands have recently been transferred from a national social security provision for long-term care to a local social service. In most ot

  14. Humanistic versus Authoritarian Teachers: A Reflection on Students' Academic Motivation and Performance

    Science.gov (United States)

    Sultan, Sarwat; Hussain, Irshad

    2012-01-01

    This prospective study using self-determination theory was conducted to predict the students' motivation and academic performance based on their perceived teachers' humanistic vs. authoritarian orientations in the classrooms. The sample consisted of 300 students aged 14-18 years taken from different schools of Multan. The Pupil Control Behavior…

  15. Business Schools under Fire: Humanistic Management Education as the Way Forward. Humanism in Business Series

    Science.gov (United States)

    Amann, Wolfgang, Ed.; Pirson, Michael, Ed.; Dierksmeier, Claus, Ed.; Von Kimakowitz, Ernst, Ed.; Spitzeck, Heiko, Ed.

    2011-01-01

    In a time of instability trust in managers is low. Management education is being scrutinized for its impact on society and business schools have been considered as "silent partners in corporate crime." This book outlines how business schools can get out of the line of fire by presenting the cornerstones of a humanistic business education. This…

  16. Novels, Thought Experiments, and Humanist Sociology in the Classroom: Mari Sandoz and CAPITAL CITY.

    Science.gov (United States)

    Hill, Michael R.

    1987-01-01

    Based upon the teaching of Mari Sandoz' allegorical novel, CAPITAL CITY, this article identifies the characteristics of novels which provide a sociologically useful humanist perspective. A key characteristic is the extent to which the novel conducts thought experiments, defined as cerebral exercises which explore alternative social futures based…

  17. A Return to the Human in Humanism: A Response to Hansen's Humanistic Vision

    Science.gov (United States)

    Lemberger, Matthew E.

    2012-01-01

    In his extension of the humanistic vision, Hansen (2012) recommends that counseling practitioners and scholars adopt operations that are consistent with his definition of a multiple-perspective philosophy. Alternatively, the author of this article believes that Hansen has reduced the capacity of the human to interpret meaning through quantitative…

  18. Offering a Course in Humanistic and Transpersonal Psychology in a Traditional Psychology Department.

    Science.gov (United States)

    Smith, Edward W. L.; McIntosh, William D.

    2001-01-01

    Focuses on a course in humanistic and transpersonal psychology for undergraduate students that addresses metaneeds, consciousness, altered states of consciousness, Eastern and Western meditative practices, mytho-poetic wisdom, and metaphoric epistemology. Describes the goals, content, and structure of the course and discusses the course…

  19. Inciting the Metric Oriented Humanist: Teaching Bibliometrics in a Faculty of Humanities

    DEFF Research Database (Denmark)

    Zuccala, Alesia Ann

    2016-01-01

    principles and practices associated with teaching bibliometrics to humanists, with the aim of encouraging students to reflect upon new indicators relevant to scholarly research outputs across the humanities. Emphasis is placed on the “biblio” in bibliometrics (i.e., books), digital record-keeping across...

  20. On Cultivating College Students' Humanistic Qualities in Western Fine Arts Appreciation Course

    Science.gov (United States)

    Zhuang, Rong

    2009-01-01

    In recent years, western pragmatism has been prevalent on the campuses of Chinese universities. Its direct result is the emergence of such a trend in fine arts teaching which attaches high importance to the pragmatic side of the art learning and disregards fostering the humanistic qualities of the students. One of the most serious phenomena of…

  1. Using Existential-Humanistic Approaches in Counseling Adolescents with Inappropriate Sexual Behaviors

    Science.gov (United States)

    Parrish, Mark S.; Stanard, Rebecca P.; Cobia, Debra C.

    2008-01-01

    Adolescent sexual acting out behaviors frequently occur in the context of comorbid issues, such as depression, trauma, behavioral disorders, and developmental deficits, thus rendering any single treatment modality less effective. Augmenting traditional treatment with an existential-humanistic (E-H) perspective enables counselors to more…

  2. Secularists, Humanists and Religious Education: Religious Crisis and Curriculum Change in England, 1963-1975

    Science.gov (United States)

    Freathy, Rob; Parker, Stephen G.

    2013-01-01

    With particular reference to religious education, this article provides an account of the campaigns of Secularists and Humanists in England in the 1960s and 1970s and locates them within their broader religious context. These campaigns, which have been both underplayed and overstated in the existing historiography, failed to garner the levels of…

  3. An Experiment in Humanistic Management within Community College District Twelve, Centralia/Olympia, Washington.

    Science.gov (United States)

    Miller, Dale A.; Hurley, John A.

