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Sample records for humanistic patient care

  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. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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。

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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。

  1. 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.

  2. 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

  3. 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

  4. 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.

  5. 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

  6. 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.

  7. 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.

  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. 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.

  10. 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。

  11. 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.

  12. 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。

  13. 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.

  14. 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。

  15. [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.

  16. 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.

  17. 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 .

  18. 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

  19. 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.

  20. 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。

  1. 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.

  2. 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.

  3. 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。

  4. 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。

  5. 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.

  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. 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。

  8. 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.

  9. 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.

  10. 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...

  11. 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.

  12. 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.

  13. 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)

  14. 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 .

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. Needs assessment in terminal patients through in-depth interviews and their follow-up with humanistic and thanatological counselling

    Directory of Open Access Journals (Sweden)

    Iliana Jiménez Zaraín

    2006-07-01

    Full Text Available The recent investigation of qualitative type had as a target to detect the psychological and physics necessities of the patients with some kind of terminal sickness. This took place in the I.S.S.S.T.E hospital, where through the application of an instrument proportionate by the hospital and the technical of a deep interview it was recollected some information, each interview had duration between 1 and 2 hours. There were 6 interviews with each one of the 3 patients, already interviewed and it was searched that this one was found on an isolated room to establish a confidential environment, those interviews were not realized in a continuous appropriated way to the patients disposition that in some occasions it was obstructed by their sickness or by their courage. To each patient, it was offered psychotherapy with humanistic and thanatological focus for their necessities.

  20. 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.

  1. 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

  2. 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…

  3. The humanistic and economic burden of venous thromboembolism in cancer patients: a systematic review.

    Science.gov (United States)

    Kourlaba, Georgia; Relakis, John; Mylonas, Charalambos; Kapaki, Vasiliki; Kontodimas, Stathis; Holm, Majbrit V; Maniadakis, Nikos

    2015-01-01

    The objective of this study was to present evidence on the epidemiology, health outcomes and economic burden of cancer-related venous thromboembolism (VTE). Medline, Cochrane Central Register of Controlled Trials, Econlit, Science Direct, JSTOR, Oxford Journals and Cambridge Journals were searched. The systematic literature search was limited to manuscripts published from January 2000 to December 2012. On the basis of the literature, cancer patients experience between two-fold and 20-fold higher risk of developing VTE than noncancer patients. They are more likely to experience a VTE event during the first 3-6 months after cancer diagnosis. In addition, an increased risk of VTE in patients with distant metastases and certain types of cancer (i.e. pancreatic or lung) was revealed. VTE was found to be a leading cause of mortality in cancer patients. The annual average total cost for cancer patients with VTE was found to be almost 50% higher than that of cancer patients without VTE. Inpatient care costs accounted for more than 60% of total cost. The existing evidence assessed in the present review demonstrated the significant health and economic consequences of cancer-related VTE, which make a strong case for the importance of its proper and efficient prevention and management.

  4. 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。

  5. Modern medicine is losing its humanistic essence: 'Patients no more, but diseases' is the new motto now.

    Directory of Open Access Journals (Sweden)

    Filiz Bulut

    2016-12-01

    Full Text Available For medicine, which is as old as history of humanity, the virtue of helping has always been a priority. However, the way medicine see diseases and human being changed from time to time, and the treatment approaches were shaped accordingly. Ancient Greek's Knidos and Kos Schools of Medicine reflecting one of the earliest schools of systematic medical education show us two distinct perspectives. School of Kos carries the characteristics of Hippocratic medicine and reach a diagnosis not considering the disease symptoms but through the disease itself, and the prognosis of the patient is taken into consideration as well. The disease and the patient are handled with a holistic view without focusing on an organ and the treatment is planned accordingly, while the School of Knidos focuses mainly on the disease not to the patient and reach a clinical diagnosis based on the specifications presented from the symptoms. Today's modern medicine mentality has significant similarities with the School of Knidos approach. This model ignores the cases specific to the patient while diagnosing and applying treatment methods. The physicians who get more specialised every day are becoming implementers of an alienated medicine in contrast to Hippocrates's 'There is no disease, but the patient' aphorism. Nowadays, with the rapidly developing technology and ever-growing accumulation of knowledge, it is possible to say that we moved away from the 'humanistic' medicine concept. In addition, in today's medicine, embedding the business concepts into medicine and commercialization of medicine have significant effects on this phenomenon. The establishment and assessment of the relationship of patient-physician on the basis of ‘customer satisfaction' is changing physicians' opinions on their profession and patients, which leads to a worrisome transformation such as moving away from traditional medical virtues. In this process, respect and trust for the physician are shaken and

  6. 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.

  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. 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。

  9. 人性化护理管理对糖尿病患者的影响%Humanistic nursing management of patients with essential diabetes mellitus the effects

    Institute of Scientific and Technical Information of China (English)

    刘霞; 贾巧

    2011-01-01

    Objective: Discussion of care in patients with essential diabetes mellitus Ways. Ways 60 cases of hospitalized patients with essential diabetes mellitus were randomly divided into observation group and control group. Blood pressure lowering therapy in the meanwhile, the control group to implement the functions of the traditional system of care management, the implementation of standardized observation group services and care, appropriate health education, personal psychological adjustment, life care, emotional support and cultural aspects of care such as the humanization of nursing management . 8 weeks after the social function of Diabetes mellitus SDSS (SDSS) and SCL (SCL-90) to assess the effect. Results: Treatment after the end of the observation group of the factor scores (it. Addition to bowel and outside) ,SDSS score and SCL- 90,Somatization, compulsion, interpersonal sensitivity, depression, anxiety and paranoid factor scores were significantly lower than control group(P<0. 01). Conclusions: Humanistic nursing management of hospitalized patients with essential diabetes mellitus improve the quality of life, to improve patients play an important role.%目的:探讨糖尿病病患者的护理方法.方法:将60例住院糖尿病患者随机均分为观察组和对照组.在降血糖治疗的同时、对照组实施传统式的功能制护理管理,观察组实施规范化服务与护理、健康宜教、个性化心理调适、生活关怀、情感支持和文化护理等方面的人性化护理管理,8周后对糖尿病社会功能缺陷筛选量表(SDSS)和症状自评量表(SCL-90)进行效果评定.结果:治疗结束后,观察组各因子分(除激惹性外)、SDSS评分及SCL-90中躯体化、强迫、人际关系、抑郁、焦虑及偏执因子分显著低于对照组(均P<0.01).结论:人性化护理管理对提高住院糖尿病患者的生活质量、改善患者病情具有重作用.

  10. 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。

  11. 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。

  12. 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.…

  13. 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.

  14. Patient-centered Care.

    Science.gov (United States)

    Reynolds, April

    2009-01-01

    Patient-centered care focuses on the patient and the individual's particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, radiologic technologists and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe. For radiologic technologists, patient-centered care encompasses principles such as the as low as reasonably achievable (ALARA) concept and contrast media safety. Patient-centered care is associated with a higher rate of patient satisfaction, adherence to suggested lifestyle changes and prescribed treatment, better outcomes and more cost-effective care. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. According to one theory, most patients judge the quality of their healthcare much like they rate an airplane flight. They assume that the airplane is technically viable and is being piloted by competent people. Criteria for judging a particular airline are personal and include aspects like comfort, friendly service and on-time schedules. Similarly, patients judge the standard of their healthcare on nontechnical aspects, such as a healthcare practitioner's communication and "soft skills." Most are unable to evaluate a practitioner's level of technical skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care.(1).

  15. Leadership for patient care.

    Science.gov (United States)

    Nackel, J G; Shelley, S R

    1991-01-01

    In an era of change in health-care delivery and, particularly, change in patient care, leadership is the cornerstone of change management. The environment of the 1990s will challenge even the most sophisticated and capable health-care executives. This paper discusses key aspects of leadership and models them to the patient-care setting. Leadership will be the differentiating factor as organizations seek competitive advantage.

  16. 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.

  17. 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。

  18. Discussion on Humanistic Nursing Skills in Elderly Patients of Ophthalmology%眼科老年患者的人性化护理技巧探讨

    Institute of Scientific and Technical Information of China (English)

    王娜娜; 詹江波; 张郧芳

    2012-01-01

    目的 探讨针对眼科老年患者的人性化护理技巧.方法 坚持以病人为中心,护理人员掌握好老年患者的心理特征,转变服务观念,规范护理行为;灵活运用沟通技巧,加强护患沟通工作.结果 住院患者的安全得到保证,护理缺陷和护理纠纷减少.结论 有针对性的人性化护理是保证眼科患者医疗安全、减少护理缺陷和防范护理纠纷的一项重要措施.%Objective;To explore the humanistic nursing skills in elderly patients of ophthalmology. Method; Taking the patients as the center, the nursing staff grasps the psychological characteristics of elderly patients of ophthalmology, changes the service concepts and standardizes the nursing behavior, flexibly uses the communication skills and strengthens the communication. Result; The nursing safe of the patients was ensured, the nursing defects and nursing disputes were decreased. Conclusion; Targeted humanistic nursing skills is an important measure for the elderly patients of ophthalmology to ensure the medical safety, reduce nursing defects and prevent nursing disputes.

  19. 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。

  20. 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 .

  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. 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。

  3. 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。

  4. 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.

  5. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner

    2014-01-01

    and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...... was electronically forwarded. And, care expressed in between was perceived as care in the traditional sense and termed as “patient care in radiology.”...

  6. 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)

  7. 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…

  8. 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.

  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. 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…

  11. 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.

  12. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner

    2014-01-01

    The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...

  13. 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.

  14. 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

  15. Improving the economic and humanistic outcomes for diabetic patients: making a case for employer-sponsored medication therapy management

    Directory of Open Access Journals (Sweden)

    Pinto SL

    2013-04-01

    Full Text Available Sharrel L Pinto, Jinender Kumar, Gautam Partha, Robert A BechtolThe Pharmaceutical Care and Outcomes Research Laboratory, Department of Pharmacy Practice, College of Pharmacy and Pharmaceutical Sciences, The University of Toledo, Toledo, OH, USABackground: The purpose of this study was to determine the cost savings of a pharmacist-led, employer-sponsored medication therapy management (MTM program for diabetic patients and to assess for any changes in patient satisfaction and self-reported medication adherence for enrollees.Methods: Participants in this study were enrollees of an employer-sponsored MTM program. They were included if their primary medical insurance and prescription coverage was from the City of Toledo, they had a diagnosis of type 2 diabetes, and whether or not they had been on medication or had been given a new prescription for diabetes treatment. The data were analyzed on a prospective, pre-post longitudinal basis, and tracked for one year following enrollment. Outcomes included economic costs, patient satisfaction, and self-reported patient adherence. Descriptive statistics were used to characterize the population, calculate the number of visits, and determine the mean costs for each visit. Friedman’s test was used to determine changes in outcomes due to the nonparametric nature of the data.Results: The mean number of visits to a physician’s office decreased from 10.22 to 7.07. The mean cost of these visits for patients increased from $47.70 to $66.41, but use of the emergency room and inpatient visits decreased by at least 50%. Employer spending on emergency room visits decreased by $24,214.17 and inpatient visit costs decreased by $166,610.84. Office visit spending increased by $11,776.41. A total cost savings of $179,047.80 was realized by the employer at the end of the program. Significant improvements in patient satisfaction and adherence were observed.Conclusion: Pharmacist interventions provided through the employer

  16. 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.

  17. 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。

  18. 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

  19. 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。

  20. 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.

  1. 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.

  2. 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".

  3. Caring for Latino patients.

    Science.gov (United States)

    Juckett, Gregory

    2013-01-01

    Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in quality of health care for these patients. These barriers include language, lack of insurance, different cultural beliefs, and in some cases, illegal immigration status, mistrust, and illiteracy. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. Latinos have disproportionately higher rates of obesity and diabetes mellitus. Other health problems include stress, neurocysticercosis, and tuberculosis. It is important to explore the use of alternative therapies and belief in traditional folk illnesses, recognizing that health beliefs are dependent on education, socioeconomic status, and degree of acculturation. Many-but not all-folk and herbal treatments can be safely accommodated with conventional therapy. Physicians must be sensitive to Latino cultural values of simpatia (kindness), personalismo (relationship), respeto (respect), and modestia (modesty). The LEARN technique can facilitate cross-cultural interviews. Some cultural barriers may be overcome by using the "teach back" technique to ensure that directions are correctly understood and by creating a welcoming health care environment for Latino patients.

  4. 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…

  5. The Effects of Humanistic Nursing on Psychological State and Life Quality of Elderly Patients With Myocardial Infarction%人性化护理对老年心肌梗死患者心理状态及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    马爽

    2016-01-01

    Objective To explore the application effect of humanistic nursing on elderly patients with myocardial infarction.Methods Eighty cases of elderly patients with acute myocardial infarction were divided into the observation group (n=50)and the control group (n=50),the control group was given routine nursing,the observation group was given humanistic nursing,nursing effects were compared between two groups.Results Anxiety(SAS)score,depression (SDS) score after nursing in the observation group care were signiifcantly lower than those in the control group (P<0.05), life quality score in the observation group were significantly higher than those in the control group (P<0.05).Conclusion Humanistic nursing can greatly improve the comprehensive needs of the patients,improve the physiological and psychological comfort,and improve the quality of life.%目的:探讨人性化护理在老年心肌梗死患者中的应用效果。方法选取我院100例老年心肌梗死患者,随机分为观察组和对照组,每组患者均为50例,对照组采用常规护理,观察组采用人性化护理,比较两组患者的护理效果。结果观察组护理后的SAS、SDS评分低于对照组(P<0.05),观察组护理后生活质量方面的评分均高于对照组(P<0.05)。结论人性化护理可大大改善患者的各项综合要求,提高生理和心理上的舒适度,改善生活质量。

  6. 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。

  7. Influence of Humanistic Nursing on the Hypoglycemic Effect of Treatment in Patients with Diabetes Mellitus%人性化护理对糖尿病患者降糖治疗效果的影响

    Institute of Scientific and Technical Information of China (English)

    陈越

    2015-01-01

    目的:探讨人性化护理对糖尿病患者降糖治疗效果的影响。方法将2010年5月—2011年5月收治的58例糖尿病患者随机分为随机分为A、B组各29例。 B组予常规护理,A组在此基础上予人性化护理,包括心理护理、营造温馨的住院环境、健康教育、运动指导。比较组间血糖指标变化。结果 A患者治疗后各项指标与B组比较明显改善。结论人性化护理能更好地改善2型糖尿病患者的代谢指标,降低其并发症的发生率。%Objective To explore the effect of humanized nursing of hypoglycemic effect of treatment in patients with diabetes mellitus. Methods 58 cases of hospitalized patients with diabetes mellitus were randomly divided into A, B group with 29 patients in each group from may 2010 to may 2011. The B group received conventional diabetes treatment and A group based on this ,was given humanized nursing ,including Psychological nursing, and create a warm hospital environment, health education, guidance of movement. glycemic index changes were compared between 2 groups. Results The indexes of A patients after treatment compared with the B group improved significantly. Conclusions Humanistic nursing care can improve the metabolic parameters in patients with type 2 diabetes mellitus,reduce the incidence of its complications.

  8. ASSESSING SATISFACTION WITH THE NURSING CARE OF OLDER PATIENTS

    Directory of Open Access Journals (Sweden)

    Pediaditaki O.

    2009-10-01

    Full Text Available Assessing patients’ views indicates to patients that we are concerned about continuous assessment and improvingservices in general. It also indicates that we are a conscientious professional within a genuine humanistic line of work. Thepaper discusses the many theoretical and methodological problems that have arisen from attempts to measure andquantify patient satisfaction. Numerical data are thought to be ‘sterile’ without any insight into personal meanings. On theother hand purely qualitative methods have not been widely used. This discussion paper ends with the formulation of twosimple questions which can help us to explore and negotiate patients’ needs and satisfaction. Two non-offensivestraightforward questions are proposed as examples which could be used on a regular basis by nurses caring for olderpatients.

  9. 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.

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

    Science.gov (United States)

    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.

  11. 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.

  12. 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。

  13. 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。

  14. To Conciliate Doctor -patient Conflicts Caused by Different Interest Pursuits through Humanistic Concern%用人文关怀化解医患作为不同利益主体的矛盾冲突

    Institute of Scientific and Technical Information of China (English)

    胡文华; 张金凤; 张永利

    2012-01-01

    The Conflicts of doctor - patient relationship reflects their different value pursuits. To the medical side, too much seeking for economic benefits led to incorrect value pursuit; attaching more importance on defensive treatment impaired patients'interests. To the patient side, strengthened consciousness of safeguarding rights led them to an extreme against doctors; longing for health and mutual trust crisis coexist. The authors proposed that humanistic concern is a recipe to solve the doctor - patient conflicts, to the doctors, the knowledge of disease supported by humanistic concern should be always kept in mind; the medical service integrating the humanistic concern should be realized through the medical activities.%医患关系矛盾状态折射出双方各自的价值追求:医方过分逐利导致价值追求错位、重防范导致患者利益受损;惠方维权意识增强促使其走向与医方对峙的极端、健康渴求与信任危机并存.就医方而言,把追名逐利的价值观扭转到全心全意为患者服务上来,使人文关怀贯穿于患者就医过程的始终将是化解医患矛盾冲突的良方,即对疾病的共性认识需要人文关怀的支持——应根植于接诊前的医务人员内心;融入人文关怀的医疗服务是患者诉求实现的保障——应贯穿于患者就医过程始终.

  15. Peabody's "Care of the Patient" and the Nature of Medical Science.

    Science.gov (United States)

    Brody, Howard

    2014-01-01

    Francis W. Peabody's 1927 essay "The Care of the Patient" is widely quoted, yet few appreciate the subtlety of its interweaving of medical science with its more obvious humanistic elements. Understanding the essay in context requires a recapitulation of Peabody's life story, a review of earlier work that led up to the culminating lecture in 1926, and a detailed analysis of the thread of argument Peabody wove through the lecture. A better understanding of the essay shows how Peabody anticipated several important later developments in medical thought.

  16. 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…

  17. 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.…

  18. 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.

  19. National Patient Care Database (NPCD)

    Data.gov (United States)

    Department of Veterans Affairs — The National Patient Care Database (NPCD), located at the Austin Information Technology Center, is part of the National Medical Information Systems (NMIS). The NPCD...

  20. 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。

  1. 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

  2. Nursing care for stroke patients

    DEFF Research Database (Denmark)

    Tulek, Zeliha; Poulsen, Ingrid; Gillis, Katrin

    2017-01-01

    AIMS AND OBJECTIVES: To conduct a survey of the clinical nursing practice in European countries in accordance with the European Stroke Strategies (ESS) 2006, and to examine to what extent the ESS have been implemented in stroke care nursing in Europe. BACKGROUND: Stroke is a leading cause of death...... comprising 61 questions based on the ESS and scientific evidence in nursing practice was distributed to representatives of the European Association of Neuroscience Nurses, who sent the questionnaire to nurses active in stroke care. The questionnaire covered the following areas of stroke care: Organization...... of stroke services, Management of acute stroke and prevention including basic care and nursing, and Secondary prevention. RESULTS: Ninety-two nurses in stroke care in 11 European countries participated in the survey. Within the first 48 hours after stroke onset, 95% monitor patients regularly, 94% start...

  3. 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.

  4. 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.

  5. 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。

  6. 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。

  7. Intensive care of haematological patients

    DEFF Research Database (Denmark)

    Magid, Tobias; Haase, Nicolai; Andersen, Jakob Steen

    2012-01-01

    This article presents the treatment results of 320 consecutive patients with malignant haematological diagnoses admitted to a tertiary intensive care unit at a Danish University hospital over a six-year period (2005-2010). With reference to international publications, we describe the development...

  8. 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。

  9. 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.

  10. Evaluation of patient perceptions and outcomes related to anticoagulation point-of-care testing in ambulatory care clinics

    Directory of Open Access Journals (Sweden)

    Fermo JD

    2009-12-01

    Full Text Available Until recently, Prothrombin Time/International Normalized Ratio (PT/INR measurements have typically been used to monitor patients on warfarin through institutional laboratories via venous puncture. The Point-of-Care Testing (POCT device has revolutionized the patient care process by allowing for laboratory testing outside of the central laboratory. Objective: To analyze humanistic and clinical outcomes in patients currently treated with warfarin and monitored through a pharmacist-managed anticoagulation clinic using point-of-care testing (POCT device versus venipuncture within ambulatory care clinics at our institution. Methods: All patients currently treated with warfarin therapy who were managed by clinical pharmacists for anticoagulation monitoring at the Medical University of South Carolina (MUSC Family Medicine Center and University Diagnostic Center, were enrolled. Patients were asked to complete a satisfaction survey regarding their anticoagulation monitoring. In addition, data related to emergency department (ED visits, hospitalizations and percent of time in the INR therapeutic range for 6 months pre- and post-implementation of POCT device was collected. This information was obtained through an electronic patient information database, Oacis. Results: A total of 145 patients were included in the data collection from the two clinics. The majority (41% of these patients were taking warfarin for atrial fibrillation. Satisfaction surveys were completed by 86 (59 % of patients. The surveys revealed that POCT device was preferred over venipuncture in 95% of patients. Reasons for the preference included more face-to-face interaction, less wait time, less pain, less blood needed, and quicker results. Of the 145 patients who were included in the objective data analysis, no significant differences were found in the number of hospitalizations, ED visits, or percent of time in the INR therapeutic range pre- and post- implementation of POCT device

  11. 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.

  12. 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。

  13. 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.

  14. Orthogeriatric care: improving patient outcomes

    Directory of Open Access Journals (Sweden)

    Tarazona-Santabalbina FJ

    2016-06-01

    Full Text Available Francisco José Tarazona-Santabalbina,1,2 Ángel Belenguer-Varea,1,2 Eduardo Rovira,1,2 David Cuesta-Peredó1,21Geriatric Medicine Unit, Internal Medicine Department, Hospital Universitario de la Ribera, 2Medical School, Universidad Católica de Valencia San vicente Mártir, Valencia, SpainAbstract: Hip fractures are a very serious socio-economic problem in western countries. Since the 1950s, orthogeriatric units have introduced improvements in the care of geriatric patients admitted to hospital because of hip fractures. During this period, these units have reduced mean hospital stays, number of complications, and both in-hospital mortality and mortality over the middle term after hospital discharge, along with improvements in the quality of care and a reduction in costs. Likewise, a recent clinical trial has reported greater functional gains among the affected patients. Studies in this field have identified the prognostic factors present upon admission or manifesting themselves during admission and that increase the risk of patient mortality or disability. In addition, improved care afforded by orthogeriatric units has proved to reduce costs. Nevertheless, a number of management issues remain to be clarified, such as the optimum anesthetic, analgesic, and thromboprophylactic protocols; the type of diagnostic and therapeutic approach best suited to patients with cognitive problems; or the efficiency of the programs used in convalescence units or in home rehabilitation care. Randomized clinical trials are needed to consolidate the evidence in this regard. Keywords: hip fractures, geriatric assessment, orthogeriatric care, recovery of function, mortality

  15. Patient satisfaction with medical care

    Directory of Open Access Journals (Sweden)

    M. A. Sadovoy

    2017-01-01

    Full Text Available Patients’ evaluation of medical care is becoming more and more important due to expanding patient-centered care. For this purpose a complex index of patient satisfaction with healthcare is used. This parameter reflects the correspondence of actual healthcare services to patient’s expectations that were formed under the influence of cultural, social, economic factors, and personal experience of each patient. Satisfaction is a subjective parameter, thus, a grade of satisfaction is barely connected with quality of healthcare services itself. Moreover, medical organizations should always take into account specific features of each patient, since they can have an influence on customer attitude to medical services.This article comprises the review of publications studying determinants of patient satisfaction. In the course of the study, we analyzed data received by research teams from different countries.According to the review, we made some conclusions. First, determinants of patient satisfaction with healthcare can be divided in two groups. The first group of factors includes patients’ characteristics such as age, gender, ethnical and cultural features. However, researches from different countries revealed that there is a difference in the importance of factors belonging to this group and their influence on satisfaction of certain patient cohorts. The second group includes factors that belong to the process of healthcare services delivery and its organization. Moreover, it was found that patient satisfaction level is changing in a waveform. Thus, medical organization should not only try to increase patient satisfaction level but also maintain it. AS a result, it necessary to monitor patient satisfaction with healthcare services. That is why there is a distinct need for the development of a new tool or adaptation of existing instrument of satisfaction measurement, which would be unitized for all medical organizations in the Russian Federation 

  16. 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…

  17. Primary care patient and provider preferences for diabetes care managers

    Directory of Open Access Journals (Sweden)

    Ramona S DeJesus

    2010-06-01

    Full Text Available Ramona S DeJesus1, Kristin S Vickers2, Robert J Stroebel1, Stephen S Cha31Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Department of Psychiatry and Psychology, Mayo Clinic, MN, USA; 3Department of Biostatistics, Mayo Clinic, Rochester, MN, USAPurpose: The collaborative care model, using care managers, has been shown to be effective in achieving sustained treatment outcomes in chronic disease management. Little effort has been made to find out patient preferences for chronic disease care, hence, we conducted a study aimed at identifying these.Methods: A 20-item questionnaire, asking for patients’ and providers’ preferences and perceptions, was mailed out to 1000 randomly selected patients in Olmsted County, Minnesota, identified through a diabetes registry to have type 2 diabetes mellitus, a prototypical prevalent chronic disease. Surveys were also sent to 42 primary care providers.Results: There were 254 (25.4% patient responders and 28 (66% provider responders. The majority of patients (>70% and providers (89% expressed willingness to have various aspects of diabetes care managed by a care manager. Although 75% of providers would be comfortable expanding the care manager role to other chronic diseases, only 39.5% of patient responders would be willing to see a care manager for other chronic problems. Longer length of time from initial diagnosis of diabetes was associated with decreased patient likelihood to work with a care manager.Conclusion: Despite study limitations, such as the lack of validated measures to assess perceptions related to care management, our results suggest that patients and providers are willing to collaborate with a care manager and that both groups have similar role expectations of a care manager.Keywords: care manager, collaborative care, patient preference, diabetes care

  18. Access and care issues in urban urgent care clinic patients

    Directory of Open Access Journals (Sweden)

    Adams Jill C

    2009-12-01

    Full Text Available Abstract Background Although primary care should be the cornerstone of medical practice, inappropriate use of urgent care for non-urgent patients is a growing problem that has significant economic and healthcare consequences. The characteristics of patients who choose the urgent care setting, as well as the reasoning behind their decisions, is not well established. The purpose of this study was to determine the motivation behind, and characteristics of, adult patients who choose to access health care in our urgent care clinic. The relevance of understanding the motivation driving this patient population is especially pertinent given recent trends towards universal healthcare and the unclear impact it may have on the demands of urgent care. Methods We conducted a cross-sectional survey of patients seeking care at an urgent care clinic (UCC within a large acute care safety-net urban hospital over a six-week period. Survey data included demographics, social and economic information, reasons that patients chose a UCC, previous primary care exposure, reasons for delaying care, and preventive care needs. Results A total of 1, 006 patients were randomly surveyed. Twenty-five percent of patients identified Spanish as their preferred language. Fifty-four percent of patients reported choosing the UCC due to not having to make an appointment, 51.2% because it was convenient, 43.9% because of same day test results, 42.7% because of ability to get same-day medications and 15.1% because co-payment was not mandatory. Lack of a regular physician was reported by 67.9% of patients and 57.2% lacked a regular source of care. Patients reported delaying access to care for a variety of reasons. Conclusion Despite a common belief that patients seek care in the urgent care setting primarily for economic reasons, this study suggests that patients choose the urgent care setting based largely on convenience and more timely care. This information is especially applicable to

  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. 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.

  1. Caring for visually impaired patients.

    Science.gov (United States)

    Orrico, Kathleen B

    2013-01-01

    To raise pharmacist awareness about the needs and concerns of our patients with visual impairment and to review useful strategies to foster medication adherence. As patient-centered pharmacists, we need to understand the challenges faced by our patients with low vision and tailor pharmaceutical care to best fit their needs. Evidence-based best practices in labeling and written communication have been developed by the American Foundation for the Blind in partnership with the American Society of Consultant Pharmacists. These recommendations include the use of specific font styles, minimum font size, and other standards known to enhance usability for those with limited vision. Recent advances in assistive technologies such as audio output and object recognition software can be used to ease the medication-taking process and effectively communicate important drug and safety information in a manner that can be understood by those with low vision. In July 2012, the Prescription Accessible Drug Labeling Promotion Act of 2012 (HR 4087) was signed into law. This new legislation is an addition to the Food and Drug Administration Safety and Innovation Act, which required the development and ultimate implementation by pharmacies of national best practices intended to improve the accessibility of prescription drug labeling for the visually impaired. As a patient-centered profession, we need to advocate for our patients with special needs by partnering with government and patient groups to support and enact legislation intended to enhance people's ability to adhere to drug therapy.

  2. Stroke Care in Young Patients

    Directory of Open Access Journals (Sweden)

    L. Tancredi

    2013-01-01

    Full Text Available The aims of this study were (i to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retrospectively identified 324 patients. One or more vascular risk factors were present in 71.5% of the patients. With respect to the diagnostic process, an increase in the frequency of cerebral noninvasive angiographic studies and a decrease in the use of digital subtraction angiography were observed ( and , resp.. Undetermined causes decreased over 5-year period of study (. The diagnosis of cardioembolism increased. Thrombolysis was performed for 7.7% of the patients. PFO closure (8% was the most frequently employed surgical procedure. In conclusion, the clinical care that is given to young patients with ischemic stroke changed over the study period. In particular, we detected an evolution in the diagnostic process and a reduction in the number of undetermined cases.

  3. 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

  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. 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.

  6. Psychosocial care to patients with Malignant Melanoma

    DEFF Research Database (Denmark)

    Thorup, Charlotte Brun

    Psychosocial care to patients with Malignant Melanoma Intensions: The intension of this project is to link new knowledge with the nurses experience based knowledge within the psychosocial care to patients, who have been diagnosed with Malignant Melanoma (MM), thereby improving the care...

  7. Need for care from the patient perspective.

    NARCIS (Netherlands)

    Prins, M.; Verhaak, P.; Bensing, J.M.; Meer, K. van der; Penninx, B.W.J.H.

    2008-01-01

    INTRODUCTION: Only a small part of anxiety and depression patients receive care for their mental disorder and even less patients receive the care they wanted. People have different needs for care, so it is important to investigate the patient’s perspective. OBJECTIVES: To explore the specific needs

  8. Professionalism for future humanistic doctors

    Directory of Open Access Journals (Sweden)

    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

  9. 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)

  10. 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)

  11. 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.

  12. Patient safety culture in primary care

    NARCIS (Netherlands)

    Verbakel, N.J.

    2015-01-01

    Background A constructive patient safety culture is a main prerequisite for patient safety and improvement initiatives. Until now, patient safety culture (PSC) research was mainly focused on hospital care, however, it is of equal importance in primary care. Measuring PSC informs practices on their s

  13. Perioperative Care of the Transgender Patient.

    Science.gov (United States)

    Smith, Francis Duval

    2016-02-01

    Transgender patients are individuals whose gender identity is not related to their biological sex. Assuming a new gender identity that does not conform to societal norms often results in discrimination and barriers to health care. The exact number of transgender patients is unknown; however, these patients are increasingly seen in health care. Transgender individuals may experience provider-generated discrimination in health care facilities, including refusal of service, disrespect, and abuse, which contribute to depression and low self-esteem. Transgender therapies include mental health counseling for depression and low self-esteem, hormone therapy, and sex reassignment surgery. Health care professionals require cultural competence, an understanding of the different forms of patient identification, and adaptive approaches to care for transgender patients. VA (Veterans Affairs) hospitals provide a model for the care for transgender patients and staff.

  14. Self-Care Ability in Hemodialysis Patients

    OpenAIRE

    Atashpeikar, Soulmaz; Jalilazar, Tahereh; Heidarzadeh, Mehdi

    2012-01-01

    Introduction: Considering the numerous physical and psychological problems in hemo-dialysis patients, they are dependent on others in some daily activities and in fact, they do not have full self-care ability. A few studies have ever been done, particularly in Iran, on self-care ability of hemodialysis patients. The present study aimed to determine self-care ability of these patients in addition to evaluate its association with some demo-graphic characteristics. Methods: Thi...

  15. 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.

  16. 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.

  17. Healing presence: Experiences and perceptions of cardiac intensive care patients concerning the nurse presence

    Directory of Open Access Journals (Sweden)

    Shafipour V

    2015-02-01

    Full Text Available Background and Objective: Presence is an essential aspect of any nursing care situation and is provided by considering the overall needs of the patients and lead to their comfort and health. Heart disease is a stressful experience for many patients that are associated with unwanted fear that can create a lot of needs and tension. Nurse can recognize and solve the caring needs of patients through an effective presence. Therefore, this study was conducted aimed to explain the experiences and perceptions of cardiac intensive care patients concerning the nurse presence.  Materials and Method: This study was conducted with a qualitative, conventional content analysis approach. The participants were 15 cardiac patients which were selected through purposive sampling. Data collection was performed by unstructured interviews. Data collection continued until data saturation. Continuous analysis of data was performed simultaneously with data collection and through a comparative method.  Results: From data analysis three main themes emerged including "Patient's comfort with continuous monitoring of the nurse with the sub-themes (ongoing watch, attention and follow-up the provided care humanistic and responsibly relationship of the nurse with the sub-themes (committed and respectful encounter of nurse, Patience and empathy, and understanding the nurse supporting with the sub-themes (receiving the necessary information and education, and easy access to the nurse.   Conclusion: The real presence of nurses is source of comfort and provides the patients needs. So it is recommended that the clinical nurses and managers with relying on these findings design the caring activities so that the nurses’ presence act as a facilitated factor in recovery process of patients.

  18. 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...

  19. Supportive care needs of Iranian cancer patients

    Directory of Open Access Journals (Sweden)

    Azad Rahmani

    2014-01-01

    Full Text Available Background: A supportive needs assessment is an essential component of any care program. There is no research evidence regarding the supportive care needs of cancer patients in Iran or other Middle Eastern countries. Aims: The aim of this study was to determine the supportive care needs of Iranian cancer patients. Materials and Methods: This descriptive study was conducted in a referral medical center in the northwest of Iran. A total of 274 cancer patients completed the Supportive Care Needs Survey (SCNS-59. Descriptive statistics were used for data analysis. Results: In 18 items of the SCNS, more than 50% of the participants reported that their needs were unmet. Most frequently, unmet needs were related to the health system, information, physical, and daily living domains, and most met needs were related to sexuality, patient care, and support domains. Conclusions: Iranian cancer patients experience many unmet needs and there is an urgent need for establishing additional supportive care services in Iran.

