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https://www.readbyqxmd.com/read/29771102/-reclusion-and-physical-restraint-in-psychiatry-influencing-factors-and-alternatives
#1
Jérôme Morisset
Introduction and context: The use of reclusion and restraint is neither a recent practice nor a rare practice in psychiatric services. In France, the Controller General of Places of Deprivation of Liberty reported certain drifts in 2015. Since then, the public authorities have sought to frame this practice with the aim of limiting its use. OBJECTIVE AND METHOD: The purpose of this study is to examine how, through a literature review, the topic of limitation of constraint measures and the definition of a future direction of research is discussed...
March 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29767568/the-relationship-between-intuitive-action-choices-and-moral-reasoning-on-animal-ethics-issues-in-students-of-veterinary-medicine-and-other-relevant-professions
#2
Joy M Verrinder, Clive J C Phillips
With growing understanding of animals' capabilities, and public and organizational pressures to improve animal welfare, moral action by veterinarians and other relevant professionals to address animal issues is increasingly important. Little is known about how their action choices relate to their moral reasoning on animal ethics issues. A moral judgment measure, the VetDIT, with three animal and three non-animal scenarios, was used to investigate the action choices of 619 students in five animal- and two non-animal-related professional programs in one Australian university, and how these related to their moral reasoning based on Personal Interest (PI), Maintaining Norms (MN), or Universal Principles (UP) schemas...
2018: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/29764269/factors-influencing-the-use-of-outcome-measures-in-knee-osteoarthritis-a-mixed-method-study-of-physiotherapists-in-nigeria
#3
Adesola C Odole, Nse A Odunaiya, Joshua O Ojo, Aderonke O Akinpelu
BACKGROUND: Osteoarthritis (OA) of the knee constitutes a significant proportion of musculoskeletal disorders managed in physiotherapy clinics worldwide. Best practice guidelines in the management of OA ensure the use of outcome measures. AIM: This study explored the factors influencing the use of outcome measures in management of patients with knee OA among physiotherapists in southwestern Nigeria. METHODS: Mixed method design was used that involved a cross-sectional survey of 77 purposively selected physiotherapists and a focus group discussion with another 6 physiotherapists...
May 15, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29738507/the-association-between-quality-improvement-initiatives-in-dementia-care-and-supportive-psychosocial-work-environments-in-nursing-homes
#4
Miharu Nakanishi, Maki Tei-Tominaga
Background : Quality improvement initiatives can help nursing homes strengthen psychosocial work environments. The aim of the present study was to examine the association between supportive psychosocial work environment, and professional and organizational characteristics regarding quality improvement initiatives in dementia care. Methods : A paper questionnaire survey was administered to a convenience sample of 365 professional caregivers in 12 special nursing homes in Japan. Psychosocial work environment was assessed using the Social Capital and Ethical Climate at the Workplace Scale to calculate a score of social capital in the workplace, ethical leadership, and exclusive workplace climate...
May 8, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29734886/cancer-nurses-perceptions-of-ethical-climate-in-greece-and-cyprus
#5
Cloconi Constantina, Evridiki Papastavrou, Andreas Charalambous
BACKGROUND: In recent years, the interest in ethical climate has increased in the literature. However, there is limited understanding of the phenomenon within the cancer care context as well as between countries. AIM: To evaluate cancer nurses' perceptions of hospital ethical climate in Greece and Cyprus. RESEARCH DESIGN: This was a quantitative descriptive-correlational comparative study with cancer nurses. Data were collected with the Greek version of the Hospital Ethical Climate Survey questionnaire in addition to demographic data...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29717961/breast-cancer-screening
#6
David Vanderburgh
Cass R. Sunstein's 2016 book The Ethics of Influence: Government in the Age of Behavioral Science provides an extremely informative introduction to the science and ethics of the exercise of "influence" over others. As a longtime physician employed in both the public and private sectors, I now recognize that most of my formal training has been in the hard sciences, with little, if any, training in the appropriate influence of the decision-making processes of my patients and/or other health care professionals in institutional settings...
2018: Politics and the Life Sciences: the Journal of the Association for Politics and the Life Sciences
https://www.readbyqxmd.com/read/29715491/recent-updates-and-challenges-on-the-regulation-of-precision-medicine-the-united-states-in-perspective
#7
Lin-Chau Chang, Thomas E Colonna
The rapid progress in "omics", such as genomics, metabolomics, microbiomics, has paved the path for precision medicine and revolutionized the development of drugs and devices promising to meet unmet medical needs. The aim of the present study was to investigate the current regulatory framework established by the United States Food and Drug Administration (USFDA) and to identify challenges and concerns through study of related literatures in the PubMed database. We found that efforts were made to facilitate the implementation of precision medicine through organizational reform, publication of guidance documents, and continuous post-market surveillance...