    Community College District Twelve, a multi-college district serving a two-county area in southwestern Washington, has attempted to incorporate at administrative levels many of the humanistic, process-oriented principles of management discussed by Maslow and Maccoby. A concept of the ideal leadership style for District Twelve guides the selection…

  4. Bearing and Transcending Suffering with Nature and the World: A Humanistic Account

    Science.gov (United States)

    Hong Chen, Rosa

    2011-01-01

    To conceptualise moral education as "living and learning to bear suffering" offers a humanistic vision for choices people make in the face of drastic threats to their existence. This essay proposes that bearing and transcending suffering--part of the human narrative--helps human beings to realise their ethical potential. Grounded in…

  5. A Reconciliation of the Freudian and Humanistic/Transpersonal Views of Human Nature.

    Science.gov (United States)

    Pearl, Joseph H.

    1984-01-01

    Suggests a resolution to the apparent conflict between the Freudian and humanistic/transpersonal views of human nature. Presents a model which allows for the fulfillment of Freud's desire to account for both the life and death instincts as manifestations of a tendency to restore an earlier state of things. (LLL)

  6. Humanistic Qualities of the Teacher as Perceived by Undergraduate Students in Bahrain and Kuwait

    Science.gov (United States)

    Al-Musawi, Nu'man; Karam, Ebraheem M.

    2011-01-01

    The objective of this study was to identify the main qualities of the teacher as a person as perceived by university students in Bahrain and Kuwait. A 25-item questionnaire, which reflected the basic humanistic qualities of the teacher as related to effective teaching, was designed and then administered to a random sample of 520 students enrolled…

  7. The Humanistic Psychology-Positive Psychology Divide: Contrasts in Philosophical Foundations

    Science.gov (United States)

    Waterman, Alan S.

    2013-01-01

    The relationship between the fields of humanistic and positive psychology has been marked by continued tension and ambivalence. This tension can be traced to extensive differences in the philosophical grounding characterizing the two perspectives within psychology. These differences exist with respect to (a) ontology, including the ways in which…

  8. Extending the Humanistic Vision: Toward a Humanities Foundation for the Counseling Profession

    Science.gov (United States)

    Hansen, James T.

    2012-01-01

    Founding humanists argued that counseling should be ideologically grounded in the humanities. Currently, professional counseling culture is largely structured by scientific assumptions, which, the author maintains, have had a detrimental impact on the profession. Specific recommendations for shifting professional counseling culture to a humanities…

  9. The Neo-Humanistic Concept of "Bildung" Going Astray: Comments to Friedrich Schiller's Thoughts on Education

    Science.gov (United States)

    Vinterbo-Hohr, Aagot; Hohr, Hansjorg

    2006-01-01

    Friedrich Schiller (1759-1805), German poet, dramatist, philosopher and publisher, was a prominent contributor to the educational neo-humanistic concept of Bildung at the threshold to Romanticism. Schiller assigns a pivotal role to the aesthetic education arguing that aesthetic activity reconciles sensuousness and reason and thereby creates the…

  10. THEATER AS AN EDUCATIONAL TOOL IN THE HUMANISTIC PEDAGOGY OF THE XV-XVI CENTURIES

    Directory of Open Access Journals (Sweden)

    Zinaida A. LURIE

    2016-01-01

    Full Text Available The article discusses the concept of theater and drama of the German humanists of the XV-XVI centuries. The author marks out the main stages of development of humanistic literature and highlights several key arguments for studying drama and organizing performances that could be found in texts of Christian humanists. Basically, the last were associated with methodology of teaching and moralizing. Both philological and pedagogical arguments, mainly of applied character, considering theater and drama as effective learning tools were reflected in works of Erasmus of Rotterdam, and later become a formula typical for statutes of the Protestant schools. However, it is the didactic concept of theater as a tool of preaching that is of the most importance. The author focuses on Philip Melanchthon, a reformer and a humanist, who in his comments on classical theater consistently developed the idea of the interpretation of dramatic texts through the light of Christian ethics and dogmatic. The most precious are his comments on Terence's comedies. The author shows, how the humanist ideas complemented ones of the late classical rhetorician Aelius Donat, who also had analyzed text of Roman comediograth in the light of Christian thought. In particular, Melanchthon's submission of dramatic genres, comedy and tragedy, is studied. It differed from one of Donat and reflected the influence of Aristotle. Despite certain internal contradictions and difficulties in matching pagan comedies with Christianity, his work is to be interpreted as the key theatrical concept of the period. It is the Melanchthon's comedies that formed the idea of the perfect theater, which found expression in the consistent Protestant drama of XVI century.

  11. Cultural Sensitive Care Provision in a Public Child and Adolescent Mental Health Centre: A Case Study from the Toulouse University Hospital Intercultural Consultation.

