Patients’ Rights in Laboratory Examinations: do they realize?

1997 ◽  
Vol 4 (6) ◽  
pp. 451-464 ◽  
Author(s):  
Helena Leino-Kilpi ◽  
Tarja Nyrhinen ◽  
Jouko Katajisto
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Chemistry ◽  
Self Determination ◽  
University Hospital ◽  
Patients Rights ◽  
Physical Integrity ◽  
Laboratory Examinations ◽  
Common Laboratory ◽  
Structured Questionnaire

This article discusses the rights of patients who are attending hospital for the most common laboratory examinations and who may also be taking part in research studies. A distinction is made between five kinds of rights to: protection of privacy, physical integrity, mental integrity, information and self-determination. The data were collected ( n = 204) by means of a structured questionnaire specifically developed for this study in the clinical chemistry, haematological, physiological and neurophysiological laboratories of one randomly selected university hospital in Finland. The analysis of the data was statistical. On the whole, patients’ rights were realized reasonably well. This was most particularly the case with protection of privacy, as well as with the rights of physical and mental integrity. The rights to information and self-determination were less well realized. There are various steps that health care professionals and organizations can take to make sure that patients can enjoy their full rights, by counselling the patient, by giving opportunities to plan the examinations in advance, and by arranging a sufficient number of small examination rooms.

scholarly journals Leadership assumptions on implementation of patient involvement methods

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathrine Håland Jeppesen ◽  
Kirsten Frederiksen ◽  
Marianne Johansson Joergensen ◽  
Kirsten Beedholm
Keyword(s):  
Health Care ◽  
Organizational Learning ◽  
Health Care Professionals ◽  
Large Scale ◽  
Patient Involvement ◽  
Hospital Setting ◽  
Implementation Process ◽  
University Hospital ◽  
Structured Interviews ◽  
Implementation Processes

Abstract Background From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general and for implementation processes in particular. According to the theory on organizational learning by Agyris and Schön, successful change requires organizational learning. Argyris and Schön consider that the assumptions of involved participants play an important role in organizational learning and processes. The purpose was to explore leaders’ assumptions concerning implementation of patient involvement methods in a hospital setting. Methods Qualitative explorative interview study with the six top leaders in the implementation project. The semi-structured interviews were conducted and analyzed in accordance with Kvale and Brinkmanns’ seven stages of interview research. Result The main leadership assumptions on what is needed in the implementation process are in line with the perceived elements in organizational learning according to the theory of Argyris and Schön. Hence, they argued that implementation of patient involvement requires a culture change among health care professionals. Two aspects on how to obtain success in the implementation process were identified based on leadership assumptions: “The health care professionals’ roles in the implementation process” and “The leaders’ own roles in the implementation process”. Conclusion The top leaders considered implementation of patient involvement a change process that necessitates a change in culture with health care professionals as crucial actors. Furthermore, the top leaders considered themselves important facilitators of this implementation process.

Successful Game Development Partnerships between Academics and Physicians

2013 ◽  
Vol 5 (3) ◽  
pp. 97-107 ◽  
Author(s):  
Elena Bertozzi ◽  
Leonard R. Krilov ◽  
Dilys Walker
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Serious Games ◽  
Home Birth ◽  
University Hospital ◽  
Game Development ◽  
Rural Mexico ◽  
Flu Vaccine ◽  
Game Developers ◽  
The University

This paper discusses the creation of two serious games developed by the Engender Games Group with the intention of meeting specific outcomes in the healthcare field. The processes and pitfalls of developing games of this kind are outlined with the intention of demonstrating how game developers and health care professionals can collaborate to produce compelling, fun games that meet specific goals. The Atendiendo el Parto en Casa (Home Birth), game is a collaboration with Drs. Dilys Walker and Carrie Rouse at the University of Washington Medical School to educate traditional midwives working in rural Mexico. The Flu Busters! game is a collaboration with a group of pediatric specialists at Winthrop-University Hospital on Long Island led by Dr. Leonard Krilov which explains how the flu vaccine works and encourages children to get vaccinated.

