scholarly journals Collaborative care in health institutions: the nurse as integrator

2014 ◽  
Vol 23 (4) ◽  
pp. 1145-1152 ◽  
Author(s):  
Vera Regina Waldow

This theoretical study aimed to share and propose a vision regarding collaborative work in the area of health, in the perspective of care. The nurse is considered the leader in this process, responsible for spreading and motivating principles of care among the nursing team and the other health professionals; the goal is collaborative work impacting positively on the relationships between the various professionals, patients and family members, resulting in an atmosphere where behaviors of care, such as solidarity, cooperation and respect, may be shown, contributing to competent and sensitive care.

2020 ◽  
Vol 10 (1) ◽  
pp. 82-89
Author(s):  
Witória Lúcia dos Santos Lima ◽  
Priscila Alves Torreão ◽  
Joice Silva Santos ◽  
Karina Maia Cunha ◽  
Rita de Cássia de Sousa Nascimento ◽  
...  

O processo de educação interprofissional em saúde acontece quando duas ou mais profissões trabalham em conjunto, aprendendo entre si, com a outra e sobre a outra. Com o intuito de desenvolver o trabalho colaborativo e almejando melhorias na qualidade da assistência em saúde, especialmente no que tange ao contexto do Sistema Único de Saúde (SUS), o Programa de Educação para o Trabalho em Saúde (PET-Saúde), articulado com instituições de ensino superior e instituições públicas de saúde, prepara e forma profissionais com a atenção voltada para o trabalho coletivo em serviços do SUS. Para que isso de fato aconteça, leva-se em consideração a realidade e necessidade de saúde de uma dada regiãoonde esses profissionais vão atuar diretamente, bem como, uma sólida formação metodológica prévia sobre o assunto. Este relato de experiência demonstra a contribuição do PET-Saúde na formação de estudantes de diversas áreas da saúde daUniversidade Estadual de Feira de Santana e no desenvolvimento de ações práticas frente a uma dada comunidade, ações essas fundamentadas nos princípios da interprofissionalidade e do trabalho em equipe. AbstractThe process of interprofessional health education happens when two or more professions work together, learning among themselves, with the other and about the other. In order to develop collaborative work and aiming for improvements in the quality of health care, especially with regard to context of Unified Health System, the Education Program for Health Work (EPHW), articulated with health institutions, prepares and trains professionals with a focus on collective work in these services. For this actually happen, the reality and the health needs of a given region, where these professionals will work directly, are taken into account, as well as a solid prior methodological training on the subject. This experience report demonstrates the contribution of EPHW/Interprofessionality in the training of students from different areas of health by the State University of Feira de Santana and in the development of practical actions before a given community. These actions are based on the principles of interprofessionality and team work.


Author(s):  
I. Kukhtevich

Functional autonomic disorders occupy a significant part in the practice of neurologists and professionals of other specialties as well. However, there is no generally accepted classification of such disorders. In this paper the authors tried to show that functional autonomic pathology corresponds to the concept of somatoform disorders combining syndromes manifested by visceral, borderline psychopathological, neurological symptoms that do not have an organic basis. The relevance of the problem of somatoform disorders is that on the one hand many health professionals are not familiar enough with manifestations of borderline neuropsychiatric disorders, often forming functional autonomic disorders, and on the other hand they overestimate somatoform symptoms that are similar to somatic diseases.


2019 ◽  
Vol 62 (0) ◽  
pp. 56-63
Author(s):  
Laura Silvia Hernández Gutiérrez ◽  
Angélica García-Gómez ◽  
Argimira Vianey Barona Nuñez ◽  
Erick López Léon

The education based on simulation is an educationalstrategy where students learn from their errors, developing skills, knowledge, competences,etc. in a controlled environment. During the process of teaching by simulation, it is necessaryto execute various types of assessments (diagnostic, summative, formative) in order tomake adjustments or changes in the educational process of the students, therefore identifying areas of opportunity for improvement. With the simulation, different processes can be taught, like interprofessionalism and collaborative work. Nowadays, there is a major concern for added safety and the quality of care for the patients and their families. Therefore, a WHO study group determined the basic interprofessional competences, and has been given the task of disseminating and promoting interprofessional education. Some educational institutions in the US, Canada and Europe have integrated interprofessional and collaborative work in simulation practices. All the activity by simulation must be evaluated in order to provide feedback to the participants and establish improvement strategies. The assessment of the interprofessional work focuses on the evaluation of common skills and competencies among various health professionals.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rubinelli

Abstract The paternalistic approach to health professional-patient communication is often no longer successful. The main reasons for this include the fact that trust in medicine and health professionals is no longer taken for granted. In many domains, the concepts of 'expert' and 'science' are in shadow. Moreover, patients can access all sorts of health information, including information that is or seems inconsistent with the advice given by their health professionals. This talk aims to illustrate some basic approaches to communication that can enhance health professional-patient interaction. First, health professionals should consider their communication with patients as a form of persuasion. Persuasion, that does not equal manipulation, is a way to communicate that takes into consideration the knowledge, beliefs, and attitudes of interlocutors. By adopting a person-centered style, health professionals should present their advice by contextualizing it into the emotional and cognitive setting of the patients. Second, communication should consider the lived experience of patients, that is the impact that a health condition or a preventive behavior has on their quality of life and their experience of pleasure. Indeed, managing health conditions is not just applying health advice: it often demands a change in lifestyles that can negatively impact how patients live their lives. Third, health professionals should develop clear strategies to engage with information that patients find from other sources. Health professionals must ask patients if they disagree with them, and to clarify any eventual difference of opinion. The information age has positively favored a democratization of health information. Yet, it imposes that health systems care for their communication. This talk concludes by presenting main evidence from on how to reinforce hospitals, public health institutions, and health services in communication so that patients want to listen.


