Transport

The transport chapter focuses on factors that determine the decision to transport a sick infant for higher level care and preparing the infant for transfer. How the transport system works and the responsibilities of those involved are described. Specifically, the chapter describes the information needed by the receiving hospital and clarifies the roles of the sending hospital, the receiving physician, coordinating physician, and the transport team. Tools to aid decision-making (e.g., the Situation/Background/Assessment/Recommendation/Readback-Response communication tool) and process (the NICU telephone consultation form and a sample neonatal transfer record) are included. A case scenario, which rounds out the chapter, provides a scenario in which a decision whether or not to transport must be made.

2000 ◽  
Vol 5 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Ronny Swain

The paper describes the development of the 1998 revision of the Psychological Society of Ireland's Code of Professional Ethics. The Code incorporates the European Meta-Code of Ethics and an ethical decision-making procedure borrowed from the Canadian Psychological Association. An example using the procedure is presented. To aid decision making, a classification of different kinds of stakeholder (i.e., interested party) affected by ethical decisions is offered. The author contends (1) that psychologists should assert the right, which is an important aspect of professional autonomy, to make discretionary judgments, (2) that to be justified in doing so they need to educate themselves in sound and deliberative judgment, and (3) that the process is facilitated by a code such as the Irish one, which emphasizes ethical awareness and decision making. The need for awareness and judgment is underlined by the variability in the ethical codes of different organizations and different European states: in such a context, codes should be used as broad yardsticks, rather than precise templates.


2021 ◽  
Author(s):  
Christopher A. Jones ◽  
Marie Ivanco ◽  
Shaun Deacon
Keyword(s):  

Surgery ◽  
2012 ◽  
Vol 152 (3) ◽  
pp. S120-S127 ◽  
Author(s):  
Elizaveta Ragulin-Coyne ◽  
James E. Carroll ◽  
Jillian K. Smith ◽  
Elan R. Witkowski ◽  
Sing Chau Ng ◽  
...  

2017 ◽  
Vol 26 (4) ◽  
pp. 1000-1008 ◽  
Author(s):  
Dong-Lan Ling ◽  
Hong-Jing Yu ◽  
Hui-Ling Guo

Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality.


2014 ◽  
Vol 1006-1007 ◽  
pp. 685-688
Author(s):  
Guo Bao Ding ◽  
Hao Xing ◽  
Lian Bing Wang ◽  
Dan Li

Acquiring causal knowledge of abnormity is essential to Missile-Launching reliably. There are lots of Knowledge Acquisition methods. But it is absence for usage and maintenance support process. So it is necessary to start the research on new knowledge acquisition technology of aid Decision-Making for Missile-Launching. Based on the Usage and Maintenance-Support Process, this thesis acquires knowledge with the ESD and CESD (Converse Event Sequence Diagram) method. First, this thesis gives the concept of CESD. Then, in order to adapt the CESD model of the complex systems more effectively, this paper expands the CESD framework and provides a software frame of computer aided ESD study. Finally, the operation of pulse power supply system is analyzed on the basis of the improved ESD and CESD. This sample shows the applicability of ESD and CESD methodology in knowledge acquisition technology of aid Decision-Making for Missile-Launching.


2021 ◽  
pp. jrheum.201615
Author(s):  
Julie Kahler ◽  
Ginnifer Mastarone ◽  
Rachel Matsumoto ◽  
Danielle ZuZero ◽  
Jacob Dougherty ◽  
...  

Objective Treatment guidelines for rheumatoid arthritis (RA) include a patient-centered approach and shared decision making which includes a discussion of patient goals. We describe the iterative early development of a structured goal elicitation tool to facilitate goal communication for persons with RA and their clinicians. Methods Tool development occurred in three phases: 1) clinician feedback on the initial prototype during a communication training session; 2) semi-structured interviews with RA patients; and 3) community stakeholder feedback on elements of the goal elicitation tool in a group setting and electronically. Feedback was dynamically incorporated into the tool. Results Clinicians (n=15) and patients (n=10) provided feedback on the tool prototypes. Clinicians preferred a shorter tool de-emphasizing goals outside of their perceived treatment domain or available resources, highlighted the benefits of the tool to facilitate conversation but raised concern regarding current constraints of the clinic visit. Patients endorsed the utility of such a tool to support agenda setting and prepare for a visit. Clinicians, patients, and community stakeholders reported the tool was useful but identified barriers to implementation that the tool could itself resolve. Conclusion A goal elicitation tool for persons with RA and their clinicians was iteratively developed with feedback from multiple stakeholders. The tool can provide a structured way to communicate patient goals within a clinic visit and help overcome reported barriers, such as time constraints. Incorporating a structured communication tool to enhance goal communication and foster shared decision making may lead to improved outcomes and higher quality care in RA.


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