Using Computer and Internet-based Resources to Teach Health Care Planning and Administration in an Undergraduate Medical Program

2006 ◽  
Vol 45 (03) ◽  
pp. 316-320
Author(s):  
R. Bordin ◽  
P. D. Fisher ◽  
M. M. Klück ◽  
R. S. Rosa
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Health Care Systems ◽  
Opportunity To Learn ◽  
Public Health Care ◽  
University Hospital ◽  
System Modelling ◽  
Health Care Planning ◽  
Medical Program

Summary Objective: We describe the teaching methods, involving computer and Internet-based resources, used in the “Administration and Planning in Health Care” course of the undergraduate medical program at the Federal University of Rio Grande do Sul. Method: Description on how the curriculum guidelines for the undergraduate medical education in Brazil have been implemented at this university. The guidelines specify that graduates should be skilled and knowledgeable in health care administration and management, understand the market dynamics of health care services, and be prepared to contribute to the development of health policy. Results: A required 60-hour course provides students with an opportunity to learn about the structure, planning and administration of the Brazilian and of other health care systems, and their roles, as health care professionals, within those systems. The course is also intended to allow students to develop the minimal skill set required for manipulation of health care data available from national and international databases, and to use the Internet as a source of information in health care. The curriculum includes: Module 1 – basic computer skills, an introduction to networks as an infrastructure for management, the use of spreadsheets and databases for data processing and system modelling, retrieval of Internet-based health data and on-line bibliographic searches; Module 2 – health system financing and service quality management, using a university hospital as a case study; and Module 3 – a comparison of the Brazilian public health care system (SUS) with other national health systems resulting in a term paper formatted for journal submission and presented at a simulated conference at the end of the course. Conclusion: Progressive shift in emphasis from theory to practice in this course has resulted in better development of the skill set required for the students.

Use of Gaming Simulation by Health Care Professionals

1977 ◽  
Vol 5 (1_suppl) ◽  
pp. 11-17 ◽  
Author(s):  
Shirley A. Smoyak
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Work Group ◽  
Therapeutic Application ◽  
Extensive Discussion ◽  
Patients Rights ◽  
Gaming Simulation ◽  
Dying Patients ◽  
Health And Illness ◽  
Rights Issues

Gaming-simulation is being developed for use in a variety of aspects of health care. A mental health diagnostic and therapeutic application is described for problems in parent-teenager relations; it features gaming, videotaping of interactions, and extensive discussion. Two applications which elucidate the nature of discord between couples and two applications for work-group problems are also described Gaming-simulation is used in basic and continuing education of health professionals for such issues as problems of dying patients and the aged, and prevention of coronary heart disease. Patients rights issues provide a potential focus for opening dialogues between patients and professionals about all facets of health and illness care.

scholarly journals Job satisfaction among health care workers: the role of gender and age

2013 ◽  
Vol 21 (6) ◽  
pp. 1314-1320 ◽  
Author(s):  
César Carrillo-García ◽  
María del Carmen Solano-Ruíz ◽  
María Emilia Martínez-Roche ◽  
Carmen Isabel Gómez-García
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Health Care Professionals ◽  
University Hospital ◽  
Satisfaction Scale ◽  
Health Care Professions ◽  
Overwhelming Evidence ◽  
Care Workers ◽  
Gender And Age ◽  
Taking Action

OBJECTIVE: to analyze the influence of gender and age on the quality of the professional lives of health care professionals at a university hospital. METHOD: a total of 546 professionals completed a general questionnaire that measured sociodemographic variables and evaluated job satisfaction using a scale adopted from the NTP 394 Job Satisfaction scale and translated into Spanish. RESULTS: overall, 77.2% of the professionals surveyed were satisfied with the work they perform. With regards to gender, we found overwhelming evidence of the feminization of practically all health care professions included in the study, with higher levels of job satisfaction among women than men. Regarding age, 20-30-year-olds and professionals over 61 years old showed higher satisfaction levels than did middle-aged professionals. Higher levels of dissatisfaction were reported by professionals between 41 and 50 years old. CONCLUSIONS: we were able to detect the influence of gender and age on the level of job satisfaction, finding significant associations between job satisfaction and both of these variables. Generally, women expressed more satisfaction than men, and elderly professionals showed higher satisfaction compared to younger professionals. Management policies should focus on taking action to correct the conditions that produce dissatisfaction among certain groups of employees.

