scholarly journals Psychological Needs and Resources of the Staff in a Pediatric Neurosurgery Ward: A Phenomenological-Hermeneutic Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Iacopo Lanini ◽  
Debora Tringali ◽  
Rosapia Lauro Grotto
Keyword(s):  
Health Care ◽  
Brain Tumors ◽  
Health Care Professionals ◽  
Pediatric Neurosurgery ◽  
Psychological Needs ◽  
Professional Activity ◽  
Staff Members ◽  
Therapeutic Bond ◽  
Organizational Demands ◽  
Complex Picture

Brain tumors are a common form of solid tumors in children and, unfortunately, they are characterized by a very uncertain prognosis. The treatment of this pathology often includes one or more very invasive surgical procedures, quite often in the very first steps of the treatment. Cases of brain tumors in children represent one of the greatest challenges for health care professionals in the domain of pediatric neurosurgery. This is clearly due to the complexity of the therapeutic plan, but also to the nature of the bond that is established between the child, the parents, and the members of the staff during the often-dramatic initial phase of the illness. In this phenomenological-hermeneutic study, we explore both the emotional and organizational needs, as well as the available professional and personal resources of the staff in the Neurosurgery ward of the Meyer Children’s Hospital in Florence (Italy). The ward staff, composed of 7 surgeons, a pediatric neuro-oncologist, 12 nurses, and 4 auxiliary health care professionals, underwent in-depth interviews that were recorded (with the consensus of the participants). The recordings were then transcribed and submitted to content analysis according to COREQ standards. A complex picture of emotional as well as organizational demands emerged from the data. Shared experiences were pointed out, together with more specific and idiosyncratic contents characteristic of different professional roles. The focus of the present paper was twofold, first, we considered the needs that are overtly expressed by the staff, and then we discussed the main sources of their motivational drives. We found that the latter is mainly found in the quality of the therapeutic bond that is established with the children and the family members, together with the deep interest in one’s own professional activity and the effective complementarity and integration of the personal and professional qualities of the staff members within the multidisciplinary caring group.

scholarly journals Topical Issues of Criminal Liability of Medical or Pharmaceutical Workers under the Criminal Code of Ukraine (Article 140 of the Criminal Code of Ukraine)

2019 ◽  
Vol 8 (4S) ◽  
pp. 87-92
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Patient Safety ◽  
Health Care Professionals ◽  
Criminal Liability ◽  
Complex Structure ◽  
Criminal Code ◽  
Professional Activity ◽  
Scientific Article ◽  
Political Processes

The issues of Improper protection of rights and legal interests of the patients due to improper performance of professional duties by a medical or pharmaceutical worker are considered. In particular, problems arising during the application of the norm of criminal liability for specified socially dangerous acts are considered. At the same time, cases of serious consequences to the patient's life and health due to a medical error or actions of medical or pharmaceutical workers committed in the absence of fault are considered although they result in the death of the patient or other grave consequences. Particular attention is paid to iatrogenic mental illness, caused by improper professional activity of the medical workers and peculiarities of the psyche of the patients. Particular attention is paid to the study of the practice of the European Court of Human Rights regarding the legal guarantee of the right to life in Ukraine in the context of criminal proceedings. Ukraine is a party to virtually all international human rights treaties. It imposes on it the obligation to adhere to European norms in the field of human protection. The need for comparative study of laws and effectiveness of their application at the present stage of society's development is due to the process of globalization affecting today not only economic and political processes but also the process of lawmaking. This requires the lawyers of different countries to join in the development of the theoretical foundations of lawmaking to formulate in the aggregate knowledge about the effect of laws based on world legal traditions and experience of the separate states. The complex structure of the health care organizations has led to the need for new models of healthcare professionals to ensure the quality of care and patient safety. In the current situation, patient safety is one of the new challenges faced by the medical students in undergraduate and postgraduate education. This involves incorporating a patient safety culture into curricula, in particular for the doctors and other health care professionals. The scientific article is aimed at solving the issues of criminal law protection as the rights of people in need of the medical services as well as medical and pharmaceutical workers who provide these services.

