Modes of Delivery of Patient Care: Primary or Team Nursing: Case Histories

1979 ◽  
Vol 57 (6) ◽  
pp. 34-40 ◽  
Author(s):  
Kathleen T. Flynn
Author(s):  
Petros Bouras-Vallianatos

This chapter focuses on the group of illustrated case histories narrated in John’s On Urines. An introductory section on clinical narratives provides the necessary background and emphasizes that John’s clinical accounts had no counterpart in the Greek-speaking world after Galen. It is argued that John’s case histories could function as didactic material for readers with specialist knowledge, while at the same time they could be used as self-promotional material to impress the specialist and non-specialist alike with the physician’s skills in diagnosing, prognostication, and his self-proclaimed ability to treat his patients successfully. The largest part of the chapter focuses on physician–patient encounters. It explores the significance of John’s acquaintance with the patients and the patient’s socio-economic background, but also their experience of the physician’s professional expertise. It is shown that the visual aspect of the urine vial constitutes a recurrent element of symbolic significance, which helps the patients decipher the physician’s actions and shows the latter’s awareness of the need for individualized patient care.


2021 ◽  
Vol 34 (4) ◽  
pp. 458-461
Author(s):  
Jacqueline Fawcett

This is the second of two essays about five models of nursing practice delivery—total patient care, functional nursing, team nursing, primary nursing, and the attending nurse. Primary nursing and the attending nurse are discussed in this essay. The other three models were discussed in a previous issue of Nursing Science Quarterly. Each model is described and its connection with nursing discipline-specific knowledge is discussed. The extent to which each model ascribes accountability for practice also is discussed.


JAMA ◽  
1966 ◽  
Vol 195 (1) ◽  
pp. 36-37 ◽  
Author(s):  
J. C. Quint
Keyword(s):  

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.


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