Regulation of Healthcare Practice

2016 ◽  
pp. 47-64
Author(s):  
Irehobhude O. Iyioha ◽  
Abdulwasiu Ojo ◽  
Akorede Yusuff ◽  
Steve Metiboba
Keyword(s):  
Healthcare Practice

scholarly journals Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Carol Davy ◽  
Jonathan Bleasel ◽  
Hueiming Liu ◽  
Maria Tchan ◽  
Sharon Ponniah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Chronic Care ◽  
Healthcare Practice ◽  
Care Models

Truth-telling, decision-making, and ethics among cancer patients in nursing practice in China

2017 ◽  
Vol 26 (4) ◽  
pp. 1000-1008 ◽  
Author(s):  
Dong-Lan Ling ◽  
Hong-Jing Yu ◽  
Hui-Ling Guo
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Ethical Issue ◽  
Terminal Illness ◽  
Codes Of Ethics ◽  
Ethical Guidelines ◽  
Truth Telling ◽  
Case Scenario ◽  
Healthcare Practice

Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality.

scholarly journals Academic autopsies in Brazil - a national survey

2014 ◽  
Vol 60 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Aloísio Felipe-Silva ◽  
Márcia Ishigai ◽  
Thaís Mauad
Keyword(s):  
Medical Education ◽  
Undergraduate Education ◽  
Limiting Factor ◽  
Autopsy Rate ◽  
Residency Programs ◽  
Steady Decrease ◽  
Healthcare Practice ◽  
Minimum Number ◽  
Academic Services ◽  
General Organization

Objective: To investigate the number and rate of academic autopsies, general organization, educational and research in Brazilian academic services. Methods: Standardized questionnaires were sent to Brazilian medical schools (n=177) and active pathology residency programs (n=53) from March to June 2009. Data were collected for years 2003 to 2008. Results: Thirty-two academic services in 11 Brazilian states answered the survey. Twenty-one (65.6%) perform less than a hundred autopsies for natural causes and less than fifty pediatric or fetal autopsies/year. Twenty-four (75%) perform less than a hundred adult autopsies/year. Many institutions (46.9%) reported a drop in the number of autopsies in a six-year period. The total autopsy count and autopsy rate in 2008 ranged 1-632 (median = 80), and 0-66% (mean = 10.6%), respectively. A steady decrease in the total count of autopsies in a pool of 19 institutions was observed (p<0.01). Median autopsy rates have fallen from 19.3%, in 2003, to 10.6%, in 2008 (p=0.07). Significant discrepancies at autopsies led to changes in institutional healthcare practice in 37.5% of the services. The low number of autopsies was a limiting factor in undergraduate education for 25% of respondents. A minimum number of autopsies is required to complete the pathology residency program in 34.6% of the services. Conclusion: The total number and the rate of academic autopsies have decreased in Brazil between 2003 and 2008. The number of autopsies and the general organization of academic services must be enhanced to improve medical education, research, and the quality control of patient care.

scholarly journals The Barriers and Facilitators to the Adoption of New Technologies in Public Healthcare Sector: A Qualitative Investigation

2016 ◽  
Vol 12 (1) ◽  
pp. 159 ◽  
Author(s):  
Waleed KH Mohamed AL-Hadban ◽  
Shafiz Affendi Mohd Yusof ◽  
Kamarul Faizal Hashim
Keyword(s):  
Information Systems ◽  
New Technologies ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Healthcare Information ◽  
Healthcare Information Systems ◽  
Healthcare Information System ◽  
Public Healthcare Sector ◽  
Healthcare Practice

The use of new technologies and information systems within healthcare practice provides several advantages and functionalities for healthcare institutions. However, the use of these advanced technologies is not an easy task and the literature has documented several cases of resistance to adopting such technologies by the healthcare staff. Furthermore, governmental reports stated that Iraq healthcare sector is enduring challenges in this regard. For this reason, the current study explored the opinions of healthcare professionals using semi-structured interviews to highlight the important factors and issues that influence the use and adoption of new technologies within Iraq public healthcare sector. To our best knowledge, this empirical study is the first to employ a qualitative approach to address the issue of healthcare information system adoption in Iraq healthcare domain. Twenty six themes have emerged in the findings of this qualitative study which can be helpful for healthcare seniors in order to overcome the present challenges related to the adoption of healthcare information systems and to improve the healthcare practice in general.

scholarly journals Patients’ Perspectives on User Involvement in General Practice. A Qualitative Analysis of Free-Text Comments

2021 ◽  
Author(s):  
Birgitte Nørgaard ◽  
Signe Beck Titlestad ◽  
Michael Marcussen
Keyword(s):  
General Practice ◽  
Thematic Analysis ◽  
Patient Involvement ◽  
User Involvement ◽  
Free Text ◽  
Personalized Care ◽  
Validated Questionnaire ◽  
Healthcare Practice ◽  
Collection Period ◽  
Core Role

Abstract Background: General practice plays a core role in managing the pathways of patients with chronic diseases. Despite the increased focus on patient involvement in healthcare practice and well-established knowledge of the benefits of involvement and personalized care, involvement in general practice appears to be challenged. This study aimed to explore patient involvement in general practice from the patients’ perspectives. Method: The study involved a questionnaire survey investigating patient involvement in general practice from the patients’ perspectives. The validated questionnaire includes an open-ended question encouraging responders to provide additional comments regarding their involvement in general practice. The results from these comments are presented in this paper. A thematic analysis was applied. Results: Of the 468 responses, 139 included additional comments to the free-text question. Through our analysis, six analytic themes were generated—To be seen, met, or heard, To feel safe or not, To be involved or dictated to, Accessibility, COVID-19, and For the resourceful—across 116 codings and 25 descriptive themes. The themes’ interwovenness underscores the complexity of both involvement and how it is to live with a chronic disease. Our analysis indicates that involvement in general practice is for the resourceful.Conclusion: The six themes describing involvement in general practice from the perspectives of patients with T2DM and/or COPD were deeply intertwined. Involvement is dependent on being seen, met, and heard, all of which contribute to the patients’ sense of feeling safe (or not). These aspects are dependent on accessibility to a general practitioner; thus, COVID-19 was a barrier during the data-collection period. Furthermore, it appeared that being resourceful not only contributed to a sense of being involved in general practice but was perhaps even a prerequisite for being involved.

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