Interprofessional collaboration-in-practice

2013 ◽  
Vol 20 (3) ◽  
pp. 325-335 ◽  
Author(s):  
Carol Ewashen ◽  
Gloria McInnis-Perry ◽  
Norma Murphy
Keyword(s):  
Virtue Ethics ◽  
Healthcare Professionals ◽  
Interprofessional Collaboration ◽  
Ways Of Knowing ◽  
Community Analysis ◽  
Relational Ethics ◽  
Biomedical Ethics ◽  
Political Community ◽  
Main Question ◽  
Institutional Relations

The main question examined is: How do nurses and other healthcare professionals ensure ethical interprofessional collaboration-in-practice as an everyday practice actuality? Ethical interprofessional collaboration becomes especially relevant and necessary when interprofessional practice decisions are contested. To illustrate, two healthcare scenarios are analyzed through three ethics lenses. Biomedical ethics, relational ethics, and virtue ethics provide different ways of knowing how to be ethical and to act ethically as healthcare professionals. Biomedical ethics focuses on situated, reflective, and nonabsolute principled justification, all things considered; relational ethics on intersubjective, professional, and institutional relations; and virtue ethics on prephilosophical tradition and what it means to be good and to be human embedded in social and political community. Analysis suggests that interprofessional collaboration-in-practice may be more rhetoric than actuality. Key challenges of interprofessional collaboration-in-practice and specific conditions perpetuating dissension and conflict are outlined with specific education and policy recommendations included.

scholarly journals Ethical considerations at the end-of-life care

2021 ◽  
Vol 9 ◽  
pp. 205031212110009
Author(s):  
Melahat Akdeniz ◽  
Bülent Yardımcı ◽  
Ethem Kavukcu
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Assisted Suicide ◽  
Healthcare Professionals ◽  
Ethical Decision Making ◽  
Biomedical Ethics ◽  
Artificial Nutrition ◽  
Life Care ◽  
Ethical Challenges ◽  
Physician Assisted Suicide

The goal of end-of-life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patients’ desires. However, physicians face many ethical challenges in end-of-life care. Since the decisions to be made may concern patients’ family members and society as well as the patients, it is important to protect the rights, dignity, and vigor of all parties involved in the clinical ethical decision-making process. Understanding the principles underlying biomedical ethics is important for physicians to solve the problems they face in end-of-life care. The main situations that create ethical difficulties for healthcare professionals are the decisions regarding resuscitation, mechanical ventilation, artificial nutrition and hydration, terminal sedation, withholding and withdrawing treatments, euthanasia, and physician-assisted suicide. Five ethical principles guide healthcare professionals in the management of these situations.

scholarly journals Electronic patient record and its effects on social aspects of interprofessional collaboration and clinical workflows in hospitals (eCoCo): a mixed methods study protocol

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marina Beckmann ◽  
Kerstin Dittmer ◽  
Julia Jaschke ◽  
Ute Karbach ◽  
Juliane Köberlein-Neu ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Services ◽  
Healthcare Professionals ◽  
Social Research ◽  
Interprofessional Collaboration ◽  
Participant Observation ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Daily Work ◽  
Network Analyses

Abstract Background The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefits from this system, the potential risks of using electronic patient records for hospitals, patients and healthcare professionals must also be discussed. There is a lack in research, particularly regarding effects on healthcare professionals and their daily work in health services. The study eCoCo aims to gain insight into changes in interprofessional collaboration and clinical workflows resulting from introducing electronic patient records. Methods eCoCo is a multi-center case study integrating mixed methods from qualitative and quantitative social research. The case studies include three hospitals that undergo the process of introducing electronic patient records. Data are collected before and after the introduction of electronic patient records using participant observation, interviews, focus groups, time measurement, patient and employee questionnaires and a questionnaire to measure the level of digitalization. Furthermore, documents (patient records) as well as structural and administrative data are gathered. To analyze the interprofessional collaboration qualitative network analyses, reconstructive-hermeneutic analyses and document analyses are conducted. The workflow analyses, patient and employee assessment analyses and classification within the clinical adoption meta-model are conducted to provide insights into clinical workflows. Discussion This study will be the first to investigate the effects of introducing electronic patient records on interprofessional collaboration and clinical workflows from the perspective of healthcare professionals. Thereby, it will consider patients’ safety, legal and ethical concerns and quality of care. The results will help to understand the organization and thereby improve the performance of health services working with electronic patient records. Trial registration The study was registered at the German clinical trials register (DRKS00023343, Pre-Results) on November 17, 2020.