Neonatal Hospice Program

PEDIATRICS ◽  
1982 ◽  
Vol 70 (3) ◽  
pp. 502-503
Author(s):  
Jonathan M. Whitfield ◽  
Anita Glicken ◽  
Robert Harmon ◽  
Roberta Siegel ◽  
L. Joseph Butterfield
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Care Professionals ◽  
Neonatal Death ◽  
Neonatal Intensive Care ◽  
Staff Members ◽  
Children's Hospital ◽  
Children’S Hospital

We wish to comment on the editorial by Silverman (A hospice setting for humane neonatal death, Pediatrics 69:239, 1982), which we find both insightful and timely. We feel we must take issue with some of Silverman's statements. Over the last 3½ years we have actively incorporated hospice concepts into our neonatal program at Denver Children's Hospital, creating a so-called Neonatal Hospice Program. 1. We agree that health care professionals involved in neonatal intensive care tend to be oriented to "rescue" care; however, in our own experience we have found that with adequate training not only are the staff members open, but often they are very willing to switch from a rescue to palliative mode of treatment in the appropriate circumstances.

scholarly journals Experiences of eating disorders from the perspectives of patients, family members and health care professionals: a meta-review of qualitative evidence syntheses

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Sanna Aila Gustafsson ◽  
Karin Stenström ◽  
Hanna Olofsson ◽  
Agneta Pettersson ◽  
Karin Wilbe Ramsay
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Systematic Reviews ◽  
Health Care Professionals ◽  
Family Members ◽  
Clinical Work ◽  
Psychological Needs ◽  
Inclusion Criteria ◽  
Meta Review

Abstract Background Eating disorders are serious conditions that cause major suffering for patients and their families. Better knowledge about perceptions of eating disorders and their treatment, and which factors that facilitate or hinder recovery, is desired in order to develop the clinical work. We aimed to explore and synthesise experiences of eating disorders from the perspectives of those suffering from an eating disorder, their family members and health care professionals through an overarching meta-review of systematic reviews in the field. Methods A systematic literature search was conducted in the databases PubMed, PsycInfo, Scopus, and CINAHL. Inclusion criteria were systematic reviews of qualitative research on experiences, perceptions, needs, or desires related to eating disorders from the perspective of patients, family members or health care professionals. Systematic reviews that fulfilled the inclusion criteria were assessed for relevance and methodological limitations by at least two researchers independently. The key findings were analysed and synthesised into themes. Results We identified 17 systematic reviews that met our inclusion criteria. Of these, 13 reviews reported on the patients’ perspective, five on the family members’ perspective, and three on the health care professionals’ perspective. The study population in the reviews was predominantly girls and young women with anorexia nervosa, whilst systematic reviews focusing on other eating disorders were scarce. The findings regarding each of the three perspectives resulted in themes that could be synthesised into three overarching themes: 1) being in control or being controlled, 2) balancing physical recovery and psychological needs, and 3) trusting relationships. Conclusions There were several similarities between the views of patients, family members and health care professionals, especially regarding the significance of building trustful therapeutic alliances that also included family members. However, the informants sometimes differed in their views, particularly on the use of the biomedical model, which was seen as helpful by health care professionals, while patients and family members felt that it failed to address their psychological distress. Acknowledging these differences is important for the understanding of anorexia nervosa and other eating disorders, and may help clinicians to broaden treatment approaches to meet the expectations of patients and family members.

scholarly journals Think outside the box – Interprofessional collaboration starts in the mind of teachers / Querdenken erlaubt – Interdisziplinarität beginnt in den Köpfen von Lehrenden

2016 ◽  
Vol 3 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Aisha Meriel Boettcher ◽  
Linda Cording ◽  
Kristin Maria Käuper ◽  
Susanne Busch
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Interprofessional Collaboration ◽  
Academic Education ◽  
Study Program ◽  
Interprofessional Learning ◽  
Learning And Teaching ◽  
Staff Members ◽  
Positive Effects ◽  
Study Programs

AbstractStudies indicate positive effects of interprofessional collaboration on the quality of health care. Interprofessional academic education of health care professionals is crucial for successful cooperation, although Terizakis & Gehring (2014, p. 24) state «a genuine understanding of interprofessional teaching […] hasn't developed yet.» The undefined usage of terminology and coexisting interprofessional study programs are only one part of the problem. Further consented interprofessional learning concepts and systematic knowledge regarding competencies and teaching experiences are lacking. The WHO (2010, pp. 27 f) recommends lecturers to generate a common understanding of interprofessionality. At Hamburg University of Applied Sciences a part-time study program in interprofessional health care and management started in September 2015. It was designed as a continuing education program for occupational-, physio-, and speech therapists, nurses and midwives. As a preparation for the program focus group discussions with staff members of the department „Pfege & Management» were conducted. The aim was to investigate their understanding of interprofessionality, learning and teaching. The results indicated a contextual understanding of interprofessionality, although the usage of the terminology remains blurred. The tension of a congruent interprofessional learning concept is to enhance scientific reflection of disciplines, as well as strengthening interprofessional aspects. Regarding the change in demands of the health care system, interprofessional collaboration is seen as a major resource. The research gap on disciplinary orientations in terms of enhancing professional identity on the one and interprofessionality as innovative construct on the other hand has to be filled.

