Divide and multiply: culture and politics in the new medical order

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.

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The Precise and Efficient Identification of Medical Order Forms Using Shape Trees

Advances in Data Analysis, Data Handling and Business Intelligence - Studies in Classification, Data Analysis, and Knowledge Organization ◽

10.1007/978-3-642-01044-6_60 ◽

2009 ◽

pp. 651-661

Author(s):

Uwe Henker ◽

Uwe Petersohn ◽

Alfred Ultsch

Keyword(s):

Medical Order

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THE ASSOCIATION OF CONVERSATIONS AND MEDICAL ORDER DECISIONS IN THE NURSING HOME

The Gerontologist ◽

10.1093/geront/gnw162.3031 ◽

2016 ◽

Vol 56 (Suppl_3) ◽

pp. 743-744

Keyword(s):

Nursing Home ◽

Medical Order

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Excellence and safety in surgery require excellent and safe tutoring

Open Medicine ◽

10.1515/med-2016-0089 ◽

2016 ◽

Vol 11 (1) ◽

pp. 518-522 ◽

Cited By ~ 2

Author(s):

Alessia Ferrarese ◽

Claudio Buccelli ◽

Giuseppe Addeo ◽

Emanuele Capasso ◽

Adelaide Conti ◽

...

Keyword(s):

Literature Review ◽

Point Of View ◽

Department Of Education ◽

The Internet ◽

Specific Procedure ◽

Ability To Work ◽

Know How ◽

Legal Implications ◽

Medical Order

AbstractThe surgical education in Italy has always been a very important issue. The aim of this article is to bring together the feedback of the definitions of the various components of the learning scheme and to evaluate the importance of the legal point.In March 2016 we performed a literature review. We have also examinated the internet pages of the Italian Department of Education, Health and Medical Order.In Italy the tutor had an unclear role from a legal point of view. He is the person who must be able to perform a specific procedure with expert technical and who must know how to stop the student if this is about to perform a dangerous maneuver. In Italy the ability to work for the trainee is limited in all reality, it depends on several factors including the increase of numbers of medical-legal disputes, the timing, the commitment it requires mentoring and a lack of mentors.Conclusion: In surgery, the problem is greater because of the increasingly of medico-legal implications that we are after surgical procedure. It would be necessary to define a role of the tutor in a regular protocol and a proper assessment of his performance.

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Effectiveness, safety and implementation results of the strategies aimed at the safe prescription of medications in university hospitals in adult patients. Systematic review

Colombian Journal of Anesthesiology ◽

10.5554/22562087.e997 ◽

2021 ◽

Vol 49 (4) ◽

Author(s):

Jaime David Navarro Cárdenas ◽

María Cristina Alarcón Nieto ◽

María Paula Bernal Vargas ◽

Kelly Estrada-Orozco ◽

Hernando Gaitán Duarte

Keyword(s):

Systematic Reviews ◽

Meta Analysis ◽

Adult Patients ◽

Cochrane Library ◽

University Hospitals ◽

Computerized Decision Support ◽

Beneficial Effects ◽

Medical Order ◽

Integrated Or ◽

The Cochrane Library

Introduction: A broad range of practices aimed at improving the effectives and safety of this process have been documented over the past few years. Objective: to establish the effectiveness, safety and results of the implementation of these strategies in adult patients in university hospitals. Methodology: A review of systematic reviews was conducted, in addition to a database search in the Cochrane Library of Systematic Reviews, Embase, Epistemonikos, LILACS and gray literature. Any strategy aimed at reducing prescription-associated risks was included as intervention. This review followed the protocol registered in the International Prospective Registry of Systematic Reviews (PROSPERO): CRD42020165143. Results: 7,637 studies were identified, upon deleting duplicate references. After excluding records based on titles and abstracts, 111 full texts were assessed for eligibility. Fifteen studies were included in the review. Several interventions grouped into 5 strategies addressed to the prescription process were identified; the use of computerized medical order entry systems (CPOE), whether integrated or not with computerized decision support systems (CDSS), was the most effective approach. Conclusions: The beneficial effects of the interventions intended to the prescription process in terms of efficacy were identified; however, safety and implementation results were not thoroughly assessed. The heterogeneity of the studies and the low quality of the reviews, preclude a meta-analysis.

