scholarly journals Ethics in the operating room; the anesthesiologist's responsibility

2020 ◽  
Author(s):  
Carlos R Degrandi Oliveira
Keyword(s):  
Work Environment ◽  
Operating Room ◽  
Healthcare Professionals ◽  
Ethical Issues ◽  
Withdrawal Period ◽  
Interpersonal Conflicts ◽  
Moral Agents ◽  
Public Expectations ◽  
Wide Range ◽  
The Face

Anesthesiologists are professionals who practice their expertise in an acute process with a very short withdrawal period, which does not allow them many philosophical ramblings. However, they are professionals who must be increasingly concerned with ethical issues if they are to survive in the market and succeed in the face of ever-increasing public expectations that all physicians must take care of in a shrinking world of today due to rapidly expanding social and electronic media. The operating room is particularly a place prone to interpersonal conflicts, as a wide range of healthcare professionals perform their tasks here, with overlapping and sometimes poorly defined areas of responsibility. Acting on behalf of their patients, anesthesiologists can be considered their moral agents and guardians in their shared work environment. Citation: Oliveira CRD. Ethics in the operating room; the anesthesiologist's responsibility. Anaesth. pain & intensive care 2019;23(4):__

scholarly journals Psychometric evaluation of instruments measuring the work environment of healthcare professionals in hospitals: a systematic literature review

2020 ◽  
Vol 32 (8) ◽  
pp. 545-557
Author(s):  
Susanne M Maassen ◽  
Anne Marie J W Weggelaar Jansen ◽  
Gerard Brekelmans ◽  
Hester Vermeulen ◽  
Catharina J van Oostveen
Keyword(s):  
Literature Review ◽  
Work Environment ◽  
Systematic Literature Review ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Working Environment ◽  
Psychometric Validation ◽  
Validity And Reliability ◽  
Eligibility Criteria ◽  
Wide Range

Abstract Purpose Research shows that the professional healthcare working environment influences the quality of care, safety climate, productivity, and motivation, happiness, and health of staff. The purpose of this systematic literature review was to assess instruments that provide valid, reliable and succinct measures of health care professionals’ work environment (WE) in hospitals. Data sources Embase, Medline Ovid, Web of Science, Cochrane CENTRAL, CINAHL EBSCOhost and Google Scholar were systematically searched from inception through December 2018. Study selection Pre-defined eligibility criteria (written in English, original work-environment instrument for healthcare professionals and not a translation, describing psychometric properties as construct validity and reliability) were used to detect studies describing instruments developed to measure the working environment. Data extraction After screening 6397 titles and abstracts, we included 37 papers. Two reviewers independently assessed the 37 instruments on content and psychometric quality following the COSMIN guideline. Results of data synthesis Our paper analysis revealed a diversity of items measured. The items were mapped into 48 elements on aspects of the healthcare professional’s WE. Quality assessment also revealed a wide range of methodological flaws in all studies. Conclusions We found a large variety of instruments that measure the professional healthcare environment. Analysis uncovered content diversity and diverse methodological flaws in available instruments. Two succinct, interprofessional instruments scored best on psychometrical quality and are promising for the measurement of the working environment in hospitals. However, further psychometric validation and an evaluation of their content is recommended.

scholarly journals The Impact to the Emotional Intelligence Performance of Decks and Capacity Systems

2019 ◽  
Vol 8 (11) ◽  
pp. 3026-3029
Keyword(s):  
Work Environment ◽  
Work Experience ◽  
Working Environment ◽  
The Other ◽  
Work Place ◽  
Working Capacity ◽  
Team Members ◽  
Interpersonal Conflicts ◽  
The Face ◽  
The Impact

