Behavior and Ethical Problems in the Functioning of the Operating Theater (Case Study)

2016 ◽  
pp. 1272-1297
Author(s):  
Anita Wójcik ◽  
Michał Chojnacki
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Health Care Professionals ◽  
Ethical Reflection ◽  
Operating Theater ◽  
Ethical Problems ◽  
The People ◽  
The Subject ◽  
Systematic Development

The progress of civilization and the dynamic development of the various branches of science is inevitable. Subsequent centuries brought behind the systematic development of medicine and nursing. This action always was and still is accompanied by ethical reflection. Widely understood ethics shall attempt to catch an eternal with the changes, especially in the protection of the essence of the man as well as his health. Image of medicine allows us to understand that the subject of immediate medical ethics is not just a doctor and a nurse, but that there are often entire therapeutic teams of health care professionals and patients themselves. Concern about the health of their ownership presupposes and active partnership in the process of treatment. Contemporary ethics interfere in every element of medicine, generating doubts and at the same time trying to normalize them, included in the specified frame. Operating theaters and the people working there are not free from this type of dilemma.

Behavior and Ethical Problems in the Functioning of the Operating Theater (Case Study)

2016 ◽  
pp. 154-179
Author(s):  
Anita Wójcik ◽  
Michał Chojnacki
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Health Care Professionals ◽  
Ethical Reflection ◽  
Operating Theater ◽  
Ethical Problems ◽  
The People ◽  
The Subject ◽  
Systematic Development

The progress of civilization and the dynamic development of the various branches of science is inevitable. Subsequent centuries brought behind the systematic development of medicine and nursing. This action always was and still is accompanied by ethical reflection. Widely understood ethics shall attempt to catch an eternal with the changes, especially in the protection of the essence of the man as well as his health. Image of medicine allows us to understand that the subject of immediate medical ethics is not just a doctor and a nurse, but that there are often entire therapeutic teams of health care professionals and patients themselves. Concern about the health of their ownership presupposes and active partnership in the process of treatment. Contemporary ethics interfere in every element of medicine, generating doubts and at the same time trying to normalize them, included in the specified frame. Operating theaters and the people working there are not free from this type of dilemma.

scholarly journals “Repeated Hierarchies”: Uneven Participation in Research of Ethical Spaces in Hospitals

2019 ◽  
Vol 14 (5) ◽  
pp. 493-495
Author(s):  
Brenda Bogaert ◽  
Catherine Dekeuwer ◽  
Nadja Eggert ◽  
Claire Harpet
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Group Discussion ◽  
Ethical Reflection ◽  
Full Participation ◽  
The Status ◽  
Study Process ◽  
Participation In Research

We present a case study of uneven participation in a focus group discussion with health care professionals involved in local ethical committees. We conclude that the status of the different participants did not give adequate space for full participation of the members involved. Two commentators were invited to comment on the case study to enable further reflection on the methodology used for the target group. The first reviewer investigated whether research should address power relations and hierarchies of knowledge encountered in the study process. She also discussed whether researchers should be held ethically and politically responsible for the consequences of producing relations and hierarchies. The second reviewer looked at what focus groups say about professional practices in hospitals, what participants are willing (or unwilling) to invest, and what are the conditions for setting up ethical reflection.

Universalism vs. Particularism in Medical Ethics

1998 ◽  
Vol 8 (11) ◽  
pp. 53-60
Author(s):  
Tamayo Okamoto ◽  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Informed Consent ◽  
Medical Ethics ◽  
Health Care Professionals ◽  
Decision Making Process ◽  
Traditional Society ◽  
The People ◽  
Practice Of Medicine ◽  
Universal Nature

In the context of medical ethics, how can the concept of informed consent be effectively implemented in a traditional society such as Japan? If the need for more openness and transparency is not felt in the practice of medicine and welfare, the clients must remain under the spell of paternalistic data. Patients and health-care professionals other than doctors are taken to be "responsible for what they do but not to be accountable for their conduct" (according to a feudal lord's slogan regarding rule over the people) because they do not participate in a decision-making process. I explore the possibility of the concept's full implementation against the particularists' (cultural relativists) and communitarian ethicists' effort to reject the universal nature of the concept.

Appropriation redux: Re-reading George Ryga through Jeannette Armstrong

2020 ◽  
pp. 002198942097099
Author(s):  
Kit Dobson
Keyword(s):  
The People ◽  
Critical Attention ◽  
The Subject ◽  
Jeannette Armstrong ◽  
George Ryga ◽  
Alliance Building ◽  
The Relationship ◽  
Indigenous Voices ◽  
Literary Circles

This article considers ways in which solidarity across social locations might play a role in fostering resistance to vulnerability. My case study consists of the interplay between writer George Ryga’s 1967 play The Ecstasy of Rita Joe, and Okanagan Syilx writer and scholar Jeannette Armstrong’s 1985 novel Slash. While these important and compelling texts have received considerable critical attention, the relationship between them is less known. I am interested in the ways in which these works both hail and offer critique to one another. In the contemporary moment, in which questions of appropriation of voice have gained renewed urgency within Indigenous literary circles in Canada and beyond, the relationship between these texts speaks to a historical instance of appropriation, but also of complicated processes of alliance-building. These texts demonstrate how agency resides across multiple locations. I read Ryga’s Ecstasy in the context of Jeannette Armstrong’s engagement with the play within her novel Slash in order to witness the ways in which Ryga’s text, in the first instance, appropriates Indigenous voices into an anti-capitalist critique. In the second instance, I read these works in order to witness how they might simultaneously provide a compelling analysis of the vulnerability of the people who are the subject of both works. I compare the interplay between Armstrong and Ryga’s texts to contemporary debates around appropriation in order to argue for the historical and ongoing importance of these two works as precursors to the crucial interventions made by contemporary Indigenous critics and writers.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Co-designing tools for workplace learning

