Holistic Care during Delivery

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Health Care ◽  
Holistic Care ◽  
Positive Experience ◽  
Communication Support ◽  
Good Communication ◽  
Birth Companion

Giving birth is a life-changing event. It is a crucial phenomenon in the women’s life. To be care, and to be cared for should be the motive for every health care professional’s mind. Good communication, support, clean and aseptic usage of equipment during compassion from staff, and having her wishes respected, can help her feel in control of what is happening and contribute to making birth a positive experience for the woman and her birth companion.

Práticas humanizadoras na Atenção Básica: uma revisão sistemática qualitativa

2020 ◽  
Vol 20 (2) ◽  
pp. 54-62
Author(s):  
Ieda Carla Almeida dos Santos de Souza Pastana ◽  
Erika Cardozo Pereira Cardozo Pereira ◽  
Janaina Cristina Santos Lima Cristina Santos Lima ◽  
Mariana Cabral Schveitzer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Personnel ◽  
Personal Autonomy ◽  
Attitude Of Health Personnel ◽  
Holistic Care ◽  
Patient Centred Care ◽  
Primary Health ◽  
Care Health

Objetivos: identificar práticas de humanização na Atenção Básica. Método: revisão sistemática, partindo das seguintes fontes de in-formação: PubMed, CINAHL, Scielo, utilizando-se a palavra-chave primary health care, associada separadamente às seguintes pa-lavras-chave: humanization of assistance (humanização), holistic care/health (cuidado/saúde holístico), patient centred care, user embracement (acolhimento), personal autonomy, holism, attitude of health personnel (atitude dos profissionais). Método: Revisão sistemática qualitativa. Resultados: Foram incluídos 17 estudos identificados entre 2012 e 2018. Os dados foram sistematizados em sete categorias: (a) Oferta de práticas humanizadoras, (b) Difi-cultadores das práticas humanizadoras, (c) Facilitadores das prá-ticas humanizadoras, (d) Necessidade de capacitação sobre as práticas humanizadoras, (e) Vínculo profissional-usuário, (f) Efei-to positivo das práticas humanizadoras no trabalho em equipe e (g) Atitudes e crenças que refletem as práticas humanizadoras. Considerações Finais: As práticas humanizadoras continuam a ser desenvolvidas na Atenção Básica e seus efeitos positivos são re-conhecidos pelos profissionais de saúde. Por isso, investimentos no desenvolvimento dessas práticas e também em pesquisas de-vem continuar, incluindo também as percepções de usuários e dos órgãos gestores.  

scholarly journals Users’ Experiences With an Interactive Evidence to Decision (iEtD) Framework: A Qualitative Analysis

2020 ◽  
Author(s):  
Jose Francisco Meneses-Echavez ◽  
Sarah Rosenbaum ◽  
Gabriel Rada ◽  
Signe Flottorp ◽  
Jenny Moberg ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Content Analysis ◽  
Response Rate ◽  
Guideline Development ◽  
Structured Interview ◽  
Positive Experience ◽  
Audio Recordings ◽  
Real Scenario ◽  
Care Decision

Abstract Background: Evidence to Decision (EtD) frameworks bring clarity, structure and transparency to health care decision making. The interactive Evidence to Decision (iEtD) tool, developed in the context of the DECIDE project and published by Epistemonikos, is a stand-alone online solution for producing and using EtD frameworks. Since its development, little is known about how organizations have been using the iEtD tool and what characterizes users’ experiences with it.Methods: This study aimed to describe users’ experiences with the iEtD and identify main barriers and facilitators related to use. We contacted all users registered in the iEtD via email and invited people who identified themselves as having used the solution to a semi-structured interview. Audio recordings were transcribed, and one researcher conducted a content analysis of the interviews guided by a user experience framework. Two researchers checked the content independently for accuracy. Results: Out of 860 people contacted, 81 people replied to our introductory email (response rate 9.4%). Twenty of these had used the tool in a real scenario and were invited to an interview. We interviewed all eight users that accepted this invitation (from six countries, four continents). ‘Guideline development’ was the iEtD use scenario they most commonly identified. Most participants reported an overall positive experience, without major difficulties navigating or using the different sections. They reported having used most of the EtD framework criteria. Participants reported tailoring their frameworks, for instance by adding or deleting criteria, translating to another language, or rewording headings. Several people preferred to produce a Word version rather than working online, due to the burden of completing the framework, or lack of experience with the tool. Some reported difficulties working with the exportable formats, as they needed considerable editing.Conclusion: A very limited number of guideline developers have used the iEtD tool published by Epistemonikos since its development. Although users’ general experiences are positive, our work has identified some aspects of the tool that need improvement. Our findings could be also applied to development or improvement of other solutions for producing or using EtD frameworks.

scholarly journals The Art of Surgery: Balancing Compassionate With Virtual Care (Preprint)

