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2021 ◽  
Vol 11 (10) ◽  
pp. 945
Author(s):  
Marco Clari ◽  
Michela Luciani ◽  
Alessio Conti ◽  
Veronica Sciannameo ◽  
Paola Berchialla ◽  
...  

The COVID-19 pandemic has had a severe impact on nursing care. This cross-sectional survey-based study compared aspects of nursing care and nurses’ satisfaction with care provided before and during the first wave of the COVID-19 pandemic. A total of 936 registered nurses (RNs) rated the frequency with which they performed fundamental care, nursing techniques, patient education, symptom management, and nurse–patient relationships before and during the pandemic. A recursive partitioning for ordered multivariate response in a conditional inference framework approach was applied. More frequent fundamental cares were associated with their frequency before the pandemic (p < 0.001), caring for COVID-19 patients (p < 0.001), and workplace reassignment (p = 0.004). Caring for COVID-19 patients (p < 0.001), workplace reassignment (p = 0.030), and caring for ≤7.4 COVID-19 patients (p = 0.014) increased nursing techniques. RNs in high-intensity COVID-19 units (p = 0.002) who educated patients before the pandemic, stopped this task. RNs caring for COVID-19 patients reported increased symptom management (p < 0.001), as did RNs caring for more non-COVID-19 patients (p = 0.037). Less frequent nurse–patient relationships before the pandemic and working in high-intensity COVID-19 units decreased nurse–patient relationships (p = 0.002). Despite enormous challenges, nurses continued to provide a high level of care. Ensuring the appropriate deployment and education of nurses is crucial to personalize care and to maintain nurses’ satisfaction with the care provided.


2021 ◽  
Vol 34 (4) ◽  
pp. 398-404
Author(s):  
Tonya J. Roberts ◽  
Thor Ringler ◽  
Seth Jovaag

The Veterans Affairs (VA) Storybook Program was developed to enhance nurse-patient relationships and satisfaction with care. Personal stories about nurses were distributed to patients on a medical/surgical unit. Quantitative and qualitative evaluation data were collected from patients and nurses to capture patients’ descriptions of nurses and perceptions of program value. Results show patients describe nurses differently after reading the storybook. Patients were highly satisfied with the program, and interviews suggest the stories fostered connection and developed an atmosphere of trust. Story programs may be an effective, structured approach to enhancing nurse-patient relationships.


Author(s):  
Anupsinh H. Chhasatia ◽  
Lakhan R. Kataria

Background: Medical, dental and paramedical post-graduate students are an essential part of multi-specialty teaching institutes where resident doctors are the ones who come in the first contact with the patients. In this study emotion of residents was measured through their anger. Anger has negative impacts on daily life, doctor-patient relationships. Throughout the post-graduation program, students experience stress and burn out. Aim: The study was conducted with an aim to measure the level of anger amongst the post-graduate medical, dental and paramedical students at Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. Materials and Methods: After obtaining informed and written consent, 349 subjects were assessed through a semi-structured proforma and clinical anger scale to assess the level of anger. It was a cross-sectional single interview study. Enrolment of participants done for the tenure of 1 year from 2013 to 2014 and results assessed. At the end of the study, all CAS (clinical anger scale) parameters compared medical, dental and paramedical groups. Data analyzed through the SPSS v16 software package; One way ANOVA and independent t-test was applied. Results: The overall anger was higher among post-graduate students. Post-graduate medical students had higher anger compared to paramedical post-graduate students. Female participants scored significantly lower on clinical anger compared to male participants. Post-graduates doing MD/MS were having significantly higher anger than post-graduates of MDS (p=0.002), MPT (0.000). Married participants scored lower on clinical anger compared to unmarried participants. Conclusion: Overall anger is high in medical post-graduate students which have negative implications on doctor-patient relationships and patient care can get compromised so it is necessary to find the ways through which we can lower the anger.


Author(s):  
Hrithik Bajaj

The primary goal of this program's development is to deliver all medical-related solutions in a single web application. E-Pharma is a platform that allows patients and doctors to communicate directly with one another. Direct doctor-patient relationships, consumer familiarity with online purchases, the simplicity of mail-order trading, and distance marketing can all help patients self-diagnose. The patient can speak with the doctor and ask questions.


Author(s):  
Jordan Mason

Abstract Recent literature on the ethics of medical error disclosure acknowledges the feelings of injustice, confusion, and grief patients and their families experience as a result of medical error. Substantially less literature acknowledges the emotional and relational discomfort of the physicians responsible or suggests a meaningful way forward. To address these concerns more fully, I propose a model of medical error disclosure that mirrors the theological and sacramental technique of confession. I use Aquinas’ description of moral acts to show that all medical errors are evil, and some accidental medical errors constitute venial sins; all sin and evil should be confessed. As Aquinas urges confession for sins, here I argue that confession is necessary to restore physicians to the community and to provide a sense of absolution. Even mistakes for which physicians are not morally culpable ought to be confessed in order to heal the physician–patient relationship and to address feelings of professional distress. This paper utilizes an Episcopal theology of confession that affirms verbal admission and responsibility-taking as freeing and relationally restoring acts, arguing that a confessional stance toward medical error both leads to better outcomes in physician–patient relationships and is more compassionate toward physicians who err.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Xin Zhang ◽  
Liang Ma ◽  
Yanbo Ma ◽  
Xiao Yang

How to improve the doctor-patient relationship has been a continuing topic in academia and management and there have been several attempts to utilize online communications to facilitate healthcare. The application of information technology to create an “Internet + medical care” platform has upended the traditional medical service model in China. As an example of the application of the Internet by the healthcare system, this paper investigates a mobile online appointment system used by hospitals. Data on system use came from questionnaires submitted by 225 patients and analyzed by the structural equation model method. The results showed that patients perceived the hospital’s online appointment system as an attempt at transparency to which they reacted positively. The patients’ perception of transparency promoted trust in the hospital and the doctors and positively affected their feelings of satisfaction, which, of course, improved the doctor-patient relationship. Patients’ perceptions of transparency, trust in the hospitals and doctors, and feelings of satisfaction played a partial mediator role between the availability of an online appointment system and better doctor-patient relationships. There were significant gender differences among patients in terms of their feelings of trust and satisfaction with the new appointment method and whether it really improved the doctor-patient relationship.


Author(s):  
Mani Shutzberg

AbstractThe commonly occurring metaphors and models of the doctor–patient relationship can be divided into three clusters, depending on what distribution of power they represent: in the paternalist cluster, power resides with the physician; in the consumer model, power resides with the patient; in the partnership model, power is distributed equally between doctor and patient. Often, this tripartite division is accepted as an exhaustive typology of doctor–patient relationships. The main objective of this paper is to challenge this idea by introducing a fourth possibility and distribution of power, namely, the distribution in which power resides with neither doctor nor patient. This equality in powerlessness—the hallmark of “the age of bureaucratic parsimony”—is the point of departure for a qualitatively new doctor–patient relationship, which is best described in terms of solidarity between comrades. This paper specifies the characteristics of this specific type of solidarity and illustrates it with a case study of how Swedish doctors and patients interrelate in the sickness certification practice.


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