Attitude of Health Care Professionals to Organ Donation: Two Surveys Among the Staff of a German University Hospital

2010 ◽  
Vol 42 (1) ◽  
pp. 126-129 ◽  
Author(s):  
S. Radunz ◽  
S. Hertel ◽  
K.W. Schmid ◽  
M. Heuer ◽  
P. Stommel ◽  
...  
Keyword(s):  
Health Care ◽  
Organ Donation ◽  
Health Care Professionals ◽  
University Hospital

scholarly journals Acesso à insulinoterapia de usuários com diagnóstico de Diabetes Mellitus acompanhados em ambulatório especializado

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Mariana da Conceição Santana Lima ◽  
Paulo Henrique Fernandes Santos ◽  
Keila Cristianne Trindade Da Cruz ◽  
Lucas Cardoso Dos Santos ◽  
Valéria Bertonha Machado ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Comprehensive Health Care ◽  
Cross Sectional ◽  
The Public ◽  
Comprehensive Health ◽  
Distrito Federal ◽  
Structured Questionnaire

Objetivo: Caracterizar o perfil e o acesso à insulinoterapia dos usuários com diagnóstico de Diabetes Melittus atendidos no Ambulatório de Endocrinologia de um hospital universitário do Distrito Federal. Método: Estudo transversal, realizado de abril a maio de 2019. A amostra constituiu-se de 60 participantes com 18 anos ou mais. Foi aplicado questionário estruturado e os dados descritivos analisados pelo software PSPP. Resultados: Verificou-se que a maioria (86,7%) são mulheres, que os participantes obtêm insulina (93,3%), antidiabéticos orais (50,0%) e insumos (93,3%) no serviço público, e que metade desses participantes os adquirem na unidade de saúde. Ainda metade (53,3%) relatou ter interrompido o tratamento devido à falta desses medicamentos. Conclusão: O estudo evidenciou as fragilidades no acesso às redes de saúde do Distrito Federal em decorrência da falta de investimentos na Atenção Básica e da cultura hegemônica, sendo urgente o investimento nas redes de cuidado à luz das políticas de acesso.Descritores: Acesso aos Serviços de Saúde; Diabetes mellitus; Níveis de Atenção à Saúde; Assistência Integral à Saúde. Objective: To characterize the profile and access to insulin therapy of users with diabetes mellitus treated in the Endocrinology Outpatient Clinic in an university hospital of Distrito Federal. Method: Cross-sectional study, performed from April to May 2019. The sample consisted of 60 participants with 18 years or more. A structured questionnaire was applied and the descriptive data analyzed by the PSPP software. Results: It was found that the majority (86.7%) were women, that participants obtain insulin (93.3%), oral antidiabetics (50.0%) and inputs (93.3%) in the public service, and that half of these participants acquire it at the health unit. Half (53.3%) reported having interrupted the treatment due to the lack of these medications. Conclusion: The study showed the weaknesses in access to networks of health of Distrito Federal due to the lack of investment in primary health care and the hegemonic culture, being urgent the investment in care networks of care in the light of the access policies.Descriptors:  Health Services Accessibility; Diabetes Mellitus; Health Care Levels; Comprehensive Health Care. Objetivo: caracterizar el perfil y el acceso a la terapia con insulina de los usuarios diagnosticados con Diabetes Melittus atendidos en la Clínica Ambulatoria de Endocrinología de un hospital universitario en el Distrito Federal. Método: estudio transversal, realizado de abril a mayo de 2019. La muestra consistió en 60 participantes de 18 años o más. Se aplicó un cuestionario estructurado y los datos descriptivos fueron analizados por el software PSPP. Resultados: se encontró que la mayoría (86.7%) son mujeres, los participantes reciben insulina (93.3%), antidiabéticos orales (50.0%) e insumos (93.3%) en el servicio público, y la mitad de estos participantes los adquieren en el centro de salud. Todavía la mitad (53.3%) informó suspender el tratamiento debido a la falta de estos medicamentos. Conclusión: El estudio mostró las debilidades en el acceso a las redes de salud en el Distrito Federal debido a la falta de inversiones en atención primaria y cultura hegemónica, siendo urgente invertir en redes de atención a la luz de las políticas de acceso.Palabras clave: Accesibilidad a los Servicios de Salud; Diabetes Mellitus; Niveles de Atención de Salud; Atención Integral de Salud.

scholarly journals Identity Matters- Perceptions of Inter-Professional Feedback in the Context of Workplace-based Assessment in Diabetology Training: A Qualitative Study