Now a days there are many interpersonal conflict with colleagues in the work environment there may arises a negative sentimental reaction may arises in the team to achieve the goal or to move to the higher position. If the head of the team may want to give some sentimental treatment to the team members he or she want to face the interpersonal conflicts it is also one of the part in their work experience. However the manger can handle the issues and inter personal conflicts may decide the worth of the manager. Rao on the studies he can able to find the working capacity and their performance of the managers the interpersonal conflicts can plays a major role in the bank sector. The managers can be well concentrated in their work and can find out minimum of 15% of interpersonal conflicts which can determines the capacity of the managers. The sentimental prediction can play a major role in the work place how the manger can react to the other workers and how they handing the issues that are arises in the working environment. The face reaction which may shows the how the person can react to others in the any part of situation. The current paper shows how the manger can react to the issue depending on their mode for the arise of interpersonal conflicts

Utilising Indigenous Knowledge or Crime against Humanity?: A Critical Engagement with the Debate Generated by Alick Macheso’s Use of Manhood to Treat Nhova (Sunken Fontanelle)

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Charles Tembo ◽  
Allan Maganga ◽  
Peterson Dewah
Keyword(s):  
Ethical Issues ◽  
General Tendency ◽  
Ethical Values ◽  
Ethical Considerations ◽  
Lower Back ◽  
African Ethics ◽  
Cultural Grounding ◽  
The Face ◽  
Left And Right ◽  
Points Of View

 This article presents various points of view regarding the treatment of sunken fontanelle by various communities as ignited by the controversial practice of kutara(a practice that involves the father of a child sliding his penis from the lower part of the left and right cheeks to the top of the head, as well as from the lower part of the face to the top of the head, and from the lower back part of the head to the top). The story of Alick Macheso’s use of his manhood to treat nhova (sunken fontanelle) opened a Pandora’s box. The story not only attracted the attention of critics from diverse cultural and ethical backgrounds, but revealed multi-ethnic positions. That is, reactions were steeped in a multiplicity of intellectual, religious and even cultural grounding. Reactions ranged from accusations of backwardness and absurdity, through to medical and Christian orientations toward the treatment of nhova. The overarching idea is that there is a general tendency to dismiss the age-old practice of kutara,coupled with an uncritical celebration of certain positions. The debate that ensued following publication of the story seemed to revolve around ethical considerations. The school of thought that dismisses kutara with disdain regards it as unethical and unimaginable in the present-day world—it is redolent with insinuations of absurdity on the part of those that live and celebrate it. We contend that the raging debate that followed the publication of the story can best be conceptualised within the context of African ethics. We note that kutara has relevance to the spirituality, ethical values, privacy, and protection of children’s rights, among other ethical issues. It is hoped that the article will stir further debate and encourage more research among information practitioners, scholars and researchers into the ethical issues surrounding the treatment of sunken fontanelle in various African communities. It argues for an Afrocentric conceptualisation of phenomena in order to contribute to debates on the renaissance of African cultures, and stresses that it is imperative to harness the life-furthering age-old traditions in African ontological existence.

How Scientists Communicate

2020 ◽  
Author(s):  
Alan Kelly
Keyword(s):  
Ethical Issues ◽  
Scientific Communication ◽  
Scientific Publication ◽  
Good Communication ◽  
Wide Range ◽  
Conference Presentations ◽  
Scientific Papers ◽  
History Of ◽  
The Media ◽  
Broad Overview

What is scientific research? It is the process by which we learn about the world. For this research to have an impact, and positively contribute to society, it needs to be communicated to those who need to understand its outcomes and significance for them. Any piece of research is not complete until it has been recorded and passed on to those who need to know about it. So, good communication skills are a key attribute for researchers, and scientists today need to be able to communicate through a wide range of media, from formal scientific papers to presentations and social media, and to a range of audiences, from expert peers to stakeholders to the general public. In this book, the goals and nature of scientific communication are explored, from the history of scientific publication; through the stages of how papers are written, evaluated, and published; to what happens after publication, using examples from landmark historical papers. In addition, ethical issues relating to publication, and the damage caused by cases of fabrication and falsification, are explored. Other forms of scientific communication such as conference presentations are also considered, with a particular focus on presenting and writing for nonspecialist audiences, the media, and other stakeholders. Overall, this book provides a broad overview of the whole range of scientific communication and should be of interest to researchers and also those more broadly interested in the process how what scientists do every day translates into outcomes that contribute to society.