  20. Older patients' experiences during care transition

    Directory of Open Access Journals (Sweden)

    Rustad EC

    2016-05-01

    Full Text Available Else Cathrine Rustad,1–4 Bodil Furnes,1 Berit Seiger Cronfalk,2,5,6 Elin Dysvik1 1Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway; 2Faculty of Health and Caring Sciences, Stord Haugesund University College, Stord, Norway; 3Research Network on Integrated Health Care in Western Norway, Helse Fonna Local Health Authority, Haugesund, Norway; 4Department of Clinical Medicine, Helse Fonna Local Health Authority, Haugesund, Norway; 5Palliative Research Center, Ersta Sköndal University College, Stockholm, Sweden; 6Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Background: A fragmented health care system leads to an increased demand for continuity of care across health care levels. Research indicates age-related differences during care transition, with the oldest patients having experiences and needs that differ from those of other patients. To meet the older patients’ needs and preferences during care transition, professionals must understand their experiences.Objective: The purpose of the study was to explore how patients ≥80 years of age experienced the care transition from hospital to municipal health care services.Methods: The study has a descriptive, explorative design, using semistructured interviews. Fourteen patients aged ≥80 participated in the study. Qualitative content analysis was used to describe the individuals’ experiences during care transition.Results: Two complementary themes emerged during the analysis: “Participation depends on being invited to plan the care transition” and “Managing continuity of care represents a complex and challenging process”.Discussion: Lack of participation, insufficient information, and vague responsibilities among staff during care transition seemed to limit the continuity of care. The patients are the vulnerable part of the care transition process, although they possess important

  1. Patient Satisfaction with Virtual Obstetric Care.

    Science.gov (United States)

    Pflugeisen, Bethann Mangel; Mou, Jin

    2017-02-07

    Introduction The importance of patient satisfaction in US healthcare is increasing, in tandem with the advent of new patient care modalities, including virtual care. The purpose of this study was to compare the satisfaction of obstetric patients who received one-third of their antenatal visits in videoconference ("Virtual-care") compared to those who received 12-14 face-to-face visits in-clinic with their physician/midwife ("Traditional-care"). Methods We developed a four-domain satisfaction questionnaire; Virtual-care patients were asked additional questions about technology. Using a modified Dillman method, satisfaction surveys were sent to Virtual-care (N = 378) and Traditional-care (N = 795) patients who received obstetric services at our institution between January 2013 and June 2015. Chi-squared tests of association, t-tests, logistic regression, and ANOVA models were used to evaluate differences in satisfaction and self-reported demographics between respondents. Results Overall satisfaction was significantly higher in the Virtual-care cohort (4.76 ± 0.44 vs. 4.47 ± 0.59; p Virtual-care selection (OR = 2.4, 95% CI: 1.5-3.8; p Virtual-care respondents was not significantly impacted by the incorporation of videoconferencing, Doppler, and blood pressure monitoring technology into their care. The questionnaire demonstrated high internal consistency as measured by domain-based correlations and Cronbach's alpha. Discussion Respondents from both models were highly satisfied with care, but those who had selected the Virtual-care model reported significantly higher mean satisfaction scores. The Virtual-care model was selected by significantly more women who already have children than those experiencing pregnancy for the first time. This model of care may be a reasonable alternative to traditional care.

  2. Psychosocial care to patients with Malignant Melanoma

    DEFF Research Database (Denmark)

    Thorup, Charlotte Brun

    Psychosocial care to patients with Malignant Melanoma Intensions: The intension of this project is to link new knowledge with the nurses experience based knowledge within the psychosocial care to patients, who have been diagnosed with Malignant Melanoma (MM), thereby improving the care...... to this group of patients. Background: MM is the type of cancer, which over the past 50 years has increased the most in newly discovered cases, and is the most aggressive type of skin cancer. The statement above shows that this group of patients will increase in the future. It is therefore important...... to elaborate the care to these patients. Method: In 2007 the nurses from our ward gained experience from the psychosocial care to these patients. These experiences are a starting point to the study of literature the group has made. A group of five nurses have from this literature study, substantiated...

  3. ISLAMIC CARING MODEL ON INCREASE PATIENT SATISFACTION

    Directory of Open Access Journals (Sweden)

    Muh. Abdurrouf

    2017-04-01

    Full Text Available Introduction: Patient satisfaction was important aspect that must be considered by health service providers, patients who were not satisfied will leave the hospital and be a competitor's customers so be able caused a decrease in sales of products/services and in turn could reduce and even loss of profit, therefore, the hospital must provided the best service so that it could increase patient satisfaction. The purpose of this study was to exams the effect of Islamic caring model on increase patient satisfaction.. Method: This study was used pre-experimental design, the respondents were 31 patients in the treatment group assigned Islamic caring and 31 patients with a kontrol group that were not given Islamic caring Inpatient Surgical Sultan Agung Islamic Hospital Semarang by using consecutive sampling techniques, patient satisfaction data collected through questionnaires and analyzed with Mann-Whitney test, as for finding out the Islamic caring for patient satisfaction were analyzed with spearmen's rho test. Result: The results showed that there was a significant influence of Islamic caring for perceived disconfirmation (p=0,000 there was a perceived disconfirmation influence on patient satisfaction significantly (p=0,000, there was a significant influence of Islamic caring for patient satisfaction in the treatment group with a kontrol group (p=0.001. Discussion: Discussion of this study was Islamic caring model effect on the increase perceived disconfirmation and patient satisfaction, Perceived disconfirmation effect on patient satisfaction, patient satisfaction who given Islamic caring was increase, patients given Islamic caring had higher satisfaction levels than patients who not given Islamic caring. Suggestions put forward based on the results of the study of Islamic caring model could be applied in Sultan Agung Islamic Hospital as a model of nursing care, Islamic caring behavior can be learned and improved through training and commitment and

  4. 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.

  5. 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。

  6. Patients' experiences of intensive care diaries

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Bagger, Christine

    2010-01-01

    The aim of the study was to explore patients' experiences and perceptions of receiving intensive care diaries. A focus group and intensive care diaries for four former ICU patients were analysed to understand what works and what needs further development for patients who receive a diary. The study...... had a triangulated approach and group dynamics were described as the focus group was used to explore agreement and disagreement among the participants. Little is known about the content of intensive care diaries and their usefulness and meaning for the patients. The participants in our study agreed...

  7. 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)

  8. 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)

  9. Innovative patient care practices using social media.

    Science.gov (United States)

    Mattingly, T Joseph

    2015-01-01

    To characterize the literature on social media applications used to deliver patient care. A search of the literature was conducted on June 11, 2014, using PubMed, MEDLINE, CINAHL, and Communication Abstracts databases for clinical studies between 2004 and 2014. A combination of the search terms "social media" or "Web 2.0" or "online social networking" or "Facebook" or "Twitter" AND "patient care" or "health care" was used. In addition, 42 additional abstracts were retrieved from www.patientslikeme.com for review. Only published, peer-reviewed journal articles were considered and only publications in English were included. The abstracts from this search were reviewed for relevance to Web-based social media platforms being used in patient care activities. A total of 35 articles were included in the review. A majority of the studies published on social media and patient care used cross-sectional designs and were conducted in the United States. Multiple social media applications were studied, but Facebook was the predominant social media tool found. Patient care opportunities for various diseases with social media have been studied. Recurring themes included overcoming barriers, engaging and empowering patients, enhancing research, providing information for health promotion, scratching the surface, and potential pitfalls. Social media have the potential to help patients and practitioners overcome multiple barriers in the delivery of health care. Maintaining patient privacy, security of information shared in the platform, and integrity of information shared are all concerns when using this type of Web application.

  10. 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。

  11. Care of the patient in excited delirium.

    Science.gov (United States)

    Gordon, Cheryl; Schmelzer, Marilee

    2013-03-01

    Patients with excited delirium present a challenge to both law enforcement and health care personnel because handcuffs, the traditional method used to keep persons from harming themselves and others, may be fatal. The patient's survival depends upon rapid recognition and treatment, including chemical sedation, decreased environmental stimulation, intravenous fluids, and other supportive interventions. Excited delirium protocols should be established to ensure rapid and appropriate treatment to ensure patient survival and the safety of those caring for them.

  12. Patient involvement in Danish health care

    DEFF Research Database (Denmark)

    Vrangbaek, Karsten

    2015-01-01

    PURPOSE: The purpose of this paper is to investigate different types of patient involvement in Denmark, and to discuss the potential implications of pursuing several strategies for patient involvement simultaneously. DESIGN/METHODOLOGY/APPROACH: The paper presents a preliminary framework...... for analysis of patient involvement in health care. This framework is used to analyze key governance features of patient involvement in Denmark based on previous research papers and reports describing patient involvement in Danish health care. FINDINGS: Patient involvement is important in Denmark...... implications for the development of patient involvement in health care. ORIGINALITY/VALUE: This paper fulfills a need to study different types of patient involvement and to develop a theoretical framework for characterizing and analyzing such involvement strategies....

  13. Self-care in heart failure patients

    OpenAIRE

    Ana Paula da Conceição; Mariana Alvina dos Santos; Bernardo dos Santos; Diná de Almeida Lopes Monteiro da Cruz

    2015-01-01

    Abstract Objective: to describe self-care behavior and its associated factors in a sample of heart failure Brazilian patients. Method: descriptive cross-sectional study with non-probabilistic sample of 116 ambulatory patients undergoing heart failure treatment. Self-care was evaluated using the Self-Care of Heart Failure Index, (scores ≥70 points=appropriate self-care). Association tests were applied, considering a descriptive level of 0.05. Results: the mean age of participants was 57.7 (SD ...

  14. 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.

  15. Comprehensive care of amyotrophic lateral sclerosis patients: a care model.

    Science.gov (United States)

    Güell, Maria Rosa; Antón, Antonio; Rojas-García, Ricardo; Puy, Carmen; Pradas, Jesus

    2013-12-01

    Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease that presents with muscle weakness, causing progressive difficulty in movement, communication, eating and ultimately, breathing, creating a growing dependence on family members and other carers. The ideal way to address the problems associated with the disease, and the decisions that must be taken, is through multidisciplinary teams. The key objectives of these teams are to optimise medical care, facilitate communication between team members, and thus to improve the quality of care. In our centre, we have extensive experience in the care of patients with ALS through an interdisciplinary team whose aim is to ensure proper patient care from the hospital to the home setting. In this article, we describe the components of the team, their roles and our way of working.

  16. Alzheimer's disease care management plan: maximizing patient care.

    Science.gov (United States)

    Treinkman, Anna

    2005-03-01

    Nurse practitioners have the potential to significantly impact the care of patients with dementia. Healthcare providers can now offer patients medications that will control symptoms and prolong functioning. As a result of ongoing contact with patients, NPs play an important role in assessing and screening patients for AD and educating the patients, families, and caregivers about the disease. Alzheimer's disease is a chronic, progressive illness that requires long-term management. Nurse practitioners should be familiar with available medications and appreciate the need to individualize therapy to maximize efficacy and minimize potential adverse drug reactions.

  17. 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.

  18. The patient experience of intensive care

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Bergbom, Ingegerd; Lindahl, Berit

    2015-01-01

    BACKGROUND: Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic...... state, where they face the choice of life or death. Caring nurses and family members play an important role in assisting the patient to transition back to life....

  19. Importance of patient centred care for various patient groups.

    NARCIS (Netherlands)

    Rademakers, J.J.D.J.M.; Delnoij, D.M.J.; Boer, D. de

    2010-01-01

    Background: Though patient centred care is a somewhat ‘fuzzy’ concept, in general it is considered as something to strive for. However, preliminary evidence suggests that the importance of elements of patient-centred care (PCC), such as communication, information and shared decision making, may vary

  20. Achieving competences in patient-centred care

    DEFF Research Database (Denmark)

    Lomborg, Kirsten; Nielsen, Else Skånning; Jensen, Annesofie Lunde

    2011-01-01

    Aim: To document the efficacy of a training programme in patient-centred care in which the nursing staff was trained to involve chronic obstructive pulmonary patients in assisted personal body care (APBC). The objectives were to describe the programme and uncover the outcomes. Background: Chronic...... obstructive pulmonary patients suffer from breathlessness and may need comprehensive assistance with personal body care. The patients’ wellbeing may be improved and their integrity safeguarded if nurses are able to involve the patients in accordance with their illness conditions and personal preferences....... The training was time-consuming. Conclusion: A comprehensive training programme can improve nursing competences to action patient-centred and involve severely ill respiratory patients in APBC. Further studies are needed to investigate the efficacy from the patients’ perspective. Relevance to clinical practice...

  1. 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)

  2. "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…

  3. 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)

  4. 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)

  5. 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...

  6. 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.

  7. Direct Patient Care: A Viable Career Choice?

    Science.gov (United States)

    Colavecchio, Ruth

    1982-01-01

    Examines nurses' attitudes about direct patient care in hospitals. Suggests a new perspective on nursing careers, one that should stimulate nursing administrators' thinking about developing programs that retain experienced clinicians, reward their practice, and acknowledge their contributions. (JOW)

  8. Development of a conceptual model evaluating the humanistic and economic burden of Crohn's disease: implications for patient-reported outcomes measurement and economic evaluation.

    Science.gov (United States)

    Gater, Adam; Kitchen, Helen; Heron, Louise; Pollard, Catherine; Håkan-Bloch, Jonas; Højbjerre, Lise; Hansen, Brian Bekker; Strandberg-Larsen, Martin

    2015-01-01

    The primary objective of this review is to develop a conceptual model for Crohn's disease (CD) outlining the disease burden for patients, healthcare systems and wider society, as reported in the scientific literature. A search was conducted using MEDLINE, PsycINFO, EconLit, Health Economic Evaluation Database and Centre for Reviews and Dissemination databases. Patient-reported outcome (PRO) measures widely used in CD were reviewed according to the US FDA PRO Guidance for Industry. The resulting conceptual model highlights the characterization of CD by gastrointestinal disturbances, extra-intestinal and systemic symptoms. These symptoms impact physical functioning, ability to complete daily activities, emotional wellbeing, social functioning, sexual functioning and ability to work. Gaps in conceptual coverage and evidence of reliability and validity for some PRO measures were noted. Review findings also highlight the substantial direct and indirect costs associated with CD. Evidence from the literature confirms the substantial burden of CD to patients and wider society; however, future research is still needed to further understand burden from the perspective of patients and to accurately understand the economic burden of disease. Challenges with existing PRO measures also suggest the need for future research to refine or develop new measures.

  9. Care of Patients With HIV Infection: Primary Care.

    Science.gov (United States)

    Bolduc, Philip; Roder, Navid; Colgate, Emily; Cheeseman, Sarah H

    2016-04-01

    With the advent of antiretroviral therapy and improved access to care, the average life expectancy of patients with HIV infection receiving optimal treatment approaches that of patients in the general population. AIDS-related opportunistic infections and malignancies are no longer the primary issues; instead, traditional age- and lifestyle-related conditions are a growing concern. Patients with HIV infection are at higher risk of cardiovascular disease, diabetes, hypertension, and some non-AIDS-related cancers than patients in the general population. Family physicians need to be knowledgeable about screening for and managing chronic comorbid conditions as this population ages. Health maintenance, including appropriate vaccinations, prophylaxis against opportunistic infections, and routine screening for sexually transmitted infections, remains an important part of care. As HIV infection becomes a chronic condition, emerging strategies in prevention, including preexposure prophylaxis, fall within the scope of practice of the family physician.

  10. 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.

  11. [Palliative (symptomatic) care of (imminently) dying patients].

    Science.gov (United States)

    Hänninen, Juha; Hamunen, Katri; Laakkonen, Marja-Liisa; Laukkala, Tanja; Lehto, Juho; Matila, Ari; Rahko, Eeva; Saarto, Tiina; Tohmo, Harri; Vuorinen, Eero

    2013-01-01

    The updated Current Care Guideline focuses on medical symptom treatment when curative treatment is no longer possible. Palliative care should be available to all dying patients at all health care levels. Pain should be treated prophylactically. Opioids are effective in cancer pain and should be chosen for moderate or severe pain in line with the WHO pain ladder. Treatment options for symptoms which call for acute interventions, such as intracranial hypertension, and options for dyspnoea, delirium, gastro-intestinal symptoms, ascites, dehydration and end-of-life treatment of elderly and demented patients are described.

  12. Quality of pharmaceutical care in surgical patients.

    Directory of Open Access Journals (Sweden)

    Monica de Boer

    Full Text Available BACKGROUND: Surgical patients are at risk for preventable adverse drug events (ADEs during hospitalization. Usually, preventable ADEs are measured as an outcome parameter of quality of pharmaceutical care. However, process measures such as QIs are more efficient to assess the quality of care and provide more information about potential quality improvements. OBJECTIVE: To assess the quality of pharmaceutical care of medication-related processes in surgical wards with quality indicators, in order to detect targets for quality improvements. METHODS: For this observational cohort study, quality indicators were composed, validated, tested, and applied on a surgical cohort. Three surgical wards of an academic hospital in the Netherlands (Academic Medical Centre, Amsterdam participated. Consecutive elective surgical patients with a hospital stay longer than 48 hours were included from April until June 2009. To assess the quality of pharmaceutical care, the set of quality indicators was applied to 252 medical records of surgical patients. RESULTS: Thirty-four quality indicators were composed and tested on acceptability and content- and face-validity. The selected 28 candidate quality indicators were tested for feasibility and 'sensitivity to change'. This resulted in a final set of 27 quality indicators, of which inter-rater agreements were calculated (kappa 0.92 for eligibility, 0.74 for pass-rate. The quality of pharmaceutical care was assessed in 252 surgical patients. Nearly half of the surgical patients passed the quality indicators for pharmaceutical care (overall pass rate 49.8%. Improvements should be predominantly targeted to medication care related processes in surgical patients with gastro-intestinal problems (domain pass rate 29.4%. CONCLUSIONS: This quality indicator set can be used to measure quality of pharmaceutical care and detect targets for quality improvements. With these results medication safety in surgical patients can be enhanced.

  13. Nursing care of the thermally injured patient.

    Science.gov (United States)

    Elfving, U

    1980-01-01

    Team work is required in the treatment of the thermally injured patient--nursing staff being part of the team. The nurses are with the patient for 24 hours a day and they have to understand the objectives of all other members of the team involved in the treatment as well as thoroughly mastering their own work. For the nursing staff the care of the thermally injured patient is a challenge. The work demands strong motivation and interest--it includes at times painful treatment, isolation and also constant alertness. It is important that the nursing staff is given continuous training so that they are able to give the required care efficiently and to keep up active interest. Practical work is the best way of getting aquainted with the complex forms of treatment of the thermally injured patient. It also lessens the fear of a badly burned patient. Nursing care of the thermally injured patient consists of good basic care, local attention and active observation. The basic care consists of basic hygiene, diet, observation of the patient's psychological condition, giving emotional support, encouraging initiative physiotherapy and postural treatment.

  14. Care plan for prediabetic patients

    Directory of Open Access Journals (Sweden)

    Marina Nieves Pino Escudero

    2013-09-01

    Full Text Available Diabetes Mellitus type 2 has a growing impact in the survival and well-being of the population. In recent years its incidence has progressively increased at an alarming rate. However, there are some modifiable risks factors directly related with life styles. Nurse plays a fundamental role in the identification of such factors as well as promoting healthy habits for the prevention of the Diabetes Mellitus type 2.This works presents a standardized care plan for prediabetic state, for this, it had been used the NANDA, NOC, NIC classifications.

  15. Advance Care Planning in Glioblastoma Patients

    Directory of Open Access Journals (Sweden)

    Lara Fritz

    2016-11-01

    Full Text Available Despite multimodal treatment with surgery, radiotherapy and chemotherapy, glioblastoma is an incurable disease with a poor prognosis. During the disease course, glioblastoma patients may experience progressive neurological deficits, symptoms of increased intracranial pressure such as drowsiness and headache, incontinence, seizures and progressive cognitive dysfunction. These patients not only have cancer, but also a progressive brain disease. This may seriously interfere with their ability to make their own decisions regarding treatment. It is therefore warranted to involve glioblastoma patients early in the disease trajectory in treatment decision-making on their future care, including the end of life (EOL care, which can be achieved with Advance Care Planning (ACP. Although ACP, by definition, aims at timely involvement of patients and proxies in decision-making on future care, the optimal moment to initiate ACP discussions in the disease trajectory of glioblastoma patients remains controversial. Moreover, the disease-specific content of these ACP discussions needs to be established. In this article, we will first describe the history of patient participation in treatment decision-making, including the shift towards ACP. Secondly, we will describe the possible role of ACP for glioblastoma patients, with the specific aim of treatment of disease-specific symptoms such as somnolence and dysphagia, epileptic seizures, headache, and personality changes, agitation and delirium in the EOL phase, and the importance of timing of ACP discussions in this patient population.

  16. [Institutional psychotherapy, caring for patients and the place of care].

    Science.gov (United States)

    Drogoul, Frank

    2013-01-01

    Institutional psychotherapy was developed in the specific context of the "assassination" of the Spanish revolution. There are two distinct movements or two periods. The first, based around Georges Daumézon and Henri Ey gave birth to the sector. The second, around FrançoisTosquelles and Jean Oury emphasised the asylum as the place of care. The function of institutional psychotherapy is to care not only for the patients but also the place of treatment. To fulfil this function, it has a tool box: transfer, the fight against the overvaluation of hierarchy as well as the function of the therapeutic club.

  17. 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…

  18. [Enriching patient care with aromatherapy].

    Science.gov (United States)

    Sogno-Lalloz, Isabelle

    2014-01-01

    There are increasing numbers of initiatives in healthcare institutions focusing on the benefits of essential oils. Received positively by patients who appreciate the resulting wellbeing, these innovative approaches around aromatherapy are based on the initiative of pioneering caregivers. Following on from an international congress held each year in Grasse, this article presents some example schemes.

  19. Decision analysis in patient care.

    NARCIS (Netherlands)

    Elwyn, G.; Edwards, A.; Eccles, M.R.; Rovner, D.

    2001-01-01

    To help patients to fully participate in shared decision making is becoming an important goal in clinical practice and one which is receiving increasing attention in terms of the requisite skills and technological development. We discuss the potential application of decision analysis-a specific

  20. Decision support for patient care: implementing cybernetics.

    Science.gov (United States)

    Ozbolt, Judy; Ozdas, Asli; Waitman, Lemuel R; Smith, Janis B; Brennan, Grace V; Miller, Randolph A

    2004-01-01

    The application of principles and methods of cybernetics permits clinicians and managers to use feedback about care effectiveness and resource expenditure to improve quality and to control costs. Keys to the process are the specification of therapeutic goals and the creation of an organizational culture that supports the use of feedback to improve care. Daily feedback on the achievement of each patient's therapeutic goals provides tactical decision support, enabling clinicians to adjust care as needed. Monthly or quarterly feedback on aggregated goal achievement for all patients on a clinical pathway provides strategic decision support, enabling clinicians and managers to identify problems with supposed "best practices" and to test hypotheses about solutions. Work is underway at Vanderbilt University Medical Center to implement feedback loops in care and management processes and to evaluate the effects.

  1. Intensive care patient diaries in Scandinavia

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Storli, Sissel Lisa; Åkerman, Eva

    2011-01-01

    Critical illness and intensive care therapy are often followed by psychological problems such as nightmares, hallucinations, delusions, anxiety, depression, and symptoms of posttraumatic stress. Intensive care patient diaries have been kept by nurses and the patients' family since the early 1990s...... secondary analysis of qualitative data generated by key-informant telephone interviews with intensive care nurses (n=114). The study showed that diaries were introduced concurrently in the three Scandinavian countries as a grass-roots initiative by mutual cross-national inspiration. The concept has evolved...... from a pragmatic practice to an evidence-based domain of inquiry propelled by academically prepared nurses. Several schools of thought were identified in our study: diaries as (i) a therapeutic instrument, (ii) an act of caring, (iii) an expression of empathy, and (iv) a hybrid of the above. Diaries...

  2. Providing Palliative Care to LGBTQ Patients.

    Science.gov (United States)

    Barrett, Nina; Wholihan, Dorothy

    2016-09-01

    Nurses should be familiar with and equipped to address the challenges that arise when caring for lesbian, gay, bisexual, transgender, or queer-identified (LGBTQ) patients. LGBTQ individuals have increased rates of certain physical diseases and are at greater risk of suffering from stress-sensitive mental health issues. Negative social attitudes, widespread discrimination and stigma, physical and psychological victimization, and less social support with aging contribute to the complexity of care for these individuals. Open communication, welcoming and accepting attitudes and environments, and sensitivity to unique multidimensional issues improve care to LGBTQ patients with serious advanced illness. Nursing can reach this vulnerable minority and positively impact the quality of care. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. 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...

  4. 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...

  5. Patient Care Partnership: Understanding Expectations, Rights and Responsibilities

    Science.gov (United States)

    ` e Patient Care Partnership Understanding Expectations, Rights and Responsibilities What to expect during your hospital stay: • High ... e Patient Care Partnership Understanding Expectations, Rights and Responsibilities W hen you need hospital care, your doctor ...

  6. Nutritional considerations for the palliative care patient.

    Science.gov (United States)

    Shaw, Clare; Eldridge, Lucy

    2015-01-01

    Many palliative care patients experience nutritional problems as their conditions progress. This includes those with progressive neurological conditions, chronic obstructive pulmonary disease (COPD) as well as advanced cancer. Nutritional issues not only impact patients physically but also psychologically and can also have an effect on those caring for them. It is important that patients are screened appropriately and that one identifies what symptoms are potentially affecting their intake. Decisions should always be patient-centred. Nutritional interventions range from food modification and nutritional supplements, to more intense methods such as enteral or parenteral nutrition, and these may have ethical and legal considerations. This article explores the nutritional issues faced by palliative patients, the ethical issues supporting decision-making and the methods of nutritional support available.

  7. HUMANISTIC STRATEGIES IN THE EFL SPEAKING CLASS

    Directory of Open Access Journals (Sweden)

    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.

  8. Assessing the Quality of Diabetic Patients Care

    Directory of Open Access Journals (Sweden)

    Belkis Vicente Sánchez

    2012-12-01

    Full Text Available Background: to improve the efficiency and effectiveness of the actions of family doctors and nurses in this area is an indispensable requisite in order to achieve a comprehensive health care. Objective: to assess the quality of health care provided to diabetic patients by the family doctor in Abreus health area. Methods: a descriptive and observational study based on the application of tools to assess the performance of family doctors in the treatment of diabetes mellitus in the five family doctors consultation in Abreus health area from January to July 2011 was conducted. The five doctors working in these consultations, as well as the 172 diabetic patients were included in the study. At the same time, 172 randomly selected medical records were also revised. Through observation, the existence of some necessary material resources and the quality of their performance as well as the quality of medical records were evaluated. Patient criteria served to assess the quality of the health care provided. Results: scientific and technical training on diabetes mellitus has been insufficient; the necessary equipment for the appropriate care and monitoring of patients with diabetes is available; in 2.9% of medical records reviewed, interrogation appears in its complete form including the complete physical examination in 12 of them and the complete medical indications in 26. Conclusions: the quality of comprehensive medical care to diabetic patients included in the study is compromised. Doctors interviewed recognized the need to be trained in the diagnosis and treatment of diabetes in order to improve their professional performance and enhance the quality of the health care provided to these patients.

  9. [THE APPLICATION OF AN INTEGRATED MODEL OF PARTNERSHIP- PATIENT IN THE PROFESSIONALS OF THE HEALTH TRAINING: TOWARDS NEW ONE HUMANIST PARADIGM AND ETHICS OF CO-CONSTRUCTION KNOWLEDGES IN HEALTH].

    Science.gov (United States)

    Flora, Luigi; Berkesse, Alexandre; Payot, Antoine; Dumez, Vincent; Karazivan, Philippe

    2016-01-01

    This article presents the "Montreal model", offering the patient, if he wishes, to become a patient partner for all the decisions that concerns him. We are presently witnessing, presently, major transformations in western societies. Chronic diseases affect a growing proportion of the population, leading a transition from the ascendancy of acute care to an ascendancy of chronic care. Other societal factors such as the consumerism, the individualism, the democratization of the medical information (accelerated by the advent of Internet) and the casualization of a growing part of citizens influence this evolution. In this context, where the nature and the level of patients and their families needs are changing as their expectations towards healthcare systems, one of the promising ways to answer these stakes is a greater participation of patients in their own care. Since 2010, a new relational model, based on the partnership of care between patients and healthcare professionals, was developed in the medicine Faculty of the University of Montreal. This model leans on the recognition of the experiential knowledge of the patients in complementarity with the scientific knowledge of the healthcare professionals. It's the continuity of the participation and the engagement of patients which can be applied to the whole healthcare system, in individual or collective relationship in interdisciplinary. This model is presently in implementation phase in Quebec in the training of the healthcare professionals, in healthcare organisations, as well as in the medical education and in research.

  10. Anticoagulated patient management in primary care service

    Directory of Open Access Journals (Sweden)

    Marco Antonio Zapata Sampedro

    2008-05-01

    Full Text Available Out-patients undergoing anticoagulant treatment are attended by nursing staff, working with doctors.To be able to provide adequate medical care, nurses must have the minimum knowledge and skills needed to work with the programme described in this article. These include basic and specific knowledge of anticoagulation. The correct functioning of the service will help provide an optimum control of the INR (International Normalized Ratio and reduce the complications of bleeding, both of which are the main objectives of the nursing care of these patients.

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

    Science.gov (United States)

    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.

  12. 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.

  13. Patient and caregiver goals for dementia care.

    Science.gov (United States)

    Jennings, Lee A; Palimaru, Alina; Corona, Maria G; Cagigas, Xavier E; Ramirez, Karina D; Zhao, Tracy; Hays, Ron D; Wenger, Neil S; Reuben, David B

    2017-03-01

    Most health outcome measures for chronic diseases do not incorporate specific health goals of patients and caregivers. To elicit patient-centered goals for dementia care, we conducted a qualitative study using focus groups of people with early-stage dementia and dementia caregivers. We conducted 5 focus groups with 43 participants (7 with early-stage dementia and 36 caregivers); 15 participants were Spanish-speaking. Verbatim transcriptions were independently analyzed line-by-line by two coders using both deductive and inductive approaches. Coded texts were grouped into domains and developed into a goal inventory for dementia care. Participants identified 41 goals for dementia care within five domains (medical care, physical quality of life, social and emotional quality of life, access to services and supports, and caregiver support). Caregiver goals included ensuring the safety of the person with dementia and managing caregiving stress. Participants with early-stage dementia identified engaging in meaningful activity (e.g., work, family functions) and not being a burden on family near the end of life as important goals. Participants articulated the need to readdress goals as the disease progressed and reported challenges in goal-setting when goals differed between the person with dementia and the caregiver (e.g., patient safety vs. living independently at home). While goals were similar among English- and Spanish-speaking participants, Spanish-speaking participants emphasized the need to improve community education about dementia. Patient- and caregiver-identified goals for care are different than commonly measured health outcomes for dementia. Future work should incorporate patient-centered goals into clinical settings and assess their usefulness for dementia care.

  14. 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.

  15. Masculine and feminine voices: making ethical decisions in the care of the dying.

    Science.gov (United States)

    Dugan, D O

    1987-01-01

    Drawing on the example of one specific Ethics Committee, the author delineates feminine and masculine styles of ethical decision making and work with the dying as two sides of what it means to be humanistic in patient care. The author draws particularly on the work of Carol Gilligan to differentiate feminine from masculine approaches.

  16. Recognizing depression in palliative care patients.

    Science.gov (United States)

    Noorani, Nazneen Hyder; Montagnini, Marcos

    2007-04-01

    Clinically significant depression is a common psychiatric disorder in patients with advanced and terminal diseases. Depression is often unrecognized and untreated and it causes major suffering to patients and families. Having adequate knowledge and skills to properly recognize depression in patients with advanced illnesses is essential for providing comprehensive end-of-life care. The objective of this paper is to review the key elements of the assessment of depression in palliative care patients. We also discuss the challenges of making the diagnosis, review the risk factors associated with depression and describe the features of the most common assessment tools that have been studied in this population. Finally, we highlight how to differentiate depression from normal grief, as the overlap between these conditions imposes a diagnostic challenge.

  17. Classification of Patient Care Complexity: Cloud Technology.

    Science.gov (United States)

    de Oliveira Riboldi, Caren; Macedo, Andrea Barcellos Teixeira; Mergen, Thiane; Dias, Vera Lúcia Mendes; da Costa, Diovane Ghignatti; Malvezzi, Maria Luiza Falsarella; Magalhães, Ana Maria Muller; Silveira, Denise Tolfo

    2016-01-01

    Presentation of the computerized structure to implement, in a university hospital in the South of Brazil, the Patients Classification System of Perroca, which categorizes patients according to the care complexity. This solution also aims to corroborate a recent study at the hospital, which evidenced that the increasing workload presents a direct relation with the institutional quality indicators. The tools used were the Google applications with high productivity interconnecting the topic knowledge on behalf of the nursing professionals and information technology professionals.

  18. Wake up, wake up! It's me! It's my life! patient narratives on person-centeredness in the integrated care context: a qualitative study.

    Science.gov (United States)

    Greenfield, Geva; Ignatowicz, Agnieszka M; Belsi, Athina; Pappas, Yannis; Car, Josip; Majeed, Azeem; Harris, Matthew

    2014-11-29

    Person-centered care emphasizes a holistic, humanistic approach that puts patients first, at the center of medical care. Person-centeredness is also considered a core element of integrated care. Yet typologies of integrated care mainly describe how patients fit within integrated services, rather than how services fit into the patient's world. Patient-centeredness has been commonly defined through physician's behaviors aimed at delivering patient-centered care. Yet, it is unclear how 'person-centeredness' is realized in integrated care through the patient voice. We aimed to explore patient narratives of person-centeredness in the integrated care context. We conducted a phenomenological, qualitative study, including semi-structured interviews with 22 patients registered in the Northwest London Integrated Care Pilot. We incorporated Grounded Theory approach principles, including substantive open and selective coding, development of concepts and categories, and constant comparison. We identified six themes representing core 'ingredients' of person-centeredness in the integrated care context: "Holism", "Naming", "Heed", "Compassion", "Continuity of care", and "Agency and Empowerment", all depicting patient expectations and assumptions on doctor and patient roles in integrated care. We bring examples showing that when these needs are met, patient experience of care is at its best. Yet many patients felt 'unseen' by their providers and the healthcare system. We describe how these six themes can portray a continuum between having own physical and emotional 'Space' to be 'seen' and heard vs. feeling 'translucent', 'unseen', and unheard. These two conflicting experiences raise questions about current typologies of the patient-physician relationship as a 'dyad', the meanings patients attributed to 'care', and the theoretical correspondence between 'person-centeredness' and 'integrated care'. Person-centeredness is a crucial issue for patients in integrated care, yet it was

  19. Diagnosing patients at point of care

    CSIR Research Space (South Africa)

    Vilakazi, CB

    2015-10-01

    Full Text Available . This information helps to guide primary healthcare givers in their decisions about whether or not to refer patients to specialist care. The Cellnostics device performs quick and effective on-site blood tests to reduce the time between a blood test, diagnosis...

  20. HOME CARE IN CYSTIC-FIBROSIS PATIENTS

    NARCIS (Netherlands)

    VANAALDEREN, WMC; MANNES, GPM; BOSMA, ES; ROORDA, RJ; HEYMANS, HSA

    1995-01-01

    Intravenous antibiotics and enteral tube feeding at home for the treatment of pulmonary exacerbations and underweight condition in cystic fibrosis (CF) patients have become tools that are used in many cystic fibrosis centres, The experience with home care programmes from different countries is quite

  1. Prehospital care of head injured patients

    Directory of Open Access Journals (Sweden)

    Dash Hari

    2008-01-01

    Full Text Available Resuscitation of head injured patients at the accident site is paramount in minimizing morbidity and mortality. This can be achieved through prehospital care which is nonexistent in our country. This review is a step forward, so that we can formulate guidelines in this regard.

  2. ORAL HEALTH CARE IN ICU PATIENTS

    Directory of Open Access Journals (Sweden)

    Vânia Rosimeri Frantz Schlesener

    2012-11-01

    Full Text Available This article consists of a literature review on the importance of oral health of Intensive Care Unit patients. The research aimed to relate the tools and techniques for performing oral hygiene, in particular the use of chlorhexidine 0.12%, and co-relate the importance of a dentist in the multidisciplinary team of ICU to monitor and intervene the patient’s oral health. As the technique of oral hygiene is performed by nursing professionals, studies reports failures in its appliance, which can cause infectious complications in patient clinical evolution, interfering in the quality of the care provided. The oral hygiene is a significant factor and when properly applied can decrease infections rates, particularly nosocomial pneumonia, in patients on mechanical ventilation. It was concluded that as oral health is closely related to general health, same oral care should be instituted for ICU patients, preferably performed by a dentist, avoiding harmful comorbidities in this situation. Keywords: Intensive Care Units, Oral Hygiene, Nursing.