2020 ◽  
Author(s):  
Elisheva Tamar Anne Nemetz ◽  
David Robert Urbach ◽  
Karen Michelle Devon
Keyword(s):  
Health Care ◽  
Physical Examination ◽  
Health Care Team ◽  
Body Language ◽  
Surgical Practice ◽  
Good Communication ◽  
Academic Literature ◽  
Virtual Care ◽  
Patient Groups

UNSTRUCTURED The recent drive to include virtual care in surgical practice has been accelerated due to the COVID-19 pandemic. Many physicians feel that communicating via telehealth is unlike traditional methods of providing health care, and thus guidance on maintaining excellence in communication is necessary, especially as academic literature on virtual care in surgery is nonexistent. Challenges faced in transitioning to virtual care include the inability to utilize body language, barriers to traditional physical examination, exacerbation of existing vulnerabilities and inequities in patient groups, the declining quality of medical education, and the fragmentation of the multidisciplinary health care team. This paper seeks to resolve these challenges by focusing on the pillars of good communication, including preparation, professionalism, empathy, respect, and the virtual physical examination.

scholarly journals Health workers' views on factors affecting caregiver engagement with bubble CPAP

2020 ◽  
Author(s):  
Sangwani Salimu ◽  
Maggie Woo Kinshella ◽  
Marianne Vidler ◽  
Mwai Banda ◽  
Laura Newberry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Health Management ◽  
Care Providers ◽  
District Health ◽  
Severe Respiratory Distress ◽  
Good Communication ◽  
District Hospitals ◽  
Bubble Cpap

Abstract Background Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about caregivers' engagement with perspectives of bubble CPAP. The purpose of this study was to explore caregiver perspectives for bubble CPAP at both central and district hospitals and key factors that enable effective caregiver engagement in Malawi. Methods This was a descriptive qualitative study employing secondary analysis of 46 health care worker in-depth interviews. We interviewed the health workers about their thoughts on caregiver perspectives regarding use of bubble CPAP. We implemented the study at a tertiary facility and three district hospitals in southern Malawi. This was a part of a larger study to understand barriers and facilitators to implementing neonatal innovations in resource-constrained hospitals. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). Health workers were purposively selected to include nurses, clinicians and district health management involved in the use of bubble CPAP.Results Emerging issues included caregiver fears around bubble CPAP equipment as potentially harmful to their new-borns and how inadequate information provided to caregivers exacerbated knowledge gaps and was associated with refusal of care. However, good communication between health care providers and caregivers was associated with acceptance of care. Caregivers’ decision-making was influenced by relatives and peer advocates were helpful in supporting caregivers and alleviating fears or misconceptions about bubble CPAP.Conclusions Since caregivers turn to relatives and peers for support, there is need to ensure that both relatives and peers are counselled on bubble CPAP for improved understanding and uptake. Health workers need to provide simplified, accurate, up-to-date information on the intervention as per caregivers’ level of understanding. Notably, contextualised comprehensible information will help alleviate caregivers’ fear and anxieties about bubble CPAP.

Patient Communication

2019 ◽  
pp. 45-62
Author(s):  
Michael Breyer ◽  
Lee Shockley
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Communication Skills ◽  
Medical Errors ◽  
Staff Morale ◽  
Good Communication ◽  
Potential Barriers ◽  
Good Patient ◽  
Care Workers ◽  
Good Patient Care

Good communication with patients has now been recognized as critical to their care. Although there are many potential barriers to communication in the patient care setting, health care workers understand that breaking them down to communicate in a healthy, positive fashion helps to provide patients with better care, improves staff morale, and decreases medical errors. Skilled practitioners recognize these challenges and come equipped with a toolbox designed to communicate well with patients, as they know good communication skills denote good patient care.

Integrative Nursing in Sweden

2014 ◽  
pp. 515-525 ◽  
Author(s):  
Mats Jong ◽  
Miek C. Jong ◽  
Torkel Falkenberg
Keyword(s):  
Health Care ◽  
Complex Systems ◽  
Integrative Medicine ◽  
Real World ◽  
Complex Interventions ◽  
Holistic Care ◽  
Nursing Curricula ◽  
Specific Effects ◽  
Systems Research ◽  
Research Complex

In Sweden concepts of holistic care are well integrated in nursing curricula and health care legislation, but terms such as integrative nursing and integrative medicine is unfamiliar. A major challenge in Sweden is to inform and reform stakeholders in healthcare to acknowledge the benefits and value of evidence generated in (pragmatic-real world research) complex systems research since often integrative nursing methods are complex interventions where it is hard to rely on evidence of specific effects from individual elements of interventions. Experience based programs (on evidence informed integrative nursing practices) may be a key to create awareness among university staff, students, and future healthcare professionals of the qualities of integrative practices to promote and maintain health.

scholarly journals The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Onno C. P. van Schayck ◽  
Lynn Bindels ◽  
Ancka Nijs ◽  
Bo van Engelen ◽  
Adrienne van den Bosch ◽  
...  
Keyword(s):  
Health Care ◽  
Smoking Cessation ◽  
General Practitioners ◽  
Premature Death ◽  
Routine Care ◽  
Positive Experience ◽  
Telephone Interviews ◽  
Stop Smoking ◽  
Tobacco Addiction ◽  
Brief Advice

Abstract Although tobacco smoking is the world’s most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is time-consuming and may jeopardize their relationship with patients. Very Brief Advice (VBA) is a non-confrontational method, which could assist general practitioners (GPs) as a simple, quick first step in getting patients to stop smoking. In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement.