2020 ◽  
Vol 121 (3/4) ◽  
pp. 175-205
Author(s):  
Sebastian Maximilian Dennerlein ◽  
Vladimir Tomberg ◽  
Tamsin Treasure-Jones ◽  
Dieter Theiler ◽  
Stefanie Lindstaedt ◽  
...  
Keyword(s):  
Health Care ◽  
Informal Learning ◽  
Health Care Professionals ◽  
Technology Enhanced Learning ◽  
Cognitive Tools ◽  
Formal Learning ◽  
Learning Context ◽  
Design Decisions ◽  
Content Type

Purpose Introducing technology at work presents a special challenge as learning is tightly integrated with workplace practices. Current design-based research (DBR) methods are focused on formal learning context and often questioned for a lack of yielding traceable research insights. This paper aims to propose a method that extends DBR by understanding tools as sociocultural artefacts, co-designing affordances and systematically studying their adoption in practice. Design/methodology/approach The iterative practice-centred method allows the co-design of cognitive tools in DBR, makes assumptions and design decisions traceable and builds convergent evidence by consistently analysing how affordances are appropriated. This is demonstrated in the context of health-care professionals’ informal learning, and how they make sense of their experiences. The authors report an 18-month DBR case study of using various prototypes and testing the designs with practitioners through various data collection means. Findings By considering the cognitive level in the analysis of appropriation, the authors came to an understanding of how professionals cope with pressure in the health-care domain (domain insight); a prototype with concrete design decisions (design insight); and an understanding of how memory and sensemaking processes interact when cognitive tools are used to elaborate representations of informal learning needs (theory insight). Research limitations/implications The method is validated in one long-term and in-depth case study. While this was necessary to gain an understanding of stakeholder concerns, build trust and apply methods over several iterations, it also potentially limits this. Originality/value Besides generating traceable research insights, the proposed DBR method allows to design technology-enhanced learning support for working domains and practices. The method is applicable in other domains and in formal learning.

scholarly journals Social Life, Economic Status and Health Care Delivery Practices of the People of Bede Community of Bangladesh: A Case Study

1970 ◽  
Vol 2 (2) ◽  
pp. 48-52
Author(s):  
Mohammad Taleb Hossain ◽  
Md Mosharaf Hossain Miazi ◽  
Abdul Ghani
Keyword(s):  
Health Care ◽  
Social Life ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Smoking Habit ◽  
Living Standard ◽  
Traditional System ◽  
The People

This study was conducted to observe the socio-economical status, living standard and health management practices of the people of the Bede community of Bangladesh. Bedes living in the Savar area of Dhaka district was selected for a case study. To conduct the study, data were obtained through a questionnairebased survey of 700 respondents about their social and economical status, professional practices, standard of living and literacy status, health management and treatment methods used. It has been observed that these mostly nomadic people of the Bede community have a weak socio-economic condition, large family size {(9-16 member family (58.22%); 17-24 member family (22.20%)}, intense smoking habit and a low level of literacy (80.00% people are illiterate). They practice ethno-medicine and snake-charming as their main professional business to earn a living. In offering health care services to people, they use medicaments prepared from various plant and animal parts and minerals and apply various ethno-treatment techniques, like spiritual, physical, mystical and psychological techniques to treat various ailments. Although they practice their age-old traditional system of medicine as their profession to treat others, they have been found to depend largely on Allopathic, Homeopathic and modern Traditional medicines for treating their own illness, particularly when they suffer from  diarrhoea, dysentery, small pox, orthopedic problems, and even snake-bite, which is supposed to be their own specialty. Bedes live below the poverty line.  Key words: Bede community; Social life; Health practices; Economic statusDOI: 10.3329/sjps.v2i2.5823Stamford Journal of Pharmaceutical Sciences Vol.2(2) 2009: 42-47

Arts and Humanities to Teach Civility in Health Professions

2020 ◽  
Vol 26 (4) ◽  
pp. 241-245
Author(s):  
Katherine Hall ◽  
Jennie C. De Gagne
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Professions ◽  
Well Being ◽  
Pedagogical Tool ◽  
Arts And Humanities ◽  
The Arts ◽  
The People ◽  
Creative Solutions ◽  
Innovative Learning

Incivility is defined as rude or disruptive behavior which may result in psychological or physiological distress for the people involved. These behaviors, which appear to be more pervasive than ever in today's society, both in academia and in the health-care system, negatively affect professionals' well-being and the workplace environment. Nurses have an obligation to practice with compassion and respect, and to develop creative solutions for addressing incivility. Education about incivility should begin in prelicensure programs for all health professions, so that students understand the behavior expected of them as professionals. When health-care professionals embody the ideals of respect and civility, they set an example for others to follow. The arts and humanities can be used as a pedagogical tool to provide innovative learning opportunities to teach these values through the affective domain of learning. This article discusses one of the creative avenues for facilitating such opportunity, the use of the arts and humanities to teach civility in health professions education.

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