  3. Patient Warming Device for Casualty Care

    Science.gov (United States)

    2007-11-02

    Silane MF, Barie PS. Hypothermia during elective abdominal aortic aneurysm repair: the high price of avoidable morbidity. J Vasc Surg. Mar 1995;21(3...1998;7(4):282-287. 35. Wallen E, Venkataraman ST, Grosso MJ, Kiene K, Orr RA. Intrahospital transport of critically ill pediatric patients. Crit Care

  4. 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

  5. Satisfaction with care in peritoneal dialysis patients.

    Science.gov (United States)

    Kirchgessner, J; Perera-Chang, M; Klinkner, G; Soley, I; Marcelli, D; Arkossy, O; Stopper, A; Kimmel, P L

    2006-10-01

    Patient satisfaction is an important aspect of dialysis care, only recently evaluated in clinical studies. We developed a tool to assess peritoneal dialysis (PD) customer satisfaction, and sought to evaluate and validate the Customer Satisfaction Questionnaire (CSQ), quantifying PD patient satisfaction. The CSQ included questions regarding administrative issues, Delivery Service, PD Training, Handling Requests, and transportation. The study was performed using interviews in all Hungarian Fresenius Medical Care dialysis centers offering PD. CSQ results were compared with psychosocial measures to identify if patient satisfaction was associated with perception of social support and illness burden, or depression. We assessed CSQ internal consistency and validity. Factor analysis explored potential underlying dimensions of the CSQ. One hundred and thirty-three patients treated with PD for end-stage renal disease for more than 3 months were interviewed. The CSQ had high internal consistency. There was high patient satisfaction with customer service. PD patient satisfaction scores correlated with quality of life (QOL) and social support measures, but not with medical or demographic factors, or depressive affect. The CSQ is a reliable tool to assess PD customer satisfaction. PD patient satisfaction is associated with perception of QOL. Efforts to improve customer satisfaction may improve PD patients' quantity as well as QOL.

  6. Caring as emancipatory nursing praxis: the theory of relational caring complexity.

    Science.gov (United States)

    Ray, Marilyn A; Turkel, Marian C

    2014-01-01

    In the culture of health care, nurses are challenged to understand their values and beliefs as humanistic within complex technical and economically driven bureaucratic systems. This article outlines the language of social justice and human rights and the advance of a Theory of Relational Caring Complexity, which offers insights into caring as emancipatory nursing praxis. Recommendations provide knowledge of the struggle to balance economics, technology, and caring. As nurses practice from a value-driven, philosophical, and ethical social justice framework, they will find "their voice" and realize the full potential that the power of caring has on patient and organizational outcomes.

  7. Palliative care in cancer: managing patients' expectations.

    Science.gov (United States)

    Ghandourh, Wsam A

    2016-12-01

    Advanced cancer patients commonly have misunderstandings about the intentions of treatment and their overall prognosis. Several studies have shown that large numbers of patients receiving palliative radiation or chemotherapy hold unrealistic hopes of their cancer being cured by such therapies, which can affect their ability to make well-informed decisions about treatment options. This review aimed to explore this discrepancy between patients' and physicians' expectations by investigating three primary issues: (1) the factors associated with patients developing unrealistic expectations; (2) the implications of having unrealistic hopes and the effects of raising patients' awareness about prognosis; and (3) patients' and caregivers' perspective on disclosure and their preferences for communication styles. Relevant studies were identified by searching electronic databases including Pubmed, EMBASE and ScienceDirect using multiple combinations of keywords, which yielded a total of 65 articles meeting the inclusion criteria. The discrepancy between patients' and doctors' expectations was associated with many factors including doctors' reluctance to disclose terminal prognoses and patients' ability to understand or accept such information. The majority of patients and caregivers expressed a desire for detailed prognostic information; however, varied responses have been reported on the preferred style of conveying such information. Communication styles have profound effects on patients' experience and treatment choices. Patients' views on disclosure are influenced by many cultural, psychological and illness-related factors, therefore individuals' needs must be considered when conveying prognostic information. More research is needed to identify communication barriers and the interventions that could be used to increase patients' satisfaction with palliative care.

  8. Optimizing care of your patients with COPD

    Directory of Open Access Journals (Sweden)

    Garvey C

    2014-02-01

    Full Text Available Chris Garvey,1 Nicola A Hanania,2 Pablo Altman3 1Seton Pulmonary and Cardiac Rehabilitation, Daly City, CA, USA; 2Asthma Clinical Research Center, Section of Pulmonary, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA; 3Mylan Specialty LP, Basking Ridge, NJ, USA (formerly Abstract: Chronic obstructive pulmonary disease (COPD is now the third-leading cause of death in the US. The primary risk factor for COPD is smoking. COPD is underdiagnosed, and spirometry, the main method for its diagnosis, is underutilized. Nurses can play an essential role in improving patient outcomes, in part by helping to apply clinical guidelines for care. Management of COPD consists of reduction of risk factor exposure (for example, smoking cessation, influenza vaccination, pharmacotherapy, and pulmonary rehabilitation. Comorbidities may pose a special challenge in patients with COPD and they may compete with COPD for attention during office visits. Of particular note with regard to pharmacotherapy is the choice of delivery system. Handheld inhalers form the mainstay of treatment of COPD; however, some patients have difficulty using inhalers because of an inability to generate sufficient inspiratory flow, impaired manual dexterity, or cognitive impairment that leads to difficulties in following instructions concerning how to use the inhaler. In such patients, nebulization may be an effective alternative. In this review, we provide a list of best practices that can assist nurses in the optimal care of patients with COPD. Keywords: chronic obstructive pulmonary disease, exacerbation, long-acting beta-agonist, bronchodilators, nebulization

  9. Care of the patient close to death.

    Science.gov (United States)

    Lickiss, J N; Hacker, N F

    2001-04-01

    The recognition that the patient is close to death is essential and usually possible. Assessment must be meticulous, goals clearly articulated, and strategies for symptom relief and comprehensive care defined and monitored. Death should not be obstructed by futile measures. The wish of a patient to be allowed to die needs to be respected, as well as a patient's anguish in the face of imminent and unwanted death. The final phase of life (hours or days) should not be seen as a time of treatment failure, but as a time for completion of tasks in peace and dignity, even in the mist of weakness and profound surrender.

  10. [Semiotic Studies Lab for Patient Care Interactions].

    Science.gov (United States)

    Nunes, Dulce Maria; Portella, Jean Cristtus; Bianchi e Silva, Laura

    2011-12-01

    The aim of this experience report is to present the Semiotic Studies Lab for Patient Care Interactions (Laboratório de Estudos Semióticos nas Interações de Cuidado - LESIC). The lab was set up at the Nursing School of the Federal University of Rio Grande do Sul (UFRGS), Brazil in 2010. It has the purpose of providing didactic and pedagogical updates, based on the Theory developed by the Paris School of Semiotics, that enable the increase of knowledge and interactive/observational skills regarding the nature and mastery of human care.

  11. Characterization of care for patients with wounds in Primary Care

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Ramos Vieira Santos

    2014-10-01

    Full Text Available This study aimed to describe the treatment of patients with wounds in the Primary Health Care. A descriptive research with quantitative approach. Ninety-three Family Health Units of the city of Recife-PE, Brazil, were selected, and 112 nurses were interviewed from July to December 2011. The record book of bandages and procedures and the dressing form were used as an additional source of data. Frequencies, measures of central tendency and dispersion, prevalence and, for continuous variables, the analysis of variance were estimated. The prevalence of patients with wounds was 1.9% of the estimated covered population. Vascular ulcers accounted for 74.1% of the treated wounds. The dressing was predominantly performed by Nursing technicians, and the products available for this procedure did not match the current technological development.

  12. Integrative medicine and patient-centered care.

    Science.gov (United States)

    Maizes, Victoria; Rakel, David; Niemiec, Catherine

    2009-01-01

    Integrative medicine has emerged as a potential solution to the American healthcare crisis. It provides care that is patient centered, healing oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine. Initially driven by consumer demand, the attention integrative medicine places on understanding whole persons and assisting with lifestyle change is now being recognized as a strategy to address the epidemic of chronic diseases bankrupting our economy. This paper defines integrative medicine and its principles, describes the history of complementary and alternative medicine (CAM) in American healthcare, and discusses the current state and desired future of integrative medical practice. The importance of patient-centered care, patient empowerment, behavior change, continuity of care, outcomes research, and the challenges to successful integration are discussed. The authors suggest a model for an integrative healthcare system grounded in team-based care. A primary health partner who knows the patient well, is able to addresses mind, body, and spiritual needs, and coordinates care with the help of a team of practitioners is at the centerpiece. Collectively, the team can meet all the health needs of the particular patient and forms the patient-centered medical home. The paper culminates with 10 recommendations directed to key actors to facilitate the systemic changes needed for a functional healthcare delivery system. Recommendations include creating financial incentives aligned with health promotion and prevention. Insurers are requested to consider the total costs of care, the potential cost effectiveness of lifestyle approaches and CAM modalities, and the value of longer office visits to develop a therapeutic relationship and stimulate behavioral change. Outcomes research to track the effectiveness of integrative models must be funded, as well as feedback and dissemination strategies

  13. 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.

  14. Residents Learning from a Narrative Experience with Dying Patients: A Qualitative Study

    Science.gov (United States)

    Tait, Glendon R.; Hodges, Brian D.

    2013-01-01

    For patients at the end of life, it is crucial to address the psychological, existential, and spiritual distress of patients. Medical education research suggests trainees feel unprepared to provide the whole person, humanistic care held as the ideal. This study used an empirically based narrative intervention, the dignity interview, as an…

  15. Dental care for the deaf pediatric patient

    Directory of Open Access Journals (Sweden)

    Rajat K Singh

    2012-01-01

    Full Text Available Great strides have been accomplished recently in providing better medical services for handicapped children. As the dentist begins to understand the complexity of each particular form of handicap and its characteristics, he is able to plan more efficiently for satisfactory treatment. Because many dentists do not understand deafness and the unique problems that deaf children exhibit, inadequate dental care for deaf children still ensues. Handicapped persons are at a greater risk for dental disease, for the most part, because of greater neglect or poor oral hygiene and access to routine dental care. Deaf patients in particular often fail to obtain needed care because of communication difficulties experienced in the treatment situation.

  16. Care management: agreement between nursing prescriptions and patients' care needs.

    Science.gov (United States)

    Faeda, Marília Silveira; Perroca, Márcia Galan

    2016-08-08

    analyze agreement between nursing prescriptions recorded in medical files and patients' care needs; investigate the correlation between the nurses' professional background and agreement of prescriptions. descriptive study with quantitative and documentary approach conducted in the medical clinic, surgical, and specialized units of a university hospital in the interior of São Paulo, Brazil. The new validated version of a Patient Classification Instrument was used and 380 nursing prescriptions written at the times of hospital admission and discharge were assessed. 75% of the nursing prescriptions items were compatible with the patients' care needs. Only low correlation between nursing prescription agreement and professional background was found. the nursing prescriptions did not fully meet the care needs of patients. The care context and work process should be analyzed to enable more effective prescriptions, while strategies to assess the care needs of patients are recommended. analisar a concordância entre prescrições de enfermagem, registradas nos prontuários, e as necessidades de cuidados dos pacientes; investigar a correlação entre o perfil profissional dos enfermeiros e a concordância das prescrições. estudo descritivo com abordagem quantitativa e documental, realizado em unidades de clínica médica, cirúrgica e especializada de um hospital de ensino, no interior do Estado de São Paulo. Foi aplicada a nova versão validada do Instrumento de Classificação de Pacientes e, posteriormente, investigadas 380 prescrições de enfermagem no momento da admissão e alta hospitalar. foi identificado que 75% dos itens das prescrições de enfermagem estavam compatíveis com as necessidades cuidativas dos pacientes. Encontrou-se baixa correlação entre a concordância da prescrição de enfermagem e o perfil profissional. as prescrições de enfermagem não estão sendo realizadas, em sua totalidade, em consonância com as necessidades dos pacientes. Para

  17. Costs of terminal patients who receive palliative care or usual care in different hospital wards.

    Science.gov (United States)

    Simoens, Steven; Kutten, Betty; Keirse, Emmanuel; Berghe, Paul Vanden; Beguin, Claire; Desmedt, Marianne; Deveugele, Myriam; Léonard, Christian; Paulus, Dominique; Menten, Johan

    2010-11-01

    In addition to the effectiveness of hospital care models for terminal patients, policy makers and health care payers are concerned about their costs. This study aims to measure the hospital costs of treating terminal patients in Belgium from the health care payer perspective. Also, this study compares the costs of palliative and usual care in different types of hospital wards. A multicenter, retrospective cohort study compared costs of palliative care with usual care in acute hospital wards and with care in palliative care units. The study enrolled terminal patients from a representative sample of hospitals. Health care costs included fixed hospital costs and charges relating to medical fees, pharmacy and other charges. Data sources consisted of hospital accountancy data and invoice data. Six hospitals participated in the study, generating a total of 146 patients. The findings showed that palliative care in a palliative care unit was more expensive than palliative care in an acute ward due to higher staffing levels in palliative care units. Palliative care in an acute ward is cheaper than usual care in an acute ward. This study suggests that palliative care models in acute wards need to be supported because such care models appear to be less expensive than usual care and because such care models are likely to better reflect the needs of terminal patients. This finding emphasizes the importance of the timely recognition of the need for palliative care in terminal patients treated in acute wards.

  18. A nurse practitioner patient care team: implications for pediatric oncology.

    Science.gov (United States)

    Golden, Julia Rose

    2014-01-01

    The role of the pediatric advanced practice registered nurse continues to evolve within the ever-changing field of health care. In response to increased demand for health care services and because of a variety of changes in the health care delivery system, nurse practitioner patient care teams are an emerging trend in acute care settings. Care provided by nurse practitioner teams has been shown to be effective, efficient, and comprehensive. In addition to shorter hospital stays and reduced costs, nurse practitioner teams offer increased quality and continuity of care, and improved patient satisfaction. Nurse practitioner patient care teams are well suited to the field of pediatric oncology, as patients would benefit from care provided by specialized clinicians with a holistic focus. This article provides health care professionals with information about the use of nurse practitioner patient care teams and implications for use in pediatric oncology.

  19. 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…

  20. 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…

  1. 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…

  2. 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)

  3. 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…

  4. 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)

  5. 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。

  6. Crew Management Processes Revitalize Patient Care

    Science.gov (United States)

    2009-01-01

    In 2005, two physicians, former NASA astronauts, created LifeWings Partners LLC in Memphis, Tennessee and began using Crew Resource Management (CRM) techniques developed at Ames Research Center in the 1970s to help improve safety and efficiency at hospitals. According to the company, when hospitals follow LifeWings? training, they can see major improvements in a number of areas, including efficiency, employee satisfaction, operating room turnaround, patient advocacy, and overall patient outcomes. LifeWings has brought its CRM training to over 90 health care organizations and annual sales have remained close to $3 million since 2007.

  7. Transitions of care in anticoagulated patients

    Directory of Open Access Journals (Sweden)

    Michota F

    2013-06-01

    Full Text Available Franklin Michota Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH, USA Abstract: Anticoagulation is an effective therapeutic means of reducing thrombotic risk in patients with various conditions, including atrial fibrillation, mechanical heart valves, and major surgery. By its nature, anticoagulation increases the risk of bleeding; this risk is particularly high during transitions of care. Established anticoagulants are not ideal, due to requirements for parenteral administration, narrow therapeutic indices, and/or a need for frequent therapeutic monitoring. The development of effective oral anticoagulants that are administered as a fixed dose, have low potential for drug-drug and drug-food interactions, do not require regular anticoagulation monitoring, and are suitable for both inpatient and outpatient use is to be welcomed. Three new oral anticoagulants, the direct thrombin inhibitor, dabigatran etexilate, and the factor Xa inhibitors, rivaroxaban and apixaban, have been approved in the US for reducing the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation; rivaroxaban is also approved for prophylaxis and treatment of deep vein thrombosis, which may lead to pulmonary embolism in patients undergoing knee or hip replacement surgery. This review examines current options for anticoagulant therapy, with a focus on maintaining efficacy and safety during transitions of care. The characteristics of dabigatran etexilate, rivaroxaban, and apixaban are discussed in the context of traditional anticoagulant therapy. Keywords: hemorrhagic events, oral anticoagulation, parenteral anticoagulation, stroke, transitions of care

  8. Patient satisfaction with health care services provided at HIV clinics ...

    African Journals Online (AJOL)

    Patient satisfaction with health care services provided at HIV clinics at Amana and ... with the general physical environment of the clinic and with services offered by ... Key words: Patient satisfaction, Antiretroviral therapy, HIV care services ...

  9. Weaknesses, strengths and needs in fertility care according to patients.

    NARCIS (Netherlands)

    Empel, I.W.H. van; Nelen, W.L.D.M.; Tepe, E.T.; Laarhoven, E.A. van; Verhaak, C.M.; Kremer, J.A.M.

    2010-01-01

    BACKGROUND: The patients' role in assessing health care quality is increasingly recognized. Measuring patients' specific experiences and needs generates concrete information for care improvement, whereas satisfaction surveys only give an overoptimistic, undifferentiating picture. Therefore, this stu

  10. 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。

  11. Care of the patient with a tracheotomy

    Directory of Open Access Journals (Sweden)

    Bobillo-De Lamo F

    2013-06-01

    Full Text Available A tracheostomy is a hole coming through the neck into the trachea, allowing the placement of a tube. Tracheotomy: Temporary opening in the trachea. Tracheostomy: Permanent opening (total laryngectomy. The opening of the trachea modifies the physiology of the aerodigestive tract: you need to humidify inspired air; lost sense of smell and as a result taste (decreasing appetite; disappears the phonation (in the case of tracheostomy spoken with oesophageal voice or through prosthesis phonatory; altered swallowing; lost the protection of the airway and sphincter function, decreasing the abdominal press (cough, defecation childbirth.... The care of the patient with a tracheotomy involves treatment of respiratory secretions, humidification and heating of inspired air, tracheal suction procedures and care and cleaning of the tracheal stoma. But it is also necessary to know and know to solve the complications that may arise, such as: obstruction of the tracheotomy tube, the bleeding of the stoma or spontaneous decannulation. Otolaryngology and the intensive care unit nurses, explain what you need to know of the patient with a tracheotomy that it is driven to plant from these services.

  12. 42 CFR 413.9 - Cost related to patient care.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Cost related to patient care. 413.9 Section 413.9... Rules § 413.9 Cost related to patient care. (a) Principle. All payments to providers of services must be... in developing and maintaining the operation of patient care facilities and activities. They...

  13. Causes of persistent dizziness in elderly patients in primary care.

    NARCIS (Netherlands)

    Maarsingh, O.R.; Dros, J.; Schellevis, F.G.; Weert, H.C. van; Windt, D.A. van der; Riet, G. ter; Horst, H.E. van der

    2010-01-01

    PURPOSE: Although dizzy patients are predominantly seen in primary care, most diagnostic studies on dizziness have been performed among patients in secondary or tertiary care. Our objective was to describe subtypes of dizziness in elderly patients in primary care and to assess contributory causes of

  14. Causes of Persistent Dizziness in Elderly Patients in Primary Care

    NARCIS (Netherlands)

    Maarsingh, O.R.; Dros, J.; Schellevis, F.G.; van Weert, H.C.; van der Windt, D.A.; ter Riet, G.; van der Horst, H.E.

    2010-01-01

    PURPOSE Although dizzy patients are predominantly seen in primary care, most diagnostic studies on dizziness have been performed among patients in secondary or tertiary care. Our objective was to describe subtypes of dizziness in elderly patients in primary care and to assess contributory causes of

  15. Caring for the elderly female psychiatric patient.

    Science.gov (United States)

    Bashir, Mudhasir; Holroyd, Suzanne

    2010-06-01

    With the growth of the elderly population, and the female elderly population in particular, healthcare providers will see increasing numbers of elderly women with psychiatric disorders. To properly care for this group of patients, better understanding is needed not only of group differences in this patient population but also of the differences in each individual, as they age, given their unique life experiences, cohort effects, medical comorbidity, social situation, and personality traits. Understandably, these characteristics will interact with psychiatric disorders in ways that may increase the challenge to correctly diagnose and treat these patients. In addition, understanding late life changes, the prevalence of various mental disorders and the sometimes unique presentation of mental disorders in this age group is required to better diagnose and treat this population.

  16. Nursing care and patient outcomes: international evidence

    Science.gov (United States)

    Cheung, Robyn B.; Aiken, Linda H.; Clarke, Sean P.; Sloane, Douglas M.

    2010-01-01

    Countries across the globe are experiencing nursing shortages. In hospitals, supportive practice environments have positive effects on both nurse and patient outcomes. However, these relationships have been established primarily in the US. International studies of the effects of nurse staffing levels and the practice environment on nurse outcomes and the quality of care mirror the findings from the US, thus raising these issues to the international level. The solutions that have been successful in the US for improving practice environment and patient outcomes are solutions that should be successful in any country, thus putting them on a global scale. The Magnet hospital program is one model that has been shown to improve nurse and patient outcomes and is one solution to the shortage of hospital nurses. PMID:18218265

  17. Modeling Safety Outcomes on Patient Care Units

    Science.gov (United States)

    Patil, Anita; Effken, Judith; Carley, Kathleen; Lee, Ju-Sung

    In its groundbreaking report, "To Err is Human," the Institute of Medicine reported that as many as 98,000 hospitalized patients die each year due to medical errors (IOM, 2001). Although not all errors are attributable to nurses, nursing staff (registered nurses, licensed practical nurses, and technicians) comprise 54% of the caregivers. Therefore, it is not surprising, that AHRQ commissioned the Institute of Medicine to do a follow-up study on nursing, particularly focusing on the context in which care is provided. The intent was to identify characteristics of the workplace, such as staff per patient ratios, hours on duty, education, and other environmental characteristics. That report, "Keeping Patients Safe: Transforming the Work Environment of Nurses" was published this spring (IOM, 2004).

  18. Changing the world of patient care

    DEFF Research Database (Denmark)

    Bagger, Bettan; Poulsen, Dorthe Varning; Hørdam, Britta

    2013-01-01

    - Uncover possibilities and barriers in users perspective - Political and cultural visions in European countries Involving the target group - Testing platform and informatics - Moviemaking - Developing learning programs in collaboration with patient organizations Presentation and sharing: - Targetgroup......Political and cultural visions for health care necessitate the need for transnational resources and services optimizing and supporting patients and their families. The project has its approach in an Interregional Project named Pro-hip. Lead partner is University College Zealand collaborating...... borders - Developing new health technology information to hip surgery patients and their relatives - Innovating an interactive media directed to the target group (ex. age and competencies) Methodology: Identifying the field - Literature study - Interviews for identifying needs for the target groups...

  19. Treatment patterns, health state, and health care resource utilization of patients with radioactive iodine refractory differentiated thyroid cancer

    Science.gov (United States)

    Gianoukakis, Andrew G; Flores, Natalia M; Pelletier, Corey L; Forsythe, Anna; Wolfe, Gregory R; Taylor, Matthew H

    2016-01-01

    Background Patients with differentiated thyroid cancer (DTC) often respond well to treatment but some become refractory to radioactive iodine (RAI) treatment, and treatment options are limited. Despite the humanistic and economic burden RAI refractory disease imposes on patients, published research concerning treatment patterns and health care resource utilization is sparse. Methods Data were collected from an online retrospective chart review study in the US and five European Union (EU) countries (France, Germany, Italy, Spain, and UK) with physicians recruited from an online panel. Physicians (N=211) provided demographics, disease history, treatment information, and health care resource utilization for one to four of their patients with radioactive iodine refractory differentiated thyroid cancer (RR-DTC). Results The majority of the patients with RR-DTC (N=623) were female (56%), and their mean age was 58.2 years. In this sample, 63.2% had papillary thyroid cancer and 57.0% were in Stage IV when deemed RAI refractory. Patients with RR-DTC experienced regional recurrence in the thyroid bed/central neck area (25.3%) and had distant metastatic disease (53.6%). At the time data were collected, 50.7% were receiving systemic treatment. Of those, 78.5% were on first-line treatment and 62.7% were receiving multikinase inhibitors. Regional differences for prescribed treatments were observed; the US was more likely to have patients receiving multikinase inhibitors (79.2%) compared with UK (41.2%) and Italy (17.1%). Additional details regarding treatment patterns and resource utilization are discussed. Conclusion The current study aimed to obtain a greater understanding of RR-DTC treatment globally. These results can assist in the development and implementation of treatment guidelines and ultimately enhance the care of patients with RR-DTC. PMID:27313476

  20. Transformational leadership in primary care: Clinicians' patterned approaches to care predict patient satisfaction and health expectations.

    Science.gov (United States)

    Huynh, Ho Phi; Sweeny, Kate; Miller, Tricia

    2016-11-01

    Clinicians face the complex challenge of motivating their patients to achieve optimal health while also ensuring their satisfaction. Inspired by transformational leadership theory, we proposed that clinicians' motivational behaviors can be organized into three patient care styles (transformational, transactional, and passive-avoidant) and that these styles differentially predict patient health outcomes. In two studies using patient-reported data and observer ratings, we found that transformational patient care style positively predicted patients' satisfaction and health expectations above and beyond transactional and passive-avoidant patient care style. These findings provide initial support for the patient care style approach and suggest novel directions for the study of clinicians' motivational behaviors.

  1. Continuity of care for patients on a waiting list for institutional long-term care.

    NARCIS (Netherlands)

    Caris-Verhallen, W.M.C.M.; Kerkstra, A.

    2001-01-01

    The aim of this study was to examine patients' satisfaction with continuity of care while on a waiting list for residential care or nursing home care. Two hundred and seventy-eight patients participated in the study, all living in the community setting of two cities in the Netherlands. These patient

  2. Experiencing health care service quality: through patients' eyes.

    Science.gov (United States)

    Schembri, Sharon

    2015-02-01

    The primary aim of the present study was to consider health care service quality from the patients' perspective, specifically through the patient's eyes. A narrative analysis was performed on 300 patient stories. This rigorous analysis of patient stories is designed to identify and describe health care service quality through patients' eyes in an authentic and accurate, experiential manner. The findings show that there are variant and complex ways that patients experience health care service quality. Patient stories offer an authentic view of the complex ways that patients experience health care service quality. Narrative analysis is a useful tool to identify and describe how patients experience health care service quality. Patients experience health care service quality in complex and varying ways.

  3. Collaborative deliberation: a model for patient care.

    Science.gov (United States)

    Elwyn, Glyn; Lloyd, Amy; May, Carl; van der Weijden, Trudy; Stiggelbout, Anne; Edwards, Adrian; Frosch, Dominick L; Rapley, Tim; Barr, Paul; Walsh, Thom; Grande, Stuart W; Montori, Victor; Epstein, Ronald

    2014-11-01

    Existing theoretical work in decision making and behavior change has focused on how individuals arrive at decisions or form intentions. Less attention has been given to theorizing the requirements that might be necessary for individuals to work collaboratively to address difficult decisions, consider new alternatives, or change behaviors. The goal of this work was to develop, as a forerunner to a middle range theory, a conceptual model that considers the process of supporting patients to consider alternative health care options, in collaboration with clinicians, and others. Theory building among researchers with experience and expertise in clinician-patient communication, using an iterative cycle of discussions. We developed a model composed of five inter-related propositions that serve as a foundation for clinical communication processes that honor the ethical principles of respecting individual agency, autonomy, and an empathic approach to practice. We named the model 'collaborative deliberation.' The propositions describe: (1) constructive interpersonal engagement, (2) recognition of alternative actions, (3) comparative learning, (4) preference construction and elicitation, and (5) preference integration. We believe the model underpins multiple suggested approaches to clinical practice that take the form of patient centered care, motivational interviewing, goal setting, action planning, and shared decision making. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  4. Interprofessional collaboration regarding patients' care plans in primary care

    NARCIS (Netherlands)

    Marloes Amantia van Bokhoven; Stephanie Anna Lenzen; Jerôme Jean Jacques van Dongen; Ramon Daniëls; Anna Beurskens; Trudy van der Weijden

    2016-01-01

    Background: The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding

  5. Retention in mental health care of Portuguese-speaking patients

    Science.gov (United States)

    Gonçalves, Marta; Cook, Benjamin; Mulvaney-Day, Norah; Alegría, Margarita; Kinrys, Gustavo

    2013-01-01

    We compared service outcomes of dedicated language and cultural competency services in adequacy of care, ER, and inpatient care among Portuguese-speaking patients in ethnic- and non-ethnic-specific behavioral health clinics. We assessed adequacy of mental health care, and use of inpatient emergency department among Portuguese-speaking patients, comparing individuals receiving care from a culturally and linguistically competent mental health care setting (the Portuguese Mental Health Program [PMHP]) with usual mental health care in a community health care system in the USA. Propensity score matching was used to balance patients in treatment and control groups on gender, marital status, age, diagnosis of mental disorder, and insurance status. We used de-identified, longitudinal, administrative data of 854 Portuguese-speaking patients receiving care from the PMHP and 541 Portuguese-speaking patients receiving usual care from 2005–2008. Adequate treatment was defined as receipt of at least eight outpatient psychotherapy visits, or at least four outpatient visits of which one was a psychopharmacological visit. PMHP patients were more likely to receive adequate care. No differences were found in rates of ER use or inpatient mental health care. The present study suggests increased quality of care for patients that have contact with a clinic that dedicates resources specifically to a minority/immigrant group. Advantages of this setting include greater linguistic and cultural concordance among providers and patients. Further research is warranted to better understand the mechanisms by which culturally appropriate mental health care settings benefit minority/immigrant patients. PMID:23427258

  6. 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. .

  7. Patients from across Europe have similar views on patient-centred care: an international multilingual qualitative study in infertility care.

    NARCIS (Netherlands)

    Dancet, E.A.; D'Hooghe, T.M.; Sermeus, W.; Empel, I. van; Strohmer, H.; Wyns, C.; Santa-Cruz, D.; Nardo, L.G.; Kovatchki, D.; Vanlangenakker, L.; Garcia-Velasco, J.; Mulugeta, B.; Nelen, W.L.D.M.; Kremer, J.A.M.

    2012-01-01

    BACKGROUND: International patient centredness concepts were suggested but never conceptualized from the patients' perspective. Previously, a literature review and a monolingual qualitative study defined 'patient-centred infertility care' (PCIC). The present study aimed to test whether patients from

  8. 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

  9. 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.

  10. Potential benefits of relationship continuity in patient care.

    Science.gov (United States)

    Williams, Jenny

    Continuity of care, in the author's opinion, is synonymous with quality care. The benefits of developing relationship continuity are highlighted as beneficial to patient, department, trust and the NHS. An in-house audit revealed that the care provided in the author's stoma care department was fragmented and how a change in strategy was required to bring about the necessary changes. This paper explores the benefits of patient/relationship continuity and outlines the changes made for over 250 new ostomy patients annually.

  11. Medical Assistant-based care management for high risk patients in small primary care practices

    DEFF Research Database (Denmark)

    Freund, Tobias; Peters-Klimm, Frank; Boyd, Cynthia M.

    2016-01-01

    diabetes, chronic obstructive pulmonary disease, or chronic heart failure and a likelihood of hospitalization in the upper quartile of the population, as predicted by insurance data analysis. Intervention: We compared protocol-based care management including structured assessment, action planning......Background: Patients with multiple chronic conditions are at high risk of potentially avoidable hospital admissions, which may be reduced by care coordination and self-management support. Medical assistants are an increasingly available resource for patient care in primary care practices. Objective......: To determine whether protocol-based care management delivered by medical assistants improves patient care in patients at high risk of future hospitalization in primary care. Design: Two-year cluster randomized clinical trial. Setting: 115 primary care practices in Germany. Patients: 2,076 patients with type 2...

  12. [Acute care of patients with bacterial meningitis].

    Science.gov (United States)

    Stetefeld, H R; Dohmen, C

    2016-04-01

    Bacterial meningitis is a life-threatening emergency that is still associated with high mortality and poor outcome. The purpose of this article is to provide a review of clinical presentation, diagnostic procedure, therapy, and prognosis in bacterial meningitis. Prognostic factors which could be influenced positively are identified and a focused procedure in the emergency setting and for the treatment of complications are provided. This work is based on a literature search (PubMed, guidelines) and personal experience (standard operating procedures, SOP). Despite improved health care, bacterial meningitis is still associated with high mortality and poor neurological outcome, which has remained largely unaltered during recent decades. Diagnosis and, more importantly, effective therapy of bacterial meningitis are often delayed, having an immediate negative influence on clinical outcome. Neurological and nonneurological complications often necessitate intensive care and may occur rapidly or in the further course of the disease. Immediate initiation of effective therapy is crucial to positively influence mortality and neurological outcome. Antibiotics should be administered within 30 min after admission. To achieve this, a focused and well-organized procedure in the emergency setting is necessary. Because of intra- and extracranial complications, patients need to be treated on intensive care units including neurological expertise and interdisciplinary support.

  13. Patient participation in palliative care decisions: An ethnographic discourse analysis.

    Science.gov (United States)

    Bélanger, Emmanuelle; Rodríguez, Charo; Groleau, Danielle; Légaré, France; MacDonald, Mary Ellen; Marchand, Robert

    2016-01-01

    The participation of patients in making decisions about their care is especially important towards the end of life because palliative care decisions involve extensive uncertainty and are heavily influenced by personal values. Yet, there is a scarcity of studies directly observing clinical interactions between palliative patients and their health care providers. In this study, we aimed to understand how patient participation in palliative care decisions is constructed through discourse in a community hospital-based palliative care team. This qualitative study combined ethnographic observations of a palliative care team with discourse analysis. Eighteen palliative care patients with cancer diagnoses, six family physicians, and two nurses were involved in the study. Multiple interactions were observed between each patient and health care providers over the course of 1 year, for a total of 101 consultations, 24 of which were audio-recorded. The analysis consisted in looking for the interpretive repertoires (i.e., familiar lines of argument used to justify actions) that were used to justify patient participation in decision-making during clinical interactions, as well as exploring their implications for decision roles and end-of-life care. Patients and their health care providers seldom addressed their decision-making roles explicitly. Rather, they constructed patient participation in palliative care decisions in a covert manner. Four interpretive repertoires were used to justify patient participation: (1) exposing uncertainty, (2) co-constructing patient preferences, (3) affirming patient autonomy, and finally (4) upholding the authority of health care providers. The results demonstrate how patients and health care providers used these arguments to negotiate their respective roles in decision-making. In conclusion, patients and health care providers used a variety of interpretive repertoires to covertly negotiate their roles in decision-making, and to legitimize

  14. Health care practitioners and dying patients

    Directory of Open Access Journals (Sweden)

    Panagiotis Pentaris

    2013-06-01

    Full Text Available A full understanding of and a competent approach to dying patients may lead to a more qualitative service delivery, an enhanced quality of life paradigms, and the patients’ wellbeing, all of which remain the ultimate goal of health care practice. The modern world has developed in parallel with secularism and religious diversity. This paper aims to illustrate the secularization process in Britain (with indications of generalized meanings and juxtaposes it with a description of the needs of dying patients regarding the meanings of religion and nonreligion. Although this paper draws on and provides a review of selected theoretical literature, it also addresses a significant challenge: the lack of scientifi c research on the subject. Hence, this paper aims to give an overview of the issues, but not synthesise them. The arguments that are elaborated in the paper are also supported by the author’s current research project in the city of London. The approach here is client oriented, and concerns social and health care. Practitioners ought to become competent, and maintain their competence throughout their professional career. Religious competence seems to have not been at the centre of discussions, regardless of the historical pathway that religious discourse has drawn since the beginnings of humanity. The paper concludes with certain suggestions for future research and inclusive approaches regarding religious matters.

  15. Patient participation in palliative care decisions: An ethnographic discourse analysis

    Directory of Open Access Journals (Sweden)

    Emmanuelle Bélanger

    2016-11-01

    Full Text Available The participation of patients in making decisions about their care is especially important towards the end of life because palliative care decisions involve extensive uncertainty and are heavily influenced by personal values. Yet, there is a scarcity of studies directly observing clinical interactions between palliative patients and their health care providers. In this study, we aimed to understand how patient participation in palliative care decisions is constructed through discourse in a community hospital-based palliative care team. This qualitative study combined ethnographic observations of a palliative care team with discourse analysis. Eighteen palliative care patients with cancer diagnoses, six family physicians, and two nurses were involved in the study. Multiple interactions were observed between each patient and health care providers over the course of 1 year, for a total of 101 consultations, 24 of which were audio-recorded. The analysis consisted in looking for the interpretive repertoires (i.e., familiar lines of argument used to justify actions that were used to justify patient participation in decision-making during clinical interactions, as well as exploring their implications for decision roles and end-of-life care. Patients and their health care providers seldom addressed their decision-making roles explicitly. Rather, they constructed patient participation in palliative care decisions in a covert manner. Four interpretive repertoires were used to justify patient participation: (1 exposing uncertainty, (2 co-constructing patient preferences, (3 affirming patient autonomy, and finally (4 upholding the authority of health care providers. The results demonstrate how patients and health care providers used these arguments to negotiate their respective roles in decision-making. In conclusion, patients and health care providers used a variety of interpretive repertoires to covertly negotiate their roles in decision-making, and to

  16. [Palliative care for the patients and their families].