Pandemic Disease, Public Health, and Ethics

2019 ◽  
pp. 796-811 ◽  
Author(s):  
Maxwell Smith ◽  
Ross Upshur
Keyword(s):  
Public Health ◽  
Ethical Issues ◽  
Ethical Challenges ◽  
Pandemic Preparedness ◽  
Scarce Resources ◽  
Ethical Frameworks ◽  
Health Measures ◽  
Care Workers ◽  
The Face ◽  
Conducting Research

Infectious disease pandemics raise significant and novel ethical challenges to the organization and practice of public health. This chapter provides an overview of the salient ethical issues involved in preparing for and responding to pandemic disease, including those arising from deploying restrictive public health measures to contain and curb the spread of disease (e.g., isolation and quarantine), setting priorities for the allocation of scarce resources, health care workers’ duty to care in the face of heightened risk of infection, conducting research during pandemics, and the global governance of preventing and responding to pandemic disease. It also outlines ethical guidance from prominent ethical frameworks that have been developed to address these ethical issues and concludes by discussing some pressing challenges that must be addressed if ethical reflection is to make a meaningful difference in pandemic preparedness and response.

An Overview of Ethics and Environmental Health

2019 ◽  
pp. 697-703
Author(s):  
David B. Resnik
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Environmental Ethics ◽  
Ethical Issues ◽  
Biomedical Ethics ◽  
Public Health Ethics ◽  
Social Utility ◽  
Toxic Substances ◽  
Health Ethics ◽  
Wide Range

This chapter provides an overview of the ethics of environmental health, and it introduces five chapters in the related section of The Oxford Handbook of Public Health Ethics. A wide range of ethical issues arises in managing the relationship between human health and the environment, including regulation of toxic substances, air and water pollution, waste management, agriculture, the built environment, occupational health, energy production and use, environmental justice, population control, and climate change. The values at stake in environmental health ethics include those usually mentioned in ethical debates in biomedicine and public health, such as autonomy, social utility, and justice, as well as values that address environmental concerns, such as animal welfare, stewardship of biological resources, and sustainability. Environmental health ethics, therefore, stands at the crossroads of several disciplines, including public health ethics, environmental ethics, biomedical ethics, and business ethics.

Dilemmas of nudging in public health: an ethical analysis of a Danish pamphlet

2020 ◽  
Author(s):  
Jacob Busch ◽  
Emilie Kirstine Madsen ◽  
Antoinette Mary Fage-Butler ◽  
Marianne Kjær ◽  
Loni Ledderer
Keyword(s):  
Public Health ◽  
Ethical Issues ◽  
Screening Programme ◽  
Screening Program ◽  
Ethical Analysis ◽  
Choice Making ◽  
The Face ◽  
Information Materials ◽  
The Individual ◽  
To Receive

Summary Nudging has been discussed in the context of public health, and ethical issues raised by nudging in public health contexts have been highlighted. In this article, we first identify types of nudging approaches and techniques that have been used in screening programmes, and ethical issues that have been associated with nudging: paternalism, limited autonomy and manipulation. We then identify nudging techniques used in a pamphlet developed for the Danish National Screening Program for Colorectal Cancer. These include framing, default nudge, use of hassle bias, authority nudge and priming. The pamphlet and the very offering of a screening programme can in themselves be considered nudges. Whether nudging strategies are ethically problematic depend on whether they are categorized as educative- or non-educative nudges. Educative nudges seek to affect people’s choice making by engaging their reflective capabilities. Non-educative nudges work by circumventing people’s reflective capabilities. Information materials are, on the face of it, meant to engage citizens’ reflective capacities. Recipients are likely to receive information materials with this expectation, and thus not expect to be affected in other ways. Non-educative nudges may therefore be particularly problematic in the context of information on screening, also as participating in screening does not always benefit the individual.