April 28, 2018: Regulatory Toxicology and Pharmacology: RTP
https://www.readbyqxmd.com/read/29694543/a-framework-to-assess-management-performance-in-district-health-systems-a-qualitative-and-quantitative-case-study-in-iran
#8
Jafar Sadegh Tabrizi, Kamal Gholipour, Shabnam Iezadi, Mostafa Farahbakhsh, Akbar Ghiasi
The aim was to design a district health management performance framework for Iran's healthcare system. The mixed-method study was conducted between September 2015 and May 2016 in Tabriz, Iran. In this study, the indicators of district health management performance were obtained by analyzing the 45 semi-structured surveys of experts in the public health system. Content validity of performance indicators which were generated in qualitative part were reviewed and confirmed based on content validity index (CVI)...
2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29667145/ethical-challenges-faced-by-healthcare-professionals-who-care-for-suicidal-patients-a-scoping-review
#9
Victoria Saigle, Eric Racine
For each one of the approximately 800,000 people who die from suicide every year, an additional twenty people attempt suicide. Many of these attempts result in hospitalization or in contact with other healthcare services. However, many personal, educational, and institutional barriers make it difficult for healthcare professionals to care for suicidal individuals. We reviewed literature that discusses suicidal patients in healthcare settings in order to highlight common ethical issues and to identify knowledge gaps...
April 17, 2018: Monash Bioethics Review
https://www.readbyqxmd.com/read/29642460/turning-the-co-production-corner-methodological-reflections-from-an-action-research-project-to-promote-lgbt-inclusion-in-care-homes-for-older-people
#10
Paul Willis, Kathryn Almack, Trish Hafford-Letchfield, Paul Simpson, Barbara Billings, Naresh Mall
Background : Older lesbian, gay, bisexual and trans (LGBT) residents are often invisible in long-term care settings. This article presents findings from a community-based action research project, which attempted to address this invisibility through co-produced research with LGBT community members. Particular Question: What conditions enable co-produced research to emerge in long-term residential care settings for older people? Aims of Project: To analyse outcomes and challenges of action-oriented, co-produced research in the given context...
April 7, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29609663/perspective-some-conclusions-from-my-life-in-health-technology-assessment
#11
H David Banta
I have worked in health technology assessment (HTA) since 1975, beginning in the United States Congress Office of Technology Assessment (OTA), where we were charged with defining "medical technology assessment". My main concern in HTA has always been efficacy of healthcare interventions. After years in OTA, I was invited to the Netherlands in 1985, where the Dutch government invited me to head a special commission concerning future healthcare technology and HTA. From there, I became involved in over forty countries, beginning in Europe and then throughout the world...
April 3, 2018: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#12
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29579807/council-of-europe-black-sea-area-project-international-cooperation-for-the-development-of-activities-related-to-donation-and-transplantation-of-organs-in-the-region
#13
E Arredondo, M López-Fraga, E Chatzixiros, B Senemaud, P Brezovsky, C Carella, C Ballesté, A Aydin Mehmet, G Tomadze, I Codreanu, A A Sarkissian, M Simeonova, A Nikonenko, V Zota, M P Gómez, M Manyalich, C Bolotinha, A Franca, A N Costa, M-O Ott, K-H Buchheit
BACKGROUND: In 2011, the European Directorate for the Quality of Medicines & Healthcare of the Council of Europe launched a 3-year collaborative project to address the organ shortage and improve access to transplant health services in Council of Europe member states in the Black Sea area (Armenia, Azerbaijan, Bulgaria, Georgia, Moldova, Romania, Turkey, Ukraine, and the Russian Federation) through the development of safe and ethical donation and transplantation programs. OBJECTIVE: Support the development of donation and transplantation programs through close interstate cooperation between national health organizations and relevant stakeholders...
March 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29533273/relationships-between-organizational-and-individual-support-nurses-ethical-competence-ethical-safety-and-work-satisfaction
#14
Tarja Poikkeus, Riitta Suhonen, Jouko Katajisto, Helena Leino-Kilpi
BACKGROUND: Organizations and nurse leaders do not always effectively support nurses' ethical competence. More information is needed about nurses' perceptions of this support and relevant factors to improve it. PURPOSE: The aim of the study was to examine relationships between nurses' perceived organizational and individual support, ethical competence, ethical safety, and work satisfaction. METHODOLOGY: A cross-sectional questionnaire survey was conducted...