    Science.gov (United States)

    Ando, Shoko

    2003-12-01

    This article discusses palliative care for the patients and their families and the role of nurses for a smooth change from inpatient services to home care. Home is where a patient feels most comfortable. To provide the best possible care it is important to respect the decision of the patient and his family maximally and QOL takes top priority. Through the participation of home care doctors, home health nurses, pharmacists, etc., a 24-hour system can be established to improve home care. Simultaneously, the up of a patient self-care agency regards it as an importance. However, it is very difficulty for the patients and their families demonstrate the identity in the complicated medical situation, and thus providing support to them is a function of the nurses. It has been required that nurses in hospitals and home health nurses function to raise patients' self-care.

  17. Integration of early specialist palliative care in cancer care: Survey of oncologists, oncology nurses, and patients

    Directory of Open Access Journals (Sweden)

    Naveen Salins

    2016-01-01

    Conclusion: Oncologists, oncology nurses, and patients felt that integration of early specialist palliative care in cancer improves symptom control, end-of-life care, health-related communication, and continuity of care. The perceptions of benefit of the palliative care intervention in the components surveyed, differed among the three groups.

  18. Enabling intra-DHB patient-specific care for patients with intestinal failure

    OpenAIRE

    Fraser-Irwin, Cate; McLeod, Briar; Evans, Helen; Herbison, Kim; Kostrzewski, Amy; McIlroy, Kerry; Makam, Vidhya

    2017-01-01

    Patients with intestinal failure are medically fragile and need timely intervention when and wherever they present. Care is often fragmented across the care settings e.g. Starship (tertiary), DHBs (secondary) and GPs (primary) due to poor information systems interoperability. Patients want to be cared for in their own communities with the ability to access specialist care.The National Intestinal Failure Service’s connected care pilot supports patients with intestinal failure to have care deli...

  19. 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.

  20. 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...

  1. 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)

  2. 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.

  3. Defining and measuring integrated patient care: promoting the next frontier in health care delivery.

    NARCIS (Netherlands)

    Singer, S.J.; Burgers, J.S.; Friedberg, M.; Rosenthal, M.B.; Leape, L.; Schneider, E.

    2011-01-01

    Integration of care is emerging as a central challenge of health care delivery, particularly for patients with multiple, complex chronic conditions. The authors argue that the concept of "integrated patient care" would benefit from further clarification regarding (a) the object of integration and (b

  4. Mutual Agreement Between Providers in Intensive Care Medicine on Patient Care After Interdisciplinary Rounds

    NARCIS (Netherlands)

    Ten Have, Elsbeth Cornelia Maria; Nap, Raoul Ernesto

    2014-01-01

    Purpose: Insights regarding the results of interdisciplinary communication about patient care are limited. We explored the perceptions of intensivists, junior physicians, and nurses about patient care directly after the interdisciplinary rounds (IDRs) in the intensive care unit (ICU) to determine mu

  5. Defining and measuring integrated patient care: promoting the next frontier in health care delivery.

    NARCIS (Netherlands)

    Singer, S.J.; Burgers, J.S.; Friedberg, M.; Rosenthal, M.B.; Leape, L.; Schneider, E.

    2011-01-01

    Integration of care is emerging as a central challenge of health care delivery, particularly for patients with multiple, complex chronic conditions. The authors argue that the concept of "integrated patient care" would benefit from further clarification regarding (a) the object of integration and (b

  6. 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.

  7. 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...

  8. High-quality chronic care delivery improves experiences of chronically ill patients receiving care

    NARCIS (Netherlands)

    J.M. Cramm (Jane); A.P. Nieboer (Anna)

    2013-01-01

    markdownabstract__Abstract__ Objective. Investigate whether high-quality chronic care delivery improved the experiences of patients. Design. This study had a longitudinal design. Setting and Participants. We surveyed professionals and patients in 17 disease management programs targeting patients wi

  9. Improving stroke care for patients at Cavan hospital [poster

    LENUS (Irish Health Repository)

    Murugasu, G Dr.

    2013-07-01

    Under the Quality and Continuing Care Directorate (QCCD) in stroke care Cavan General Hospital was identified as a hospital that received a large number of stroke and TIA patients. A programme was established to improve services to this population.

  10. Hospital Protocol RSD/CRPS Patient: Handle with Care!

    Science.gov (United States)

    Hospital Protocol  RSD/CRPS Patients: Handle With Care! Reflex Sympathetic Dystrophy (RSD) also known as Complex Regional ... taken care of solely through use of the hospital’s pharmacy. Some medications may not be part of ...

  11. Trajectories of personal control in cancer patients receiving psychological care

    NARCIS (Netherlands)

    Zhu, Lei; Schroevers, Maya J.; van der Lee, Marije; Garssen, Bert; Stewart, Roy E.; Sanderman, Robbert; Ranchor, A.V.

    2015-01-01

    Objective This study aimed to (1) identify subgroups of cancer patients with distinct personal control trajectories during psychological care, (2) examine whether socio-demographic, clinical, and psychological care characteristics could distinguish trajectories, and (3) examine differential patterns

  12. Transitional pharmaceutical care for patients discharged from the hospital

    NARCIS (Netherlands)

    Karapinar, F.

    2012-01-01

    Patients visit multiple healthcare providers, obtain medications from multiple pharmacies and transition between settings, all of which can lead to inaccurate medication information and thus medication errors. To improve continuity of care, transitional pharmaceutical care programs are needed. These

  13. Trajectories of personal control in cancer patients receiving psychological care

    NARCIS (Netherlands)

    Zhu, Lei; Schroevers, Maya J.; van der Lee, Marije; Garssen, Bert; Stewart, Roy E.; Sanderman, Robbert; Ranchor, Adelita V.

    2015-01-01

    Objective: This study aimed to (1) identify subgroups of cancer patients with distinct personal control trajectories during psychological care, (2) examine whether socio-demographic, clinical, and psychological care characteristics could distinguish trajectories, and (3) examine differential pattern

  14. Trajectories of personal control in cancer patients receiving psychological care

    NARCIS (Netherlands)

    Zhu, Lei; Schroevers, Maya J.; Lee, van der Marije; Garssen, Bert; Stewart, Roy E.; Sanderman, R.; Ranchor, A.V.

    2015-01-01

    Objective This study aimed to (1) identify subgroups of cancer patients with distinct personal control trajectories during psychological care, (2) examine whether socio-demographic, clinical, and psychological care characteristics could distinguish trajectories, and (3) examine differential patterns

  15. Ownership, knowledge, patient care cost and use of mobile cell ...

    African Journals Online (AJOL)

    Ownership, knowledge, patient care cost and use of mobile cell phones by family ... care delivery with regards to mobile phone technology should be explored. ... A survey of 250 Family Medicine residents in training centres in Nigeria was ...

  16. Effectiveness the pharmaceutical care in diabetic patients*

    Directory of Open Access Journals (Sweden)

    Jorge E Machado -Alba

    2011-04-01

    Full Text Available Objective: To determine the effectiveness of pharmaceutical care to improve control of type-2 diabetes mellitus. Methods: We carried out pharmacotherapeutical intervention during 19 months on patients with type-2 diabetes mellitus who were affiliate members of the contributive regime of the General System for Healthcare and Social Security in  Bogotá and Cartagena. Through an interview and evaluation of medical records, we obtained information about antidiabetic medications used, doses, other medications, along with Hemoglobin A1c level, arterial pressure, serum low-density lipoprotein cholesterol level, nephropathy screening, retinal screening, foot exams in the last year and problems associated with medication use by means of the DADER method Negative Outcomes Associated with Medication (NOM. Results: The study had a sample of 143 patients (64 intervened and 79 controls with female predominance (67.1% and 53.1%, respectively, mean age of 63.9±11.2 years. The patients in both groups were taking an average of 6.0±2.7 medications. Initial HbA1c mean was 7.7% and 7.8%, without improvement by the end of the study (7.4% for those intervened and 7.8% for the control group. Hypertension (81.1% and dyslipidemia (62.9% were the most important comorbidities. About 50.4% of NOM were of effectiveness, follows 31.3% of necessity. The mean cost per patient in controls was 1.4 greater than for the intervened group. Conclusions: Increased effectiveness of the antidiabetic therapy was not demonstrated in patients intervened with pharmacotherapeutical monitoring, but we did obtain a reduction in healthcare costs.

  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. Patient involvement in diabetes care: experiences in nine diabetes care groups

    Directory of Open Access Journals (Sweden)

    Lidwien Lemmens

    2015-12-01

    Full Text Available Introduction: Despite the expected beneficial effects on quality of care, patient involvement in diabetes care groups, which deliver a bundled paid integrated care programme for diabetes type 2, seems to be limited. The aim of this study was to gain insight into levels and methods of patient involvement, into facilitators and barriers, and into the future preferences of care groups and patient representatives.Theory and methods: Semi-structured interviews were held with 10 representatives of care groups and 11 representatives of patient advocacy groups. An adapted version of Arnstein's ladder of citizen participation was used to define five levels of patient involvement.Results: Patient involvement in care groups was mostly limited to informing and consulting patients. Higher levels, i.e., advising, co-producing and decision-making, were less frequently observed. Care groups and patient representatives perceived largely the same barriers and facilitators and had similar preferences regarding future themes and design of patient involvement.Conclusion: Constructive collaboration between diabetes care groups and patient representatives to enhance patient involvement in the future seems viable. Several issues such as the lack of evidence for effectiveness of patient involvement, differences in viewpoints on the role and responsibilities of care groups and perceived barriers need to be addressed.

  19. [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.

  20. Musculoskeletal care of the hemophiliac patient.

    Science.gov (United States)

    Vanderhave, Kelly L; Caird, Michelle S; Hake, Mark; Hensinger, Robert N; Urquhart, Andrew G; Silva, Selina; Farley, Frances A

    2012-09-01

    Hemophilia is caused by a deficiency of clotting factor VIII or IX and is inherited by a sex-linked recessive pattern. von Willebrand disease, a common, moderate bleeding disorder, is caused by a quantitative or qualitative protein deficiency of von Willebrand factor and is inherited in an autosomal dominant or recessive manner. The most important clinical strategy for the management of patients with hemophilia is the avoidance of recurrent hemarthrosis by continuous, intravenous hematologic prophylaxis. Early hemarthrosis should be aggressively managed with aspiration and clotting factor concentrate until the joint examination is normal. Starting prophylactic factor replacement in infancy may prevent chronic synovitis and arthropathy. The natural history of poorly controlled disease is polyarticular hemophilic arthropathy; functional prognosis is poor. Patients with chronic synovitis may be treated effectively with radiosynovectomy; those who develop joint surface erosions may require realignment osteotomies, joint arthroplasty, and treatment of pseudotumors. Reconstructive surgery for hemophilic arthropathy, especially in patients with factor inhibitor, requires careful hematologic management by an experienced, multidisciplinary team.

  1. The Humanistic Care of Patients with Unexplained Chest Pain%不明原因胸痛患者的人文关怀

    Institute of Scientific and Technical Information of China (English)

    李逢洲; 王刚; 顾春东; 李锦绣

    2015-01-01

    在医疗过程中对患者实施人文关怀,是现代医学的基本要求,也是贯彻"以人为本"思想的重要体现.胸痛是门诊患者最常见的主诉之一,其中很大一部分患者的胸痛属于不明原因胸痛(UCP).因其特殊性,UCP患者在就诊过程中迫切需要人文关怀,然而患者的这种需求在实际诊疗过程中往往被医生所忽视.在对症治疗的同时,对UCP患者实施人文关怀具有重要的意义,这有利于减轻患者负担,提高患者生活质量.同时,人文关怀的实施有赖于医患双方的共同努力.

  2. Medical humanistic care for venereal diseases patients%关于对性病患者医学人文关怀的探讨

    Institute of Scientific and Technical Information of China (English)

    蒋明华

    2009-01-01

    随着我国社会的日趋开放,性传播疾病(sexually transmitted disease,STD)发病率逐年升高,STD不仅是生物医学问题,更包含着复杂的社会心理问题,在STD诊治中,临床医务人员应对患者施以医学人文关怀,进行必要的健康教育和行为干预,以提高其对治疗的依从性,加快疾病的康复,减少STD在人群中的进一步传播.

  3. 关于对易性病患者人文关怀的思考%On the Humanistic Care for Patients with Transsexualism

    Institute of Scientific and Technical Information of China (English)

    刘旺华; 贺达仁; 肖献忠

    2007-01-01

    易性病是一种心理障碍性疾病,变性手术是易性病的重要治疗方法.易性病患者作为社会的弱势群体,深受心理障碍性疾病困扰,受到社会的嘲笑、鄙视、指责和谩骂,应得到社会的宽容、同情、理解和帮助.作者试从社会、医疗机构、医务人员对易性病人的人文关怀进行探讨.

  4. Randomised clinical trial of early specialist palliative care plus standard care versus standard care alone in patients with advanced cancer

    DEFF Research Database (Denmark)

    Groenvold, Mogens; Petersen, Morten Aagaard; Damkier, Anette

    2017-01-01

    BACKGROUND: Beneficial effects of early palliative care have been found in advanced cancer, but the evidence is not unequivocal. AIM: To investigate the effect of early specialist palliative care among advanced cancer patients identified in oncology departments. SETTING/PARTICIPANTS: The Danish...... Palliative Care Trial (DanPaCT) (ClinicalTrials.gov NCT01348048) is a multicentre randomised clinical trial comparing early referral to a specialist palliative care team plus standard care versus standard care alone. The planned sample size was 300. At five oncology departments, consecutive patients...

  5. A proposed UAV for indoor patient care.

    Science.gov (United States)

    Todd, Catherine; Watfa, Mohamed; El Mouden, Yassine; Sahir, Sana; Ali, Afrah; Niavarani, Ali; Lutfi, Aoun; Copiaco, Abigail; Agarwal, Vaibhavi; Afsari, Kiyan; Johnathon, Chris; Okafor, Onyeka; Ayad, Marina

    2015-09-10

    Indoor flight, obstacle avoidance and client-server communication of an Unmanned Aerial Vehicle (UAV) raises several unique research challenges. This paper examines current methods and associated technologies adapted within the literature toward autonomous UAV flight, for consideration in a proposed system for indoor healthcare administration with a quadcopter. We introduce Healthbuddy, a unique research initiative towards overcoming challenges associated with indoor navigation, collision detection and avoidance, stability, wireless drone-server communications and automated decision support for patient care in a GPS-denied environment. To address the identified research deficits, a drone-based solution is presented. The solution is preliminary as we develop and refine the suggested algorithms and hardware system to achieve the research objectives.

  6. Prehospital management of gunshot patients at major trauma care centers: exploring the gaps in patient care.

    Science.gov (United States)

    Norouzpour, Amir; Khoshdel, Ali Reza; Modaghegh, Mohammad-Hadi; Kazemzadeh, Gholam-Hossein

    2013-09-01

    Prehospital management of gunshot-wounded (GW) patients influences injury-induced morbidity and mortality. To evaluate prehospital management to GW patients emphasizing the protocol of patient transfer to appropriate centers. This prospective study, included all GW patients referred to four major, level-I hospitals in Mashhad, Iran. We evaluated demographic data, triage, transport vehicles of patients, hospitalization time and the outcome. There were 66 GW patients. The most affected body parts were extremities (60.6%, n = 40); 59% of cases (n = 39) were transferred to the hospitals with vehicles other than an ambulance. Furthermore, 77.3% of patients came to the hospitals directly from the site of event, and 22.7% of patients were referred from other medical centers. EMS action intervals from dispatchers to scene departure was not significantly different from established standards; however, arrival to hospital took longer than optimal standards. Additionally, time spent at emergency wards to stabilize vital signs was significantly less in patients who were transported by EMS ambulances (P = 0.01), but not with private ambulances (P = 0.47). However, ambulance pre-hospital care was not associated with a shorter hospital stay. Injury Severity was the only determinant of hospital stay duration (β = 0.36, P = 0.01) in multivariate analysis. GW was more frequent in extremities and the most patients were directly transferred from the accident site. EMS (but not private) ambulance transport improved patients' emergency care and standard time intervals were achieved by EMS; however more than a half of the cases were transferred by vehicles other than an ambulance. Nevertheless, ambulance transportation (either by EMS or by private ambulance) was not associated with a shorter hospital stay. This showed that upgrade of ambulance equipment and training of private ambulance personnel may be needed.

  7. Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes

    Directory of Open Access Journals (Sweden)

    Fromer L

    2011-11-01

    Full Text Available Len FromerDepartment of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USAAbstract: Current primary care patterns for chronic obstructive pulmonary disease (COPD focus on reactive care for acute exacerbations, often neglecting ongoing COPD management to the detriment of patient experience and outcomes. Proactive diagnosis and ongoing multifactorial COPD management, comprising smoking cessation, influenza and pneumonia vaccinations, pulmonary rehabilitation, and symptomatic and maintenance pharmacotherapy according to severity, can significantly improve a patient's health-related quality of life, reduce exacerbations and their consequences, and alleviate the functional, utilization, and financial burden of COPD. Redesign of primary care according to principles of the chronic care model, which is implemented in the patient-centered medical home, can shift COPD management from acute rescue to proactive maintenance. The chronic care model and patient-centered medical home combine delivery system redesign, clinical information systems, decision support, and self-management support within a practice, linked with health care organization and community resources beyond the practice. COPD care programs implementing two or more chronic care model components effectively reduce emergency room and inpatient utilization. This review guides primary care practices in improving COPD care workflows, highlighting the contributions of multidisciplinary collaborative team care, care coordination, and patient engagement. Each primary care practice can devise a COPD care workflow addressing risk awareness, spirometric diagnosis, guideline-based treatment and rehabilitation, and self-management support, to improve patient outcomes in COPD.Keywords: chronic obstructive pulmonary disease, chronic care model, patient-centered medical home, self-management, interdisciplinary care team, coordination of care

  8. Oral care for hospice patients with severe trismus.

    Science.gov (United States)

    Wrigley, Hannah; Taylor, Elizabeth Johnston

    2012-04-01

    Oral care is a hallmark of attentive, high-quality nursing care. Oral care improves a patient's sense of well-being, communication, and nutritional status, and lowers the risk for pneumonia. However, for patients with severe trismus, oral care may seem impossible. Trismus is the inability to open the mouth more than 35 mm and often results from medical therapies for head and neck cancers. This article details a simple approach to oral care that was implemented successfully with five hospice patients with severe trismus.

  9. A primer to natural hair care practices in black patients.

    Science.gov (United States)

    Bosley, Rawn E; Daveluy, Steven

    2015-02-01

    Natural hairstyles have increased in popularity in the United States among individuals of African and Afro-Caribbean descent. Dermatologists should be aware of general principles of natural hair care in this patient population, including basic hair care terminology, types of natural hairstyles, methods of washing, and product selection. A basic knowledge of natural hair care practices in black patients will assist dermatologists in the management and treatment of many conditions associated with traumatic hairstyling in this patient population.

  10. 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.

  11. Transforming care teams to provide the best possible patient-centered, collaborative care.

    Science.gov (United States)

    Sevin, Cory; Moore, Gordon; Shepherd, John; Jacobs, Tracy; Hupke, Cindy

    2009-01-01

    Patient experience of care is now a crucial parameter in assessing the quality of healthcare delivered in the United States. Continuity, patient-driven access to care, and being "known" by a provider or practice, particularly for patients with chronic diseases, have been shown to enhance patient satisfaction with care and health outcomes. Healthcare systems are challenged to effectively meet the wants and needs of patients by tailoring interventions based on each person's unique set factors-his or her strengths, preferences, and personal and social context. Creating care teams, a coordinated multidisciplinary group of healthcare professionals, enables a practice to take advantage of the skill sets represented and redesign care delivery with the patient and community as the focal point. This article describes the attributes of highly functioning care teams, how to measure them, and guidance on creating them. A case example illustrates how these ideas work in practice.

  12. Care of the trauma patient beyond the emergency department: a patient care standard to guide bedside nurses.

    Science.gov (United States)

    Jaekel, Camilla; Paar, Cheryl; Schiltz, Jenifer; Peterson, Rose

    2009-01-01

    Injuries sustained from illicit drug use or alcohol intoxication are common in emergency departments. Ongoing assessments of psychosocial issues in trauma patients are imperative, even after the patient leaves the specialized area of the emergency department. Oftentimes, bedside nurses are ill prepared to identify the subtle clues of deeper psychosocial issues in complex patients such as trauma patients. This article focuses on the rationale for the development of a patient care standard to guide the bedside staff nurse in the care of the trauma patient. An example of a multiple trauma diagnosis-related patient care standard is presented.

  13. Managing social awkwardness when caring for morbidly obese patients in intensive care: A focused ethnography.

    Science.gov (United States)

    Hales, Caz; de Vries, Kay; Coombs, Maureen

    2016-06-01

    Critically ill morbidly obese patients pose considerable healthcare delivery and resource utilisation challenges in the intensive care setting. These are resultant from specific physiological responses to critical illness in this population and the nature of the interventional therapies used in the intensive care environment. An additional challenge arises for this population when considering the social stigma that is attached to being obese. Intensive care staff therefore not only attend to the physical and care needs of the critically ill morbidly obese patient but also navigate, both personally and professionally, the social terrain of stigma when providing care. To explore the culture and influences on doctors and nurses within the intensive care setting when caring for critically ill morbidly obese patients. A focused ethnographic approach was adopted to elicit the 'situated' experiences of caring for critically ill morbidly obese patients from the perspectives of intensive care staff. Participant observation of care practices and interviews with intensive care staff were undertaken over a four month period. Analysis was conducted using constant comparison technique to compare incidents applicable to each theme. An 18 bedded tertiary intensive care unit in New Zealand. Sixty-seven intensive care nurses and 13 intensive care doctors involved with the care and management of seven critically ill patients with a body mass index ≥40kg/m(2). Interactions between intensive care staff and morbidly obese patients were challenging due to the social stigma surrounding obesity. Social awkwardness and managing socially awkward moments were evident when caring for morbidly obese patients. Intensive care staff used strategies of face-work and mutual pretence to alleviate feelings of discomfort when engaged in aspects of care and caring. This was a strategy used to prevent embarrassment and distress for both the patients and staff. This study has brought new understandings

  14. Care of Patients with Diabetic Foot Disease in Oman

    Science.gov (United States)

    Al-Busaidi, Ibrahim S.; Abdulhadi, Nadia N.; Coppell, Kirsten J.

    2016-01-01

    Diabetes mellitus is a major public health challenge and causes substantial morbidity and mortality worldwide. Diabetic foot disease is one of the most debilitating and costly complications of diabetes. While simple preventative foot care measures can reduce the risk of lower limb ulcerations and subsequent amputations by up to 85%, they are not always implemented. In Oman, foot care for patients with diabetes is mainly provided in primary and secondary care settings. Among all lower limb amputations performed in public hospitals in Oman between 2002–2013, 47.3% were performed on patients with diabetes. The quality of foot care among patients with diabetes in Oman has not been evaluated and unidentified gaps in care may exist. This article highlights challenges in the provision of adequate foot care to Omani patients with diabetes. It concludes with suggested strategies for an integrated national diabetic foot care programme in Oman. PMID:27606104

  15. Cross-Cultural Obstetric and Gynecologic Care of Muslim Patients.

    Science.gov (United States)

    Shahawy, Sarrah; Deshpande, Neha A; Nour, Nawal M

    2015-11-01

    With the growing number of Muslim patients in the United States, there is a greater need for obstetrician-gynecologists (ob-gyns) to understand the health care needs and values of this population to optimize patient rapport, provide high-quality reproductive care, and minimize health care disparities. The few studies that have explored Muslim women's health needs in the United States show that among the barriers Muslim women face in accessing health care services is the failure of health care providers to understand and accommodate their beliefs and customs. This article outlines health care practices and cultural competency tools relevant to modern obstetric and gynecologic care of Muslim patients, incorporating emerging data. There is an exploration of the diversity of opinion, practice, and cultural traditions among Muslims, which can be challenging for the ob-gyn who seeks to provide culturally competent care while attempting to avoid relying on cultural or religious stereotypes. This commentary also focuses on issues that might arise in the obstetric and gynecologic care of Muslim women, including the patient-physician relationship, modesty and interactions with male health care providers, sexual health, contraception, abortion, infertility, and intrapartum and postpartum care. Understanding the health care needs and values of Muslims in the United States may give physicians the tools necessary to better deliver high-quality care to this minority population.

  16. A patient perspective in research on intercultural caring in maternity care: A meta-ethnography.

    Science.gov (United States)

    Wikberg, Anita; Bondas, Terese

    2010-02-08

    The aim of this study is to explore and describe a patient perspective in research on intercultural caring in maternity care. In total, 40 studies are synthesized using Noblit and Hare's meta-ethnography method. The following opposite metaphors were found: caring versus non-caring; language and communication problems versus information and choice; access to medical and technological care versus incompetence; acculturation: preserving the original culture versus adapting to a new culture; professional caring relationship versus family and community involvement; caring is important for well-being and health versus conflicts cause interrupted care; vulnerable women with painful memories versus racism. Alice in Wonderland emerged as an overarching metaphor to describe intercultural caring in maternity care. Furthermore, intercultural caring is seen in different dimensions of uniqueness, context, culture, and universality. There are specific cultural and maternity care features in intercultural caring. There is an inner core of caring consisting of respect, presence, and listening as well as external factors such as economy and organization that impact on intercultural caring. Moreover, legal status of the patient, as well as power relationships and racism, influences intercultural caring. Further meta-syntheses about well-documented intercultural phenomena and ethnic groups, as well as empirical studies about current phenomena, are suggested.

  17. A patient perspective in research on intercultural caring in maternity care: A meta-ethnography

    Directory of Open Access Journals (Sweden)

    Anita Wikberg

    2010-02-01

    Full Text Available The aim of this study is to explore and describe a patient perspective in research on intercultural caring in maternity care. In total, 40 studies are synthesized using Noblit and Hare's meta-ethnography method. The following opposite metaphors were found: caring versus non-caring; language and communication problems versus information and choice; access to medical and technological care versus incompetence; acculturation: preserving the original culture versus adapting to a new culture; professional caring relationship versus family and community involvement; caring is important for well-being and health versus conflicts cause interrupted care; vulnerable women with painful memories versus racism. Alice in Wonderland emerged as an overarching metaphor to describe intercultural caring in maternity care. Furthermore, intercultural caring is seen in different dimensions of uniqueness, context, culture, and universality. There are specific cultural and maternity care features in intercultural caring. There is an inner core of caring consisting of respect, presence, and listening as well as external factors such as economy and organization that impact on intercultural caring. Moreover, legal status of the patient, as well as power relationships and racism, influences intercultural caring. Further meta-syntheses about well-documented intercultural phenomena and ethnic groups, as well as empirical studies about current phenomena, are suggested.

  18. Caring for prisoners-patients: a quandary for registered nurses.

    Science.gov (United States)

    Crampton, Ruth; Turner, de Sales

    2014-04-01

    The purpose of this study was to unveil the complexity of registered nurse (RN) care for prisoner-patients in an acute care perioperative setting. The study design was based on phenomenology and the philosophy of Hans George Gadamer. This study used researcher journaling and two audio-taped in-depth interviews with each of the 12 nurse participants. Five key fused horizons or joint understandings emerged that resonated for all participants. They were the following: • RNs give prisoner-patients perfunctory care; • Prisoner-patient care is reactive; • Caring for prisoner-patients is emotionally draining; • Knowing or imagining a prisoner-patient's crime creates practice dilemmas; and • Expressions of care straddle ideal and real caring perspectives. In the caring literature, caring is altruistically presented as an ideal that (ought to) guide RN interactions with patients. However, the study findings call into question the assumptions that are made about what it means to care and how RNs enact their caring role, particularly in vexatious situations. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

  19. Practical Implementation of a Large Primary Care Pediatric Practice Patient Care Information System

    OpenAIRE

    Mize, Susan G.; Kramer, Robert I.

    1987-01-01

    THIS PAPER PRESENTS THE USE OF A PATIENT CARE INFORMATION PORTION OF A COMPUTERIZED OFFICE PRACTICE MANAGEMENT SYSTEM. THE KEY TO IMPLEMENTING THIS SYSTEM IN A COST EFFECTIVE MANNER WAS THE ABILITY TO AUTOMATICALLY ABSTRACT MEDICAL INFORMATION FROM THE ACCOUNTING PROGRAMS WITHOUT HAVING TO REKEY THE DESIGNATED PATIENT MEDICAL INFORMATION ITEMS. THE PATIENT MANAGEMENT FUNCTIONS SPECIFICALLY INCLUDE: (1) A MINIMAL PATIENT MEDICAL INFORMATION SET WHICH IS PRINTED ON THE PATIENTCARE SLIP” OR “S...

  20. [Admission to intensive care of palliative care patients : the stakes and factors influencing the decision].

    Science.gov (United States)

    Escher, Monica; Nendaz, Mathieu; Ricou, Bara

    2017-02-01

    Palliative care patients have limited prospects of survival and the benefit of intensive care is uncertain. To make a decision there are considerations other than survival probabilities. Patients should receive appropriate care and be spared suffering. End of life in the intensive care unit has an impact on families, who may develop psychological problems or complicated grief. End of life care can be a source of conflicts and cause burnout in health providers. Finally, intensive care is an expensive resource, which must be fairly allocated. In these complex situations, patient preferences help make a decision. However, they have often not been discussed with the physicians. General practitioners have a role to play by promoting advance care planning with their patients.

  1. Negative health care experiences of immigrant patients: a qualitative study

    Directory of Open Access Journals (Sweden)

    Stronks Karien

    2011-01-01

    Full Text Available Abstract Background Negative events are abusive, potentially dangerous or life-threatening health care events, as perceived by the patient. Patients' perceptions of negative events are regarded as a potentially important source of information about the quality of health care. We explored negative events in hospital care as perceived by immigrant patients. Methods Semi-structured individual and group interviews were conducted with respondents about negative experiences of health care. Interviews were transcribed and analyzed using a framework method. A total of 22 respondents representing 7 non-Dutch ethnic origins were interviewed; each respondent reported a negative event in hospital care or treatment. Results Respondents reported negative events in relation to: 1 inadequate information exchange with care providers; 2 different expectations between respondents and care providers about medical procedures; 3 experienced prejudicial behavior on the part of care providers. Conclusions We identified three key situations in which negative events were experienced by immigrant patients. Exploring negative events from the immigrant patient perspective offers important information to help improve health care. Our results indicate that care providers need to be trained in adequately exchanging information with the immigrant patient and finding out specific patient needs and perspectives on illness and treatment.

  2. Lessons from a Transgender Patient for Health Care Professionals.

    Science.gov (United States)

    Sallans, Ryan K

    2016-11-01

    It is not uncommon for transgender patients to avoid sharing information about their identity and medical history with health care professionals, due to past negative experiences within health care settings. Professionals who show sensitivity to the topic and express care about health record documentation can increase a transgender patient's trust. There are many opportunities to increase transgender health literacy, including consultation, conferences, webinars, books, and articles focused on transgender health care. It's critical for professionals to listen closely to individual patients' stated needs. This article shares one transgender patient's encounters and experiences within health care settings and offers lessons on how health care professionals can be more inclusive, respectful, and responsive to the needs of transgender patients.

  3. 人性化护理对上肢手术患者心理健康及康复质量的影响%Influence of humanistic nursing on mental health and rehabilitation quali-ty for patients with upper limb surgery

    Institute of Scientific and Technical Information of China (English)

    董晓莺; 李洁玲; 朱秀娇; 莫艳芳; 刘文利

    2014-01-01

    Objective To investigate Influence of humanistic nursing on mental health and rehabilitation quality for patients with upper limb surgery. Methods 80 patients with upper limb surgery were divided into the observation group and the control group.All patients were given active treatment and corresponding nursing,and the observation group was given humanistic nursing on the basis of above-mentioned measures,while the control group was given the conventional nursing.The psychological symptom,postoperative recovery,life quality during the period of hospitalization, satisfaction degree,and the recovery of upper limb function at follow-up of the two groups were compared. Results The score of psychological symptom in the observation group was lower than that in the control group,the postoperative re-covery of the observation group was better than that in the control group,the score life quality during the period of hos-pitalization, nursing satisfaction degree and recovery of upper limb function of the objective group were higher than those in the control group (P<0.05). Conclusion Humanistic nursing can play a positive role in nursing of patients with upper limb operation,which can improve the mental health level of patients,improve the quality of rehabilitation.%目的:探讨人性化护理对上肢手术患者心理健康及康复质量的影响。方法以本院2012年1月~2013年1月收治的80例因外力致伤需行上肢手术的患者为研究对象,将其随机分为观察组与对照组,对所有患者均积极进行治疗并行相应护理,观察组患者在此基础上增加人性化护理内容,对照组行常规护理,比较两组患者的心理症状水平、术后恢复情况、住院期间生活质量、护理满意度及随访中患者上肢功能恢复情况。结果观察组患者的术后心理症状评分低于对照组,术后恢复情况优于对照组,住院期间生活质量、护理满意度及随访中患者上肢功能恢复

  4. Towards better patient care: drugs to avoid.

    Science.gov (United States)

    2013-04-01

    Common sense dictates that one should choose tried and tested drugs with proven, concrete benefits that outweigh their adverse effects. Many new drugs are approved each year, often despite a lack of solid evidence that they are any better than existing treatments. Worse, some are approved despite being less effective or more harmful than current options. Massive promotion is used to ensure that such drugs achieve a positive image in the eyes of healthcare professionals and patients. Renowned "opinion leaders" intervene in their favour at conferences and in specialist media, and their opinions are further propagated by specialists in the field. Finally, campaigns in the lay media are used to highlight the target illness, encouraging patients to request a prescription. New data sometimes show that older, initially promising drugs are less effective or more harmful than first thought. For all these reasons, many drugs that are now present on the market are more harmful than beneficial and should be avoided. Unfortunately, negative assessment data and warnings are often drowned in the flood of promotion and advertising. Front-line healthcare professionals who are determined to act in their patients' best interests can find themselves swimming against a tide of specialist opinion, marketing authorisation, and reimbursement decisions. By leaving drugs that are more harmful than beneficial on the market and contenting themselves with simple half-measures, healthcare authorities are failing in their duty to protect patients. Prescrire, a journal funded solely by its subscribers, does not seek to do the work of health authorities, and does not have the means to do so. Prescrire's goal is simply to help healthcare professionals provide better care. The following text lists the principal drugs that we consider more harmful than beneficial, based on our reviews published between 2010 and 2012 in our French edition. These drugs should not be used. Patients and healthcare

  5. Sex differences in health care provider communication during genital herpes care and patients' health outcomes.

    Science.gov (United States)

    Ports, Katie A; Reddy, Diane M; Barnack-Tavlaris, Jessica L

    2013-01-01

    Research in primary care medicine demonstrates that health care providers' communication varies depending on their sex, and that these sex differences in communication can influence patients' health outcomes. The present study aimed to examine the extent to which sex differences in primary care providers' communication extend to the sensitive context of gynecological care for genital herpes and whether these potential sex differences in communication influence patients' herpes transmission prevention behaviors and herpes-related quality of life. Women (N = 123) from the United States recently diagnosed with genital herpes anonymously completed established measures in which they rated (a) their health care providers' communication, (b) their herpes transmission prevention behaviors, and (c) their herpes-related quality of life. The authors found significant sex differences in health care providers' communication; this finding supports that sex differences in primary care providers' communication extend to gynecological care for herpes. Specifically, patients with female health care providers indicated that their providers engaged in more patient-centered communication and were more satisfied with their providers' communication. However, health care providers' sex did not predict women's quality of life, a finding that suggests that health care providers' sex alone is of little importance in patients' health outcomes. Patient-centered communication was significantly associated with greater quality-of-life scores and may provide a promising avenue for intervention.