Stress and Anxiety Management During the COVID-19 Pandemic (Lessons Learnt from a Cohort of Orthopaedic Registrars Redeployed to ITU)

2020 ◽  
Vol 22 (5) ◽  
pp. 303-312
Author(s):  
Joseph Boktor ◽  
Rhodri Gwyn ◽  
Gianluca Gonzi ◽  
Abhijeet Kumar ◽  
Kunal Roy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Intensive Therapy ◽  
Vulnerable Groups ◽  
Anxiety Management ◽  
Good Communication ◽  
Active Involvement ◽  
Lessons Learnt ◽  
Care Workers ◽  
Future Challenges

Background. Working during the coronavirus pandemic has had a significant impact on health care workers. A group of orthopaedic trainees at Royal Gwent Hospital, UK, were redeployed to intensive therapy unit for four weeks during COVID-19 pandemic. This study reviews our experience; focusing on causes of stress and anxiety, and how they were managed. The lessons learnt could be used as a framework for pre-emptive me­asures during future challenges. Material and methods. Orthopaedic registrars were divided into two groups. Seven trainees (Redeployed group) moved to ITU for four weeks to support the critical care team. The other group (Retained group) of eight registrars continued to cover orthopaedic rota. A survey was done for anxiety levels comparing the two groups at three time points during these four weeks. Results. Anxiety and stress in the ITU-redeployed group was comparatively less than the continuing group as time progressed during the redeployment. Conclusions. 1. The disruptive impact of the COVID-19 pandemic has been a source of massive stress and an­xiety for health care workers. 2. Our experience shows that stress is controllable with the correct strategies. 3. The main points are early identification of vulnerable groups, proper induction, active involvement, adequate explanation, appreciation, good communication, and available psychological support whenever needed. 4. These are essential to maintain a resilient workforce against upcoming waves of COVID-19.

scholarly journals Exploring a communication curriculum through a focus on social accountability: A case study at a South African medical school

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Margaret G. Matthews ◽  
Jacqueline M. Van Wyk
Keyword(s):  
Health Care ◽  
Medical School ◽  
Mother Tongue ◽  
Social Accountability ◽  
Structured Interviews ◽  
Care Needs ◽  
Good Communication ◽  
Language And Culture ◽  
Curriculum Review

Background: Good communication is integral to social accountability, and training is included in medical curricula internationally. In KwaZulu-Natal, training is conducted in English, in spite of most public sector patients being mother tongue isiZulu speakers. Communication challenges with patients are common, but good communication and African language teaching are not emphasised in teaching.Aim: This study explored communication training and how it related to social accountability at a single institution in KwaZulu-Natal.Setting: This exploratory, qualitative case study design at the medical school explored participants’ perceptions about communication and social accountability and reviewed relevant educational documentation for evidence.Methods: Purposive sampling was used to select medical students, educators and stakeholders from the educational and service platforms. Focus group discussions and semi-structured interviews were conducted. The data were thematically analysed with reference to Boelen’s social obligation scale for medical schools.Results: Good communication was valued, but often poorly role-modelled. Participants agreed that communication and isiZulu teaching were insufficiently supported to respond adequately to the needs of local communities. Social accountability was not well understood by students, while medical school educators and other stakeholders indicated that, despite aspirations, this goal had not yet been achieved.Conclusions: Learning isiZulu language and culture in an integrated manner in both preclinical and clinical phases would improve communication with patients, contribute to socially responsive health care, and better address health care needs. Incorporating a social accountability framework in curriculum review would highlight the importance of measuring health outcomes and community impacts, and so enhance the educational mission of the medical school.

scholarly journals Responsibilities of Pregnant Women for on Going Pregnancy - Medical Aspects

2016 ◽  
Vol 9 (2) ◽  
pp. 121-130
Author(s):  
Ratko Matijević ◽  
Katja Erjavec
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Health Care Systems ◽  
Unborn Child ◽  
Communication Education ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Care Systems ◽  
Potential Damage

There are numerous factors known to affect the course of pregnancy and adversely impact perinatal mortality and morbidity. Some of them are avoidable and some are not. Avoidable factors can be either under responsibility of medical staff, health care systems and communities; or under responsibility of pregnant women. By modifying and changing their lifestyle, pregnant women can influence some avoidable factors and improve their pregnancy outcome. However, by ignoring them, they can cause potential damage to themselves and to their unborn child. There is no well defined responsibility for women concerning ways they influence their pregnancy outcome; they have a full right to make decisions about themselves and their unborn children, whether right or wrong. Good communication, education and understanding are essential when dealing with these issues.

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