    Science.gov (United States)

    Sturm, Gesine; Bonnet, Sylvie; Coussot, Yolaine; Journot, Katja; Raynaud, Jean-Philippe

    2017-05-02

    Child and adolescent mental health services in Europe are confronted with children with increasingly diverse socio-cultural backgrounds. Clinicians encounter cultural environments of hyperdiversity in terms of languages and countries of origin, growing diversity within groups, and accelerated change with regards to social and administrational situations (Hannah, in: DelVecchio Good et al. (eds) Shattering culture: American medicine responds to cultural diversity, Russel Sage Foundation, New York, 2011). Children and families who live in these complex constellations face multiple vulnerabilizing factors related to overlapping or intersecting social identities (Crenshaw in Univ Chic Leg Forum 140:139-167, 1989). Mobilizing existing resources in terms of social and family support, and encouraging creative strategies of interculturation in therapeutic work (Denoux, in: Blomart and Krewer (eds) Perspectives de l'interculturel, L'Harmattan, Paris, 1994) may be helpful in order to enhance resilience. Drawing from experiences in the context of French transcultural and intercultural psychiatry, and inspired by the Mc Gill Cultural Consultation in Child Psychiatry, we developed an innovative model, the Intercultural Consultation Service (ICS). This consultation proposes short term interventions to children and families with complex migration experiences. It has been implemented into a local public health care structure in Toulouse, the Medical and Psychological Centre la Grave. The innovation includes the creation of a specific setting for short term therapeutic interventions and team training via shared case discussions. Our objectives are (a) to improve outcomes of mental health care for the children through a better understanding of the child's family context (exploration of family dynamics and their relatedness to complex migration histories), (b) to enhance intercultural competencies in professionals via shared case discussions, and, (c) to improve the therapeutic

  12. 7 CFR 226.15 - Institution provisions.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.15... Program and the Special Milk Program at the same time. (m) Elderly feeding programs. Institutions...

  13. Counseling People Living in Poverty: The CARE Model

    Science.gov (United States)

    Foss, Louisa L.; Generali, Margaret M.; Kress, Victoria E.

    2011-01-01

    Counselors frequently counsel clients who live in poverty. The authors describe the new CARE model that addresses the influence of multiple systems on poor clients' experiences. A social justice, humanistic intervention, the CARE model emphasizes cultivating a positive counseling relationship with poor clients, empathizing with their unique…

  14. 人文关怀在护理实践教学中的运用及创新%Application and innovation of humanistic solicitude in the teaching of nursing practice

    Institute of Scientific and Technical Information of China (English)

    田静波

    2016-01-01

    The humanistic solicitude in nursing means that the medical staffs take sincerely the patients' life, health, basic rights, needs, personalities and dignities into account with humanitarian spirit, which plays an important part in nursing practice. To implant humanistic solicitude in teaching and to innovate its model in multiple ways by using related theories of pedagogy, learning advanced experiences from hospitals domestic and abroad can cultivate students′ sustained and stable concept of humanistic solicitude and motivate their empathy and caring emotions, thereby expanding their knowledge and promoting the abilities of utilizing humanistic solicitude in nursing practice.%护理人文关怀是护理人员秉承人道主义精神对患者的生命与健康、权力与需求、人格与尊严,给予真诚的关怀和照护,人文关怀在护理实践中起着举足轻重的作用。从护理实践教学的多视角出发,借鉴国内外某些医院的先进做法,探讨护理人文关怀在护理实践教学中的运用及其创新模式,可以培养护理专业学生持久而稳定的人文护理理念,激发学生内在的同理心和关爱情感,从而拓展学生在人文关怀方面的知识,提升学生在护理实践中运用人文关怀的能力。

  15. The Role of Organizational Humanistic Social Support in Decreasing the Interference of Work Problems on Employees’ Family Conflict

    Directory of Open Access Journals (Sweden)

    Azman Ismail

    2013-02-01

    Full Text Available Despite an increased interest in humanistic touch in global organizational support, the nature of helping processes rendered by supervisor and coworkers is still vague. The study was performed to examine the relationship between organizational humanistic social support and work interference with family conflict using 100 usable questionnaires gathered from academic staff in a Malaysian public institution of higher learning in Borneo. The findings of SmartPLS path model indicated that humanistic touch in term of supervisory support significantly correlated with work interference with family conflict. Similarly, humanistic touch of coworker support significantly correlated with work interference with family conflict. This result shows that the readiness of supervisors and coworkers to amply offer material and moral support in performing task have reduced the intrusion of work problems in employees’ family affairs and enriched their skills to decrease family conflicts. In addition, discussion, implications and conclusion are elaborated.

