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https://www.readbyqxmd.com/read/29139627/understanding-and-meeting-your-legal-responsibilities-as-a-nurse
#1
Louise Terry, Graham Carr, Yvonne Halpin
Nurses, midwives and nursing students are legally responsible for their actions. This article discusses the legal standard of care required in relation to nursing and midwifery practice and nurses' professional standards and code of conduct. It examines how courts in the UK determine if nurses have met their duty of care and how nurses must ensure they maintain competence to provide safe care. It examines why organisational knowing - understanding the organisation in which one is employed; its people, values and how it works - is important for all nurses, regardless of their level in the organisation...
November 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29132060/traditional-beliefs-and-practices-in-pregnancy-childbirth-and-postpartum-a-review-of-the-evidence-from-asian-countries
#2
Mellissa Withers, Nina Kharazmi, Esther Lim
INTRODUCTION: Asian women suffer the largest proportion of the world's maternal deaths. To reduce this, policymakers and healthcare providers must encourage women with traditionally low rates of maternal health care utilization to access services. OBJECTIVE: The purpose of this study is to provide a comprehensive review of the most common traditional practices in Asia relating to pregnancy, childbirth and the postpartum period. DESIGN: We conducted a literature search of articles: a) focusing on Asia; b) relating to pregnancy, childbirth or postpartum, c) relating to traditional beliefs and/or cultural practices; and 4) published in English in the year 2000 or more recently...
November 10, 2017: Midwifery
https://www.readbyqxmd.com/read/29129020/ethical-aspects-of-medical-age-assessment-in-the-asylum-process-a-swedish-perspective
#3
Erik Malmqvist, Elisabeth Furberg, Lars Sandman
According to European regulations and the legislations of individual member states, children who seek asylum have a different set of rights than adults in a similar position. To protect these rights and ensure rule of law, migration authorities are commonly required to assess the age of asylum seekers who lack reliable documentation, including through various medical methods. However, many healthcare professionals and other commentators consider medical age assessment to be ethically problematic. This paper presents a simplified and amended account of the main findings of a recent ethical analysis of medical age assessment in the asylum process commissioned by the Swedish National Board of Health and Welfare...
November 11, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29099825/-new-italian-law-on-malpractice-the-impact-with-risk-insurance-and-accountability-management
#4
Vitaliano De Salazar, Claudia Borzi, Simona Amato
The new Italian Law on malpractice redefined the risk profile of public and private healthcare Organization. This new law is a legislative response to the Italian medical malpractice insurance crisis. The law, in fact, requires an approach on risk thinking based and accountability. Finally, it also requires a review of the insurance management.
July 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29095092/does-section-63-of-the-mental-health-act-1983-disempower-patients-with-mental-illness-analysis-of-the-case-law
#5
Bhanuka Senasinghe
In England and Wales, detained psychiatric inpatients are treated under section 63 of the Mental Health Act 1983. This paper critically analyses the relevant law and considers the arbitrary distinctions between consent for treatments for mental illnesses and physical conditions, which may disempower patients with mental illness. Section 63 states that (for detained psychiatric patients) consent for medical treatment for patients' mental disorder is not required. The treating clinician responsible for a patient decides what this medical treatment entails...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29093938/forensic-psychiatric-service-provision-in-pakistan-and-its-challenges
#6
Tariq Hassan, Asad Tamizuddin Nizami, M Selim Asmer
In the Islamic Republic of Pakistan the law relating to people who are mentally ill, until 2001, was set out by the Lunacy Act of 1912, which was inherited from the British colonial occupiers. In 2001 the Mental Health Ordinance 2001 took its place but only for this federal law to be superseded in April 2010 with the 18th constitutional amendment. As part of that amendment, provinces have become responsible for (psychiatric) healthcare, including mental health legislation. Forensic psychiatry is practised in Pakistan but is very much in its infancy; it needs to develop and learn from more experienced countries in Europe and North America...