  6. 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

  7. Integrated care for patients with rheumatoid arthritis

    NARCIS (Netherlands)

    Verhoef, John

    2007-01-01

    This thesis describes an example of optimization of the traditional multidisciplinary team care model and evolving arthritis care models with emphasis on the question how theoretical models of the system theory and communication can be used to analyse, evaluate, and optimize care delivery. With resp

  8. Integrated care for patients with rheumatoid arthritis

    NARCIS (Netherlands)

    Verhoef, John

    2007-01-01

    This thesis describes an example of optimization of the traditional multidisciplinary team care model and evolving arthritis care models with emphasis on the question how theoretical models of the system theory and communication can be used to analyse, evaluate, and optimize care delivery. With

  9. [The use of social healthcare resources and informal care characteristics care of immobilised homecare patients].

    Science.gov (United States)

    García Alcaraz, Francisco; Delicado Useros, Victoria; Alfaro Espín, Antonia; López-Torres Hidalgo, Jesús

    2015-04-01

    To describe the use of social healthcare resources by immobilised patients and informal care characteristics and the level/degree of satisfaction with home care services. Descriptive observational study carried out in primary care. The target group were 369 randomly selected immobilised home care patients in the area of Albacete, Spain. The variables included were: socio-demographic data of the patient and carer; the use of social healthcare resources; perceived social support (DUKE-UNK questionnaire); family function (APGAR questionnaire); nursing care and home care services satisfaction (SATISFAD 10 questionnaire). 66.9% of immobilised homecare patients have high dependency and 18.6% have bedsores. The majority of informal carers are women (83.1%) with an average of 57.7 years of age (DE 15.1). The average intensity of care is 15.7 hours per day (DE 8.5) and the average length of care is 5 years. The average number of visits from nurses per month is 2.1 (DE 2.1), although this measurement is higher in patients with bedsores or multiple diseases. The most widely used social health care resources are telephone care (34.2%) and home care (20.3%), for which 65.6% of immobilised homecare patients receive dependency benefits. Overall satisfaction with home care is of a high degree. Musculoskeletal disorders is the main reason for immobilisation in home care patients. Most informal carers are older women. The length and intensity of care is high and the main support comes from healthcare professionals. Patients make limited use of social healthcare resources. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  10. Impact of Physician Asthma Care Education on Patient Outcomes

    Science.gov (United States)

    Cabana, Michael D.; Slish, Kathryn K.; Evans, David; Mellins, Robert B.; Brown, Randall W.; Lin, Xihong; Kaciroti, Niko; Clark, Noreen M.

    2014-01-01

    Objective: We evaluated the effectiveness of a continuing medical education program, Physician Asthma Care Education, in improving pediatricians' asthma therapeutic and communication skills and patients' health care utilization for asthma. Methods: We conducted a randomized trial in 10 regions in the United States. Primary care providers…

  11. Obstetrics Patients' Assessment of Medical Students' Role in Their Care.

    Science.gov (United States)

    Magrane, Diane

    1988-01-01

    Obstetric patients rated the skills and assessed the roles of students caring for them during a clinical clerkship. They rated skills and attitudes high, generally, with lower ratings for their ability to answer questions and preparation to participate in care. Most felt students improved their care, primarily in supportive ways. (Author/MSE)

  12. Obstetrics Patients' Assessment of Medical Students' Role in Their Care.

    Science.gov (United States)

    Magrane, Diane

    1988-01-01

    Obstetric patients rated the skills and assessed the roles of students caring for them during a clinical clerkship. They rated skills and attitudes high, generally, with lower ratings for their ability to answer questions and preparation to participate in care. Most felt students improved their care, primarily in supportive ways. (Author/MSE)

  13. SERVQUAL: a tool for evaluating patient satisfaction with nursing care.

    Science.gov (United States)

    Scardina, S A

    1994-01-01

    Rising health care costs and competition among hospital facilities have resulted in the need to recognize patient satisfaction as an important indicator of quality care. Nurses provide the primary service to patients; therefore, their role is influential in overall satisfaction. Several instruments have been developed to measure patient satisfaction with nursing care; however, most of them focus only on patient perceptions. One such approach to evaluating patient satisfaction with nursing care involves an instrument, SERVQUAL, derived from a marketing service perspective. Adapting SERVQUAL for use in evaluating nursing care is the focus of this article. SERVQUAL assesses both patient perceptions and expectations of quality service and permits managers and clinicians to view the gaps between the two; thus, the overall areas of improvement in nursing services can be determined.

  14. Using patient reports to measure health care system performance.

    Science.gov (United States)

    Hargraves, J L; Palmer, R H; Zapka, J; Nerenz, D; Frazier, H; Orav, E J; Warner, C; Ingard, J; Neisuler, R

    1993-01-01

    We developed a self-administered patient questionnaire that asks for data concerning the time to receive services (access to care), communication between providers (coordination of care), and follow up after tests and treatment (continuity of care). From these data, we construct rates of performance about the clinical management systems that support provision of these services. Rates of system performance are calculated for indicators using patients' responses to survey questions. These indicators add the number of patients reporting a problem of those patients who have encountered a particular clinical management system. Information derived from 3000 patient questionnaires is matched with data abstracted from health care medical records. The sensitivity and specificity of patient reports are being evaluated for all indicators classified as gold standards for medical records. Indicators considered gold standard items for patient reports are matched for agreement with any information contained in the medical record. Also, patient characteristics associated with accurate reporting is to be assessed using multivariate logistic regression models.

  15. Early Palliative Care Improves Patients' Quality of Life

    Science.gov (United States)

    ... fullstory_160885.html Early Palliative Care Improves Patients' Quality of Life Also increases chances of having end-of-life ... incurable cancer helps patients cope and improves their quality of life, a new study shows. It also leads to ...

  16. Patients' experiences of postoperative intermediate care and standard surgical ward care after emergency abdominal surgery

    DEFF Research Database (Denmark)

    Thomsen, Thordis; Vester-Andersen, Morten; Nielsen, Martin Vedel

    2015-01-01

    AIMS AND OBJECTIVES: To elicit knowledge of patient experiences of postoperative intermediate care in an intensive care unit and standard postoperative care in a surgical ward after emergency abdominal surgery. BACKGROUND: Emergency abdominal surgery is common, but little is known about how patie...

  17. Perioperative Care Coordination Measurement: A Tool to Support Care Integration of Pediatric Surgical Patients.

    Science.gov (United States)

    Ferrari, Lynne R; Ziniel, Sonja I; Antonelli, Richard C

    2016-03-01

    The relationship of care coordination activities and outcomes to resource utilization and personnel costs has been evaluated for a number of pediatric medical home practices. One of the first tools designed to evaluate the activities and outcomes for pediatric care coordination is the Care Coordination Measurement Tool (CCMT). It has become widely used as an instrument for health care providers in both primary and subspecialty care settings. This tool enables the user to stratify patients based on acuity and complexity while documenting the activities and outcomes of care coordination. We tested the feasibility of adapting the CCMT to a pediatric surgical population at Boston Children's Hospital. The tool was used to assess the preoperative care coordination activities. Care coordination activities were tracked during the interval from the date the patient was scheduled for a surgical or interventional procedure through the day of the procedure. A care coordination encounter was defined as any task, whether face to face or not, supporting the development or implementation of a plan of care. Data were collected to enable analysis of 5675 care coordination encounters supporting the care provided to 3406 individual surgical cases (patients). The outcomes of care coordination, as documented by the preoperative nursing staff, included the elaboration of the care plan through patient-focused communication among specialist, facilities, perioperative team, and primary care physicians in 80.5% of cases. The average time spent on care coordination activities increased incrementally by 30 minutes with each additional care coordination encounter for a surgical case. Surgical cases with 1 care coordination encounter took an average of 35.7 minutes of preoperative care coordination, whereas those with ≥4 care coordination encounters reported an average of 121.6 minutes. We successfully adapted and implemented the CCMT for a pediatric surgical population and measured nonface

  18. Patient- and family-centered care and the pediatrician's role.

    Science.gov (United States)

    2012-02-01

    Drawing on several decades of work with families, pediatricians, other health care professionals, and policy makers, the American Academy of Pediatrics provides a definition of patient- and family-centered care. In pediatrics, patient- and family-centered care is based on the understanding that the family is the child's primary source of strength and support. Further, this approach to care recognizes that the perspectives and information provided by families, children, and young adults are essential components of high-quality clinical decision-making, and that patients and family are integral partners with the health care team. This policy statement outlines the core principles of patient- and family-centered care, summarizes some of the recent literature linking patient- and family-centered care to improved health outcomes, and lists various other benefits to be expected when engaging in patient- and family-centered pediatric practice. The statement concludes with specific recommendations for how pediatricians can integrate patient- and family-centered care in hospitals, clinics, and community settings, and in broader systems of care, as well.

  19. Patient satisfaction with nursing care in an emergency service

    OpenAIRE

    Patrícia Fátima Levandovski; Maria Alice Dias da Silva Lima; Aline Marques Acosta

    2015-01-01

    To analyze patient satisfaction with nursing care received at a hospital emergency service. Methodology. This is a quantitative, descriptive, cross-sectional study. The sample was composed by 250 patients over 18 years old who used an emergency service in the south region of Brazil. Data were collected using an identification form and the Patient Satisfaction Instrument. Results. Results point to a good level of satisfaction of patients with the nursing care received, with the greatest mean f...

  20. Developing an innovative, integrated care pathway for PMV patients

    OpenAIRE

    Garcia Gomes, Vanda Maria; Butzke, Bettina; Kubitschek, Martin

    2016-01-01

    Background: In the traditional care pathway for prolonged mechanically ventilated (PMV) patients, the patients often progress from an intensive care unit (ICU) directly to their home or to an unspecialised nursing home setting. In these settings, specialised offerings for PMV patients such as round-the-clock respiratory rehabilitation and weaning programmes are usually not being offered. Therefore in the traditional pathway, PMV patients do not receive the integrated rehabilitation and therap...

  1. 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.

  2. PRIMARY PALLIATIVE CARE? - Treating terminally ill cancer patients in the primary care sector

    DEFF Research Database (Denmark)

    Neergaard, Mette Asbjørn; Jensen, Anders Bonde; Olesen, Frede

    BACKGROUND. Palliative care for cancer patients is an important part of a GP's work. Although every GP is frequently involved in care for terminally ill cancer patients, only little is known about how these palliative efforts are perceived by the patients and their families, a knowledge that is v......BACKGROUND. Palliative care for cancer patients is an important part of a GP's work. Although every GP is frequently involved in care for terminally ill cancer patients, only little is known about how these palliative efforts are perceived by the patients and their families, a knowledge...... sectors.METHOD. A number of focus group interviews were conducted with three types of subgroups: 1) Bereaved relatives, 2) GPs and 3) Various health-care-professionals, namely community nurses, hospital physicians and GPs. The interviews were transcribed and analysed according to a phenomenological...

  3. 'Patient participation' in everyday activities in special care units for persons with dementia in Norwegian nursing homes.

    Science.gov (United States)

    Helgesen, Ann Karin; Larsson, Maria; Athlin, Elsy

    2010-06-01

    The aim of this study was to explore 'patient participation' in everyday activities for persons with dementia living in special care units in nursing homes. Studies about how 'patient participation' appears in the context of special care units for persons with dementia are lacking. The study has an explorative design. Grounded theory was chosen. Data collection was carried out by means of open observations and additional conversations with residents and personnel. Simultaneously, data analysis was performed with open, axial and selective coding. The findings showed that 'patient participation' concerned 'A matter of presence' as the core category. The other categories described as 'presence of personnel' and 'presence of residents', were strongly connected to the core category as well as to each other. Presence of personnel comprised three levels; being there in body, which required physical presence; being there in mind, which required presence with all senses based on knowledge and competence; and being there in morality which was understood as being fully present, as it was based on humanistic values and included the two other levels. Presence of residents comprised 'ability and wish' and 'adaptation'. The presence of the personnel had a huge impact on the ability and will to participate of the residents. Organizational conditions concerning leadership, amount of personnel and routines as well as housing conditions concerning architecture and shared accommodation, could stimulate or hinder 'patient participation'. The study highlighted the great impact of the personnel's presence in body, mind and morality on the participation capacity of the residents. The great importance of the nurse leaders was stressed, as they were responsible for organizational issues and served as role models. Group supervision of the personnel and their leaders would be an implication to propose, as these kinds of reflection groups offer opportunities to reflect on values, actions and

  4. Patient and health care professional views and experiences of computer agent-supported health care

    Directory of Open Access Journals (Sweden)

    Ron Neville

    2006-03-01

    Conclusions Patients and HCPs welcomed the introduction of agent technology to the delivery of health care. Widespread use will depend more on the trust patients place in their own GP than on technological issues.

  5. Health care professional development: Working as a team to improve patient care.

    Science.gov (United States)

    Babiker, Amir; El Husseini, Maha; Al Nemri, Abdurrahman; Al Frayh, Abdurrahman; Al Juryyan, Nasir; Faki, Mohamed O; Assiri, Asaad; Al Saadi, Muslim; Shaikh, Farheen; Al Zamil, Fahad

    2014-01-01

    In delivering health care, an effective teamwork can immediately and positively affect patient safety and outcome. The need for effective teams is increasing due to increasing co-morbidities and increasing complexity of specialization of care. Time has gone when a doctor or a dentist or any other health practitioner in whatsoever health organization would be able to solely deliver a quality care that satisfies his or her patients. The evolution in health care and a global demand for quality patient care necessitate a parallel health care professional development with a great focus on patient centred teamwork approach. This can only be achieved by placing the patient in the centre of care and through sharing a wide based culture of values and principles. This will help forming and developing an effective team able to deliver exceptional care to the patients. Aiming towards this goal, motivation of team members should be backed by strategies and practical skills in order to achieve goals and overcome challenges. This article highlights values and principles of working as a team and principles and provides team players with a practical approach to deliver quality patient care.

  6. Pain distribution in primary care patients with hip osteoarthritis

    DEFF Research Database (Denmark)

    Poulsen, Erik; Overgaard, Søren; Vestergaard, Jacob T

    2016-01-01

    BACKGROUND: Hip osteoarthritis (OA) is the most common diagnosis in primary care adult patients presenting with hip pain but pain location and pain distribution in primary care patients with hip OA have been reported inadequately. OBJECTIVE: To describe pain location and pain distribution...

  7. Professionals' perceptions of their patients' experiences with fertility care

    NARCIS (Netherlands)

    Aarts, J.W.M.; Faber, M.J.; Empel, I.W.H. van; Scheenjes, E.; Nelen, W.L.D.M.; Kremer, J.A.M.

    2011-01-01

    BACKGROUND: Patient-centredness is one of the core dimensions of quality of care. It can be monitored with surveys measuring patients' experiences with care. The objective of the present study was to determine to what extent gynaecologists, physicians specializing in infertility and nurses can estim

  8. Improving Patient Safety Culture in Primary Care: A Systematic Review

    NARCIS (Netherlands)

    Verbakel, Natasha J.; Langelaan, Maaike; Verheij, Theo J. M.; Wagner, Cordula; Zwart, Dorien L. M.

    2016-01-01

    Background: Patient safety culture, described as shared values, attitudes and behavior of staff in a health-care organization, gained attention as a subject of study as it is believed to be related to the impact of patient safety improvements. However, in primary care, it is yet unknown, which effec

  9. 21 CFR 870.5050 - Patient care suction apparatus.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Patient care suction apparatus. 870.5050 Section 870.5050 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... suction apparatus. (a) Identification. A patient care suction apparatus is a device used with an...

  10. Healthcare professionals' views on patient-centered care in hospitals

    NARCIS (Netherlands)

    M. Berghout (Mathilde); N.J.A. van Exel (Job); L. Leensvaart (Laszlo); J.M. Cramm (Jane)

    2015-01-01

    textabstractBackground: Patient-centered care (PCC) is a main determinant of care quality. Research has shown that PCC is a multi-dimensional concept, and organizations that provide PCC well report better patient and organizational outcomes. However, little is known about the relative importance of

  11. A patient-centered care ethics analysis model for rehabilitation.

    Science.gov (United States)

    Hunt, Matthew R; Ells, Carolyn

    2013-09-01

    There exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to guide careful moral reasoning for particularly complex or challenging matters in rehabilitation. The Patient-Centered Care Ethics Analysis Model for Rehabilitation was developed over several iterations, with feedback at different stages from rehabilitation professionals and bioethics experts. Development of the model was explicitly informed by the theoretical grounding of patient-centered care and the context of rehabilitation, including the International Classification of Functioning, Disability and Health. Being patient centered, the model encourages (1) shared control of consultations, decisions about interventions, and management of the health problems with the patient and (2) understanding the patient as a whole person who has individual preferences situated within social contexts. Although the major process headings of the Patient-Centered Care Ethics Analysis Model for Rehabilitation resemble typical ethical decision-making and problem-solving models, the probes under those headings direct attention to considerations relevant to rehabilitation care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a suitable tool for rehabilitation professionals to use (in real time, for retrospective review, and for training purposes) to help arrive at ethical outcomes.

  12. Comfort and patient-centred care without excessive sedation

    DEFF Research Database (Denmark)

    Vincent, Jean-Louis; Shehabi, Yahya; Walsh, Timothy S;

    2016-01-01

    and Delirium guidelines, is conveyed in the mnemonic eCASH-early Comfort using Analgesia, minimal Sedatives and maximal Humane care. eCASH aims to establish optimal patient comfort with minimal sedation as the default presumption for intensive care unit (ICU) patients in the absence of recognised medical...

  13. Improving organizational climate for excellence in patient care.

    Science.gov (United States)

    Arnold, Edwin

    2013-01-01

    Managers in health care organizations today are expected to achieve higher-quality patient care at a lower cost. Developing and maintaining a positive organizational climate can help improve motivation and foster higher employee performance. In turn, this will help the organization deliver better patient care at a lower cost. This article offers metrics for assessing organizational climate, analyzes barriers to a positive climate, and explores strategies that managers can use to build the type of climate that fosters high performance.

  14. Are UK primary care teams formally identifying patients for palliative care before they die?

    Science.gov (United States)

    Harrison, Nadine; Cavers, Debbie; Campbell, Christine; Murray, Scott A

    2012-05-01

    The palliative care approach has the potential to improve care for patients with progressive life-threatening illnesses from the time of diagnosis. Policy and clinical directives in the UK advocate early identification. To determine the extent to which practices identify patients for palliative care, including factors influencing early identification and possible effects on place of death. Qualitative and quantitative data were collected from six general practices from three Scottish NHS boards and analysed. Records of patients who had died in the previous 6 months were analysed and interviews with practice staff (n = 21) and with patients currently on the practice palliative care register and bereaved relatives (n = 14) were conducted. In addition, a practice meeting was observed. In total, 29% of patients who died were recorded as being on the practice palliative care register before death. Two-thirds of patients with cancer were recorded on the register, but for those with non-malignant conditions only around 20% had any palliative care documented. This was a result of GPs not finding the current guidelines useful and being reluctant to discuss palliative care overtly with patients early in their illness. Palliative care services and documentation were geared towards patients with cancer. More district nurses than GPs saw the benefits of inclusion on the palliative care register. Only 25% of patients on the register died in hospital. Most patients with advanced progressive illnesses, especially those with non-malignant disease, are not being formally identified for a palliative care approach before they die. Those identified are more likely to benefit from coordinated care and may be more likely to die at home.

  15. PRIMARY PALLIATIVE CARE? - Treating terminally ill cancer patients in the primary care sector

    DEFF Research Database (Denmark)

    Neergaard, Mette Asbjørn; Jensen, Anders Bonde; Olesen, Frede

    sectors.METHOD. A number of focus group interviews were conducted with three types of subgroups: 1) Bereaved relatives, 2) GPs and 3) Various health-care-professionals, namely community nurses, hospital physicians and GPs. The interviews were transcribed and analysed according to a phenomenological......BACKGROUND. Palliative care for cancer patients is an important part of a GP's work. Although every GP is frequently involved in care for terminally ill cancer patients, only little is known about how these palliative efforts are perceived by the patients and their families, a knowledge...... that is vital to further improve palliative care in the primary sector.AIM. The aim of the study was to analyse the quality of palliative home care with focus on the GP's role based on evaluations by relatives of recently deceased cancer patients and professionals from both the primary and secondary health care...

  16. 心内科护理中人性化护理的应用%Application of Nursing Humanistic Nursing in Department of Cardiology

    Institute of Scientific and Technical Information of China (English)

    刘晨

    2014-01-01

    对心内科患者实施护理过程中,护理人员不但要扎实的掌握护理技能,同时还要实施人性化护理。人性化护理对患者来说意义非凡,这不但能够充分展现医院的人性化关怀,同时还能加快患者恢复健康。因而,本文作者主要是研究人性化护理措施在心内科护理中的应用情况,以期为以后的相关研究提供参考。%The implementation of Department of Cardiology in the process of the patient care, nursing staff should not only mastering nursing skils, but also the implementation of humanistic nursing care.Humanized nursing significance for patients,which can not only show the humane care hospital,also can accelerate the recovery of patients health. Therefore,the author of this paper is mainly the application of humanized nursing in Department of cardiology nursing,in order to offer the reference for future related research.

  17. The influence of organizational culture on patient care restructuring.

    Science.gov (United States)

    Grzyb-Wysocki, T; Enriquez, M G

    1996-03-01

    University Medical Center in Tucson, Arizona, embarked on a 3-year patient care restructuring project that altered all the patient care delivery systems throughout the organization. In the patient care services areas, patient care managers faced many new challenges in dealing with changes in professional practice and the introduction of multiskilled workers. The influence of the existing organizational culture on patient care restructuring was identified as an important factor to assess early into the project to ensure successful change. The Cultural Assessment Survey (CAS) was used to evaluate unit culture on the four pilot units (two Adult Health and two Pediatric). The results of the survey, implications for managers, and organizational culture are discussed.

  18. [An evaluation of the implementation of the 'Guidelines for oral care for patients dependent on care'].

    Science.gov (United States)

    Hoeksema, A R; Meijer, H J A; Vissink, A; Raghoebar, G M; Visser, A

    2016-05-01

    75% of older people being admitted to a nursing home are found to have oral care problems that have not been treated. Moreover, the Healthcare Inspectorate [in the Netherlands] reports that oral care for patients who depend on care in nursing homes is inadequate. The 'Guidelines for oral care for patients dependent on care in nursing homes', developed in 2007, appears to have been inadequately implemented. The goal of this research was to gain insight into the implementation of these guidelines in healthcare organisations. To that end, a questionnaire was distributed among the staff of 74 nursing homes. An analysis of the data revealed that people are -familiar with the guidelines and that oral care providers are often available. Oral care providers, however, often do not have access to reasonable dental care facilities. Patients are, moreover, generally not screened and/or monitored in accordance with the guidelines. Finally, it seems that the instruction of nurses and care-providers is insufficient. Research supports the conclusion that the nursing home staff is well-acquainted with the 'Guidelines for oral care for patients dependent on care' but that implementation of the guidelines in daily practice leaves much to be desired.

  19. The Interdisciplinary Spiritual Care Model – A holistic Approach to Patient Care

    Directory of Open Access Journals (Sweden)

    René Hefti

    2016-03-01

    Full Text Available In the last two decades, studies on the relationship between spirituality and health have grown significantly in the International literature. In Brazil, the debate on this subject has reached greater visibility since 2009, mainly in the health sciences, with the appearance of the term "spiritual care". In theology, studies on spiritual care in the health care context are still scarce. This paper aims to contribute to the broadening of this reflection. Firstly, spiritual care is approached from scientific publications in Portuguese language. Second, the interdisciplinary spiritual care model is presented as a holistic approach to patient care and consequences of applying a spiritual care model are outlined. The newly defined role of the hospital chaplains, pastoral counselors and spiritual caregivers is also discussed. As a conclusion, the paper mentions the main challenges going along with interdisciplinary spiritual care, especially those concerning the training of health care professionals. 

  20. 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.

  1. The emotional experience of patient care: a case for innovation in health care design.

    Science.gov (United States)

    Altringer, Beth

    2010-07-01

    This paper considers recent developments in health care facility design and in the psychology literature that support a case for increased design sensitivity to the emotional experience of patient care. The author discusses several examples of innovative patient-centred health care design interventions. These generally resulted in improvements in the patient and staff experience of care, at less cost than major infrastructural interventions. The paper relates these developments in practice with recent neuroscience research, illustrating that the design of the built environment influences patient emotional stress. In turn, patient emotional stress appears to influence patient satisfaction, and in some instances, patient outcomes. This paper highlights the need for further research in this area.

  2. Nurses’ Caring Behaviors for Dying Patients in Southern Thailand

    Directory of Open Access Journals (Sweden)

    Chuleeporn Prompahakul

    2011-07-01

    Full Text Available Background: Nowadays, the end-of-life care becomes an indicator of the quality of care in a hospital. However, current nursing standards and quality of care related to the end of life do not meet the desired expectations of both dying patients and their families. Therefore, caring behaviors of nurses need to be described.Purpose: The purpose of this descriptive research was to describe the level of nurses’ caring behaviors for dying patients in southern Thailand. Method: Proportionate stratified random sampling was used to select 360 registered nurses who had been working in general hospitals and regional/university hospitals in southern Thailand for at least one year. Instruments used in the study included the Demographic Data Questionnaire (DDQ and the Nurse’s Caring Behavior for Dying Patients Questionnaire (NCBDQ. The questionnaires were content validated by three experts. The reliability of the NCBDQ was tested with 30 nurses yielding a Cronbach’s alpha coefficient of .97. The data were analyzed by using frequency, percentage, mean and standard deviation.Results: The level of nurses’ caring behaviors for dying patients was high (M = 2.12, SD = .43. The five dimensions of the nurses' caring behaviors including compassion, confidence, conscience, commitment and comportment were also at a high level. However, the competence dimension was at a moderate level (M = 1.82, SD = .51. Conclusion: The results of this study indicated that nurses perceived themselves as having a moderate level of competency in taking care of dying patients. Therefore, educational intervention on enhancing nurses’ competency for end of life care is recommended. In addition, factors relating to nurses’ caring behavior for dying patients should be further explored.Keywords: caring behaviors, dying patients, nurses, southern Thailand

  3. Critical care nurses' information-seeking behaviour during an unfamiliar patient care task.

    Science.gov (United States)

    Newman, Kristine M; Doran, Diane

    2012-01-01

    Critical care nurses complete tasks during patient care to promote the recovery or maintain the health of their patients. These tasks can be routine or non-routine to the nurse. Non-routine tasks are characterized by unfamiliarity, requiring nurses to seek additional information from a variety of sources to effectively complete the tasks. Critical care units are dynamic environments where decisions are often made by nurses under stress and time pressure because patient status changes rapidly. A non-routine task (e.g., administration of an unfamiliar medication) to the critical care nurse can impact patient care outcomes (e.g., increased time to complete task has consequences for the patient). In this article, the authors discuss literature reviewed on nurses' information-seeking and explore an information-seeking conceptual model that will be used as a guide to examine the main concepts found through the empirical evidence.

  4. 42 CFR 494.90 - Condition: Patient plan of care.

    Science.gov (United States)

    2010-10-01

    ... care plan must include, as applicable, education and training for patients and family members or... agent(s), including blood pressure levels and utilization of iron stores, must be monitored on a routine... patient desires; and (ii) Be signed by team members, including the patient or the patient's designee; or...

  5. Implementing Patient Family-Centered Care Grand Rounds Using Patient/Family Advisor Narratives

    OpenAIRE

    Maureen B Fagan DNP, MHA, FNP-BC; Celene Wong MHA; Martha B Carnie AS; Stanley W Ashley MD; Jacqueline G Somerville RN, PhD

    2015-01-01

    With the emerging trend of patient family–centered care in health care, it is essential that physicians be exposed to patient and family perspectives of care during medical education and training. Grand Rounds provides an ideal format for physicians to learn about patient family–centered care. At Brigham and Women’s Hospital, we sought to bring the voice of the patient to Patient Family–Centered Grand Rounds in order to expose clinicians to rich narratives describing the medical care received...

  6. Nursing care for patients undergoing transoral robotic surgery.

    Science.gov (United States)

    Murray, Shannon

    2009-01-01

    Otorhinolaryngologists began developing new operative techniques to minimize open surgical resections of the head and neck. While striving to reduce the morbidity and mortality associated with head and neck surgery and decrease the many psychosocial issues facing these patients, a new procedure defined as Transoral Robotic Surgery (TORS) was developed. With the development of new surgical techniques, nursing care must also change to meet the needs of the patient. As the TORS procedure becomes fully defined, so is nursing's role in the care of the patient. This paper aims to define TORS and discuss the nursing care of the patient undergoing this new surgical procedure.

  7. 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.

  8. 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)

  9. Oral care in patients on mechanical ventilation in intensive care unit: literature review

    Directory of Open Access Journals (Sweden)

    Selma Atay

    2014-06-01

    Full Text Available intensive care patients needs to oral assessment and oral care for avoid complications caused by orafarengeal bacteria. In this literature review, it is aimed to determine the practice over oral hygiene in mechanical ventilator patients in intensive care unit. For the purpose of collecting data, Medline/pub MED and EBSCO HOST databases were searched with the keywords and lsquo;oral hygiene, oral hygiene practice, mouth care, mouth hygiene, intubated, mechanical ventilation, intensive care and critical care and rdquo; between the years of 2000- 2012. Inclusion criteria for the studies were being performed in adult intensive care unit patients on mechanical ventilation, published in peer-reviewed journals in English between the years of 2000-2012, included oral care practice and presence of a nurse among researchers. A total of 304 articles were identified. Six descriptive evaluation studies, three randomised controlled trials, four literature reviews, three meta-Analysis randomized clinical trials, one qualitative study and one semi-experimental study total 18 papers met all of the inclusion criteria. Oral care is emphasized as an infection control practice for the prevention of Ventilator-Associated Pneumonia (VAP. In conclusion, we mention that oral care is an important nursing practice to prevent VAP development in intensive care unit patients; however, there is no standard oral evaluation tool and no clarity on oral care practice frequency, appropriate solution and appropriate material. It can be recommended that the study projects on oral care in intensive care patients to have high proof level and be experimental, and longitudinal. [Int J Res Med Sci 2014; 2(3.000: 822-829

  10. Supporting active patient self-care

    NARCIS (Netherlands)

    Heijden, M. van der; Velikova, M.; Lucas, P.J.F.

    2015-01-01

    We are currently confronted with a trend of increased pressure on health care, with associated increasing financial costs, due to an aging society and the expected increase in the prevalence of disability and chronic disease. Finding measures for cost reduction, without sacrificing quality of care,

  11. Nutritional care of cancer patients: a survey on patients' needs and medical care in reality.

    Science.gov (United States)

    Maschke, J; Kruk, U; Kastrati, K; Kleeberg, J; Buchholz, D; Erickson, N; Huebner, J

    2017-02-01

    Cancer patients represent a patient group with a wide-range of nutrition related problems which are often under-recognized and undertreated. In order to assess the status quo of nutritional care in Germany, we conducted a survey among patients with different types of cancer. A standardized questionnaire was distributed online by two national umbrella organizations for self-help groups. 1335 participants completed the questionnaire. 69 % of the participants reported having received information on nutrition and/or specific nutrition-related symptoms. Most often this information was derived from print media (68.5 %) or from within self-help groups (58.7 %). 57.0 % of participants reported having had questions concerning nutrition and/or problems with food intake. most frequently named topics of interest were "healthy diet" (35.0 %) weakness/fatigue (24.3 %), dietary supplements (21.3 %) and taste changes (19.8 %). Nutrition information was most often provided by dietitians (38.7 %) followed by physicians (9.8 %). Women reported receiving nutrition counseling in the hospital nearly twice as often as men (12.5 % versus 5.7 %; p nutrition information more often reported using supplements (p Nutrition is an essential element in cancer care and patients report a high interest and need: Yet, many patients do not have access to high quality nutrition therapy during and after cancer therapy. With respect to survival and quality of life, increasing the availability and resources for provision of evidence based nutrition information seems mandatory.

  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. Phenomenological study of ICU nurses' experiences caring for dying patients.

    Science.gov (United States)

    King, Phyllis Ann; Thomas, Sandra P

    2013-11-01

    This existential phenomenological study explored caring for the dying based on the philosophical works of Merleau-Ponty. Fourteen critical care nurses were asked to describe lived experiences of caring for dying patients. An encompassing theme of Promises to Keep emerged, with five subthemes, including the following: (a) promise to be truthful: "Nurses are in the game of reality," (b) promise to provide comfort: "I'll make him comfortable," (c) promise to be an advocate: "Just one more day," (d) "Promise that couldn't be kept," and (e) "Promise to remain connected." The essence of intensive care nurses' lived experience of caring for dying patients is captured in the theme Promises to Keep. Nurses accept the reality of death and express strong commitment to making it as comfortable, peaceful, and dignified as possible, despite critical care unit environments that foster a "paradigm of curing" rather than a "paradigm of caring.".

  14. ABC for Nursing Care to Terminal Patients in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Angelina Basilia Estela Díaz

    2013-04-01

    Full Text Available Background: Terminal patients suffer from an acute or chronic process that immerses them in a critical situation leading to death. When providing a cure is no longer possible, the focus is on providing comfort and relief for the dying. Therefore, it is very important to provide an appropriate orientation to the staff nurses taking care of these patients. Objective: To develop an ABC for nursing care to terminally ill patients in Primary Health Care. Methods: A research was conducted in Area VI Polyclinic, in the municipality of Cienfuegos, from January to June 2012, in order to conform the ABC for nursing care to terminally ill patients in Primary Health Care. Theoretical methods of analysis and synthesis and induction-deduction as well as empirical methods were used: document analysis and brainstorming. Results: The ABC for nursing care to terminal patients was conformed for the following stages: initial or stability, symptomatic or state, and decline and final agony. In each of them possible diagnoses, objectives and actions were included. The document was created in such a way that it can be used by all nurses who attend these patients, regardless of their occupational category. Conclusions: This ABC could be useful to facilitate nursing care to terminally ill patients in primary health care.

  15. SSUES OF THE CARE OF PATIENTS WITH SYNDROM OF DEMENTIA

    Directory of Open Access Journals (Sweden)

    Jedlinská Martina

    2013-12-01

    Full Text Available This article aims to acquaint the reader with the characteristics and problems of care for patients with dementia and options selected inpatient care for these patients in the Pardubice region. The theoretical part provides an overview of the issue of care for patients with dementia or dementia. The empirical part focuses on the description of selected characteristics of clients in the health-care facility, which is an example of good practice care for the elderly. In these age group is the greatest prevalence of dementia and syndrom of dementia as diagnosed disease. The discussion paper presents a reflection on the possible reasons for placing these clients in various types of inpatient facilities after discharge from aftercare and the circumstances of care for these clients.

  16. Implementing Patient Family-Centered Care Grand Rounds Using Patient/Family Advisor Narratives

    Directory of Open Access Journals (Sweden)

    Maureen B Fagan DNP, MHA, FNP-BC

    2015-11-01

    Full Text Available With the emerging trend of patient family–centered care in health care, it is essential that physicians be exposed to patient and family perspectives of care during medical education and training. Grand Rounds provides an ideal format for physicians to learn about patient family–centered care. At Brigham and Women’s Hospital, we sought to bring the voice of the patient to Patient Family–Centered Grand Rounds in order to expose clinicians to rich narratives describing the medical care received by patients/families and to ultimately change physician practice to reflect patient family–centered principles. We conducted a clinician survey and found promising results indicating that patient/family narratives can be effective at educating physicians about patient family–centered care.