  16. 论思想品德课人文关怀的实施%On the Implementation of Humanistic Concern in the Ideological and Moral Lessons

    Institute of Scientific and Technical Information of China (English)

    许瀚文

    2016-01-01

    Objective of junior high school moral teaching is to train students’correct outlook on life, values and world view, so that they correct their thinking. Junior high school moral lesson is an important part of moral education, help students correct understanding of their psychological characteristics, and the rapport with the students. This paper analyzes the ideological and moral teaching stage humanistic care problems in this issue highlights the way humanistic care in ideological and moral tea-ching of value realization. The humane care throughout the entire process ideological and moral education of middle school, achieve humanities value in high school moral education.%初中思想品德教学的目的是培养学生正确的人生观、价值观和世界观,使他们端正自己的思想。思想品德课是初中生道德教育的重要一环,有助于学生正确认识自己的心理特点,以及融洽与同学的关系等。文章分析了现阶段思想品德课教学中人文关怀存在的问题,并提出把人文关怀贯穿于中学思想品德教育的整个过程,实现人文关怀在中学思想品德教育中的价值。

  17. On the contemporary African experience: Towards a humanistic mode of philosophy for Africa

    Directory of Open Access Journals (Sweden)

    Ukpokolo Isaac E.

    2011-01-01

    Full Text Available There is no doubt that Africa today is confronted with many economic, political, social, and developmental problems. The big question and the basic challenge is therefore how best we can tackle these problems especially as we begin and forge ahead in the third millennium. This paper attempts to elucidate a fundamental role that philosophy can play in this regard. It holds that philosophy, as a discipline in the humanities, can help shape fresh ideas that are humanistic in nature in the sense that they encourage free enquiry and social agreement which are vital pillars for a fair and prosperous society; for a society without such genuine humanistic values will show many of the symptoms which are present in contemporary African societies.

  18. Qi Gong exercises and Feldenkrais method from the perspective of Gestalt concept and humanistic psychology.

    Science.gov (United States)

    Posadzki, Paul; Stöckl, Andrea; Mucha, Dariusz

    2010-07-01

    This study describes two similar approaches to human movement: Qi Gong exercises and the Feldenkrais method. These systems are investigated in terms of Gestalt concepts and humanistic psychology. Moshe Feldenkrais created the concept known as Awareness Through Movement. This concept assumes that by becoming more aware of one's movements, one functions at a higher level. In similar ways to those using the Feldenkrais method, individuals may become more aware of their own movements by performing Qi Gong exercises: A therapeutic modality that facilitates mind-body integration. Qi Gong exercises commonly lead to increased personal awareness accompained by enhanced quality, fluency and smoothness of movement. These two methods of movement therapies are explored in terms of their relations with Gestalt concept and humanistic psychology. (c) 2008. Published by Elsevier Ltd. All rights reserved.

  19. DIGITAL HUMANISTIC PEDAGOGY: RELEVANT PROBLEMS OF SCIENTIFIC RESEARCH IN THE FIELD OF USING ICT IN EDUCATION

    Directory of Open Access Journals (Sweden)

    Valeriy Yu. Bykov

    2016-07-01

    Full Text Available In the article theoretical and methodological principles of digital humanistic pedagogy – the science about the laws of creating a positive integrated educational reality as a result of the convergence of physical and virtual (created using ICT training spaces (environments are determined. Based on the use of modern ICT learning activity (formal, nonformal and informal is at the intersection of two worlds: the real and the virtual. Methodology and research methods of classical pedagogy require review and improvement in the context of current realities of the educational process, needs and interests of all its subjects. The development of digital humanities in the international educational space is analyzed; the content of the new field of pedagogical knowledge as part of digital humanistic is outlined; research methods and directions of current scientific research are defined.

  20. SOCIAL COMPETENCE FORMATION AMONG TEENAGERS FROM HUMANIST TREND MULTIPLE-AGED GROUPS

    OpenAIRE

    Larisa A. Krapivina

    2015-01-01

    The paper studies the problems of social development of adolescents in multiple-aged groups (MAG).Methods. The methods involve socio-personal approach, consideration of the subject in a certain ideological humanistic orientation, comparative analysis, and comparison of historical facts, the study of social phenomena of different ages, long-term scientific observations, reflections, a retrospective analysis of personal experience.Results. The author describes objective conditions for the upris...

  1. Andrés Laguna: a great medical humanist (1499-1559).

    Science.gov (United States)

    Kousoulis, Antonis A; Karamanou, Marianna; Androutsos, George

    2011-01-01

    Andrés Laguna, a Spanish humanist physician of the 16th century, occupies an important position in the history of medicine. An illustrious and brilliant mind, pioneer of anatomy and urology, Laguna proved to be a true pacifist and humanitarian with his knowledge standards and his political eloquence. He deserves to be remembered today as the perfect example of the Renaissance men, a true Homo Universalis.