“Good Readers Make Good Doctors”: Community Readings and the Health of the Community

PMLA ◽  
2010 ◽  
Vol 125 (2) ◽  
pp. 426-436
Author(s):  
Amy Levin ◽  
Phoebe Stein Davis
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Sudden Change ◽  
Hospital Staff ◽  
Ambiguous Genitalia ◽  
Sex Reassignment Surgery ◽  
Sex Reassignment ◽  
Literary Interpretation ◽  
Good Readers ◽  
Staff Members

One of my best experiences as a professor of literature—one of those moments that make the whole endeavor worthwhile—occurred during a discussion of Kafka's The Metamorphosis in the visitation room of a former funeral parlor. The building had been acquired by my local hospital and converted into a meeting space with rickety metal folding tables, and it was home to my first Literature & Medicine reading and discussion group.That night, I was experimenting with a risky pairing, linking Kafka's text with an article on doctors and sex-reassignment surgery for infants born with ambiguous genitalia (Feder 294–320). As health-care professionals, members of this reading community were excited by Kafka's adeptness at conveying the array of emotions experienced by Gregor Samsa and his family, including shame, rage, helplessness, and fear at the sudden change in a loved one. The economic dilemmas of the isolated family, together with their sudden questioning of the definition of the monstrous, gained new echoes and generated fresh readings.For me as a scholar, the insights evoked by this pairing generated the same excitement and sense of discovery I experience after successfully explaining a complicated bit of literary interpretation. In turn, the Literature & Medicine programs sponsored by many state humanities councils create valuable reading communities by bringing scholars into hospitals to discuss texts about medical issues with doctors, nurses, and other employees. They offer critically important opportunities for health-care workers to talk about issues that may not arise elsewhere. For example, discussions of sex-reassignment surgery remain taboo in many hospitals, precisely because for many staff and family members the very idea of intersexuality is monstrous. On a broader basis, the effect of Gregor's change on his family echoes the consequences of the sudden disability of a family member. The pairing I presented thus allowed hospital staff members new, more sympathetic insights as well as opportunities to talk about the topics outside the press of everyday practice.—Amy Levin

scholarly journals Access to Psychological Support for Young People Following Stoma Surgery: Exploring Patients’ and Clinicians’ Perspectives

2020 ◽  
pp. 104973232097233
Author(s):  
Kay Polidano ◽  
Carolyn A. Chew-Graham ◽  
Adam D. Farmer ◽  
Benjamin Saunders
Keyword(s):  
Health Care ◽  
Young People ◽  
Health Care Professionals ◽  
Psychological Symptoms ◽  
Psychological Needs ◽  
Psychological Support ◽  
Constructivist Grounded Theory ◽  
Structured Interviews ◽  
Effective Care ◽  
Specialist Nurses

Psychological problems are common among people with inflammatory bowel disease (IBD) following stoma surgery. However, the ways in which stoma-related psychological needs are identified and addressed in health care settings remain unexplored. In this study, we investigated the perspectives of young people with a stoma and health care professionals about access to psychological support. Semi-structured interviews were conducted with young people with an IBD stoma (18–29 years, n = 13) and health care professionals ( n = 15), including colorectal surgeons, gastroenterologists, specialist nurses in IBD and stoma care, and general practitioners in England. Data collection and analysis were informed by constructivist grounded theory. Three analytic categories were developed: “initiating support-seeking,” “affirming psychological needs,” and “mobilizing psychological support,” which capture young peoples’ trajectory to access psychological support. Based on the findings, we highlight the need for both patients and health care professionals to assign greater priority to the identification of psychological symptoms post-stoma surgery. More effective care pathways, which include responsive psychological services, would enhance access to psychological support for young people with a stoma.