  17. Nursing experience and the care of dying patients.

    Science.gov (United States)

    Dunn, Karen S; Otten, Cecilia; Stephens, Elizabeth

    2005-01-19

    To examine relationships among demographic variables and nurses attitudes toward death and caring for dying patients. Descriptive and correlational. Two metropolitan hospitals in Detroit, MI. 58 RNs practicing in oncology and medical/surgical nursing. The majority was female and white, with a mean age of 41 years. Completed survey of three measurement tools: a demographic survey, Frommelt Attitudes Toward Care of the Dying (FATCOD) Scale, and Death Attitude Profile Revised (DAP-R) Scale. Of 60 surveys distributed, 58 were completed and returned. Past experiences (level of education and death training), personal experiences (age, race, religion, and attitudes toward death), professional experiences (months or years of nursing experience and the percentage of time spent in contact with terminally ill or dying patients), and attitudes toward caring for dying patients. Most respondents demonstrated a positive attitude about caring for dying patients. Nurses who reported spending a higher percentage of time in contact with terminally ill or dying patients reported more positive attitudes. No significant relationship was found between nurses attitudes toward death and nurses attitudes about caring for dying patients. Statistically significant relationships were found among certain demographic variables, DAP-R subscales, and FATCOD Scale. Regardless of how the nurses felt about death, providing professional and quality care to dying patients and their families was salient. Developing continuing education programs that teach effective coping strategies to prevent death anxiety and identifying barriers that can make caring for dying patients difficult may make the journey from novice to expert nurse a gratifying and rewarding experience.

  18. [Strategies for improving care of oncologic patients: SHARE Project results].

    Science.gov (United States)

    Reñones Crego, María de la Concepción; Fernández Pérez, Dolores; Vena Fernández, Carmen; Zamudio Sánchez, Antonio

    2016-01-01

    Cancer treatment is a major burden for the patient and its family that requires an individualized management by healthcare professionals. Nurses are in charge of coordinating care and are the closest healthcare professionals to patient and family; however, in Spain, there are not standard protocols yet for the management of oncology patients. The Spanish Oncology Nursing Society developed between 2012 and 2014 the SHARE project, with the aim of establishing strategies to improve quality of life and nursing care in oncology patients. It was developed in 3 phases. First, a literature search and review was performed to identify nursing strategies, interventions and tools to improve cancer patients' care. At the second stage, these interventions were agreed within a group of oncology nursing experts; and at the third phase, a different group of experts in oncology care categorized the interventions to identify the ones with highest priority and most feasible to be implemented. As a result, 3 strategic actions were identified to improve nursing care during cancer treatment: To provide a named nurse to carry out the follow up process by attending to the clinic or telephonic consultation, develop therapeutic education with adapted protocols for each tumor type and treatment and ensure specific training for nurses on the management of the cancer patients. Strategic actions proposed in this paper aim to improve cancer patients' healthcare and quality of life through the development of advanced nursing roles based on a higher level of autonomy, situating nurses as care coordinators to assure an holistic care in oncology patients.

  19. 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

  20. Self-care practice of patients with arterial hypertension in primary health care

    Directory of Open Access Journals (Sweden)

    Cláudia Rayanna Silva Mendes

    2016-02-01

    Full Text Available Objective: to evaluate the practice of self-care performed by patients with systemic arterial hypertension in primary health care. Methods: this is a descriptive and cross-sectional study, conducted with 92 individuals with arterial hypertension in a primary care unit. The data collection occurred through script and data analyzed using descriptive statistics (frequency, mean and standard deviation and through the understanding of the adaption between capacity and self-care demand. Results: it was identified as a practice of self-care: adequate water intake, salt intake and restricted coffee, satisfactory sleep period, abstinence from smoking and alcoholism, continuing pharmacological treatment and attending medical appointments. As the demands: inadequate feeding, sedentary lifestyle, had no leisure activities, self-reported stress, and limited knowledge. Conclusion: although patients performed treatment a few years ago, still showed up self-care deficits, highlighting the need for nurses to advise and sensitize about the importance of self-care practice.

  1. The contribution of undergraduate palliative care education: does it influence the clinical patient's care?

    Science.gov (United States)

    Centeno, Carlos; Rodríguez-Núñez, Alfredo

    2015-12-01

    The aim of this 2-year systematic review is to understand how learner assessment and curriculum evaluation of education in palliative care is being undertaken and to examine whether current undergraduate education influences the clinical patient's care. Almost half of the 30 studies reviewed used a qualitative approach to evaluate learning experiences. Only three of them were controlled studies and a further one was a cohort study.When students openly express themselves, they agree that there is 'something' deep as regards the core or the essence of medical practice or nursing. They feel that they become better professionals and better prepared for the patients, not only in terms of end of life care, but also as regards care, irrespective of the phase of the disease.The inclusion of palliative care in undergraduate education is a way of providing knowledge, skill, and competences about palliative care (especially communication) and also improving attitudes toward caring in advanced disease and at the end of life. Different methods of experiential learning, even brief experiences, which bring students into close contact with palliative care clinical cases or patients, are providing better results. From research studies, there is only indirect evidence that palliative care training at university leads to better clinical care of patients. In the future, long-term cohort or controlled studies might answer that question.

  2. 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

  3. Classification of mistakes in patient care in a Nigerian hospital.

    Science.gov (United States)

    Iyayi, Festus

    2009-12-01

    Recent discussions on improving health outcomes in the hospital setting have emphasized the importance of classification of mistakes in health care institutions These discussions indicate that the existence of a shared classificatory scheme among members of the health team indicates that errors in patient care are recognised as significant events that require systematic action as opposed to defensive, one-dimensional behaviours within the health institution. In Nigeria discussions of errors in patient care are rare in the literature. Discussions of the classification of errors in patient care are even more rare. This study represents a first attempt to deal with this significant problem and examines whether and how mistakes in patient care are classified across five professional health groups in one of Nigeria's largest tertiary health care institutions. The study shows that there are wide variations within and between professional health groups in the classification of errors in patient care. The implications of the absence of a classificatory scheme for errors in patient care for service improvement and organisational learning in the hospital environment are discussed.

  4. Assessment and treatment of dizzy patients in primary health care.

    OpenAIRE

    Ekvall-Hansson, Eva

    2006-01-01

    Dizziness is a common reason for visits to primary health care, especially among elderly patients. From a physiotherapeutic perspective, this thesis aims to study the assessment and treatment of dizzy patients in primary health care. Interventions in papers I, III and IV comprised a vestibular rehabilitation programme. In paper I, patients with multisensory dizziness were randomized to intervention group or control group. At follow-up after six weeks and three months, the intervention ...

  5. Rib Fracture Protocol Advancing the Care of the Elderly Patient.

    Science.gov (United States)

    Leininger, Susan

    This article discusses unique factors associated with rib fractures in the elderly patient population and explains the process used in one facility to develop a revised protocol for the management of elderly patients with a rib fracture. The goals were to eliminate gaps in early trauma care management and employ a care routine that would improve outcomes for this vulnerable group of patients with fracture.

  6. Poor health literacy as a barrier to patient care.

    Science.gov (United States)

    Agness, Chanel; Murrell, Erica; Nkansah, Nancy; Martin, Caren McHenry

    2008-05-01

    Only 12% of adults have proficient health literacy, according to the National Assessment of Adult Literacy. In other words, nearly 9 out of 10 adults may lack the skills needed to manage their health and prevent disease. The elderly patient is at especially high risk for having low health literacy. To provide optimal care for patients, pharmacists and other health care practitioners must understand the problems of health literacy and incorporate strategies and tools to improve the effectiveness of their communication with patients.

  7. Family Participation in the Nursing Care of the Hospitalized Patients

    OpenAIRE

    Khosravan, Shahla; Mazlom, Behnam; Abdollahzade, Naiemeh; Jamali, Zeinab; Mansoorian, Mohammad Reza

    2014-01-01

    Background: Few studies, especially in Iran, have assessed the status of family participation in the care of the hospitalized patients. Objectives: This study was conducted to assess why family members partake in caregiving of their patients in hospitals, the type of care that family provide, and the outcomes of the participation in the opinions of nurses and family members. Patients and Methods: In this comparative-descriptive study, data was collected by a two- version researcher-developed ...

  8. ED services: the impact of caring behaviors on patient loyalty.

    Science.gov (United States)

    Liu, Sandra S; Franz, David; Allen, Monette; Chang, En-Chung; Janowiak, Dana; Mayne, Patricia; White, Ruth

    2010-09-01

    This article describes an observational study of caring behaviors in the emergency departments of 4 Ascension Health hospitals and the impact of these behaviors on patient loyalty to the associated hospital. These hospitals were diverse in size and geography, representing 3 large urban community hospitals in metropolitan areas and 1 in a midsized city. Research assistants from Purdue University (West Lafayette, IN) conducted observations at the first study site and validated survey instruments. The Purdue research assistants trained contracted observers at the subsequent study sites. The research assistants conducted observational studies of caregivers in the emergency departments at 4 study sites using convenience sampling of patients. Caring behaviors were rated from 0 (did not occur) to 5 (high intensity). The observation included additional information, for example, caregiver roles, timing, and type of visit. Observed and unobserved patients completed exit surveys that recorded patient responses to the likelihood-to-recommend (loyalty) questions, patient perceptions of care, and demographic information. Common themes across all study sites emerged, including (1) the area that patients considered most important to an ED experience (prompt attention to their needs upon arrival to the emergency department); (2) the area that patients rated as least positive in their actual ED experience (prompt attention to their needs upon arrival to the emergency department); (3) caring behaviors that significantly affected patient loyalty (eg, making sure that the patient is aware of care-related details, working with a caring touch, and making the treatment procedure clearly understood by the patient); and (4) the impact of wait time to see a caregiver on patient loyalty. A number of correlations between caring behaviors and patient loyalty were statistically significant (P loyalty but that occurred least frequently. The study showed through factor analysis that some caring

  9. Patient Experienced Continuity of Care in the Psychiatric Healthcare System

    DEFF Research Database (Denmark)

    Jensen, Natasja Koitzsch; Johansen, Katrine Schepelern; Kastrup, Marianne

    2014-01-01

    are complex and diverse and the patient perspective of continuity of care provides important insight into the delivery of care. The study highlights the importance of person-centred care irrespective of migration background though it may be beneficial to have an awareness of areas that may be of more specific......Aim: The purpose of this study was to investigate continuity of care in the psychiatric healthcare system from the perspective of patients, including vulnerable groups such as immigrants and refugees. Method: The study is based on 19 narrative interviews conducted with 15 patients with diverse...... migration backgrounds (immigrants, descendents, refugees, and ethnic Danes). Patients were recruited from a community psychiatric centre situated in an area with a high proportion of immigrants and refugees. Data were analysed through the lens of a theoretical framework of continuity of care in psychiatry...

  10. Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers.

    Science.gov (United States)

    Hesselink, Gijs; Flink, Maria; Olsson, Mariann; Barach, Paul; Dudzik-Urbaniak, Ewa; Orrego, Carola; Toccafondi, Giulio; Kalkman, Cor; Johnson, Julie K; Schoonhoven, Lisette; Vernooij-Dassen, Myrra; Wollersheim, Hub

    2012-12-01

    Advocates for quality and safety have called for healthcare that is patient-centred and decision-making that involves patients. The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process. A qualitative study using purposive sampling of 192 individual interviews and 26 focus group interviews was conducted in five European Union countries with patients and/or family members, hospital physicians and nurses, and community general practitioners and nurses. A modified Grounded Theory approach was used to analyse the data. The barriers and facilitators were classified into 15 categories from which four themes emerged: (1) healthcare providers do not sufficiently prioritise discharge consultations with patients and family members due to time restraints and competing care obligations; (2) discharge communication varied from instructing patients and family members to shared decision-making; (3) patients often feel unprepared for discharge, and postdischarge care is not tailored to individual patient needs and preferences; and (4) pressure on available hospital beds and community resources affect the discharge process. Our findings suggest that involvement of patients and families in the preparations for discharge is determined by the extent to which care providers are willing and able to accommodate patients' and families' capabilities, needs and preferences. Future interventions should be directed at healthcare providers' attitudes and their organisation's leadership, with a focus on improving communication among care providers, patients and families, and between hospital and community care providers.

  11. Impact of pain and palliative care services on patients

    Directory of Open Access Journals (Sweden)

    S Santha

    2011-01-01

    Full Text Available Background: Palliative care has become an emerging need of the day as the existing health-care facilities play only a limited role in the care of the chronically ill in the society. Patients with terminal illness in most cases spend their lives in the community among their family and neighbors, so there is the need for a multi disciplinary team for their constant care. Volunteers are primary care givers who originate normally from the same locality with local knowledge and good public contact through which they can make significant contributions in a team work by bridging the gap between the patient community and outside world. Aim: The present study has been undertaken to analyze the impact of palliative care services on patients by considering 51 variables. Materials and Methods: The respondents of the study include 50 pain and palliative care patients selected at random from 15 palliative care units functioning in Ernakulam district. The analysis was made by using statistical techniques viz. weighted average method, Chi-square test, Friedman repeated measures analysis of variance on ranks and percentages. Results: The study revealed that the major benefit of palliative care to the patients is the reduction of pain to a considerable extent, which was unbearable for them earlier. Second, the hope of patients could be maintained or strengthened through palliative care treatment. Conclusion: It is understood that the services of the doctors and nurses are to be improved further by making available their services to all the palliative care patients in a uniform manner.

  12. Pathway to better patient care and nurse workforce outcomes in home care.

    Science.gov (United States)

    Jarrín, Olga F; Kang, Youjeong; Aiken, Linda H

    2017-06-02

    Unlike the Magnet Recognition Program, the newer Pathway to Excellence Program designed to improve work environments in a broader range of organizations has not yet been the focus of substantial research. The purpose of the study was to examine the association of Pathway to Excellence Program Standards with better patient care quality and workforce outcomes in home care. Cross-sectional survey of registered nurses yielded informants from 871 home care agencies in the United States. Variables representing each of the 12 Pathway Standards were entered into logistic regression models to determine associations with better patient care and nurse workforce outcomes. All Pathway Standards are strongly and significantly associated with better patient care and better workforce outcomes. Home care agencies with better-rated professional work environments consistently had better patient care and nurse workforce outcomes. This study validates the Pathway to Excellence Standards as important to patient care quality and nursing workforce outcomes in home care. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Research and Application of Humane Care and Psychological Care in Clinical Nursing%“人文心理”护理理念在临床护理中的研究与应用

    Institute of Scientific and Technical Information of China (English)

    汪学芸

    2012-01-01

      Objective :To discuss application humanistic care and psychological care in clinical nursing.Method:By strengthening the nurses humanistic care and psychological nursing concept of training,changes to the disease as the center,professional nursing concept,into humanistic care and psychological nursing in holistic nursing concept,will penetrate into every detail of the nursing work.Result:Patients nurses care satisfaction was significantly improved,enhancing the overall quality of hospital care services.Conclusion:Humanistic care and psychological nursing improve the nurse-patient relationship,reduce nurse-patient disputes,improve nursing service quality.%  目的:探讨“人文关怀+心理护理”理念在临床护理工作的应用效果。方法:通过加强护士人文关怀及心理护理理念的培训,改变以疾病为中心、专科护理的理念,转变为人文关怀+心理护理的整体护理理念,将理念渗透到护理工作的各个细节中。结果:患者对护理人员的护理服务满意度明显提高,全面提升了医院的护理服务品质。结论:“人文关怀+心理护理”整体理念在临床护理工作应用中,改善了护患关系,减少了护患纠纷,提高了医院护理服务品质。

  14. Anticipating the effect of the Patient Protection and Affordable Care Act for patients with urologic cancer.

    Science.gov (United States)

    Ellimoottil, Chandy; Miller, David C

    2014-02-01

    The Affordable Care Act seeks to overhaul the US health care system by providing insurance for more Americans, improving the quality of health care delivery, and reducing health care expenditures. Although the law's intent is clear, its implementation and effect on patient care remains largely undefined. Herein, we discuss major components of the Affordable Care Act, including the proposed insurance expansion, payment and delivery system reforms (e.g., bundled payments and Accountable Care Organizations), and other reforms relevant to the field of urologic oncology. We also discuss how these proposed reforms may affect patients with urologic cancers.

  15. Communicating with Patients with Special Health Care Needs.

    Science.gov (United States)

    Espinoza, Kimberly M; Heaton, Lisa J

    2016-07-01

    People with special health care needs (PSHCN) often have difficulty communicating with providers in health care settings, including dental practices. This difficulty can affect access to care as well as the quality of care received. This article provides practical tips and tools dental professionals can use to facilitate communication for a diverse population of PSHCNs. The article discusses communication needs of patients with communication disorders; augmentative and alternative communication; and communication for patients with intellectual disability, psychiatric conditions; and dental fears. Examples are given of communication breakdowns, and descriptions of how communication challenges can be resolved.

  16. Integrating Spirituality as a Key Component of Patient Care

    Directory of Open Access Journals (Sweden)

    Suzette Brémault-Phillips

    2015-04-01

    Full Text Available Patient care frequently focuses on physical aspects of disease management, with variable attention given to spiritual needs. And yet, patients indicate that spiritual suffering adds to distress associated with illness. Spirituality, broadly defined as that which gives meaning and purpose to a person’s life and connectedness to the significant or sacred, often becomes a central issue for patients. Growing evidence demonstrates that spirituality is important in patient care. Yet healthcare professionals (HCPs do not always feel prepared to engage with patients about spiritual issues. In this project, HCPs attended an educational session focused on using the FICA Spiritual History Tool to integrate spirituality into patient care. Later, they incorporated the tool when caring for patients participating in the study. This research (1 explored the value of including spiritual history taking in clinical practice; (2 identified facilitators and barriers to incorporating spirituality into person-centred care; and (3 determined ways in which HCPs can effectively utilize spiritual history taking. Data were collected using focus groups and chart reviews. Findings indicate positive impacts at organizational, clinical/unit, professional/personal and patient levels when HCPs include spirituality in patient care. Recommendations are offered.

  17. Future care planning: a first step to palliative care for all patients with advanced heart disease.

    Science.gov (United States)

    Denvir, M A; Murray, S A; Boyd, K J

    2015-07-01

    Palliative care is recommended for patients with end-stage heart failure with several recent, randomised trials showing improvements in symptoms and quality of life and more studies underway. Future care planning provides a framework for discussing a range of palliative care problems with patients and their families. This approach can be introduced at any time during the patient's journey of care and ideally well in advance of end-of-life care. Future care planning is applicable to a wide range of patients with advanced heart disease and could be delivered systematically by cardiology teams at the time of an unplanned hospital admission, akin to cardiac rehabilitation for myocardial infarction. Integrating cardiology care and palliative care can benefit many patients with advanced heart disease at increased risk of death or hospitalisation. Larger, randomised trials are needed to assess the impact on patient outcomes and experiences. 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.

  18. 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…

  19. 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…

  20. [Teaching patient-centered holistic care].

    Science.gov (United States)

    Wung, Hwang-Ling; Chen, Huei-Ling; Hwu, Yueh-Juen

    2007-06-01

    Nursing education aims to help students understand concepts and gain competencies in holistic care. The purpose of this paper was to present a nursing curriculum that adapted and introduced holistic care into an adult nursing curriculum taught at a university of science and technology. The course framework included both holistic and nursing domains. The holistic aspect addressed client physical psychological-spiritual needs and related factors, health related factors, and the status of Maslow's hierarchy of needs and related factors. The nursing aspect addressed the way in which nursing was applied to identify client problems and provide individualized, integrated and continuous care in hospital, family or community based settings employing primary, secondary, or tertiary prevention. Scenario with problem based learning and concept mapping were used in class to guide students to consider in depth the concepts that underpin holistic care.

  1. Structural violence and simplified paternalistic ideas of patient empowerment decreases health care access, quality & outcome for ethnic minority patients

    DEFF Research Database (Denmark)

    Sodemann, Morten

    Increasing complexity of health care organization, rapid hyperspecialization of medical care, lack of ’patient literacy’ and pressure on patients to take over responsibility, challenges political dreams of equal access to patient centered high quality secure care....

  2. Patients' perceptions of patient care providers with tattoos and/or body piercings.

    Science.gov (United States)

    Westerfield, Heather V; Stafford, Amy B; Speroni, Karen Gabel; Daniel, Marlon G

    2012-03-01

    This study evaluated patients' perceptions of patient care providers with visible tattoos and/or body piercings. As tattooing and body piercing are increasingly popular, research that informs nursing administrators regarding policies on patient care providers having visible tattoos and body piercings is warranted. A total of 150 hospitalized adult patients compared pictures of male and female patient care providers in uniform with and without tattoos and/or nonearlobe body piercings. Patient care providers with visible tattoos and/or body piercings were not perceived by patients in this study as more caring, confident, reliable, attentive, cooperative, professional, efficient, or approachable than nontattooed or nonpierced providers. Tattooed female providers were perceived as less professional than male providers with similar tattoos. Female providers with piercings were perceived as less confident, professional, efficient, and approachable than nonpierced female providers. Nursing administrators should develop and/or evaluate policies regarding patient care providers with visible tattoos and/or body piercings.

  3. [Nursing care systematization for outpatient treatment care of patients with multiple sclerosis].

    Science.gov (United States)

    Corso, Nair Assunta Antônia; Gondim, Ana Paula Soares; Dalmeida, Patrícia Chagas Rocha; Albuquerque, Maria Girlene de Freitas

    2013-06-01

    An experience report of nurses in the implementation of care systematization in ambulatory care in an interdisciplinary care center for patients with multiple sclerosis of a public hospital in Fortaleza, Ceará, Brazil. This implementation is based on the NANDA International, Inc., Nursing Interventions Classification, and Nursing Outcomes Classifications. One of the results concerns systemized nursing care, which has enabled the identification and understanding of the responses of MS patients to potential and current health problems. Systematization entails expanding knowledge through a practice based on approach and encourage further research scientific evidence, in addition to promoting the role of the nurse in acomprehensive approachand encourage further research.

  4. Can patients drive the future of health care?

    Science.gov (United States)

    Wyke, A

    1997-01-01

    As the traditional system of health care in the United States gives way to a regime run increasingly by the private sector, a powerful force is emerging: the patient. According to Harvard Business School professor Regina Herzlinger, health care is much like other service industries. Providers that hope to survive must cater to increasingly demanding and well-educated consumers. In a review of Herzlinger's book Market-Driven Health Care: Who Wins, Who Loses in the Transformation of America's Largest Service Industry, Alexandra Wyke, managing editor at the Economist Intelligence Unit, argues that the path to consumerism in medicine will be longer and bumpier than Herzlinger suggests. Consumers of medicine don't simply want health care to be more convenient; they want cures for all ills. How can providers gratify this appetite for ever better medicine? Furthermore, patients are not always capable of making sound decisions about their medical care. And health care professionals, who emphasize the complex nature of decision making in medicine, are doing their best to keep patients from holding the health care steering wheel. Herzlinger has written a bullish book on the virtues of market-driven health care, but, Wyke contends, she has overlooked the far-reaching effects that emerging technology could have in shaping medicine--especially in reducing the need for specialists. She also has given short shrift to the young managed-care industry, which has succeeded in controlling costs and is now under competitive pressure to meet patients' needs better.

  5. Postoperative care for the robotic surgery bowel resection patient.

    Science.gov (United States)

    Brenner, Zara R; Salathiel, Mary; Macey, Barbara A; Krenzer, Maureen

    2011-01-01

    A new surgical method is available for colon and rectal surgery. Robotic surgery, using the daVinci Si HD Surgical System, offers surgical advances compared with the traditional open or laparoscopic surgical methods. The potential advantages of robotic technology continue to be explored and its most appropriate functions are yet to be determined. In clinical experience, the use of this surgical method has resulted in changes to postoperative nursing care management. This article describes changes in the management of postoperative patient care including fluid and electrolyte balance, and patient and staff education. Modifications were instituted in the clinical pathway to facilitate an accelerated standard of care. New discharge strategies were implemented to ensure ongoing fluid and electrolyte balance by the patient. A true team effort from a multitude of disciplines was required for the changes in patient care routine to be effective. Outcomes including length of stay and patient satisfaction are presented.

  6. The Patient Care Connect Program: Transforming Health Care Through Lay Navigation.

    Science.gov (United States)

    Rocque, Gabrielle B; Partridge, Edward E; Pisu, Maria; Martin, Michelle Y; Demark-Wahnefried, Wendy; Acemgil, Aras; Kenzik, Kelly; Kvale, Elizabeth A; Meneses, Karen; Li, Xuelin; Li, Yufeng; Halilova, Karina I; Jackson, Bradford E; Chambless, Carol; Lisovicz, Nedra; Fouad, Mona; Taylor, Richard A

    2016-06-01

    The Patient Care Connect Program (PCCP) is a lay patient navigation program, implemented by the University of Alabama at Birmingham Health System Cancer Community Network. The PCCP's goal is to provide better health and health care, as well as to lower overall expenditures. The program focuses on enhancing the health of patients, with emphasis on patient empowerment and promoting proactive participation in health care. Navigator training emphasizes palliative care principles and includes development of skills to facilitate advance care planning conversations. Lay navigators are integrated into the health care team, with the support of a nurse supervisor, physician medical director, and administrative champion. The intervention focuses on patients with high needs to reach those with the greatest potential for benefit from supportive services. Navigator activities are guided by frequent distress assessments, which help to identify patient concerns across multiple domains, triage patients to appropriate resources, and ultimately overcome barriers to health care. In this article, we describe the PCCP's development, infrastructure, selection and training of lay navigators, and program operations.

  7. Developing patient-centered teams: The role of sharing stories about patients and patient care.

    Science.gov (United States)

    Bennett, Ariana H; Hassinger, Jane A; Martin, Lisa A; Harris, Lisa H; Gold, Marji

    2015-09-01

    Research indicates that health care teams are good for staff, patients, and organizations. The characteristics that make teams effective include shared objectives, mutual respect, clarity of roles, communication, trust, and collaboration. We were interested in examining how teams develop these positive characteristics. This paper explores the role of sharing stories about patients in developing patient-centered teams. Data for this paper came from 1 primary care clinic as part of a larger Providers Share Workshop study conducted by the University of Michigan. Each workshop included 5 facilitated group sessions in which staff met to talk about their work. This paper analyzes qualitative data from the workshops. Through an iterative process, research team members identified major themes, developed a coding scheme, and coded transcripts for qualitative data analysis. One of the most powerful ways group members connected was through sharing stories about their patients. Sharing clinical cases and stories helped participants bond around their shared mission of patient-centered care, build supportive relationships, enhance compassion for patients, communicate and resolve conflict, better understand workflows and job roles, develop trust, and increase morale. These attributes highlighted by participants correspond to those documented in the literature as important elements of teambuilding and key indicators of team effectiveness. The sharing of stories about patients seems to be a promising tool for positive team development in a primary care clinical setting and should be investigated further. (c) 2015 APA, all rights reserved).

  8. Self-assessment in cancer patients referred to palliative care

    DEFF Research Database (Denmark)

    Strömgren, Annette S; Goldschmidt, Dorthe; Groenvold, Mogens

    2002-01-01

    the symptomatology of participating patients and examines differences in symptomatology between patients in three palliative care functions: inpatient, outpatient, and palliative home care. RESULTS: Of 267 eligible patients who were referred to a department of palliative medicine, initial self......-assessment questionnaires were obtained from 176 patients (65.9%). The 91 nonparticipants were older and had lower Karnofsky Performance status (KPS) values than the participants. Almost all participating patients suffered from impaired role function and physical function and had high levels of pain, fatigue, and other...... symptoms. According to the HADS, 47% of patients suffered from depression. Outpatients had better scores than inpatients and patients in palliative home care for physical function, role function, cognitive function, depression, and inactivity. CONCLUSIONS: It is possible to carry out a questionnaire...

  9. [Interventional Patient Hygiene Model. A critical reflection on basic nursing care in intensive care units].

    Science.gov (United States)

    Bambi, Stefano; Lucchini, Alberto; Solaro, Massimo; Lumini, Enrico; Rasero, Laura

    2014-01-01

    Interventional Patient Hygiene Model. A critical reflection on basic nursing care in intensive care units. Over the past 15 years, the model of medical and nursing care changed from being exclusively oriented to the diagnosis and treatment of acute illness, to the achievement of outcomes by preventing iatrogenic complications (Hospital Acquired Conditions). Nursing Sensitive Outcomes show as nursing is directly involved in the development and prevention of these complications. Many of these complications, including falls from the bed, use of restraints, urinary catheter associated urinary infections and intravascular catheter related sepsis, are related to basic nursing care. Ten years ago in critical care, a school of thought called get back to the basics, was started for the prevention of errors and risks associated with nursing. Most of these nursing practices involve hygiene and mobilization. On the basis of these reflections, Kathleen Vollman developed a model of nursing care in critical care area, defined Interventional Patient Hygiene (IPH). The IPH model provides a proactive plan of nursing interventions to strengthen the patients' through the Evidence-Based Nursing Care. The components of the model include interventions of oral hygiene, mobilization, dressing changes, urinary catheter care, management of incontinence and bed bath, hand hygiene and skin antisepsis. The implementation of IPH model follows the steps of Deming cycle, and requires a deep reflection on the priorities of nursing care in ICU, as well as the effective teaching of the importance of the basic nursing to new generations of nurses.

  10. Look Through Patients' Eyes to Improve the Delivery of Care.

    Science.gov (United States)

    2016-07-01

    By developing and implementing a method for seeing the healthcare experience from the standpoint of patients and family members, the University of Pittsburgh Medical Center has improved care delivery, lowered costs, and improved patient satisfaction. Cross-functional, multidisciplinary teams use a six-step patient and family-centered care methodology to identify gaps and develop changes that will improve the patient experience and clinical outcomes. Committee members shadow patients and family members to get firsthand knowledge about what they are going through and what goes wrong and what goes right. The teams proposed minor and major changes, but none involve adding more staff and few involve more expenditures.

  11. Caring for cancer patients on non-specialist wards.

    LENUS (Irish Health Repository)

    Gill, Finola

    2012-02-01

    As cancer is the leading cause of death worldwide, every nurse will be required to care for patients with the condition at some point in his\\/her career. However, non-specialized oncology nurses are often ill-prepared to nurse patients suffering from cancer. This literature review aims to provide an overview of current trends and developments in cancer care nursing in an attempt to identify the range of previous research pertaining to caring for patients with cancer on non-specialist wards. The review finds that non-specialized cancer nurses report a lack of education and training with regard to cancer care and cancer treatments, which acts as a barrier to providing quality nursing care. Emotional and communication issues with patients and their families can also cause non-specialist nurses significant distress. International research has shown that specialist oncology nurses make a considerable difference to physical and psychosocial patient care. It is therefore paramount that non-speciality nurses\\' educational needs are met to develop clinical competence and to provide supportive holistic care for both patients and their families.

  12. Shared Decision Making and Effective Physician-Patient Communication: The Quintessence of Patient-Centered Care

    Directory of Open Access Journals (Sweden)

    Huy Ming Lim

    2015-03-01

    Full Text Available The Institute of Medicine’s (IOM 2001 landmark report, Crossing the Quality Chasm: A New Health System for the 21st Century, identified patient-centeredness as one of the fundamental attributes of quality health care, alongside safety, effectiveness, timeliness, efficiency, and equity. The IOM defined patient-centeredness as “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” This concept of patient-centered care represents a paradigm shift from the traditional disease-oriented and physician-centered care, grounding health care in the subjective experience of illness and the needs and preferences of individual patients rather than the evaluation and treatment of diseases which emphasizes on leveraging clinical expertise and evidence derived from population-based studies. Regrettably, despite the ubiquitous talk about patient-centered care in modern health care, shared decision-making and effective physician-patient communication—the two cruxes of patient-centered care—are yet to become the norms. Strategies to promote and enhance shared decision-making and effective communication between clinicians and patients should be rigorously implemented to establish a health care system that truly values patients as individuals and turn the rhetoric of patient-centered care into reality.

  13. Enhancing primary care clerkships with virtual patients.

    Science.gov (United States)

    Sobocan, Monika; Klemenc-Ketis, Zalika

    2016-11-01

    Virtual patients, computer-assisted patient scenarios, have been used in different medical disciplines over several years. Researchers have already gained knowledge on how it helps foster clinical thinking, fills knowledge gaps and enables patient management. Nonetheless, despite these advances in knowledge, the use of virtual patients in Family Medicine education remains limited. We point out the current knowledge, benefits and potential ways of using virtual patients in the Family Medicine setting. Virtual patients can be used as a preparation tool for clinical clerkships as well as learning about patient treatment not usually encountered in every day practice. Regardless of the means of implementation, students benefit from acquiring skills through multifaceted virtual patients. We firmly believe that, when intelligently applied, virtual patients can enhance and improve future Family Medicine education.

  14. Splitting in-patient and out-patient responsibility does not improve patient care.

    Science.gov (United States)

    Burns, Tom; Baggaley, Martin

    2017-01-01

    Over the past 15 years there has been a move away from consultants having responsibility for the care of patients both in the community and when in hospital towards a functional split in responsibility. In this article Tom Burns and Martin Baggaley debate the merits or otherwise of the split, identifying leadership, expertise and continuity of care as key issues; both recognise that this move is not evidence based.

  15. Clinician styles of care: transforming patient care at the intersection of leadership and medicine.

    Science.gov (United States)

    Huynh, Ho P; Sweeny, Kate

    2014-11-01

    A key role of clinicians is to motivate their patients to initiate and maintain beneficial health behaviors. This article integrates research on transformational leadership, clinician-patient communication, and health behavior to introduce a novel approach to understanding and improving clinicians' effectiveness as motivators. We describe three dominant clinician styles or patterned approaches to patient care that derive from leadership theory (in order of least to most effective): laissez-faire, transactional, and transformational. Additionally, we suggest potential mediators and effects of the transformational style of care. Finally, we discuss future research directions for the study of clinician styles of care.

  16. PRIMARY CARE PROBLEMS IN PATIENTS WITH CHRONIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    O. A. Shtegman

    2015-09-01

    Full Text Available Aim. To evaluate primary care efficacy in patients with chronic heart failure (CHF.Material and methods. Outpatients (n=139 with CHF and 35 primary care physicians were included into the study. The evaluation of drug therapy and patient awareness of the principles of non-drug CHF treatment were performed. An anonymous survey among doctors in terms of current CHF guidelines knowledge, patient information provided by physicians, and doctors’ burnout status was also carried out.Results. Only 39% and 10% of CHF outpatients received target doses of ACE inhibitors/sartans and beta-blockers, respectively. Majority of CHF outpatients and their doctors need in additional education/training. 56% of primary care physicians demonstrated an emotional burnout.Conclusion. Author considers it essential to distribute short pocket-guidelines on CHF management among primary care physicians, and to reduce the load on primary care physicians with simultaneous strengthening of their performance control.

  17. PRIMARY CARE PROBLEMS IN PATIENTS WITH CHRONIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    O. A. Shtegman

    2013-01-01

    Full Text Available Aim. To evaluate primary care efficacy in patients with chronic heart failure (CHF.Material and methods. Outpatients (n=139 with CHF and 35 primary care physicians were included into the study. The evaluation of drug therapy and patient awareness of the principles of non-drug CHF treatment were performed. An anonymous survey among doctors in terms of current CHF guidelines knowledge, patient information provided by physicians, and doctors’ burnout status was also carried out.Results. Only 39% and 10% of CHF outpatients received target doses of ACE inhibitors/sartans and beta-blockers, respectively. Majority of CHF outpatients and their doctors need in additional education/training. 56% of primary care physicians demonstrated an emotional burnout.Conclusion. Author considers it essential to distribute short pocket-guidelines on CHF management among primary care physicians, and to reduce the load on primary care physicians with simultaneous strengthening of their performance control.

  18. 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.

  19. 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…

  20. 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)

  1. 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)

  2. 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…

  3. 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.

  4. 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…

  5. 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…

  6. Improving haemophilia patient care through sharing best practice.

    Science.gov (United States)

    de Moerloose, Philippe; Arnberg, Daniel; O'Mahony, Brian; Colvin, Brian

    2015-10-01

    At the 2014 Annual Congress of the European Haemophilia Consortium (EHC) held in Belfast, Northern Ireland, Pfizer initiated and funded a satellite symposium entitled: 'Improving Patient Care Through Sharing Best Practice'. Co-chaired by Brian Colvin (Pfizer Global Innovative Pharma Business, Rome, Italy) and Brian O'Mahony [President of the EHC, Brussels, Belgium], the symposium provided an opportunity to consider patient care across borders, to review how patient advocacy groups can successfully engage with policymakers in healthcare decision-making and to discuss the importance of patient involvement in data collection to help shape the future environment for people with haemophilia. Professor Philippe de Moerloose (University Hospitals and Faculty of Medicine of Geneva, Switzerland) opened the session by discussing the gap between the haemophilia management guidelines and the reality of care for many patients living in Europe, highlighting the importance of sharing of best practice and building a network of treaters and patient organisations to support the improvement of care across Europe. Daniel Arnberg (SCISS AB, Hägersten, Sweden) reviewed the health technology assessment process conducted in Sweden, the first for haemophilia products, as a case study, focusing on the role of the patient organisation. Finally, Brian O'Mahony reflected on the central role of patients as individuals and also within patient organisations in shaping the future of haemophilia care. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Overlap between empathy, teamwork and integrative approach to patient care.