  2. College students with social and humanistic consciousness: The case Team-UNA

    OpenAIRE

    Barrantes-Elizondo, Lena

    2016-01-01

    The main objective of Team-UNA outreach project aims at promoting the participation of students in the English Teaching Major as tutors for high schoolers in public institutions in their community. Through this project, the Brunca extension intends to accomplish a social and humanistic university education to future professionals that may satisfy some of the region’s development needs. This experience provides university students with concrete learning tools since they are placed under real e...

  3. Emphasizing humanities in medical education: Promoting the integration of medical scientific spirit and medical humanistic spirit.

    Science.gov (United States)

    Song, Peipei; Tang, Wei

    2017-05-23

    In the era of the biological-psychological-social medicine model, an ideal of modern medicine is to enhance the humanities in medical education, to foster medical talents with humanistic spirit, and to promote the integration of scientific spirit and humanistic spirit in medicine. Throughout the United States (US), United Kingdom (UK), other Western countries, and some Asian countries like Japan, many medical universities have already integrated the learning of medical humanities in their curricula and recognized their value. While in China, although medical education reform over the past decade has emphasized the topic of medical humanities to increase the professionalism of future physicians, the integration of medical humanity courses in medical universities has lagged behind the pace in Western countries. In addition, current courses in medical humanities were arbitrarily established due to a lack of organizational independence. For various reasons like a shortage of instructors, medical universities have failed to pay sufficient attention to medical humanities education given the urgent needs of society. The medical problems in contemporary Chinese society are not solely the purview of biomedical technology; what matters more is enhancing the humanities in medical education and fostering medical talents with humanistic spirit. Emphasizing the humanities in medical education and promoting the integration of medical scientific spirit and medical humanistic spirit have become one of the most pressing issues China must address. Greater attention should be paid to reasonable integration of humanities into the medical curriculum, creation of medical courses related to humanities and optimization of the curriculum, and actively allocating abundant teaching resources and exploring better methods of instruction.

  4. 利用晨交班提高手术室护士人文素质的相关研究%Exploring Effective Way for Improving Operating Room Nurses′Humanistic Exploring Effective Way for Improving Operating Room Nurses′Humanistic Quality by Using the Morning Shift Time Quality by Using the Morning Shift Time

    Institute of Scientific and Technical Information of China (English)

    孔德玲; 王明旭; 孔德敏; 李向利; 孔淑贞; 赵丽燕; 权小利

    2015-01-01

    Objective:To explore the effective way of cultivating the operating room nurses′humanistic quality by using the morning shift and to improve operating room nurses′comprehensive quality .Methods:The operating room nurses were divided into five specialist groups according to the nurses′levels, helping each group to determine the training topic of humanistic quality training , via taking a variety of training methods to promote operating room nurses′humanistic quality by making good use of the morning shift time .Results: Through taking a variety of training methods to promote the operating room nurses′humanistic quality by making good use of the morning shift time, the operating room nurses′humanistic care ability , theoretical knowledge , professional skills were improved significantly(P<0.05),and the operating rooms doctors, surgical patients′satisfaction of operating room nurses′service were improved ( P<0 .05 ) .Conclusion:Making good use of the morning shift time to improve the nurses′humanistic quality , at the same time , the nursing service quality and patients satisfaction were also improved .%目的:通过有效利用晨交班,采取一系列提高手术室护士人文素质的相关措施,以提高手术室护士的综合素质。方法将手术室护士按不同层级搭配,分成五个专科小组,指导各组护士结合本科室手术室护士的实际工作情况选定相关的人文素质培训主题,充分利用晨交班时间,通过多种培训手段对全科护士进行培训。结果有效利用晨交班时间,采取一系列措施提高手术室护士人文素质后,手术室护士的人文关怀能力、理论知识以及专业技能考核成绩较实施前有显著提高,差异有统计学意义(P<0.05);与此同时手术医师以及患者对手术室护理的满意度也有了较大的提升(P<0.05)。结论有效利用晨交班时间,通过采取有效措施促进手术室护士人

  5. PROVISION OF ESSENTIAL OBSTETRIC CARE IN NIGERIA.

    African Journals Online (AJOL)

    Method: Following two workshops a structured questionnaire was used to seek information on the type of facility, ownership .... parental oxytocics, parental sedatives, removal or retained .... hospitals, local authority services and private nursing.