2020 ◽  
Author(s):  
Katrin Feller ◽  
Christoph Berendonk
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professional ◽  
Health Care Professionals ◽  
Allied Health ◽  
University Hospital ◽  
Professional Collaboration ◽  
Professional Groups ◽  
Allied Health Care ◽  
Workplace Based Assessment

Abstract Background: Inter-professional collaboration is acknowledged as essential for quality patient-care. However, little is known about receptiveness to inter-professional feedback in the postgraduate training. This study explores, in light of social identity theory, the perceptions of residents, supervising physicians and allied health care professionals regarding inter-professional feedback in the context of workplace-based assessment. Methods: For six months, residents in diabetology at the University Hospital of Bern performed formative workplace-based assessments under direct observation of a supervising physician and an allied health care professional. Feedback from both observers was given to the resident after every assessment. Subsequently, focus group discussions were conducted to collect the participants’ perceptions of inter- and intra-professional feedback. Transcripts were analyzed qualitatively using a thematic analysis approach. Results: We identified four main themes: (1) Identity and hierarchy; (2) Interdependence of feedback source and feedback content; (3) Impact on collaboration and patient-care; (4) Logistical and organizational requirements. While different social identities are the source of inter-professional hierarchies, they did not impede the receptiveness to feedback. Perceived trustworthiness of the feedback was attributed with more importance than professional affiliations, whereas intra-professional hierarchies between physicians led to the perception of a more summative nature of the feedback and rather impeded receptiveness. According to the participants, inter-professional feedback raised awareness of the working reality of other team members and had a positive impact on communication between the different professional groups. Moreover, participants reported positive response from patients regarding the inter-professional collaboration they experienced. Considerable organizational effort is required to enable the parallel observation of a resident’s consultation by a supervising physician and an allied health care professional. Conclusions: Feedback from allied health care professionals can be a valuable learning resource for residents, given its role outside the sometimes conflicting area of intra-professional hierarchies. Inter-professional feedback in the context of workplace-based assessment carries the potential to strengthen collaboration between the different professional groups.

scholarly journals Identity Matters - Perceptions of Inter- and Intra-Professional Feedback in the Context of Workplace-based Assessment in Diabetology Training: A Qualitative Study

2019 ◽  
Author(s):  
Katrin Feller ◽  
Christoph Berendonk
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professional ◽  
Health Care Professionals ◽  
Allied Health ◽  
University Hospital ◽  
Professional Collaboration ◽  
Professional Groups ◽  
Allied Health Care ◽  
Workplace Based Assessment

Abstract Background: Inter-professional collaboration is acknowledged as essential for quality patient-care. However, little is known about receptiveness to inter-professional feedback in the postgraduate training. This study explores, in light of social identity theory, the perceptions of residents, supervising physicians and allied health care professionals regarding inter- and intra-professional feedback in the context of workplace-based assessment. Methods: For six months, residents in diabetology at the University Hospital of Bern performed formative workplace-based assessments under direct observation of a supervising physician and an allied health care professional. Feedback from both observers was given to the resident after every assessment. Subsequently, focus group discussions were conducted to collect the participants’ perceptions of inter- and intra-professional feedback. Transcripts were analyzed qualitatively using a thematic analysis approach. Results: We identified four main themes: (1) Identity and hierarchy; (2) Interdependence of feedback source and feedback content; (3) Impact on collaboration and patient-care; (4) Logistical and organizational requirements. While different social identities are the source of inter-professional hierarchies, they did not impede the receptiveness to feedback. Perceived trustworthiness of the feedback was attributed with more importance than professional affiliations, whereas intra-professional hierarchies between physicians led to the perception of a more summative nature of the feedback and rather impeded receptiveness. According to the participants, inter-professional feedback raised awareness of the working reality of other team members and had a positive impact on communication between the different professional groups. Moreover, participants reported positive response from patients regarding the inter-professional collaboration they experienced. Considerable organizational effort is required to enable the parallel observation of a resident’s consultation by a supervising physician and an allied health care professional. Conclusions: Feedback from allied health care professionals can be a powerful learning resource for residents, given its role outside the sometimes conflicting area of intra-professional hierarchies. Inter-professional feedback in the context of workplace based assessment carries the potential to strengthen collaboration between the different professional groups and to improve patient care.

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