March 12, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29529973/ethics-case-reflection-sessions-enablers-and-barriers
#15
Cecilia Bartholdson, Bert Molewijk, Kim Lützén, Klas Blomgren, Pernilla Pergert
BACKGROUND: In previous research on ethics case reflection (ECR) sessions about specific cases, healthcare professionals in childhood cancer care were clarifying their perspectives on the ethical issue to resolve their main concern of consolidating care. When perspectives were clarified, consequences in the team included 'increased understanding', 'group strengthening' and 'decision grounding'. Additional analysis of the data was needed on conditions that could contribute to the quality of ECR sessions...
March 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29519710/intensive-care-in-cancer-patients-in-the-age-of-immunotherapy-and-molecular-therapies-commitment-of-the-seom-semicyuc
#16
A Carmona-Bayonas, F Gordo, C Beato, J Castaño Pérez, P Jiménez-Fonseca, J Virizuela Echaburu, J Garnacho-Montero
Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. This coincides with the prolonged survival of oncological patients admitted to the ICU due to critical complications, and under the supervision of intensivists. The time has therefore come to revisit the intensive care support of these patients, which poses new professional as well as organizational challenges...
March 5, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29485132/epigenome-based-cancer-risk-prediction-rationale-opportunities-and-challenges
#17
REVIEW
Martin Widschwendter, Allison Jones, Iona Evans, Daniel Reisel, Joakim Dillner, Karin Sundström, Ewout W Steyerberg, Yvonne Vergouwe, Odette Wegwarth, Felix G Rebitschek, Uwe Siebert, Gaby Sroczynski, Inez D de Beaufort, Ineke Bolt, David Cibula, Michal Zikan, Line Bjørge, Nicoletta Colombo, Nadia Harbeck, Frank Dudbridge, Anne-Marie Tasse, Bartha M Knoppers, Yann Joly, Andrew E Teschendorff, Nora Pashayan
The incidence of cancer is continuing to rise and risk-tailored early diagnostic and/or primary prevention strategies are urgently required. The ideal risk-predictive test should: integrate the effects of both genetic and nongenetic factors and aim to capture these effects using an approach that is both biologically stable and technically reproducible; derive a score from easily accessible biological samples that acts as a surrogate for the organ in question; and enable the effectiveness of risk-reducing measures to be monitored...
May 2018: Nature Reviews. Clinical Oncology
https://www.readbyqxmd.com/read/29482210/hidden-curricula-ethics-and-professionalism-optimizing-clinical-learning-environments-in-becoming-and-being-a-physician-a-position-paper-of-the-american-college-of-physicians
#18
Lisa Soleymani Lehmann, Lois Snyder Sulmasy, Sanjay Desai
Much of what is formally taught in medicine is about the knowledge, skills, and behaviors required of a physician, including how to express compassion and respect for patients at the bedside. What is learned, however, includes not only admirable qualities but also behaviors and qualities that are inconsistent with ethics and professionalism. Positive role models may reinforce the character and values the profession seeks to cultivate; negative ones directly contradict classroom lessons and expectations of patients, society, and medical educators...
April 3, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29471814/moral-dilemmas-and-conflicts-concerning-patients-in-a-vegetative-state-unresponsive-wakefulness-syndrome-shared-or-non-shared-decision-making-a-qualitative-study-of-the-professional-perspective-in-two-moral-case-deliberations
#19
Conny A M F H Span-Sluyter, Jan C M Lavrijsen, Evert van Leeuwen, Raymond T C M Koopmans
BACKGROUND: Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts in long-term care of patients in VS/UWS...
February 22, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29470381/the-business-ethics-and-quality-cases-for-consumer-engagement-in-nursing
#20
Susan Hassmiller, Ani Bilazarian
OBJECTIVE: The aims of this study were to illustrate the quality, safety, cost-effectiveness, and ethics of consumer engagement initiatives and identify promising practices and leadership strategies used by nursing leaders. METHODS: A literature review was performed with supplementary interviews conducted with 25 key nursing informants including nursing executives and chief nursing officers at acute care hospitals, community health centers, policy institutions, and quality and safety organizations...
April 2018: Journal of Nursing Administration
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