scholarly journals Territoriality Beyond the State: The EU’s Territorial Claims and the Search for Their Legitimacy

2021 ◽  
Vol 22 (4) ◽  
pp. 650-672
Author(s):  
Josef Weinzierl
Keyword(s):  
The State ◽  
Political Community ◽  
The Other ◽  
Main Question ◽  
Eu Law ◽  
European Level ◽  
Territorial Claims ◽  
The One ◽  
The Individual ◽  
The Eu

AbstractQuite a few recent ECJ judgments touch on various elements of territorial rule. Thereby, they raise the profile of the main question this Article asks: Which territorial claims does the EU make? To provide an answer, the present Article discusses and categorizes the individual elements of territoriality in the EU’s architecture. The influence of EU law on national territorial rule on the one hand and the emergence of territorial governance elements at the European level on the other provide the main pillars of the inquiry. Once combined, these features not only help to improve our understanding of the EU’s distinctly supranational conception of territoriality. What is more, the discussion raises several important legitimacy questions. As a consequence, the Article calls for the development of a theoretical model to evaluate and justify territoriality in a political community beyond the state.

Personalism versus Principlism in Bioethics

1970 ◽  
Vol 8 (1) ◽  
pp. 23-34
Author(s):  
Tadeusz Biesaga
Keyword(s):  
Virtue Ethics ◽  
Biomedical Ethics ◽  
Medicine And Philosophy

The bioethics of four principles, named as principlism, began in 1979 with the work of Principles of Biomedical Ethics by Tom Beauchamp and James F. Childress and has been widely criticized since the 80s. In recent years four rival approaches towards principlism have been specified in this critique. These include: a) impartial rule theory, developed by K. Danner Clouser; b) casuistry, represented by Albert Jensen, and c) virtue ethics, developed by Edmund D. Pellegrino. The critique of principlism presented by K . Danner Clouser, Bernard Gert (1990) was not only defended by T. Beauchamp and J.F. Childress themselves (1994), but also by others, including B. Andrew Lustig (1992), David DeGrazia (1992), and Henry Richardson (1990,2000).  The discussion has not weakened but continued till the present time. It was presented extensively in the June issue of The Journal of Medicine and Philosophy (June 2000). We want to join the discussion from the position of personalistic bioethics.

“Experience Concludeth Nothing Universally”

2016 ◽  
Author(s):  
Emily C. Nacol
Keyword(s):  
Civil War ◽  
Early Modern ◽  
Political Theory ◽  
Thomas Hobbes ◽  
Ways Of Knowing ◽  
Political Authority ◽  
Political Community ◽  
Political Order ◽  
Root Cause

This chapter begins with Thomas Hobbes' intertwined theories of knowledge and politics, as they emerged from his experience of a violent civil war and fierce struggles over epistemological and political authority. Hobbes provokes an early modern engagement with the concept of risk in politics by positing uncertainty as the main problem that political theory and political order are meant to solve. For Hobbes, uncertainty is the root cause of violence and insecurity, and thus it becomes a target for elimination when he begins to think about how to construct a safe political community. The chapter reconstructs Hobbes' commitment to a science of politics modeled on geometry, emphasizing its certain character by contrasting it with other ways of knowing about politics that are more experiential, such as prudence.

Healthcare professionals' perceptions toward interprofessional collaboration in palliative home care: A view from Belgium

2012 ◽  
Vol 27 (4) ◽  
pp. 313-319 ◽  
Author(s):  
Peter Pype ◽  
Linda Symons ◽  
Johan Wens ◽  
Bart Van den Eynden ◽  
Ann Stess ◽  
...  
Keyword(s):  
Home Care ◽  
Healthcare Professionals ◽  
Interprofessional Collaboration ◽  
Palliative Home Care
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