May 2017: BJPsych Int
https://www.readbyqxmd.com/read/29093937/mental-health-law-in-ghana
#7
George Hudson Walker, Akwasi Osei
In 2012 Ghana passed a new Mental Health Act, which aimed to create a new system of mental healthcare in Ghana. The Act includes provisions for the creation of a modern, community-based mental health system and for the protection of the rights of persons with mental disorders. This article discusses the implications of the Act and the progress which has been made towards its implementation.
May 2017: BJPsych Int
https://www.readbyqxmd.com/read/29093927/mental-health-legislation-in-algeria
#8
Zoubir Benmebarek
Mental health law in Algeria originates from the French colonial era. Although several pieces of legislation deal with mental disorders, their implementation remains unsatisfactory and does not meet the real needs of healthcare providers. Amendment of the current mental health law is required to enhance the delivery of care but also to protect those with a mental disorder from abuse.
February 2017: BJPsych Int
https://www.readbyqxmd.com/read/29083345/risk-management-the-new-normative-scenario-and-the-role-of-training-and-education
#9
Antonio Ferrari, Anna Odone, Paolo Mandelli, Carlo Signorelli
The article focuses on the important issue of Risk Management in health. In particular, it describes and critically appraises the new Italian law on patients' safety and professional responsibility, and expand on the educational and training needs to implement it on the ground. On the basis of the new law the role of Risk Managers, responsible for quality and safety of healthcare services, becomes of crucial importance in both public and private hospitals in Italy. In such context, education and training of risk managers should be multi disciplinary, ad hoc designed on recent regulations, and, more in general, help to build a new era in healthcare management...
October 23, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29079875/-clinical-registers-in-the-twenty-first-century-balancing-act-between-data-protection-and-feasibility
#10
REVIEW
C-A Behrendt, H Pridöhl, K Schaar, H Federrath, E S Debus
In the light of big data applications in modern medicine, the various forms of registries becoming increasingly more important. To meet the changing requirements in the field of digital healthcare, the European Commission proposed a comprehensive reform of data protection rules in the European Union (EU). After a transition phase the novel regulations will come into force from 25 May 2018 and then replace the existing Federal Data Protection Act. To conscientiously deal with this subject is of utmost importance before implementing registry-based projects in medical research or quality improvement...
November 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29067876/australian-doctors-knowledge-of-and-compliance-with-the-law-relating-to-end-of-life-decisions-implications-for-lgbti-patients
#11
Colleen Cartwright, Ben White, Lindy Willmott, Malcolm Parker, Gail Williams
In most developed countries, competent patients have the legal right to refuse any medical treatment; Advance Care Planning mechanisms extend this right to non-competent patients. However, some groups, including lesbian, gay, bisexual, transgender and intersex (LGBTI) people, risk their wishes not being respected if they lose capacity, more than others. Little is known about medical practitioners' knowledge of, or attitudes to, the law in this area, especially in relation to LGBTI people, or how the law influences their decision-making...
October 25, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29064859/increasing-the-accessibility-of-sexual-assault-forensic-examinations-evaluation-of-texas-law-sb-1191
#12
Robert C Davis, Bernard Auchter, Susan Howley, Torie Camp, Ilse Knecht, William Wells
INTRODUCTION: Texas SB 1191 was enacted in 2013 with the intent of increasing access to medical forensic examinations for sexual assault victims by requiring every hospital with an emergency department to be prepared to provide a medical forensic examination if requested by a sexual assault victim. To realize that goal, the law also required basic forensic training for medical professionals before conducting a medical forensic examination as well as a requirement that hospitals develop a "plan to train personnel on sexual assault forensic evidence collection...
October 24, 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29063263/-healthcare-research-in-forensic-commitment-or-poking-around-in-the-dark-consensus-paper-on-the-necessity-for-more-uniform-and-better-data
#13
REVIEW
J Querengässer, A Bezzel, K Hoffmann, W Mache, B Schiffer
Complex trends in occupancy determined by many influencing factors, clear state-specific differences in imprisonment practices as well as recently implemented statutory alterations to the appropriate paragraphs in criminal law, underline the necessity for qualitative high-grade concomitant research of German forensic commitment; however, neither the structural prerequisites nor an adequate data situation are currently present in order to do justification to this aim. Not even the total number of patients currently accommodated in forensic commitment can be elucidated from the publicized (partial) statistics...