  6. Children's hospice care.

    Science.gov (United States)

    Armstrong-Dailey, A

    1990-01-01

    Facing the inevitable death of a child is a difficult reality for many parents and health care providers as well. Children's Hospice International offers a variety of information and education services to support the provision of children's hospice care.

  7. Psychoactive substances and the provision of specialized care: the case of Espirito Santo Substâncias psicoativas e a provisão de cuidados especializados: o caso do Espírito Santo

    Directory of Open Access Journals (Sweden)

    Marluce Miguel de Siqueira

    2007-12-01

    Santo State survey demonstrates the necessity of a decentralized provision of specialized care for psychoactive substance users, with substantially more services directed to the Northern and Southern regions of the state. Moreover, the emphasis of these new institutions should be on outpatient care.OBJETIVO: Foi realizado um levantamento de todas as instituiçõesque proporcionam tratamento para dependência de substâncias psicoativas no Estado do Espírito Santo, Brasil, durante o período de 2004-2005. MÉTODO: Foi utilizado o método de amostragem bola-de-neve para incluir todos os estabelecimentos de tratamento no Estado e empregada uma entrevista semi-estruturada para informantes-chave em cada instituição. Os resultados descritivos foram apresentados e as diferenças testadas entre os grupos, utilizando o teste de qui-quadrado. RESULTADOS: No Espírito Santo, 250 instituições proporcionam tratamento para dependência de substâncias psicoativas e se distribuem da seguinte forma: governamentais (17,6%, não-governamentais (22,8% e grupos de auto-ajuda (59,6%. Destas 250 instituições, 85 proporcionam assistência direta e a maioria se encontra na região Central (70,6%, seguido pela região Norte (15,3% e Sul (14,1%. A maioria daquelas que fazem o atendimento direto são instituições privadas e sem fins lucrativos (16,8%; as que possuem vínculos com organizações religiosas compõem quase um terço do total (30,6% de prestadores de serviços diretos. As drogas mais consumidas pelos que buscaram atendimento são álcool (82,4%, tabaco (81,2% e maconha (68,2%. As instituições geralmente atendem pessoas na faixa etária entre 26 e 45 anos (89,4%; com relação ao sexo, as instituições que atendem somente homens perfazem 31,8%; as que só atendem mulheres, 5,9%; e ambos os sexos, 56,5%. Os modelos de tratamento mais utilizados são o psicossocial (58,8%, a comunidade terapêutica (47,1% e o biomédico (43,5%, sendo o trabalho avaliado por meio da t

  8. ACCOUNTING PROVISIONS FOR VACATION PAY

    Directory of Open Access Journals (Sweden)

    Anna CEBOTARI

    2016-09-01

    Full Text Available In the presented article are proposed for examination theoretical aspects related to the notion of provision. The authors describe the method of calculation and accounting for provisions regarding the payment of leave.

  9. Dialysis provision in Malaysia.

    Science.gov (United States)

    Lim, T O; Lee, D G; Zaki, M

    2000-06-01

    We determined the provision for dialysis treatment in Malaysia. There were 181 dialysis centres as at 1st June 1999 (161 Haemodialysis (HD) and 20 Continuous Ambulatory Peritoneal Dialysis (CAPD) centres), providing treatment for 5614 patients. This is equivalent to an estimated prevalence rate of 253 patients per million population (pmp) and new dialysis acceptance rate of 49 patients pmp. Dialysis facilities were widely distributed throughout the country though rather unevenly among states. Penang, Selangor/KL, Malacca led with number of dialysis patients pmp ranging from 417 to 480. Kelantan and Sabah had the lowest provision with 51 and 64 patients pmp respectively. There were more centres and HD capacity in the private sector while the Non-Government Organisation and public sectors had about the same capacity. However the public sector had more patients on account of availability of CAPD and home HD services, as well as low HD capacity to patient ratio. The number ofcentres, HD capacity and patients have increased rapidly especially since 1991; the estimated growth rates were 16.5 centres/year, 658 capacity/year, and 392 patients/year respectively. There was also a trend toward increasing over-capacity in the private and NGO sectors. In conclusion, the level of dialysis provision is increasing, indicating increasing accessibility of dialysis treatment in Malaysia. Over-capacity is a concern in the private and NGO sectors. Thus funding agencies should be encouraged to source provision from those sectors. The public sector still has the crucial role of providing for under-served areas in the country.