    Science.gov (United States)

    Hojat, Mohammadreza; Bianco, Joseph A; Mann, Douglas; Massello, David; Calabrese, Leonard H

    2014-10-14

    Abstract Background: Empathy, teamwork and an integrative approach to patient care share common denominators such as interpersonal skills and understanding patients' concerns. Thus, a significant overlap among measures of empathy, teamwork and integrative approach to patient care is expected. Aim: This study examined the magnitude of overlap (shared variance) among three measures of empathy, teamwork and an integrative approach to patient care. Methods: Three-hundred seventy-three medical students completed the Jefferson Scale of Empathy (JSE), the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC) and Integrative Patient Care (IPC). Results: Significant overlaps were found among the three measures (p < 0.01), ranging from 13% (r = 0.36), between JSAPNC and IPC, to 18% (r = 0.42), between JSE and JSAPNC, and 30% (r = 0.55) between JSE and IPC for the total sample. Pattern of findings was similar for men and women. In a multiple regression model, a significant multiple correlation (R = 0.60, p < 0.01) was obtained in correlating scores on the JSE with the JSAPNC, and IPC scores, controlling for gender effect (men = 0 and women = 1). Conclusions: The significant links between empathy, teamwork and IPC support the common denominator assumption. The findings that IPC shares common variance with empathy and teamwork have implications for medical education curriculum, suggesting that implementation of integrative patient care can improve empathic engagement in patient care and orientation toward teamwork.

  8. Patient care management as a global nursing concern.

    Science.gov (United States)

    Bower, Kathleen A

    2004-01-01

    Effective and efficient patient management is important in all health care environments because it influences clinical and financial outcomes as well as capacity. Design of care management processes is guided by specific principles. Roles (e.g., case management) and tools (e.g., clinical paths) provide essential foundations while attention to outcomes anchors the process.

  9. Patient satisfaction with quality of primary health care in Benghazi ...

    African Journals Online (AJOL)

    2010-10-21

    Oct 21, 2010 ... concerted efforts to manage health care services and to regain the lost trust. ... Objectives: To assess patient satisfaction with quality of PHC assessed in terms of (a) customer profile, ... behavior; interaction effect; type and location of facility; place of ... of care at PHC level by (a) strengthening health admin-.

  10. Questionnaires for Patient Evaluation of Primary Health Care: A ...

    African Journals Online (AJOL)

    femi oloka

    2NIHR School for Primary Care Research, Centre for Primary Care, Institute of ... patient evaluation of PHC and draw implications for the Nigerian practice setting. Design: A systematic review .... The data analysis that followed the extraction was .... survey. Here the length of the questionnaire and the response pattern were ...

  11. When Residents Need Health Care: Stigma of the Patient Role

    Science.gov (United States)

    Moutier, Christine; Cornette, Michelle; Lehrmann, Jon; Geppert, Cynthia; Tsao, Carol; DeBoard, Renee; Hammond, Katherine Green; Roberts, Laura Weiss

    2009-01-01

    Objective: Whether and under what circumstances medical residents seek personal health care is a growing concern that has important implications for medical education and patient welfare, but has not been thoroughly investigated. Barriers to obtaining care have been previously documented, but very little empirical work has focused on trainees who…

  12. Nursing care of patients with disorders of consciousness.

    Science.gov (United States)

    Puggina, Ana Cláudia Giesbrecht; Paes da Silva, Maria Júlia; Schnakers, Caroline; Laureys, Steven

    2012-10-01

    Management of severely brain-injured patients constitutes a social, economical, and ethical dilemma as well as a real challenge for the medical staff, as it requires specific expertise. The aim of this article is to explore the aspects of nursing care in patients recovering from coma such as difficulty of diagnosis, residual perception, clinical assessment, care and management, and communication with the patient and the family. The nursing care of patients with disorder of consciousness must be particular and specific for various reasons such as the difficult diagnosis, the problem of unconsciousness or lack of demonstration of consciousness, extremely complex clinical assessment, daily management with total dependence, communication with patients that requires special attention and training by health professionals, and communication with the family of these patients that requires more sensitivity and full involvement by the team.

  13. Creating a Patient-Centered Health Care Delivery System: A Systematic Review of Health Care Quality From the Patient Perspective.

    Science.gov (United States)

    Mohammed, Khaled; Nolan, Margaret B; Rajjo, Tamim; Shah, Nilay D; Prokop, Larry J; Varkey, Prathibha; Murad, Mohammad H

    2016-01-01

    Patient experience is one of key domains of value-based purchasing that can serve as a measure of quality and be used to improve the delivery of health services. The aims of this study are to explore patient perceptions of quality of health care and to understand how perceptions may differ by settings and condition. A systematic review of multiple databases was conducted for studies targeting patient perceptions of quality of care. Two reviewers screened and extracted data independently. Data synthesis was performed following a meta-narrative approach. A total of 36 studies were included that identified 10 quality dimensions perceived by patients: communication, access, shared decision making, provider knowledge and skills, physical environment, patient education, electronic medical record, pain control, discharge process, and preventive services. These dimensions can be used in planning and evaluating health care delivery. Future research should evaluate the effect of interventions targeting patient experience on patient outcomes.

  14. Telemonitoring and Self-Care in Patients with IBD

    DEFF Research Database (Denmark)

    Burisch, Johan; Munkholm, Pia

    2016-01-01

    Advancement in socioeconomics that implies growing patient empowerment, resulting from improved educational levels and greater access to information, combined with increased individual interest in personal health, is resulting in growing demand for direct participation in the health care decisions....

  15. Utilization of health care services by depressed patients attending ...

    African Journals Online (AJOL)

    2011-06-15

    Jun 15, 2011 ... that patients with depression are high utilizers of medical services. Objectives: The ... people's health and quality of life. It accounts for more than ..... Charlson ME, et al. Depression and service utilization in elderly primary care.

  16. The Impact of Technology on Patients, Providers, and Care Patterns.

    Science.gov (United States)

    Fagerhaugh, Shizuko; And Others

    1980-01-01

    Examines the problems technical innovation has brought to health care professionals, administrators, and patients from the standpoints of increased specialization, equipment obsolescence, bureaucracy, retraining, regulations, high costs of services, depersonalization, and ethical dilemmas. (CT)

  17. Cost of Care Among Patients With Pulmonary Tuberculosis in Lagos ...

    African Journals Online (AJOL)

    Cost of Care Among Patients With Pulmonary Tuberculosis in Lagos, Nigeria. ... Open Access DOWNLOAD FULL TEXT Subscription or Fee Access ... and Cost- Effectiveness Analysis of Tuberculosis Control, converting at US$1=N120. Result

  18. patients' satisfaction with dental care provided by public dental ...

    African Journals Online (AJOL)

    2006-04-04

    Apr 4, 2006 ... known with regard to equity, efficiency, geographical equality of access, patient ... (vi) Physical environment features of setting in which care is delivered: (e.g. .... This exercise, which will involve equipping the clinics with the ...

  19. Experiences of dental care: what do patients value?

    Directory of Open Access Journals (Sweden)

    Sbaraini Alexandra

    2012-06-01

    Full Text Available Abstract Background Dentistry in Australia combines business and health care service, that is, the majority of patients pay money for tangible dental procedures such as fluoride applications, dental radiographs, dental fillings, crowns, and dentures among others. There is evidence that patients question dentists’ behaviours and attitudes during a dental visit when those highly technical procedures are performed. However, little is known about how patients’ experience dental care as a whole. This paper illustrates the findings from a qualitative study recently undertaken in general dental practice in Australia. It focuses on patients’ experiences of dental care, particularly on the relationship between patients and dentists during the provision of preventive care and advice in general dental practices. Methods Seventeen patients were interviewed. Data analysis consisted of transcript coding, detailed memo writing, and data interpretation. Results Patients described their experiences when visiting dental practices with and without a structured preventive approach in place, together with the historical, biological, financial, psychosocial and habitual dimensions of their experience. Potential barriers that could hinder preventive activities as well as facilitators for prevention were also described. The offer of preventive dental care and advice was an amazing revelation for this group of patients as they realized that dentists could practice dentistry without having to “drill and fill” their teeth. All patients, regardless of the practice they came from or their level of clinical risk of developing dental caries, valued having a caring dentist who respected them and listened to their concerns without “blaming” them for their oral health status. These patients complied with and supported the preventive care options because they were being “treated as a person not as a patient” by their dentists. Patients valued dentists who made

  20. Cultural and religious aspects of care in the intensive care unit within the context of patient-centred care.

    Science.gov (United States)

    Danjoux, Nathalie; Hawryluck, Laura; Lawless, Bernard

    2007-01-01

    On January 31, 2007, Ontario's Critical Care Strategy hosted a workshop for healthcare providers examining cultural and religious perspectives on patient care in the intensive care unit (ICU). The workshop provided an opportunity for the Ministry of Health and Long-Term Care (MOHLTC) to engage service providers and discuss important issues regarding cultural and religious perspectives affecting critical care service delivery in Ontario. While a favourable response to the workshop was anticipated, the truly remarkable degree to which the more than 200 front-line healthcare providers, policy developers, religious and cultural leaders, researchers and academics who were in attendance embraced the need for this type of dialogue to take place suggests that discussion around this and other "difficult" issues related to care in a critical care setting is long overdue. Without exception, the depth of interest in being able to provide patient-centred care in its most holistic sense--that is, respecting all aspects of the patients' needs, including cultural and religious--is a top-of-mind issue for many people involved in the healthcare system, whether at the bedside or the planning table. This article provides an overview of that workshop, the reaction to it, and within that context, examines the need for a broad-based, non-judgmental and respectful approach to designing care delivery in the ICU. The article also addresses these complex and challenging issues while recognizing the constant financial and human resource constraints and the growing demand for care that is exerting tremendous pressure on Ontario's limited critical care resources. Finally, the article also explores the healthcare system's readiness and appetite for an informed, intelligent and respectful debate on the many issues that, while often difficult to address, are at the heart of ensuring excellence in critical care delivery.

  1. Care fragmentation, quality, and costs among chronically ill patients.

    Science.gov (United States)

    Frandsen, Brigham R; Joynt, Karen E; Rebitzer, James B; Jha, Ashish K

    2015-05-01

    To assess the relationship between care fragmentation and both quality and costs of care for commercially insured, chronically ill patients. We used claims data from 2004 to 2008 for 506,376 chronically ill, privately insured enrollees of a large commercial insurance company to construct measures of fragmentation. We included patients in the sample if they had chronic conditions in any of the following categories: cardiovascular disease, diabetes, asthma, arthritis, or migraine. We assigned each patient a fragmentation index based on the patterns of care of their primary care provider (PCP), with care patterns spread across a higher number of providers considered to be more fragmented. We used regression analysis to examine the relationship between fragmentation and both quality and cost outcomes. Patients of PCPs in the highest quartile of fragmentation had a higher chance of having a departure from clinical best practice (32.8%, vs 25.9% among patients of PCPs in the lowest quartile of fragmentation; P fragmentation had higher rates of preventable hospitalizations (9.1% in highest quartile vs 7.1% in lowest quartile; P fragmentation was associated with $4542 higher healthcare spending ($10,396 in the highest quartile vs $5854 in the lowest quartile; P fragmented care more often experience lapses in care quality and incur greater healthcare costs.

  2. The influence of care interventions on the continuity of sleep of intensive care unit patients1

    Science.gov (United States)

    Hamze, Fernanda Luiza; de Souza, Cristiane Chaves; Chianca, Tânia Couto Machado

    2015-01-01

    Objective: to identify care interventions, performed by the health team, and their influence on the continuity of sleep of patients hospitalized in the Intensive Care Unit. Method: descriptive study with a sample of 12 patients. A filming technique was used for the data collection. The awakenings from sleep were measured using the actigraphy method. The analysis of the data was descriptive, processed using the Statistical Package for the Social Sciences software. Results: 529 care interventions were identified, grouped into 28 different types, of which 12 (42.8%) caused awakening from sleep for the patients. A mean of 44.1 interventions/patient/day was observed, with 1.8 interventions/patient/hour. The administration of oral medicine and food were the interventions that caused higher frequencies of awakenings in the patients. Conclusion: it was identified that the health care interventions can harm the sleep of ICU patients. It is recommended that health professionals rethink the planning of interventions according to the individual demand of the patients, with the diversification of schedules and introduction of new practices to improve the quality of sleep of Intensive Care Unit patients. PMID:26487127

  3. Facilitating care of patients with HIV infection by hospital and primary care teams.

    Science.gov (United States)

    Smits, A; Mansfield, S; Singh, S

    1990-01-01

    To complement the role of primary care teams working with patients with HIV disease and AIDS within greater London and to ease the load on the special hospital units a home support team was developed. It comprises six specialist nurses, a general practitioner trained medical officer, and a receptionist and is funded from regional and district sources and charities. A nurse is available for out of hours and emergency weekend calls, with support from the patient's general practitioner or the attached medical officer. During the first 18 months 249 patients were seen; the mean duration of care was five months. Nearly a third (18/50, 30%) of patients who were terminally ill died at home. The team's activities included practical nursing care, emotional support for carers and patients, and advice and guidance to primary care teams. Problems in providing care in patients' homes included issues relating to confidentiality and 24 hour cover. With the increasing incidence of HIV infection the home support team may be a useful model for care of large numbers of patients with symptomatic HIV disease, especially in large urban areas. PMID:2106936

  4. Providing truly patient-centred care

    African Journals Online (AJOL)

    IT

    in South Africa who suffer from a mental health disorder are not getting the care .... “compassion stress” to describe how professional caregivers, therapists in particular, ... conveying the emotional content and effect of any narrative, often through .... play, the trained interpreter took notes to aid memory, often looking down at.

  5. Involvement of supportive care professionals in patient care in the last month of life

    NARCIS (Netherlands)

    A. Brinkman-Stoppelenburg (Arianne); B.D. Onwuteaka-Philipsen (Bregje); A. van der Heide (Agnes)

    2015-01-01

    textabstractBackground: In the last month of life, many patients suffer from multiple symptoms and problems. Professional supportive care involvement may help to alleviate patients’ suffering and provide them with an optimal last phase of life. Purpose: We investigated how often palliative care cons

  6. Managing the care of patients who have visual impairment.

    Science.gov (United States)

    Watkinson, Sue; Scott, Eileen

    An ageing population means that the incidence of people who are visually impaired will increase. However, extending the role of ophthalmic nurses will promote delivery of a more effective health service for these patients. Using Maslow's hierarchy of needs as a basis for addressing the care of patients with visual impairment is a means of ensuring that they receive high quality, appropriate care at the right time.

  7. Myasthenic crisis patients who require intensive care unit management.

    Science.gov (United States)

    Sakaguchi, Hideya; Yamashita, Satoshi; Hirano, Teruyuki; Nakajima, Makoto; Kimura, En; Maeda, Yasushi; Uchino, Makoto

    2012-09-01

    The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care.

  8. Cost-benefit analysis: patient care at neurological intensive care unit.

    Science.gov (United States)

    Kopacević, Lenka; Strapac, Marija; Mihelcić, Vesna Bozan

    2013-09-01

    Modern quality definition relies on patient centeredness and on patient needs for particular services, continuous control of the service provided, complete service quality management, and setting quality indicators as the health service endpoints. The health service provided to the patient has certain costs. Thus, one can ask the following: "To what extent does the increasing cost of patient care with changes in elimination improve the quality of health care and what costs are justifiable?" As stroke is the third leading cause of morbidity and mortality in Europe and worldwide, attention has been increasingly focused on stroke prevention and providing quality care for stroke patients. One of the most common medical/nursing problems in these patients is change in elimination, which additionally affects their mental health.

  9. Structure and Function: Planning a New Intensive Care Unit to Optimize Patient Care

    Directory of Open Access Journals (Sweden)

    Jozef Kesecioğlu

    2014-08-01

    Full Text Available To survey the recent medical literature reporting effects of intensive care unit (ICU design on patients’ and family members’ well-being, safety and functionality. Features of ICU design linked to the needs of patients and their family are single-rooms, privacy, quiet surrounding, exposure to daylight, views of nature, prevention of infection, a family area and open visiting hours. Other features such as safety, working procedures, ergonomics and logistics have a direct impact on the patient care and the nursing and medical personnel. An organization structured on the needs of the patient and their family is mandatory in designing a new intensive care. The main aims in the design of a new department should be patient centered care, safety, functionality, innovation and a future-proof concept.

  10. Patient-centeredness in PD care: Development and validation of a patient experience questionnaire

    NARCIS (Netherlands)

    Eijk, M. van der; Faber, M.J.; Ummels, I.; Aarts, J.W.M.; Munneke, M.; Bloem, B.R.

    2012-01-01

    INTRODUCTION: Patient-centeredness is increasingly recognized as a crucial element of quality of care. A suitable instrument to assess the level of patient-centeredness for Parkinson's disease (PD) care is lacking. Here we describe the development and validation of the Patient-Centered Questionnaire

  11. Linking patient satisfaction with nursing care: the case of care rationing - a correlational study.

    Science.gov (United States)

    Papastavrou, Evridiki; Andreou, Panayiota; Tsangari, Haritini; Merkouris, Anastasios

    2014-01-01

    Implicit rationing of nursing care is the withholding of or failure to carry out all necessary nursing measures due to lack of resources. There is evidence supporting a link between rationing of nursing care, nurses' perceptions of their professional environment, negative patient outcomes, and placing patient safety at risk. The aims of the study were: a) To explore whether patient satisfaction is linked to nurse-reported rationing of nursing care and to nurses' perceptions of their practice environment while adjusting for patient and nurse characteristics. b) To identify the threshold score of rationing by comparing the level of patient satisfaction factors across rationing levels. A descriptive, correlational design was employed. Participants in this study included 352 patients and 318 nurses from ten medical and surgical units of five general hospitals. Three measurement instruments were used: the BERNCA scale for rationing of care, the RPPE scale to explore nurses' perceptions of their work environment and the Patient Satisfaction scale to assess the level of patient satisfaction with nursing care. The statistical analysis included the use of Kendall's correlation coefficient to explore a possible relationship between the variables and multiple regression analysis to assess the effects of implicit rationing of nursing care together with organizational characteristics on patient satisfaction. The mean score of implicit rationing of nursing care was 0.83 (SD = 0.52, range = 0-3), the overall mean of RPPE was 2.76 (SD = 0.32, range = 1.28 - 3.69) and the two scales were significantly correlated (τ = -0.234, p < 0.001). The regression analysis showed that care rationing and work environment were related to patient satisfaction, even after controlling for nurse and patient characteristics. The results from the adjusted regression models showed that even at the lowest level of rationing (i.e. 0.5) patients indicated low satisfaction. The

  12. Intensive care unit research ethics and trials on unconscious patients.

    Science.gov (United States)

    Gillett, G R

    2015-05-01

    There are widely acknowledged ethical issues in enrolling unconscious patients in research trials, particularly in intensive care unit (ICU) settings. An analysis of those issues shows that, by and large, patients are better served in units where research is actively taking place for several reasons: i) they do not fall prey to therapeutic prejudices without clear evidential support, ii) they get a chance of accessing new and potentially beneficial treatments, iii) a climate of careful monitoring of patients and their clinical progress is necessary for good clinical research and affects the care of all patients and iv) even those not in the treatment arm of a trial of a new intervention must receive best current standard care (according to international evidence-based treatment guidelines). Given that we have discovered a number of 'best practice' regimens of care that do not optimise outcomes in ICU settings, it is of great benefit to all patients (including those participating in research) that we are constantly updating and evaluating what we do. Therefore, the practice of ICU-based clinical research on patients, many of whom cannot give prospective informed consent, ticks all the ethical boxes and ought to be encouraged in our health system. It is very important that the evaluation of protocols for ICU research should not overlook obvious (albeit probabilistic) benefits to patients and the acceptability of responsible clinicians entering patients into well-designed trials, even though the ICU setting does not and cannot conform to typical informed consent procedures and requirements.

  13. Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers

    NARCIS (Netherlands)

    Hesselink, Gijs; Flink, Maria; Olsson, Mariann; Barach, Paul; Dudzik-Urbaniak, Ewa; Orrego, Carola; Toccafondi, Giulio; Kalkman, Cor; Johnson, Julie K.; Schoonhoven, Lisette; Vernooij-Dassen, Myrra; Wollersheim, Hub

    2012-01-01

    Background: Advocates for quality and safety have called for healthcare that is patient-centred and decision-making that involves patients. Objective: The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process. Methods: A qualitative st

  14. [Palliative care in patients without cancer: Impact of the end-of-life care team].

    Science.gov (United States)

    Nishikawa, Mitsunori; Yokoe, Yuriko; Kubokawa, Naomi; Hukuda, Koji; Hattori, Hideyuki; Hong, Young-Jae; Miura, Hisayuki; Shibasaki, Masataka; Endo, Hidetoshi; Takeda, Jun; Odate, Mitsuru; Senda, Kazuyoshi; Nakashima, Kazumitsu

    2013-01-01

    Palliative care improves the quality of life of patients and their families facing problems associated with life-threatening illnesses by promoting the prevention and relief of suffering. Palliative care in Japan has been developed mainly for cancer patients. At the National Center for Geriatrics and Gerontology, an end-of-life care team (EOLCT) has been developed to promote palliative care for patients without cancer. In the first 6 months of its operation, 109 requests were received by the team, 40% of which were for patients without cancer or related disease, including dementia, frailty due to advanced age, chronic respiratory failure, chronic heart failure, and intractable neurologic diseases. The main purpose of the EOLCT is to alleviate suffering. The relevant activities of the team include the use of opioids, providing family care, and giving support in decision-making (advance care planning) regarding withholding; enforcement; and withdrawal of mechanical ventilators, gastric feeding tubes, and artificial alimentation. The EOLCT is also involved in ongoing discussions of ethical problems. The team is actively engaged in the activities of the Japanese Geriatric Society and contributes to the development of decision-making guidelines for end-of-life by the Ministry of Health, Labour and Welfare. The EOLCT can be helpful in promoting palliative care for patients with diseases other than cancer. The team offers support during times of difficulty and decision-making.

  15. Cancer patient-centered home care: a new model for health care in oncology

    Directory of Open Access Journals (Sweden)

    Tralongo P

    2011-09-01

    Full Text Available Paolo Tralongo1, Francesco Ferraù2, Nicolò Borsellino3, Francesco Verderame4, Michele Caruso5, Dario Giuffrida6, Alfredo Butera7, Vittorio Gebbia81Medical Oncology Unit, Azienda Sanitaria Provinciale, Siracusa; 2Medical Oncology Unit, Ospedale San Vincenzo, Taormina; 3Medical Oncology Unit, Ospedale Buccheri La Ferla, Palermo; 4Medical Oncology Unit, Ospedale Giovanni Paolo II, Sciacca; 5Medical Oncology Unit, Istituto Humanitas, Catania; 6Medical Oncology Unit, Istituto Oncologico del Mediterraneo, Catania; 7Medical Oncology Unit, Ospedale San Giovanni di Dio, Agrigento; 8Medical Oncology Unit, Dipartimento Oncologico, La Maddalena, Università degli Studi, Palermo, ItalyAbstract: Patient-centered home care is a new model of assistance, which may be integrated with more traditional hospital-centered care especially in selected groups of informed and trained patients. Patient-centered care is based on patients' needs rather than on prognosis, and takes into account the emotional and psychosocial aspects of the disease. This model may be applied to elderly patients, who present comorbid diseases, but it also fits with the needs of younger fit patients. A specialized multidisciplinary team coordinated by experienced medical oncologists and including pharmacists, psychologists, nurses, and social assistance providers should carry out home care. Other professional figures may be required depending on patients' needs. Every effort should be made to achieve optimal coordination between the health professionals and the reference hospital and to employ shared evidence-based guidelines, which in turn guarantee safety and efficacy. Comprehensive care has to be easily accessible and requires a high level of education and knowledge of the disease for both the patients and their caregivers. Patient-centered home care represents an important tool to improve quality of life and help cancer patients while also being cost effective.Keywords: cancer, home care

  16. Access to Care and Depression among Emergency Department Patients.

    Science.gov (United States)

    Abar, Beau; Hong, Steven; Aaserude, Eric; Holub, Ashley; DeRienzo, Vincent

    2017-07-01

    The prevalence of depression among patients in the emergency department (ED) is significantly higher than in the general population, making the ED a potentially important forum for the identification of depression and intervention. Concomitant to the identification of depression is the issue of patient access to appropriate care. This study sought to establish prevalence estimates of potential barriers to care among ED patients and relate these barriers with symptoms of depression. Two medical students conducted brief surveys on all ED patients ≥ 18 years on demographics, perceived access to care, and depression. A total of 636 participants were enrolled. The percentage of participants with mild or greater depression was 42%. The majority of patients reported experiencing some barriers to care, with the most prominent being difficulty finding transportation, work responsibilities, and the feeling that the doctor is not responsive to their concerns. Higher depression scores were bivariately associated with higher overall barriers to care mean scores (r = 0.44; p patients' concerns, embarrassment about a potential illness, and confusion trying to schedule an appointment. Across all barriers analyzed, there was a greater incidence of depression associated with a greater perception of barriers. These barriers may be used as potential targets for intervention to increase access to health care resources. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Place of the Post-Anesthesia Care Unit in Patient Care after Anesthesia

    OpenAIRE

    Güvenç Doğan; Çakır E2 , Kılıç I; Akdur F; Ornek D; Selçuk Akçaboy ZN; Nermin G

    2017-01-01

    Aim: The aim of this study is to emphasize that the post-anesthesia care unit provides good quality service and is an important place for treatment of patients at high risk of postoperative complications. Material And Methods: Patients admitted to the post-anesthesia care unit with ASA II, III, IV, and V risk group during the postoperative period between 1 March 2013 and 30 September 2013 in Ankara Numune Training and Research Hospital were retrospectively evaluated for data relating to age, ...

  18. Palliative care for patients with HIV/AIDS admitted to intensive care units

    Science.gov (United States)

    Souza, Paola Nóbrega; de Miranda, Erique José Peixoto; Cruz, Ronaldo; Forte, Daniel Neves

    2016-01-01

    Objective To describe the characteristics of patients with HIV/AIDS and to compare the therapeutic interventions and end-of-life care before and after evaluation by the palliative care team. Methods This retrospective cohort study included all patients with HIV/AIDS admitted to the intensive care unit of the Instituto de Infectologia Emílio Ribas who were evaluated by a palliative care team between January 2006 and December 2012. Results Of the 109 patients evaluated, 89% acquired opportunistic infections, 70% had CD4 counts lower than 100 cells/mm3, and only 19% adhered to treatment. The overall mortality rate was 88%. Among patients predicted with a terminally ill (68%), the use of highly active antiretroviral therapy decreased from 50.0% to 23.1% (p = 0.02), the use of antibiotics decreased from 100% to 63.6% (p < 0.001), the use of vasoactive drugs decreased from 62.1% to 37.8% (p = 0.009), the use of renal replacement therapy decreased from 34.8% to 23.0% (p < 0.0001), and the number of blood product transfusions decreased from 74.2% to 19.7% (p < 0.0001). Meetings with the family were held in 48 cases, and 23% of the terminally ill patients were discharged from the intensive care unit. Conclusion Palliative care was required in patients with severe illnesses and high mortality. The number of potentially inappropriate interventions in terminally ill patients monitored by the palliative care team significantly decreased, and 26% of the patients were discharged from the intensive care unit. PMID:27737420

  19. Palliative care for patients with HIV/AIDS admitted to intensive care units.

    Science.gov (United States)

    Souza, Paola Nóbrega; Miranda, Erique José Peixoto de; Cruz, Ronaldo; Forte, Daniel Neves

    2016-09-01

    To describe the characteristics of patients with HIV/AIDS and to compare the therapeutic interventions and end-of-life care before and after evaluation by the palliative care team. This retrospective cohort study included all patients with HIV/AIDS admitted to the intensive care unit of the Instituto de Infectologia Emílio Ribas who were evaluated by a palliative care team between January 2006 and December 2012. Of the 109 patients evaluated, 89% acquired opportunistic infections, 70% had CD4 counts lower than 100 cells/mm3, and only 19% adhered to treatment. The overall mortality rate was 88%. Among patients predicted with a terminally ill (68%), the use of highly active antiretroviral therapy decreased from 50.0% to 23.1% (p = 0.02), the use of antibiotics decreased from 100% to 63.6% (p < 0.001), the use of vasoactive drugs decreased from 62.1% to 37.8% (p = 0.009), the use of renal replacement therapy decreased from 34.8% to 23.0% (p < 0.0001), and the number of blood product transfusions decreased from 74.2% to 19.7% (p < 0.0001). Meetings with the family were held in 48 cases, and 23% of the terminally ill patients were discharged from the intensive care unit. Palliative care was required in patients with severe illnesses and high mortality. The number of potentially inappropriate interventions in terminally ill patients monitored by the palliative care team significantly decreased, and 26% of the patients were discharged from the intensive care unit.

  20. A Patient-Held Medical Record Integrating Depression Care into Diabetes Care

    OpenAIRE

    Noriko Satoh-Asahara; Hiroto Ito; Tomoyuki Akashi; Hajime Yamakage; Kazuhiko Kotani; Daisuke Nagata; Kazuyuki Nakagome; Mitsuhiko Noda

    2016-01-01

    PURPOSE Depression is frequently observed in people with diabetes. The purpose of this study is to develop a tool for individuals with diabetes and depression to communicate their comorbid conditions to health-care providers. METHOD We searched the Internet to review patient-held medical records (PHRs) of patients with diabetes and examine current levels of integration of diabetes and depression care in Japan. RESULTS Eight sets of PHRs were found for people with diabetes. All PHRs included c...

  1. Patient-centered support in the survivorship care transition: Outcomes from the Patient-Owned Survivorship Care Plan Intervention.

    Science.gov (United States)

    Kvale, Elizabeth A; Huang, Chao-Hui Sylvia; Meneses, Karen M; Demark-Wahnefried, Wendy; Bae, Sejong; Azuero, Casey B; Rocque, Gabrielle B; Bevis, Kerri S; Ritchie, Christine S

    2016-10-15

    To the authors' knowledge, few studies to date have evaluated the effects of survivorship care planning on the care transition process from specialty cancer care to self-management and primary care, patient experience, or health outcomes. The Patient-owned Survivorship Transition Care for Activated, Empowered survivors (POSTCARE) is a single coaching encounter based on the Chronic Care Model that uses motivational interviewing techniques to engage survivors of breast cancer. The current study examined the effects of the POSTCARE intervention on patient outcomes and care coordination. A total of 79 survivors of American Joint Commision on Cancer TNM System stage 0 to IIIB breast cancer were randomized to POSTCARE (40 patients) or usual care (39 patients). Patient outcomes were assessed using the 36-Item Short Form Health Survey (SF-36), Social/Role Activities Limitations, Self-Efficacy for Managing Chronic Disease 6-Item Scale, the Patient Activation Measure-Short Form, and Patient Health Questionnaire depression scale at baseline and at 3-month follow-up. Care coordination was assessed using confirmed primary care physician visits and reported discussion of the survivorship care plan at the 3-month follow-up. Logistic and linear regression analyses were conducted to examine the effect of POSTCARE on selected outcomes. Participants in the intervention group versus those receiving usual care demonstrated significantly higher self-reported health (F-statistic (3,71), 3.63; P =.017) and lower social role limitations (F (3,70), 3.82; P =.014) and a trend toward greater self-efficacy (F (3,69), 2.51; P = .07). Three quality-of-life domains reached clinically meaningful improvement at the 3-month follow-up, including physical role (P =.0009), bodily pain (P =.03), and emotional role (P =.04). The POSTCARE intervention appeared to have a positive impact on patient outcomes and demonstrated promise as a strategy with which to improve survivors' experience, care coordination

  2. [Care for patients with rare diseases].

    Science.gov (United States)

    Smetsers, Stephanie E; Takkenberg, J J M Hanneke; Bierings, Marc B

    2014-01-01

    A rare disease usually concerns only a handful of patients, but all patients with a rare disease combined represent a significant health burden. Due to limited knowledge and the absence of treatment guidelines, patients with rare diseases usually experience delayed diagnosis and suboptimal treatment. Historically, rare diseases have never been considered a major health problem. However, rare diseases have recently been receiving increased attention. In the Netherlands, a national plan for rare diseases was published in late 2013, with recommendations on how to improve the organisation of healthcare for people with rare diseases. Using the example of the rare disease Fanconi anemia, this paper describes the challenges and opportunities in organising healthcare for rare diseases. Two critical steps in optimising healthcare for rare diseases are developing multidisciplinary healthcare teams and stimulating patient empowerment. Optimal cooperation between patients, patient organisations, multidisciplinary healthcare teams and scientists is of great importance. In this respect, transition to adult healthcare requires special attention.

  3. GUI system for Elders/Patients in Intensive Care

    OpenAIRE

    Raheja, J. L.; Dhiraj; Gopinath, D.; Chaudhary, Ankit

    2014-01-01

    In the old age, few people need special care if they are suffering from specific diseases as they can get stroke while they are in normal life routine. Also patients of any age, who are not able to walk, need to be taken care of personally but for this, either they have to be in hospital or someone like nurse should be with them for better care. This is costly in terms of money and man power. A person is needed for 24x7 care of these people. To help in this aspect we purposes a vision based s...

  4. [Motivation of patients to stomatological care].

    Science.gov (United States)

    Kobylińska, E

    1989-01-01

    The discussion is presented on certain factors influencing the motivation of the patients to undergo stomatological treatment. They included: 1. Increasing positive motivation to treatment: striving to alleviate pain caused by decayed tooth, realization of aims not related to health, cultural aspects. 2. Motivating treatment avoidance: fear of pain connected with the treatment, consequence of low availability of dentists in Poland unconscious anxiety connected with: violation of bodily integrity of the patient, manipulation in particularly important oral area, stomatologist's domination over patient.

  5. Limitation to Advanced Life Support in patients admitted to intensive care unit with integrated palliative care

    Science.gov (United States)

    Mazutti, Sandra Regina Gonzaga; Nascimento, Andréia de Fátima; Fumis, Renata Rego Lins

    2016-01-01

    Objective To estimate the incidence of limitations to Advanced Life Support in critically ill patients admitted to an intensive care unit with integrated palliative care. Methods This retrospective cohort study included patients in the palliative care program of the intensive care unit of Hospital Paulistano over 18 years of age from May 1, 2011, to January 31, 2014. The limitations to Advanced Life Support that were analyzed included do-not-resuscitate orders, mechanical ventilation, dialysis and vasoactive drugs. Central tendency measures were calculated for quantitative variables. The chi-squared test was used to compare the characteristics of patients with or without limits to Advanced Life Support, and the Wilcoxon test was used to compare length of stay after Advanced Life Support. Confidence intervals reflecting p ≤ 0.05 were considered for statistical significance. Results A total of 3,487 patients were admitted to the intensive care unit, of whom 342 were included in the palliative care program. It was observed that after entering the palliative care program, it took a median of 2 (1 - 4) days for death to occur in the intensive care unit and 4 (2 - 11) days for hospital death to occur. Many of the limitations to Advanced Life Support (42.7%) took place on the first day of hospitalization. Cardiopulmonary resuscitation (96.8%) and ventilatory support (73.6%) were the most adopted limitations. Conclusion The contribution of palliative care integrated into the intensive care unit was important for the practice of orthothanasia, i.e., the non-extension of the life of a critically ill patient by artificial means. PMID:27626949

  6. Linking outcomes management and practice improvement. Structured care methodologies: evolution and use in patient care delivery.