2021 ◽  
Vol 22 (4) ◽  
pp. 1980
Author(s):  
Mariarita Laforgia ◽  
Carmelo Laface ◽  
Concetta Calabrò ◽  
Simona Ferraiuolo ◽  
Valentina Ungaro ◽  
...  

Peripheral neurologic complications are frequent adverse events during oncologic treatments and often lead to dose reduction, administration delays with time elongation of the therapeutic plan and, not least, worsening of patients’ quality of life. Experience skills are required to recognize symptoms and clinical evidences and the collaboration between different health professionals, in particular oncologists and hospital pharmacists, grants a correct management of this undesirable occurrence. Some classes of drugs (platinates, vinca alkaloids, taxanes) typically develop this kind of side effect, but the genesis of chemotherapy-induced peripheral neuropathy is not linked to a single mechanism. This paper aims from one side at summarizing and explaining all the scattering mechanisms of chemotherapy-induced peripheral neuropathy through a detailed literature revision, on the other side at finding new approaches to possible treatments, in order to facilitate the collaboration between oncologists, hematologists and hospital pharmacists.


2010 ◽  
Vol 13 (2) ◽  
pp. 897-905 ◽  
Author(s):  
Andrés Martín-Asuero ◽  
Gloria García-Banda

This semi-experimental study examines how Mindfulness facilitates a distress reduction in a group of health professionals. The sample comprises 29 professionals seeking stress reduction who undertook an 8 weeks psico-educative intervention, involving 28 hours of class, based on a program called Mindfulness-based Stress Reduction or MBSR. Results show a 35% reduction of distress, from percentile 75 to 45, combined with a 30% reduction in rumination and a 20% decrease in negative affect. These benefits lasted during the 3 months of the follow up period. The correlation analysis indicates that the decrease in distress is significantly related to the other two variables. These results confirm the effectiveness of MBSR to decrease distress and its applicability in training programs for health professionals.


PEDIATRICS ◽  
1970 ◽  
Vol 46 (3) ◽  
pp. 422-426
Author(s):  
Carter L. Marshall ◽  
Khatab M. Hassanein ◽  
Ruth S. Hassanein ◽  
Carol L. Paul

The semantic differential, a means of measuring attitudes, was administered to 178 fourth grade students to compare attitudes toward health. One school was composed almost entirely of black children from the inner city, the other contained white children from upper middle class homes. When the children were divided into the two groups by sex, differences between the groups were not statistically significant but there were highly significant differences between the races. Generally, white children held more positive attitudes toward health personnel and health institutions than black children, while on the average black children were less concerned about sickness than white children. Whether these differences in attitude are in some way ethnically determined or based rather on a "culture of poverty" could not be determined from this study.


2016 ◽  
Vol 14 (1) ◽  
pp. nrs.14002 ◽  
Author(s):  
Shailaja D. Divekar ◽  
Deanna M. Tiek ◽  
Aileen Fernandez ◽  
Rebecca B. Riggins

Estrogen-related receptors (ERRs) are founding members of the orphan nuclear receptor (ONR) subgroup of the nuclear receptor superfamily. Twenty-seven years of study have yet to identify cognate ligands for the ERRs, though they have firmly placed ERRα (ESRRA) and ERRγ (ESRRG) at the intersection of cellular metabolism and oncogenesis. The pace of discovery for novel functions of ERRβ (ESRRB), however, has until recently been somewhat slower than that of its family members. ERRβ has also been largely ignored in summaries and perspectives of the ONR literature. Here, we provide an overview of established and emerging knowledge of ERRβ in mouse, man, and other species, highlighting unique aspects of ERRβ biology that set it apart from the other two estrogen-related receptors, with a focus on the impact of alternative splicing on the structure and function of this receptor.


2015 ◽  
Vol 31 (2) ◽  
pp. 645 ◽  
Author(s):  
César Carrillo-García ◽  
María E. Martínez-Roche ◽  
Carmen I. Gómez-García ◽  
Mariano Meseguer-DePedro

Job satisfaction in health services is measured by the quality of care provided, hence the importance of surveying the workers of health institutions. The objective was to explore and analyze the phenomenon of the satisfaction of working in a sample made up of 546 health professionals belonging to a public University Hospital. Both a socio-demographic questionnaire and General Scale of Satisfaction (<em>Overall</em> <em>Job</em> <em>Satisfacción</em>) that were both validated in Spanish were given to the participants. The results of general satisfaction showed a mean of 71.37 (<em>SD</em> = 14.03). The subscales with better results were: colleagues and immediate superior. There were important differences in satisfaction scores between the different professional categories. The higher levels of general satisfaction were found in hospital management groups and resident doctors, while the lower levels of general satisfaction were found in medical area specialists, nurses and auxiliary nurses.


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