  10. SOCIAL COMPETENCE FORMATION AMONG TEENAGERS FROM HUMANIST TREND MULTIPLE-AGED GROUPS

    Directory of Open Access Journals (Sweden)

    Larisa A. Krapivina

    2015-01-01

    Full Text Available The paper studies the problems of social development of adolescents in multiple-aged groups (MAG.Methods. The methods involve socio-personal approach, consideration of the subject in a certain ideological humanistic orientation, comparative analysis, and comparison of historical facts, the study of social phenomena of different ages, long-term scientific observations, reflections, a retrospective analysis of personal experience.Results. The author describes objective conditions for the uprise of extremist, subcultural youth of multiple-aged groups, and the reasons whence they begin to perform distinctive functions that are specific for teenagers. Options for models of MAG humanistic educational systems formed in Russian and foreign social and pedagogical practice are listed. A complex of pedagogical conditions provided for the formation of social competence of adolescents in multiple-aged associations of humanistic orientation is considered. It has been found that this type of system is characterized by the following features: the principle of voluntary association of people, independence of subjects, rapid adaptation to changing socio-cultural situation, a variety of activities by interests, alternating change of activities, conflict resolution within the team, a high level of team spirit, selfmanagement, the creative nature of educational process, upbringing, socialization and self-realization. A brief description of conditions for development of fundamental human values among adolescents and formation of new specific complicated humanistic human and personal relations in global world is given.Scientific novelty. The author studies the following concepts: educational system of multiple-aged associations, teenager social competence, ambivalent behavior, emotional and moral compass of personality, invisible assets of the team, emergent effect of multiple-aged groups, inter-age communication. It was found that the specificity of MAG educational

  11. Moving beyond misperceptions: the provision of workplace accommodations.

    Science.gov (United States)

    Hernandez, Brigida; McDonald, Katherine; Lepera, Nicole; Shahna, Monna; Wang, T Arthur; Levy, Joel M

    2009-01-01

    This mixed-methods study examined the provision of workplace accommodations in the health care, hospitality, and retail sectors. First, focus groups with administrators from each sector revealed that accommodations costs were viewed as minimal (although frontline managers were perceived as having misperceptions). Second, the provision of accommodations as documented through human resources records for health care and hospitality indicated that accommodations were infrequent, not costly, and provided to employees with disabilities. Finally, retail employees (irrespective of disability status) reported many more accommodations than health care and hospitality workers. To dispel misperceptions related to accommodations, education is critical and social workers are well-positioned for this role.

  12. 26 CFR 1.7702B-1 - Consumer protection provisions.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Consumer protection provisions. 1.7702B-1 Section 1.7702B-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME...-Term Care Insurance Model Act (Model Act) and Long-Term Care Insurance Model Regulation...

  13. The Sociology of Humanist, Spiritual, and Religious Practice in Prison: Supporting Responsivity and Desistance from Crime

    Directory of Open Access Journals (Sweden)

    Jeff B. Duncan

    2011-11-01

    Full Text Available This paper presents evidence for why Corrections should take the humanist, spiritual, and religious self-identities of people in prison seriously, and do all it can to foster and support those self-identities, or ways of establishing meaning in life. Humanist, spiritual, and religious (H/S/R pathways to meaning can be an essential part of the evidence-based responsivity principle of effective correctional programming, and the desistance process for men and women involved in crime. This paper describes the sociology of the H/S/R involvement of 349 women and 3,009 men during the first year of their incarceration in the Oregon prison system. Ninety-five percent of the women and 71% of the men voluntarily attended at least one H/S/R event during their first year of prison. H/S/R events were mostly led by diverse religious and spiritual traditions, such as Native American, Protestant, Islamic, Wiccan, Jewish, Jehovah Witness, Latter-day Saints/Mormon, Seventh Day Adventist, Buddhist, and Catholic, but, increasingly, events are secular or humanist in context, such as education, yoga, life-skills development, non-violent communication, and transcendental meditation groups. The men and women in prison had much higher rates of H/S/R involvement than the general population in Oregon. Mirroring gender-specific patterns of H/S/R involvement found in the community, women in prison were much more likely to attend H/S/R events than men.

  14. 人本企业制度探索%Exploration of Humanistic Enterprise System

    Institute of Scientific and Technical Information of China (English)

    吴锋刚

    2012-01-01

    Based on the pursuit of justice and common prosperity,this paper challenges the enterprise system of current investor shares enterprise control and residual claims,and considers that,as the socialist market economy system of the foundation of the enterprise system,its reform and innovation direction is to establish a humanistic enterprise system,namely by the employee as a link to the combination of humanistic production and operation,so as to realize fundamental change of the internal labor relations of the enterprises,to improve labor remuneration,and to restore the essence of happy labor,at the same time,it will also inspire humanistic investment,and promote to improve national quality and national competitiveness.%本文以追求公平和共同富裕为考量,对现行的出资者享有企业控制权和剩余索取权的企业制度提出挑战。文章提出作为社会主义市场经济体系之基础的企业制度,其改革创新的方向是建立人本企业制度,即由劳动者以人本为纽带结合起来进行生产经营,从而实现企业内部劳资关系的根本变革,达到提高劳动报酬、恢复劳动快乐本质的目的,同时也激发人本投资,以期提高国民素质和国家竞争力。