    Science.gov (United States)

    Cole, L; Houston, S

    1999-01-01

    Structured care methodologies are tools that provide a comprehensive approach to patient care delivery. These tools have evolved in their application and purpose over the years. In many situations, multiple tools are needed to obtain the best outcomes for a patient. The presence of a SCM does not preclude clinical judgment. On the contrary, the fundamental purpose of any SCM is to assist practitioners in implementing practice patterns associated with good clinical judgment, research-based interventions, and improved patient outcomes. These tools support smooth operation and appropriate use of resources, establish a means of patient management across the continuum of care, facilitate collaboration among disciplines, reflect patient outcomes, and provide outcomes data. Data from SCMs permit benchmarking, comparison of pre-implementation and post-implementation outcomes, development of action plans for quality enhancement, identification of high-risk patients, identification of issues and problems in the system that require interventions, and the development of research protocols and studies. Structured care methodology development and implementation can be challenging, rewarding, and at times frustrating. When used appropriately, these tools can have a major impact on the standardization of care and the achievement of desired outcomes. However, individual patient needs may supersede adherence to a tool. The challenge then becomes one of balancing the unique needs of each patient and appropriate use of SCMs. Change comes slowly, but persistence pays off.

  7. Concept mapping: a tool for improving patient care.

    Science.gov (United States)

    Aberdeen, Suzanne

    2015-07-29

    This article reviews the use of concept mapping as a person-centred problem-solving aid to assessment, risk management, care evaluation and care planning for nurses. Concept maps are diagrams that are used to organise, represent and create knowledge, and provide a useful framework for critical analysis and problem solving. Concept mapping is discussed and demonstrated in relation to improving the quality of care for patients and as a tool for clinical leadership and teamwork. The benefits of concept mapping for patients' wellbeing and safety, staff satisfaction and team learning are evidenced.

  8. Helping hands: caring for the upper extremity transplant patient.

    Science.gov (United States)

    Lovasik, Darlene; Foust, Daniel E; Losee, Joseph E; Lee, W P Andrew; Brandacher, Gerald; Gorantla, Vijay S

    2011-09-01

    Caring for upper extremity transplant recipients can offer challenges and opportunities to nursing staff in combining new patient procedures, new technologies, and complex patient care needs including unique physical care, monitoring and observation, rehabilitation expectations, and psychiatric/psychosocial support. Medical professionals continue to be apprehensive about the risks of immunosuppressive therapy and the possibility of acute and chronic rejection. The sustained development and research into reliable, reduced-dose immunosuppression or immunomodulatory strategies could expand the life-enhancing benefits of reconstructive transplantation.

  9. Critically ill obstetric patients in the intensive care unit.

    Science.gov (United States)

    Demirkiran, O; Dikmen, Y; Utku, T; Urkmez, S

    2003-10-01

    We aimed to determine the morbidity and mortality among obstetric patients admitted to the intensive care unit. In this study, we analyzed retrospectively all obstetric admissions to a multi-disciplinary intensive care unit over a five-year period. Obstetric patients were identified from 4733 consecutive intensive care unit admissions. Maternal age, gestation of newborns, mode of delivery, presence of coexisting medical problems, duration of stay, admission diagnosis, specific intensive care interventions (mechanical ventilation, continuous veno-venous hemofiltration, central venous catheterization, and arterial cannulation), outcome, maternal mortality, and acute physiology and chronic health evaluation (APACHE) II score were recorded. Obstetric patients (n=125) represented 2.64% of all intensive care unit admissions and 0.89% of all deliveries during the five-year period. The overall mortality of those admitted to the intensive care unit was 10.4%. Maternal age and gestation of newborns were similar in survivors and non-survivors. There were significant differences in length of stay and APACHE II score between survivors and non-survivors P intensive care unit admission was preeclampsia/eclampsia (73.6%) followed by post-partum hemorrhage (11.2%). Intensive care specialists should be familiar with these complications of pregnancy and should work closely with obstetricians.

  10. Promoting Patient- and Family-Centered Care in the Intensive Care Unit: A Dissemination Project.

    Science.gov (United States)

    Kleinpell, Ruth; Buchman, Timothy G; Harmon, Lori; Nielsen, Melissa

    2017-01-01

    Awareness of patient-centered and family-centered care research can assist clinicians to promote patient and family engagement in the intensive care unit. Project Dispatch (Disseminating Patient-Centered Outcomes Research to Healthcare Professionals) was developed to disseminate patient- and family-centered care research and encourage its application in clinical practice. The 3-year project involved the development of an interactive website platform, online educational programming, social media channels, a podcast and webcast series, and electronic and print media. The project's webpages received more than 5200 page views with over 4000 unique visitors from 36 countries. The podcast series has download numbers ranging from 35 596 for "Family Presence in the ICU" to 25 843 for "Improving Patient and Family satisfaction in the ICU" and 22 148 for "Family Satisfaction in the ICU." The project therefore successfully developed resources for critical care health care professionals to promote the patient- and family-centric perspective. ©2017 American Association of Critical-Care Nurses.

  11. Identifying the gaps: Armenian health care legislation and human rights in patient care protections.

    Science.gov (United States)

    Zopunyan, Violeta; Krmoyan, Suren; Quinn, Ryan

    2013-12-12

    Since the collapse of the Soviet Union, the Republic of Armenia has undergone an extensive legislative overhaul. Although a number of developments have aimed to improve the quality and accessibility of Armenia's health care system, a host of factors has prevented the country from fully introducing measures to ensure respect for human rights in patient care. In particular, inadequate health care financing continues to oblige patients to make both formal and informal payments to obtain basic medical care and services. More generally, a lack of oversight and monitoring mechanisms has obstructed the implementation of Armenia's commitments to human rights in several international agreements. Within the framework of a broader project on promoting human rights in patient care, research was carried out to examine Armenia’s health care legislation with the aim of identifying gaps in comparison with international and regional standards. This research was designed using the 14 rights enshrined in the European Charter on Patient Rights as guiding principles, along with domestic legal acts relevant to the rights of health care providers. The gaps analysis revealed numerous problems with Armenian legislation governing the relationships between stakeholders in health care service delivery. It also identified several practical inconsistencies with the international legal instruments ratified by the Armenian government. These legislative shortcomings are illustrated by highlighting key health-related rights violations experienced by patients and their health care providers, and by indicating opportunities for improved rights protections. A full list of human rights relevant to patient care and recommendations for promoting them in the Armenian context is provided in Tables 1 and 2. A number of initiatives must be undertaken in order to promote the full spectrum of human rights in patient care in Armenia. This section highlights certain recommendations flowing from the findings of

  12. Communication Needs of Critical Care Patients Who Are Voiceless.

    Science.gov (United States)

    Koszalinski, Rebecca S; Tappen, Ruth M; Hickman, Candice; Melhuish, Tracey

    2016-08-01

    Voice is crucial for communication in all healthcare settings. Evidence-based care highlights the need for clear communication. Clear communication methods must be applied when caring for special populations in order to assess pain effectively. Communication efforts also should be offered to patients who are in end-of-life care and would like to make independent decisions. A computer communication application was offered to patients in intensive care/critical care units in three hospitals in South Florida. Inclusion criteria included the age of 18 years or older, Richmond Agitation Sedation Scale between -1 and +1, ability to read and write English, and willingness to use the computer application. Exclusion criteria included inability to read and write English, agitation as defined by the Richmond Agitation Sedation Scale, and any patient on infection isolation protocol. Four qualitative themes were revealed, which directly relate to two published evidence-based guidelines. These are the End of Life Care and Decision Making Evidence-Based Care Guidelines and the Pain Assessment in Special Populations Guidelines. This knowledge is important for developing effective patient-healthcare provider communication.

  13. Continuity of care for the stoma patient: psychological considerations.

    Science.gov (United States)

    Borwell, Barbara

    2009-08-01

    The transition from hospital to home is an important milestone for any patient: having progressed through surgery and early postoperative care, they have now achieved discharge status. Stoma surgery can adversely affect patients' body image, and community nurses need to help such patients adjust to these changes. While most patients welcome returning home they often have mixed feelings concerning how they will cope with their stoma, both physically and psychologically, as do their families. Within a multicultural society, addressing the individual psychological effects of surgery due to acute/chronic illness can be particularly challenging. Continuity of care for these patients is therefore crucial. Effective communication and collaboration between health professionals is key to psychological adaptation and successful rehabilitation. This article seeks to outline the various psychological factors that need to be considered when caring for an ostomate.

  14. Consumerism: forcing medical practices toward patient-centered care.

    Science.gov (United States)

    Ozmon, Jeff

    2007-01-01

    Consumerism has been apart of many industries over the years; now consumerism may change the way many medical practices deliver healthcare. With the advent of consumer-driven healthcare, employers are shifting the decision-making power to their employees. Benefits strategies like health savings accounts and high-deductible insurance plans now allow the patients to control how and where they spend their money on medical care. Practices that seek to attract the more affluent and informed consumers are beginning to institute patient-centered systems designs that invite patients to actively participate in their healthcare. This article will outline the changes in the healthcare delivery system facing medical practices, the importance of patient-centered care, and six strategies to implement to change toward more patient-centered care.

  15. Electronic health record training in undergraduate medical education: bridging theory to practice with curricula for empowering patient- and relationship-centered care in the computerized setting.

    Science.gov (United States)

    Wald, Hedy S; George, Paul; Reis, Shmuel P; Taylor, Julie Scott

    2014-03-01

    While electronic health record (EHR) use is becoming state-of-the-art, deliberate teaching of health care information technology (HCIT) competencies is not keeping pace with burgeoning use. Medical students require training to become skilled users of HCIT, but formal pedagogy within undergraduate medical education (UME) is sparse. How can medical educators best meet the needs of learners while integrating EHRs into medical education and practice? How can they help learners preserve and foster effective communication skills within the computerized setting? In general, how can UME curricula be devised for skilled use of EHRs to enhance rather than hinder provision of effective, humanistic health care?Within this Perspective, the authors build on recent publications that "set the stage" for next steps: EHR curricula innovation and implementation as concrete embodiments of theoretical underpinnings. They elaborate on previous calls for maximizing benefits and minimizing risks of EHR use with sufficient focus on physician-patient communication skills and for developing core competencies within medical education. The authors describe bridging theory into practice with systematic longitudinal curriculum development for EHR training in UME at their institution, informed by Kern and colleagues' curriculum development framework, narrative medicine, and reflective practice. They consider this innovation within a broader perspective-the overarching goal of empowering undergraduate medical students' patient- and relationship-centered skills while effectively demonstrating HCIT-related skills.

  16. Improving performance management for delivering appropriate care for patients no longer needing acute hospital care.

    Science.gov (United States)

    Penney, Christine; Henry, Effie

    2008-01-01

    The public, providers and policy-makers are interested in a service continuum where care is provided in the appropriate place. Alternate level of care is used to define patients who no longer need acute care but remain in an acute care bed. Our aims were to determine how subacute care and convalescent care should be defined in British Columbia (BC); how these care levels should be aligned with existing legislation to provide more consistent service standards to patients and what reporting requirements were needed for system planning and performance management. A literature review was conducted to understand the international trends in performance management, care delivery models and change management. A Canada-wide survey was carried out to determine the directions of other provinces on the defined issues and a BC survey provided a current state analysis of programming within the five regional health authorities (HAs). A provincial policy framework for subacute and convalescent care has been developed to begin to address the concerns raised and provide a base for performance measurement. The policy has been approved and disseminated to BC HAs for implementation. An implementation plan has been developed and implementation activities have been integrated into the work of existing provincial committees. Evaluation will occur through performance measurement. The benefits anticipated include: clear policy guidance for programme development; improved comparability of performance information for system monitoring, planning and integrity of the national acute care Discharge Abstracting Database; improved efficiency in acute care bed use; and improved equity of access, insurability and quality for patients requiring subacute and convalescent care. While a national reporting system exists for acute care in Canada, this project raises questions about the implications for this system, given the shifting definition of acute care as other care levels emerge. Questions are also

  17. Patient-Centered Care and Patient-Reported Measures: Let's Look Before We Leap.

    Science.gov (United States)

    Miller, Daniel; Steele Gray, Carolyn; Kuluski, Kerry; Cott, Cheryl

    2015-08-01

    This commentary focuses on patient-reported measures as tools to support patient-centered care for patients with multiple chronic conditions (MCCs). We argue that those using patient-reported measures in care management or evaluation of services for MCC patients should do so in recognition of the challenges involved in treating them. MCC patient care is challenging because (1) it is difficult to specify the causes of particular symptoms; (2) assessment of many important symptoms relies on subjective report; and (3) patients require care from a variety of providers. Due to the multiple domains of health affected in single individuals, and the large variation in needs, care that is holistic and individualized (i.e. patient-centered) is appropriate for MCC patients. However, due to the afore-mentioned challenges, it is important to carefully consider what this care entails and how practical contexts shape it. Patient-centered care for MCC patients implies continuous, dialogic patient-provider relationships, and the formulation of coherent and adaptive multi-disciplinary care protocols. We identify two broadly defined contextual influences on the nature and quality of these processes and their outputs: (1) busy practice settings and (2) fragmented information technology. We then identify several consequences that may result from inattention to these contextual influences upon introduction of patient-reported measure applications. To maximize the benefits, and minimize the harms of patient-reported measure use, we encourage policy makers and providers to attend carefully to these and other important contextual factors before, during and after the introduction of patient-reported measure initiatives.

  18. Patient satisfaction with nursing care in a colorectal surgical population.

    Science.gov (United States)

    Lumby, J; England, K

    2000-06-01

    This paper describes one arm of a much larger, multi-site study whose hypothesis was that evidence-based nursing practice is more effective than routine nursing care in improving patient outcomes and health gain. This arm of the study investigated patient satisfaction as an outcome measure for those patients undergoing colorectal surgery. The study's relevance for nurses is in the potential feedback for reviewing nursing practice and health care delivery. Patient satisfaction with nursing care was measured through a validated questionnaire, the SERVQUAL, followed by interviews with a percentage of the study population. The results of this arm of the study confirm the importance of measuring patient satisfaction through a triangulated method which investigates thoroughly, providing feedback for continuous quality improvement. The in-depth interviews provided greater insight into the results of the questionnaire, enabling clear feedback to nursing staff at the different sites of the study. Results of the questionnaire revealed age, sex and education levels of patients as major influences on individual perceptions of nursing care. Patients whose surgery resulted in stomas were also less satisfied with health-care delivery.

  19. A Multilevel Analysis of Patient Engagement and Patient-Reported Outcomes in Primary Care Practices of Accountable Care Organizations.

    Science.gov (United States)

    Shortell, Stephen M; Poon, Bing Ying; Ramsay, Patricia P; Rodriguez, Hector P; Ivey, Susan L; Huber, Thomas; Rich, Jeremy; Summerfelt, Tom

    2017-06-01

    The growing movement toward more accountable care delivery and the increasing number of people with chronic illnesses underscores the need for primary care practices to engage patients in their own care. For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, we examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. Cross-sectional multilevel observational study of 16 randomly selected practices in two large accountable care organizations (ACOs). Patients with diabetes and/or cardiovascular disease (CVD) who met study eligibility criteria (n = 4368) and received care in 2014 were randomly selected to complete a patient activation and PRO survey (51% response rate; n = 2176). Primary care team members of the 16 practices completed surveys that assessed practice culture, relational coordination, and teamwork (86% response rate; n = 411). Patient-reported outcomes included depression (PHQ-4), physical functioning (PROMIS SF12a), and social functioning (PROMIS SF8a), the Patient Assessment of Chronic Illness Care instrument (PACIC-11), and the Patient Activation Measure instrument (PAM-13). Patient-level covariates included patient age, gender, education, insurance coverage, limited English language proficiency, blood pressure, HbA1c, LDL-cholesterol, and disease comorbidity burden. For each of the 16 practices, patient-centered culture and the degree of relational coordination among team members were measured using a clinician and staff survey. The implementation of shared decision-making activities in each practice was assessed using an operational leader survey. Having a patient-centered culture was positively associated with fewer depression symptoms (odds ratio [OR] = 1.51; confidence interval [CI] 1.04, 2.19) and better physical function scores (OR = 1.85; CI 1.25, 2.73). Patient activation was positively associated with fewer

  20. Issues experienced while administering care to patients with dementia in acute care hospitals: A study based on focus group interviews

    OpenAIRE

    Risa Fukuda; Yasuko Shimizu; Natsuko Seto

    2015-01-01

    Objective: Dementia is a major public health problem. More and more patients with dementia are being admitted to acute care hospitals for treatment of comorbidities. Issues associated with care of patients with dementia in acute care hospitals have not been adequately clarified. This study aimed to explore the challenges nurses face in providing care to patients with dementia in acute care hospitals in Japan. Methods: This was a qualitative study using focus group interviews (FGIs). The setti...

  1. Patient Experienced Continuity of Care in the Psychiatric Healthcare System

    DEFF Research Database (Denmark)

    Jensen, Natasja Koitzsch; Johansen, Katrine Schepelern; Kastrup, Marianne

    2014-01-01

    , developed in 2004 by Joyce et al., which encompasses four domains: accessibility, individualised care, relationship base and service delivery. Results: Investigating continuity of care, we found issues of specific concern to immigrants and refugees, but also commonalities across the groups....... For accessibility, areas pertinent to immigrants and refugees include lack of knowledge concerning mental illness and obligations towards children. In terms of Int. J. Environ. Res. Public Health 2014, 11 9740 individualised care, trauma, additional vulnerability, and taboo concerning mental illness were...... are complex and diverse and the patient perspective of continuity of care provides important insight into the delivery of care. The study highlights the importance of person-centred care irrespective of migration background though it may be beneficial to have an awareness of areas that may be of more specific...

  2. Inequalities in care in patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    Shabnam Rashid; Alexander Simms; Phillip Batin; John Kurian; Chris P Gale

    2015-01-01

    Coronary heart disease is the single largest cause of death in developed countries. Guidelines exist for the management of acute myocardial infarction(AMI),yet despite these,significant inequalities exist in the care of these patients. The elderly,deprived socioeconomic groups,females and non-caucasians are the patient populations where practice tends to deviate more frequently from the evidence base. Elderly patients often had higher mortality rates after having an AMI compared to younger patients. They also tended to present with symptoms that were not entirely consistent with an AMI,thus partially contributing to the inequalities in care that is seen between younger and older patients. Furthermore the lack of guidelines in the elderly age group presenting with AMI can often make decision making challenging and may account for the discrepancies in care that are prevalent between younger and older patients. Other patients such as those from a lower socioeconomic group,i.e.,low income and less than high school education often had poorer health and reduced life expectancy compared to patients from a higher socioeconomic group after an AMI. Lower socioeconomic status was also seen to be contributing to racial and geographical variation is the care in AMI patients. Females with an AMI were treated less aggressively and had poorer outcomes when compared to males. However even when females were treated in the same way they continued to have higher in hospital mortality which suggests that gender may well account for differences in outcomes. The purpose of this review is to identify the inequalities in care for patients who present with an AMI and explore potential reasons for why these occur. Greater attention to the management and a better understanding of the root causes of these inequalities in care may help to reduce morbidity and mortality rates associated with AMI.

  3. Primary care for diabetes mellitus: perspective from older patients

    Directory of Open Access Journals (Sweden)

    Wong ELY

    2011-10-01

    Full Text Available Eliza Lai Yi Wong1, Jean Woo2, Elsie Hui3, Carrie Chan2, Wayne LS Chan2, Annie Wai Ling Cheung11School of Public Health and Primary Care, The Chinese University of Hong Kong, 2School of Public Health and Primary Care, Division of Geriatrics, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, 3Medical and Geriatric Unit, Shatin Hospital, HK SAR, Hong Kong, People’s Republic of ChinaBackground: Care of diabetes mellitus in the elderly requires an additional perspective to take into account impaired cognitive function, physical function, low level of education, and difficulty making lifestyle changes. Existing services tend to be driven by the views of tertiary and secondary care staff, rather than those of primary care staff and elderly patients. This study aimed to explore the attitudes and preferences of elderly patients with diabetes mellitus towards primary care (clinical care and community program.Method: Elderly patients with diabetes mellitus aged 60 years or above were recruited from governmental diabetes mellitus clinics and diabetes mellitus specific community centers. Three focus group discussions of 14 diabetic elderly patients were conducted and their perspectives on the new service model were assessed. Participants were interviewed according to an open-ended discussion guide which includes the following items: comments on existing clinic follow up and community program, motivation for joining the community program, and suggestions on further clinical services and community service program development.Results: Incapability of the current health service to address their special needs was a common concern in three focus group discussions. The majority highlighted the benefits of the new service program, that is, self-care knowledge and skill, attitudes to living with diabetes mellitus, and supportive network. Key facilitators included experiential learning, a group discussion platform

  4. Delirium in Prolonged Hospitalized Patients in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Vahedian Azimi

    2015-05-01

    Full Text Available Background Prolonged hospitalization in the intensive care unit (ICU can impose long-term psychological effects on patients. One of the most significant psychological effects from prolonged hospitalization is delirium. Objectives The aim of this study was to assess the effect of prolonged hospitalization of patients and subsequent delirium in the intensive care unit. Patients and Methods This conventional content analysis study was conducted in the General Intensive Care Unit of the Shariati Hospital of Tehran University of Medical Sciences, from the beginning of 2013 to 2014. All prolonged hospitalized patients and their families were eligible participants. From the 34 eligible patients and 63 family members, the final numbers of actual patients and family members were 9 and 16, respectively. Several semi-structured interviews were conducted face-to-face with patients and their families in a private room and data were gathered. Results Two main themes from two different perspectives emerged, 'patients' perspectives' (experiences during ICU hospitalization and 'family members' perspectives' (supportive-communicational experiences. The main results of this study focused on delirium, Patients' findings were described as pleasant and unpleasant, factual and delusional experiences. Conclusions Family members are valuable components in the therapeutic process of delirium. Effective use of family members in the delirium caring process can be considered to be one of the key non-medical nursing components in the therapeutic process.

  5. [Ethical challenge in palliative support of intensive care patients].

    Science.gov (United States)

    Salomon, Fred

    2015-01-01

    Intensive care medicine and palliative care medicine were considered for a long time to be contrasting concepts in therapy. While intensive care medicine is directed towards prolonging life and tries to stabilize disordered body functions, palliative care medicine is focused upon the relief of disturbances to help patients in the face of death. Today both views have become congruent. Palliative aspects are equally important in curative therapy. In the course of illness or in respect of the patient's will, the aim of therapy may change from curative to palliative. Two examples are presented to illustrate the ethical challenges in this process. They follow from the medical indication, attention to the patient's will, different opinions in the team, truth at the bedside and from what must be done in the process of withdrawing therapy.

  6. Primary care physicians' prevention counseling with patients with multiple morbidity.

    Science.gov (United States)

    Bardach, Shoshana H; Schoenberg, Nancy E

    2012-12-01

    The prevalence of multiple health conditions, or multiple morbidity (MM), is increasing. Providing medical care for adults with MM presents challenges, including balancing disease management with prevention. We conducted in-depth semistructured interviews with 12 primary care physicians to explore their perspectives on prevention counseling among patients with MM. Participants described the complex relationship between disease management and prevention, highlighted the importance of patient motivation, and discussed various strategies to promote receptivity to prevention recommendations. The perceived potential benefits of prevention recommendations encouraged physicians to persist with such counseling, despite challenges presented by visit time constraints, reimbursement procedures, and concerns over futility. Physicians recommended the development of alternate care delivery and reimbursement models to overcome challenges of the existing health care system and to meet the prevention needs of patients with MM. We explore the implications of these findings for maximizing the health and quality of life of adults with MM.

  7. [Aspects of perioperative care in patients with diabetes].

    Science.gov (United States)

    Pestel, G; Closhen, D; Zimmermann, A; Werner, C; Weber, M M

    2013-01-01

    Diabetes is a common disease in Germany. Due to diabetes-associated end-organ disease, such as large and small vessel disease and neuropathy, diabetic patients require more intense anesthesia care during the perioperative phase. An in-depth and comprehensive medical history focusing on hemodynamic alterations, gastroparesis, neuropathy and stiff joint syndrome is a cornerstone of perioperative care and may affect outcome of diabetes patients more than specific anesthetic medications or the anesthetic procedure. Intraoperative anesthetic care needs to focus on preservation of hemodynamic stability, perioperative infection control and maintenance of glucose homeostasis. Whereas some years ago strict glucose control by aggressive insulin therapy was adamantly advocated, the results of recent studies have put the risk of such therapeutic algorithms into perspective. Therefore, optimized perioperative care of diabetic patients consists of setting a predefined targeted blood glucose level, evidence-based therapeutic approaches to reach that goal and finally adequate and continuous monitoring and amendment of the therapeutic approach if required.

  8. Identifying and managing patients with delirium in acute care settings.

    Science.gov (United States)

    Bond, Penny; Goudie, Karen

    2015-11-01

    Delirium is an acute medical emergency affecting about one in eight acute hospital inpatients. It is associated with poor outcomes, is more prevalent in older people and it is estimated that half of all patients receiving intensive care or surgery for a hip fracture will be affected. Despite its prevalence and impact, delirium is not reliably identified or well managed. Improving the identification and management of patients with delirium has been a focus for the national improving older people's acute care work programme in NHS Scotland. A delirium toolkit has been developed, which includes the 4AT rapid assessment test, information for patients and carers and a care bundle for managing delirium based on existing guidance. This toolkit has been tested and implemented by teams from a range of acute care settings to support improvements in the identification and immediate management of delirium.

  9. Cancer patients with oral mucositis: challenges for nursing care

    Directory of Open Access Journals (Sweden)

    Sarah Nilkece Mesquita Araújo

    2015-04-01

    Full Text Available OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP. METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.

  10. Patients' Perceptions of Nurses' Behaviour That Influence Patient Participation in Nursing Care: A Critical Incident Study

    Directory of Open Access Journals (Sweden)

    Inga E. Larsson

    2011-01-01

    Full Text Available Patient participation is an important basis for nursing care and medical treatment and is a legal right in many Western countries. Studies have established that patients consider participation to be both obvious and important, but there are also findings showing the opposite and patients often prefer a passive recipient role. Knowledge of what may influence patients' participation is thus of great importance. The aim was to identify incidents and nurses' behaviours that influence patients' participation in nursing care based on patients' experiences from inpatient somatic care. The Critical Incident Technique (CIT was employed. Interviews were performed with patients (=17, recruited from somatic inpatient care at an internal medical clinic in West Sweden. This study provided a picture of incidents, nurses' behaviours that stimulate or inhibit patients' participation, and patient reactions on nurses' behaviours. Incidents took place during medical ward round, nursing ward round, information session, nursing documentation, drug administration, and meal.

  11. Care and Quality of Life in the Dying Phase: The contribution of the Liverpool Care Pathway for the Dying Patient

    NARCIS (Netherlands)

    L. Veerbeek (Laetitia)

    2008-01-01

    textabstractThis thesis concerns the professional care and the quality of life for dying patients and their relatives in the hospital, the nursing home and the primary care setting. The effect of introducing the Liverpool Care Pathway for the Dying Patient (LCP) on the content of care and the qualit

  12. Patient-centered Fertility Care: From Theory to Practice

    Directory of Open Access Journals (Sweden)

    Fatemeh Jafarzadeh-Kenarsari

    2016-07-01

    Full Text Available Background & aim: Healthcare areas, especially fertility care (commonly accompanied with high emotions, as well as long-term and recurring treatment periods could exclusively benefit from patient-centered care (PCC. Despite evident advantages of PCC, this approach has not been practiced as a routine procedure in current clinical environments yet, even in western developed countries. Therefore, this review aimed to evaluate the significance and different aspects of PCC, while emphasizing on patient-centered fertility care, its challenges, and applicable recommendations in this regard. Methods: This narrative review was conducted on 29 relevant medical and clinical papers (published during 1990-2015 collected using various national and international databases (e.g., SID, Magiran, Medlib, Google scholar, Proquest, Pubmed, Wiley, Science direct, and Scopus. Key words and phrases used in this review were “infertility”, “fertility care”, “childlessness”, “patient-centered care”, “patient-centered fertility care” “shared decision-making”, “infertile patient preferences”, and “patient involvement in fertility care”. Results: According to the literature, implementation challenges of patient-centered fertility care were reported as different individual and organizational factors. These factors include lack of professional motivation to change, underestimating the significance of patient-centeredness by healthcare professionals, difficulty in translation of feedback into concrete measures, lack of time and financial resources, insufficient experience of healthcare professionals with regard to identification of needs and preferences of patients, traditional organizational culture, and common misconceptions. Conclusion: Promotion of patient-centered fertility services requires the identification of infertile needs and priorities of individuals, designation of interventional and supportive programs based on sociocultural

  13. [Care and implications for caregivers of surgical patients at home].

    Science.gov (United States)

    Chirveches-Pérez, Emilia; Roca-Closa, Josep; Puigoriol-Juvanteny, Emma; Ubeda-Bonet, Inmaculada; Subirana-Casacuberta, Mireia; Moreno-Casbas, María Teresa

    2014-01-01

    To identify the care given by informal caregivers to patients who underwent abdominal surgery in the Consorci Hospitalari of Vic (Barcelona). To compare the responsibility burden for those caregivers in all the different stages of the surgical process. To determine the consequences of the care itself on the caregiver's health and to identify the factors that contribute to the need of providing care and the appearance of consequences for the caregivers in the home. A longitudinal observational study with follow-up at admission, at discharge and 10 days, of 317 non-paid caregivers of patients who suffer underwent surgery. The characteristics of caregivers and surgical patients were studied. The validated questionnaire, ICUB97-R based on the model by Virginia Henderson, was used to measure the care provided by informal caregivers and its impact on patient quality of life. Most of the caregivers were women, with an average age of 52.9±13.7 years without any previous experience as caregivers. The greater intensity of care and impact was observed in the time when they arrived home after hospital discharge (p<0.05). The predictive variables of repercussions were being a dependent patient before the surgical intervention (β=2.93, p=0.007), having a cancer diagnosis (β=2.87, p<.001) and time dedicated to the care process (β=0.07, p=0.018). Caregivers involved in the surgical process provide a great amount of care at home depending on the characteristics of patients they care for, and it affects their quality of life. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  14. Implementing AORN recommended practices for transfer of patient care information.

    Science.gov (United States)

    Seifert, Patricia C

    2012-11-01

    The Joint Commission estimates that 80% of serious medical errors are associated with miscommunication during patient transfers. Patient transfers may occur between a wide array of settings: between physicians' offices or preoperative areas and traditional ORs or ambulatory settings, between emergency departments or interventional suites and the OR, and between other areas where the exchange of patient information occurs. AORN's "Recommended practices for transfer of patient care information" serves as a guide for establishing achievable practices that promote a safe level of care during perioperative patient transfers. Strategies for the successful implementation of the recommended practices include promoting teamwork, including with the patient and the patient's family members; developing effective communication skills; documenting processes; creating and adhering to policies and procedures; and establishing quality management programs.

  15. 'High-tech' home care: overview of professional care in patients on home parenteral nutrition and implications for nursing care

    NARCIS (Netherlands)

    Huisman-de Waal, G.J.; Achterberg, T. van; Jansen, J.; Wanten, G.J.A.; Schoonhoven, L.

    2011-01-01

    AIM: The aim of this study is to describe the quality, quantity and content of care given to home parenteral nutrition-dependent patients by various professionals in the Netherlands and to detect potential shortcomings. BACKGROUND: Home parenteral nutrition is a lifesaving treatment for patients who

  16. [Communication strategies used by health care professionals in providing palliative care to patients].

    Science.gov (United States)

    Trovo de Araújo, Monica Martins; da Silva, Maria Júlia Paes

    2012-06-01

    The objective of this study is to verify the relevance and utilization of communication strategies in palliative care. This is a multicenter qualitative study using a questionnaire, performed from August of 2008 to July of 2009 with 303 health care professionals who worked with patients receiving palliative care. Data were subjected to descriptive statistical analysis. Most participants (57.7%) were unable to state at least one verbal communication strategy, and only 15.2% were able to describe five signs or non-verbal communication strategies. The verbal strategies most commonly mentioned were those related to answering questions about the disease/treatment. Among the non-verbal strategies used, the most common were affective touch, looking, smiling, physical proximity, and careful listening. Though professionals have assigned a high degree of importance to communication in palliative care, they showed poor knowledge regarding communication strategies. Final considerations include the necessity of training professionals to communicate effectively in palliative care.

  17. Pharmaceutical care as narrative practice? Rethinking patient-centered care through a pharmacist's perspective.

    Science.gov (United States)

    Naß, Janine; Banerjee, Mita; Efferth, Thomas; Wohlmann, Anita

    2016-12-01

    Illness is a disruptive experience that requires high-quality care. The best evidence-based medical treatment risks losing some of its efficacy, however, when patients feel misunderstood when faced with the complexity of their experiences. They might stop treatment, refuse to disclose relevant information or seek unsound alternatives. A narrative-based approach to health care understands the patient's case history as a narrative that can be read or analyzed like a story. In other words, this approach honors individual illness experiences through the stories that patients tell. While programs that train 'narrative competence' have been successfully implemented in medical education, an application to pharmaceutical training is missing so far. We argue for the necessity to complement evidence-based pharmaceutical practice with narrative-based approaches to ensure high-quality care. Using the perspective of a pharmacist in a case scenario, we exemplify the centrality of "narrative pharmacy" for improving the quality and safety of pharmaceutical health care.

  18. Value Assessment at the Point of Care: Incorporating Patient Values throughout Care Delivery and a Draft Taxonomy of Patient Values.

    Science.gov (United States)

    Armstrong, Melissa J; Mullins, C Daniel

    2017-02-01

    Incorporation of patient values is a key element of patient-centered care, but consistent incorporation of patient values at the point of care is lacking. Shared decision making encourages incorporation of patient values in decision making, but associated tools often lack guidance on value assessment. In addition, focusing on patient values relating only to specific decisions misses an opportunity for a more holistic approach to value assessment that could impact other aspects of clinical encounters, including health care planning, communication, and stakeholder involvement. In this commentary, we propose a taxonomy of values underlying patient decision making and provide examples of how these impact provision of health care. The taxonomy describes four categories of patient values: global, decisional, situational, and external. Global values are personal values impacting decision making at a universal level and can include value traits and life priorities. Decisional values are the values traditionally conceptualized in decision making, including considerations such as efficacy, toxicity, quality of life, convenience, and cost. Situational values are values tied to a specific moment in time that modify patients' existing global and decisional values. Finally, discussion of external values acknowledges that many patients consider values other than their own when making decisions. Recognizing the breadth of values impacting patient decision making has implications for both overall health care delivery and shared decision making because value assessments focusing only on decisional values may miss important patient considerations. This draft taxonomy highlights different values impacting decision making and facilitates a more complete value assessment at the point of care. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  19. 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.

  20. Prediction of dementia in primary care patients.

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    Frank Jessen

    Full Text Available BACKGROUND: Current approaches for AD prediction are based on biomarkers, which are however of restricted availability in primary care. AD prediction tools for primary care are therefore needed. We present a prediction score based on information that can be obtained in the primary care setting. METHODOLOGY/PRINCIPAL FINDINGS: We performed a longitudinal cohort study in 3.055 non-demented individuals above 75 years recruited via primary care chart registries (Study on Aging, Cognition and Dementia, AgeCoDe. After the baseline investigation we performed three follow-up investigations at 18 months intervals with incident dementia as the primary outcome. The best set of predictors was extracted from the baseline variables in one randomly selected half of the sample. This set included age, subjective memory impairment, performance on delayed verbal recall and verbal fluency, on the Mini-Mental-State-Examination, and on an instrumental activities of daily living scale. These variables were aggregated to a prediction score, which achieved a prediction accuracy of 0.84 for AD. The score was applied to the second half of the sample (test cohort. Here, the prediction accuracy was 0.79. With a cut-off of at least 80% sensitivity in the first cohort, 79.6% sensitivity, 66.4% specificity, 14.7% positive predictive value (PPV and 97.8% negative predictive value of (NPV for AD were achieved in the test cohort. At a cut-off for a high risk population (5% of individuals with the highest risk score in the first cohort the PPV for AD was 39.1% (52% for any dementia in the test cohort. CONCLUSIONS: The prediction score has useful prediction accuracy. It can define individuals (1 sensitively for low cost-low risk interventions, or (2 more specific and with increased PPV for measures of prevention with greater costs or risks. As it is independent of technical aids, it may be used within large scale prevention programs.