Staff confidence, morale and attitudes in a specialist unit for general hospital patients with dementia and delirium-a qualitative study

2014 ◽  
Vol 29 (12) ◽  
pp. 1315-1317 ◽  
Author(s):  
Karen Spencer ◽  
Pippa E. R. Foster ◽  
Kathy H. Whittamore ◽  
Sarah E. Goldberg ◽  
Rowan H. Harwood
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Hospital Patients

scholarly journals Practice of informed consent in Guangdong, China: a qualitative study from the perspective of in-hospital patients

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020658 ◽  
Author(s):  
Ni Gong ◽  
Yinhua Zhou ◽  
Yu Cheng ◽  
Xiaoqiong Chen ◽  
Xuting Li ◽  
...  
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Medical Information ◽  
Medical Knowledge ◽  
Information Provision ◽  
Clinical Decision ◽  
Clinical Settings ◽  
Clinical Practices ◽  
Informed Consent Form ◽  
Hospital Patients

ObjectiveThis study aimed to investigate the practice of informed consent in China from the perspective of patients.DesignA qualitative study using in-depth interviews with in-hospital patients focusing on personal experience with informed consent.SettingGuangdong Province, China.Participants71 in-hospital patients in rehabilitation after surgical operations were included.ResultsMedical information is not actively conveyed by doctors nor effectively received by patients. Without complete and understandable information, patients are unable to make an autonomous clinical decision but must sign an informed consent form following the doctor’s medical arrangement. Three barriers to accessing medical information by patients were identified: (1) medical information received by patients was insufficient to support their decision-making, (2) patients lacked medical knowledge to understand the perceptions of doctors and (3) patient–doctor interactions were insufficient in clinical settings.ConclusionsInformed consent is implemented as an administrative procedure at the hospital level in China. However, it has not been embedded in doctors’ clinical practices because, from the perspective of patients, doctors do not fulfil the obligation of medical information provision. As a result, the informed part of informed consent was neglected by individual doctors in China. Reforming medical education, monitoring the process of informed consent in clinical settings and redesigning medical institutional arrangements are pathways to restoring the practice of informed consent and patient-centred models in China.

A General Hospital Patient is Not a NUT

1979 ◽  
Vol 9 (1-2) ◽  
pp. 67-74 ◽  
Author(s):  
D.J.W. Striimpfer
Keyword(s):  
General Hospital ◽  
Physical Illness ◽  
Psychological Problems ◽  
Physical Disorder ◽  
Academic Training ◽  
Psychological Disturbance ◽  
Affective Distress ◽  
Psychological Reactions ◽  
Adaptive Value ◽  
Hospital Patients

Psychological problems of general hospital patients are related to physical illness and disability, and/or physical disorder produced by affective distress. The typical emphasis on psychopathology during academic training, and the orientation towards psychiatry during internships maladapt clinical psychologists for work with such patients. This argument is supported by diverse illustrations: psychological disturbance in pregnant women, psychological problems of patients in intensive care units, the inappropriateness of a psychopathological approach to the psychological aspects of coronary heart disease, and the adaptive value of denial in some instances of physical illness. Psychological reactions to medical conditions can be understood better in terms of developmental crisis. Implications for training are mentioned.

scholarly journals The present state of consultation and liaison psychiatry

1990 ◽  
Vol 14 (6) ◽  
pp. 321-325 ◽  
Author(s):  
Richard Mayou ◽  
Helen Anderson ◽  
Charlotte Feinmann ◽  
Gail Hodgson ◽  
Peter L. Jenkins
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Morbidity ◽  
Liaison Psychiatry ◽  
Major Pathway ◽  
Lower Priority ◽  
Strategic Plans ◽  
Hospital Patients ◽  
Hospital Doctors

Although referral by general hospital doctors is a major pathway to specialist psychiatric care, and there is known to be much clinically unrecognised psychiatric morbidity among general hospital patients, consultation and liaison services have received much less emphasis than community care. A 1984 survey found that consultation liaison services were haphazard (Mayou & Lloyd, 1985). Despite recent evidence of increasing clinical and academic interest, few local strategic plans refer to consultation and liaison services; even when mentioned they are given a lower priority than community developments (Kingdon, 1989).

scholarly journals A Follow-up Study of Comparable Mental and General Hospital Patients

1964 ◽  
Vol 9 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Colin M. Smith ◽  
D. G. Mckerracher ◽  
Maurice Demay
Keyword(s):  
General Hospital ◽  
Follow Up Study ◽  
Hospital Patients

scholarly journals Why are family carers of people with dementia dissatisfied with general hospital care? a qualitative study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Fiona J Jurgens ◽  
Philip Clissett ◽  
John RF Gladman ◽  
Rowan H Harwood
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Hospital Care ◽  
Family Carers ◽  
People With Dementia
Sign in / Sign up

Export Citation Format

Share Document