A Cross-Sectional Study: Patient Privacy According to Doctors and Nurses

2021 ◽  
Vol 34 (2) ◽  
pp. 114-122
Author(s):  
Nilüfer Demirsoy ◽  
Hülya Öztürk ◽  
Nurdan Ergün Acar
Keyword(s):  
Work Environment ◽  
Healthcare Professionals ◽  
Emergency Services ◽  
Cross Sectional Study ◽  
Study Patient ◽  
Patient Privacy ◽  
Sectional Study ◽  
Right To Privacy ◽  
Cross Sectional ◽  
Building Trust

Confidentiality is fundamental in building trust between patients and healthcare professionals. This research aims at presenting healthcare professionals’ opinions on patient privacy, using a 5-point Likert-type scale titled “Opinion of the Healthcare Professionals on Patient Privacy,” and 262 physicians’ and 231 nurses’ opinions were evaluated. Results showed that nurses and doctors working at emergency services got higher mean scores than those working at other units. Results revealed that doctors had the highest mean score for the item “ It is important that the patient’s body is not seen by other patients and professionals during the treatment,” while nurses had the highest mean score for the item “ I approach with due care to protect privacy in the work environment.” Results of this work highlight that patient’s right to privacy constitutes one of the most significant issues to be noted by healthcare professionals.

scholarly journals The Supportive Care Needs of Cancer Patients: a Systematic Review

2021 ◽  
Author(s):  
Madeleine Evans Webb ◽  
Elizabeth Murray ◽  
Zane William Younger ◽  
Henry Goodfellow ◽  
Jamie Ross
Keyword(s):  
Cancer Patients ◽  
Healthcare Professionals ◽  
Treatment Options ◽  
Complex Nature ◽  
Narrative Synthesis ◽  
Care Needs ◽  
Wide Range ◽  
Need Support ◽  
Lack Of Control ◽  
Everyday Work

AbstractCancer, and the complex nature of treatment, has a profound impact on lives of patients and their families. Subsequently, cancer patients have a wide range of needs. This study aims to identify and synthesise cancer patients’ views about areas where they need support throughout their care. A systematic  search of the literature from PsycInfo, Embase and Medline databases was conducted, and a narrative. Synthesis of results was carried out using the Corbin & Strauss “3 lines of work” framework. For each line of work, a group of key common needs were identified. For illness-work, the key needs idenitified were; understanding their illness and treatment options, knowing what to expect, communication with healthcare professionals, and staying well. In regards to everyday work, patients wanted to maintain a sense of normalcy and look after their loved ones. For biographical work, patients commonly struggled with the emotion impact of illness and a lack of control over their lives. Spiritual, sexual and financial problems were less universal. For some types of support, demographic factors influenced the level of need reported. While all patients are unique, there are a clear set of issues that are common to a majority of cancer journeys. To improve care, these needs should be prioritised by healthcare practitioners.

scholarly journals A multimodal corpus of simulated consultations between a patient and multiple healthcare professionals

2021 ◽  
Author(s):  
Mark Snaith ◽  
Nicholas Conway ◽  
Tessa Beinema ◽  
Dominic De Franco ◽  
Alison Pease ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Ethical Issues ◽  
Upper Body ◽  
Language Resources ◽  
Close Analysis ◽  
Medical Consultations ◽  
Multimodal Corpus ◽  
Clear Identification ◽  
Patient Consultation ◽  
Design Construction

AbstractLanguage resources for studying doctor–patient interaction are rare, primarily due to the ethical issues related to recording real medical consultations. Rarer still are resources that involve more than one healthcare professional in consultation with a patient, despite many chronic conditions requiring multiple areas of expertise for effective treatment. In this paper, we present the design, construction and output of the Patient Consultation Corpus, a multimodal corpus of simulated consultations between a patient portrayed by an actor, and at least two healthcare professionals with different areas of expertise. As well as the transcribed text from each consultation, the corpus also contains audio and video where for each consultation: the audio consists of individual tracks for each participant, allowing for clear identification of speakers; the video consists of two framings for each participant—upper-body and face—allowing for close analysis of behaviours and gestures. Having presented the design and construction of the corpus, we then go on to briefly describe how the multi-modal nature of the corpus allows it to be analysed from several different perspectives.

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