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Application of Intelligent Nursing Information System in Emergency Nursing Management

Journal of Healthcare Engineering ◽

10.1155/2021/3998830 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Qing Li ◽

Yujie Chen

Keyword(s):

Information System ◽

Information Security ◽

Network Communication ◽

Emergency Nursing ◽

Nursing Management ◽

Safety Control ◽

Emergency Procedures ◽

Medical Environment ◽

Medical Order ◽

Nursing Information System

This paper is combined with the intelligent nursing information system to build the emergency nursing platform architecture, from the system emergency procedures, system functionality, network environment deployment, and database design aspects of the discussion. Based on hospital information security, the nursing monitoring system of the intelligent nursing information system is constructed to realize network communication, which is clear and intuitive. The intelligent information system is applied to safety control, medical order information, condition information, and information inquiry, which can save working time and complete the rapid transmission and accurate execution of medical order, making the network communication of medical care more quick and convenient and maximizing the overall efficiency. Based on the disordered phenomenon of registration triage, the Relief algorithm is used to classify the aetiology and triage, and the combination of medical advice, information query, and IT technology is optimized, so as to eliminate the phenomenon of round diagnosis, insert number, and improve the medical environment of waiting for diagnosis, taking medicine, examination, and testing. Finally, through the testing of system information security, information traceability, and rapid information query, the problems in nursing management have been basically solved.

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Job preferences for medical and nursing students to work in rural Guizhou Province, China: a discrete choice experiment

10.21203/rs.3.rs-31721/v1 ◽

2020 ◽

Author(s):

Meiling Bao ◽

Cunrui Huang

Keyword(s):

Nursing Students ◽

Discrete Choice ◽

Rural Areas ◽

Choice Experiment ◽

Health Workers ◽

Mixed Logit ◽

Guizhou Province ◽

Medical Order ◽

Medical University ◽

Education Opportunity

Abstract Background Maldistribution of health workers between urban and rural areas has been a critical difficulty in China. The shortage of health workers in disadvantaged areas reduces access to essential health services delivery, and adversely affects the population health. Policies on attracting health workers to locate in rural areas are needed to be explored. In order to identify the appropriate incentives, we conducted a discrete choice experiment to determine how specific job attributes might be valued by final year students in medical university in Guizhou Province, China. Methods Attributes of potential job were developed through literature review, in-depth semi-structured interviews and pretest. Salary, education opportunity, transportation, job location, workload, essential equipment, medical order, and identification ('bianzhi') were included. The questionnaire was formulated through a fractional factorial experiment design using %MktRuns macros of SAS 9.4. All medical and nursing students in the final year at Guizhou Medical University were invited to participate in the study. Mixed logit model was used to estimate stated preferences of attributes. Willingness to pay and uptake rates for a defined job were also calculated based on the mixed logit estimates. Results The final sample comprised 787 respondents, including 388 medical students and 399 nursing students. Attributes were statistically significant (with the exception of once every two years for education opportunity) and had expected signs. The results indicate that physical conflict between doctors and patients and identification ('bianzhi') were two of the most important non-monetary job characteristics for both medical and nursing students. And nursing students placed more value on identification ('bianzhi'). Policy simulation suggests that as for the individual incentive respondents were most sensitive to salary increasing. Incentive packages effects were stronger for students from rural background. Conclusions Strategies on medical order, identification ('bianzhi') and salary should be considered to attract final year medical and nursing students to work in rural areas. In addition, specific recruitment policy design tailored for subgroups should be taken into account.

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