scholarly journals New coronavirus: what does nursing have to learn and teach in times of a pandemic?

2020 ◽  
Vol 73 (suppl 2) ◽  
Author(s):  
Marli Terezinha Stein Backes ◽  
Karini Manhães de Carvalho ◽  
Evangelia Kotzias Atherino dos Santos ◽  
Dirce Stein Backes

ABSTRACT Objective: To promote a theoretical reflective analysis of what nursing has to learn and teach to global society in times of OVID-19 pandemic. Methods: Reflective theoretical essay aimed at contributing new knowledge and raising new questions, based on the assumptions of Edgar Morin’s complexity thinking, subsidized by readings of texts extracted from electronic databases, as well as speeches by health professionals available in open communication tools. Results: COVID-19 reiterates that the biological warfare of the current pandemic is not fought with nuclear or fire weapons, but with care in its multiple dimensions: physical, emotional, spiritual, family, social, political and economic. Final considerations: Nursing has to learn and teach global society that its main object of work, care, is related to the expansion of systemic interactions and associations and the capacity to strengthen the interlocution with complex reality.

2015 ◽  
Vol 14 (02) ◽  
pp. 1550015 ◽  
Author(s):  
Saori Ohkubo ◽  
Sarah V. Harlan ◽  
Naheed Ahmed ◽  
Ruwaida M. Salem

Over the past few decades, knowledge management (KM) has become well-established in many fields, particularly in business. Several KM models have been at the forefront of promoting KM in businesses and organisations. However, the applicability of these traditional KM models to the global health field is limited by their focus on KM processes and activities with few linkages to intended outcomes. This paper presents the new Knowledge Management for Global Health (KM4GH) Logic Model, a practical tool that helps global health professionals plan ways in which resources and specific KM activities can work together to achieve desired health program outcomes. We test the validity of this model through three case studies of global and field-level health initiatives: an SMS-based mobile phone network among community health workers (CHWs) and their supervisors in Malawi, a global electronic Toolkits platform that provides health professionals access to health information resources, and a netbook-based eHealth pilot among CHWs and their clients in Bangladesh. The case studies demonstrate the flexibility of the KM4GH Logic Model in designing various KM activities while defining a common set of metrics to measure their outcomes, providing global health organisations with a tool to select the most appropriate KM activities to meet specific knowledge needs of an audience. The three levels of outcomes depicted in the model, which are grounded in behavioural theory, show the progression in the behaviour change process, or in this case, the knowledge use process, from raising awareness of and using the new knowledge to contributing to better health systems and behaviours of the public, and ultimately to improving the health status of communities and individuals. The KM4GH Logic Model makes a unique contribution to the global health field by helping health professionals plan KM activities with the end goal in mind.


Author(s):  
Rachel Tribe

Psychiatrists will come into contact with service users who do not use English or the language of the country to which they have migrated. The professional responsibilities of all mental health professionals carry an obligation to serve all members of our communities equitably and impartially; this will include people who have migrated and are not fluent in the language of their chosen country of migration. Working with interpreters and cultural brokers can be an enriching and informative experience for psychiatrists, which can lead to the development of new knowledge. This is in addition to the challenging of what may be taken-for-granted knowledge, as well as the development of additional skills and ways of thinking about mental health. Interpreters and cultural brokers can, in addition to translating the language, explain relevant cultural factors, which are important to the clinical work and the meaning-making of service users and gain additional perspectives.


Author(s):  
David John Frank ◽  
John W. Meyer

This chapter reflects on the university's sweeping expansion and its centrality in a contemporary global society built on liberal and neoliberal institutions. It delineates multiple dimensions of expansion, giving special attention to the growing cultural content included in the university and in a public society deeply intertwined with the university. It also talks about entities that claim explicit university status and to those whose credentials and content are clearly oriented to the university world. The chapter assesses how local organizations gain their authority and credibility through their membership in a great imagined and now global institution known as the university. It also discusses how extraordinary expansion characterized the relationships between the university and society.


2010 ◽  
Vol 34 (4) ◽  
pp. 400 ◽  
Author(s):  
Monica A. Finnigan ◽  
Stuart D. Marshall ◽  
Brendan T. Flanagan

All health services rely on efficient and accurate communication between health professionals to ensure safe and effective patient care. Our health service introduced a standardised technique, ISBAR (Identify, Situation, Background, Assessment, Request), for telephone communication. We describe and evaluate the implementation of this project; evaluation was undertaken using program logic mapping. Recommendations for other health services planning to introduce communication tools into routine clinical use are also provided.


2002 ◽  
Vol 12 (3) ◽  
pp. 1-4 ◽  
Author(s):  
Ross R. Moquin ◽  
Mary E. Moquin

Humans are susceptible to microbial infections from many sources. Biological warfare is the use of microbial forms of life to diminish the capabilities, disrupt the organization, and terrorize the noncombatant population of an adversary. This form of warfare has been used throughout history and has gained renewed interest with the current use of asymmetrical warfare. The civilized world has condemned its use by the implementation of treaties specifically against it. This is a brief review of some of the more easily used biological agents such as anthrax, plague, tularemia, Q fever, and smallpox. Each agent's biology, infectious route, and disease course will be discussed. Possible delivery systems and signs of outbreak will also be reviewed. There are few real neurosurgery-related implications in biological warfare. Neurosurgeons, as members and leaders of the healthcare community, must have the ability to recognize and initiate treatment when biological agents have been deployed. If there is widespread use of these inhumane agents, the neurosurgical community will not be able to practice the surgical art for which we have trained. New knowledge must be acquired so that we can best serve our patients and communities during times of extreme need.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Juliana Cláudia Leal Martins ◽  
Cleide Lavieri Martins ◽  
Lavínia Santos de Souza Oliveira

ABSTRACT Objective: to analyze the attitudes, knowledge and skills that make up the professional competencies of nurses working in indigenous territories. Method: this is an exploratory-descriptive study with a qualitative approach, conducted with nurses working in the Xingu Indigenous Park in 2016. Data were obtained in semi-structured interviews and treated according to the thematic-categorical analysis method. Results: the nurse’s performance in the Xingu Indigenous Park has a multifaceted character, being defined by the territory’s interculturality and specificities and by how the service is organized. Technical skills, concepts from anthropology and attitudes that facilitate a respectful dialogue with cultural difference are required for a professional to act in this context. Final considerations: the performance of health professionals in indigenous territories requires specificities associated with the acquisition of new knowledge, attitudes and skills geared to the intercultural dimension of the work developed.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Eduardo Lazcano-Ponce ◽  
Angelica Angeles-Llerenas ◽  
Rocío Rodríguez-Valentín ◽  
Luis Salvador-Carulla ◽  
Rosalinda Domínguez-Esponda ◽  
...  

Abstract Background Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy. Methods A self-report study on communication patterns in a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors. Results A high prevalence (68.7% [95% CI 60.0–70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16–2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11–2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71–19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed. Conclusions Among mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future.


2015 ◽  
Vol 49 (1) ◽  
pp. 96-103 ◽  
Author(s):  
Ana Rita Marinho Machado ◽  
Walterlânia Silva Santos ◽  
Flavia Aparecida Dias ◽  
Darlene Mara dos Santos Tavares ◽  
Denize Bouttelet Munari

OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the group's lives, empowering them with health promoting actions.


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