Patients' vs. Professionals' Perceptions of Quality of Care in Greek Public Hospitals

2015 ◽  
Vol 4 (3) ◽  
pp. 47-57
Author(s):  
Ioulia Andricopoulou ◽  
Eirini Margarita Toubeki ◽  
Foteini Gialama ◽  
Panagiotis Prezerakos ◽  
Nikolaos Avraam ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Professionals ◽  
Psychological Needs ◽  
Public Hospitals ◽  
Process Of Care ◽  
Great Satisfaction ◽  
Treatment Procedures ◽  
Gains And Losses

The aim of the study was to compare the views of health care professionals and patients on the quality of care in Greek public hospitals. Traditionally quality of health care was measured using only professional standards. However, in this study the authors tried to measure also patients' welfare, taking into account the expected gains and losses during the process of care. The study was conducted in hospitalized patients (N=313) and health care professionals (N=278 nurses and doctors) in three public hospitals of Attica. Data collection was conducted with the use of two structured and anonymous questionnaires. Main findings showed great satisfaction from the provided care expressed both from patients and health professionals especially in relation to information concerning their health status, pain assessment and the consent requested for treatment procedures. Both groups were dissatisfied by the assessment of social and psychological needs (of patients) and by the possibility of expressing patients' satisfaction or dissatisfaction from the quality of provided health care.

scholarly journals DEONTOLOGICAL APPROACH TOWARD PROFESSIONAL TRAINING OF FUTURE DENTAL DOCTORS

2019 ◽  
Vol 19 (1) ◽  
pp. 93-96
Author(s):  
R.I. Verbovska
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Health Care Professionals ◽  
Professional Training ◽  
Medical Personnel ◽  
Integrated Approach ◽  
Public Health Care ◽  
Professional Activity ◽  
Future Health ◽  
Ethical Attitude

The article is devoted to the issues of medical ethics and deontology, the essence of the deontological approach to the training of future dental doctors. The moral and ethical components are one of the important criteria demonstrating the readiness of future doctors to a high quality professional activity that would meet at demands of the latest medical achievements. Modern medical reform requires the improvement of the medical education system in order to prepare highly skilled health care specialists. A new generation of healthcare professionals should continuously improve and deepen their professional knowledge, be quick in handling complicated clinical situations and making adequate decisions, and demonstrate a high level of deontological culture. Scientists point out the growing requirements for the professional training of the doctors in general and for the level of their deontological culture in particular: "A few decades ago, the content of medical ethics was exhausted by two problems: first, the rules of the behaviour of medical personnel in relation to patients, and, secondly, the rules of the relationship in the medical corporation Today, radical revisions are subject to traditional problems, as well as many new problems. All this led to the need for an integrated approach to these problems and, above all, to the need and integration of theoretical and practical medicine and ethics". General moral and ethical requirements for the activities of medical workers are represented in a number of leading state and international regulatory documents that regulate the theoretical, organizational and methodological basis for the training of future health care professionals and outline the main directions toward the fostering their deontological culture, namely: the International Code of Medical Ethics adopted The General Assembly of the World Medical Association (London, 1949), the provisions of the Geneva Declaration (International Oath of Physicians) (1948), the Ethical Code Doctor I of Ukraine (2009), the Concept of development of public health care for the population of Ukraine "(2000) and others. In this regard, one of the most pressing issues the modern medical institutions of higher education are facing is to raise deontological culture among the future doctors. After all, the unfair performance of doctor’s professional duties, careless or non-ethical attitude to the patient can lead to undesirable and even tragic consequences. Each of us, seeking for a doctor’s advice, wants to be sure of his / her high professional and moral qualities. This imposes a huge responsibility on the doctors and the system of their professional training, because health and life are the most valuable treasure that a person can possess. The doctors of all specialties, including those in dentistry, have a direct relation to the performance of their professional duties by their general professional training, responsibility, decency, respectful attitude to colleagues and patients, high personal culture. These components are the essence of the deontological approach to the training of future dental doctors. If the dentists perform their work poorly, in most cases this remains unnoticed by the patient and does not cause any special conflicts. In such cases, the professional ethics of the doctors and their decency are of particular importance. It is the deontological approach to the training of future dentists that ensures fostering their moral and ethical standards, the acquisition of appropriate skills, abilities, their awareness of moral and ethical values, the development of the required traits of character. Among the prospects for further research within this direction we can single out the synthesis of the results obtained by of the analysis of scientific sources in order to distinguish the actual aspects of the training of future dental doctors.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

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