  15. Teachers' Professional Loyalty and Humanistic Management in School%教师职业忠诚与学校人本管理

    Institute of Scientific and Technical Information of China (English)

    杨多; 江忠

    2015-01-01

    稳定的教师职业忠诚是一种宝贵的教育资源,爱岗敬业是教师职业忠诚最显著的特征。然而,当前教师职业忠诚度在教师队伍中整体上呈衰减态势,有的教师甚至发生职业疏离与异动,原因虽然是多方面的,但学校管理缺乏对教师的人文关怀也是其重要的一种原因。领导者确立新的教师观与教师管理观;无私地放弃自己某些特殊权利;智慧地践行多种人本化管理措施,是学校管理提升教师职业忠诚的应有之举。%Stability of teacher professional loyalty is a valuable education resources, dedication is the most notable features of teachers' professional loyalty. However, the current teacher professional loyalty overall assumes the attenuation trend in teachers, some teachers professional alienation and, even though the reason is various, but lack of humanistic care for teachers in the management of the school is also the important reason. Leaders establish new view on teachers and teacher manages view; selflessly give up their some special rights; wisdom to practice a variety of humanistic management measures, is the school management should be the promotion of the teacher's professional loyalty.

  16. The Cultural Implications of Negotiation with Italian Enterprises: A Humanistic Education of Elites

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    Louis BEGIONI

    2012-01-01

    Full Text Available In this paper, we propose a reflection on the fundamental differences in the behavior ofFrench and Italian entrepreneurs. The paper focuses on the typically humanistic education ofItalian elites who go through a conventional school where the teaching of Latin, Greek, philosophyand art history usually is crucial. On the contrary, in France, the best students are the ones who gothrough a mainly scientific education in highschool. It has to be observed that school educationbased on classical studies has intercultural consequences on the economic behavior and, inparticular, in the field of trade negotiations.

  17. The solidarization potencies of Buddhist axiological system and humanistic grounding of its priorities

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    Stefaniv Maryana Ivanivna

    2016-10-01

    Full Text Available The article is devoted to the analysis of the value system of the Buddhist religion in the context of current globalization trends. The author considers the stereotypes about the confrontation in the parameters “West – East” and offers the alternative view on the model of Buddhist values and its solidarization potencies. The author extrapolates her ideas on the intellectual and practical sense of a famous Buddhist philosopher Daisaku Ikeda. The author emphasizes the importance of a practical way of aesthetic and ethical projects initiated by Ikeda and justifies their humanistic social significance.

  18. Carbon humanism: Freeman Dyson and the looming battle between environmentalists and humanists

    Science.gov (United States)

    Schewe, Phillip F.

    2014-07-01

    Freeman Dyson has had a distinguished career as a scientist, but perhaps this notable body of work might be eclipsed in importance by his many writings about society, especially those dealing with the dilemma of how improved living standards can be brought about without despoiling the land. Dyson is one of the few prominent commentators who directly addresses what might shape up as a culture war between two viewpoints — environmentalism and humanism — that otherwise have many aims in common. The first part of this essay looks at the broad outline of Dyson's career while the second part looks more particularly at his contributions to the humanist debate.

  19. Organizational and economic parameters of resource provision of medical organizations

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    Aranovich L.M

    2014-03-01

    Full Text Available The aim of the research is to determine the main patterns of activity of in-patient medical organizations according to the resource provision of medical and diagnostic process. Material and methods. 20 medical organizations, including regional organizations, central regional hospitals, Saratov municipal health care organizations, non-private and private medical organizations have been surveyed. The survey of 60 chemists of hospital pharmacies has been conducted. Results. The analysis of the survey has showed the resource provision of medical and diagnostic process by medical products, the degree of technological provision in hospitals of various types and stated the main problems of activity on resource provision. Conclusion. It has been found out that the current medical provision with medical products is connected with the action of considerable number of objective and subjective factors and it defines the efficiency of medical social activity.

  20. Trajectories of At-Homeness and Health in Usual Care and Small House Nursing Homes

    Science.gov (United States)

    Molony, Sheila L.; Evans, Lois K.; Jeon, Sangchoon; Rabig, Judith; Straka, Leslie A.

    2011-01-01

    Background: Long-term care providers across the United States are building innovative environments called "Green House" or small-house nursing homes that weave humanistic person-centered philosophies into clinical care, organizational policies, and built environments. Purpose: To compare and contrast trajectories of at-homeness and health over…