October 23, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/29060968/-the-use-and-pitfalls-of-large-randomized-controlled-trials
#14
J L Tang, Z Y Yang, C Mao
Modern epidemiology is the art and science of investigating quantitatively regularities or general laws regarding applied healthcare issues. The validity of epidemiological studies is primarily determined by the study design and the precision by the sample size. Large randomized controlled trial (RCT) is thus the most rigorous and most precise epidemiological study design. Due to ethical concerns, RCTs can however be used only to evaluate medical interventions. Rigorousness of study design and sample size required for a study are inversely related to the anticipated size of effect to be evaluated: the smaller the effect, the more rigorous the study design and larger the sample size are required...
October 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29054903/barriers-to-safe-abortion-access-uterine-rupture-as-complication-of-unsafe-abortion-in-a-ugandan-girl
#15
Rose McKeon Olson, Solomon Kamurari
A 15-year-old girl at 18 weeks gestation by the last menstrual period presented to a rural Ugandan healthcare facility for termination of her pregnancy as a result of rape by her uncle. Skilled healthcare workers at the facility refused to provide the abortion due to fear of legal repercussions. The patient subsequently obtained an unsafe abortion by vaginal insertion of local herbs and sharp objects. She developed profuse vaginal bleeding and haemorrhagic shock. She was found to have uterine rupture and emergent hysterectomy was performed...
October 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29045244/respectful-disposition-after-miscarriage-clinical-practice-recommendations
#16
Elizabeth Levang, Rana Limbo, Tammara Ruiz Ziegler
Compassionate clinical practice guidelines for healthcare providers for respectful disposition after miscarriage are presented. When woven into the whole of a clinician's practice, these guidelines provide the framework for giving women and their families the care they want and deserve when experiencing miscarriage. Relying on theoretical concepts of personhood, place, and protection, care providers can assess the unique meaning a woman assigns to her early pregnancy loss and offer interventions that embrace the concept of respectful disposition...
October 17, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29042370/mandated-reporters-experiences-with-reporting-child-maltreatment-a-meta-synthesis-of-qualitative-studies
#17
Jill R McTavish, Melissa Kimber, Karen Devries, Manuela Colombini, Jennifer C D MacGregor, C Nadine Wathen, Arnav Agarwal, Harriet L MacMillan
OBJECTIVE: To systematically search for research about the effectiveness of mandatory reporting of child maltreatment and to synthesise qualitative research that explores mandated reporters' (MRs) experiences with reporting. DESIGN: As no studies assessing the effectiveness of mandatory reporting were retrieved from our systematic search, we conducted a meta-synthesis of retrieved qualitative research. Searches in Medline (Ovid), Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Sociological Abstracts, Education Resources Information Center, Criminal Justice Abstracts and Cochrane Library yielded over 6000 citations, which were deduplicated and then screened by two independent reviewers...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29042005/analysis-of-italian-regulations-on-pathways-of-care-for-patients-in-a-vegetative-or-minimally-conscious-state
#18
D Sattin, L De Torres, G Dolce, Francesco Arcuri, Anna Estraneo, V Cardinale, R Piperno, E Zavatta, Rita Formisano, Mariagrazia D'Ippolito, C Vassallo, B Dessi, G Lamberti, E Antoniono, C Lanzillotti, J Navarro, P Bramanti, Silvia Marino, M Zampolini, F Scarponi, R Avesani, L Salvi, S Ferro, L Mazza, P Fogar, S Feller, F De Nigris, A Martinuzzi, M Buffoni, A Pessina, P Corsico, M Leonardi
Different rehabilitation models for persons diagnosed with disorders of consciousness have been proposed in Europe during the last decade. In Italy, the Ministry of Health has defined a national healthcare model, although, to date, there is a lack of information on how this has been implemented at regional level. The INCARICO project collected information on different regional regulations, analysing ethical aspects and mapping care facilities (numbers of beds and medical units) in eleven regional territories...
July 2017: Functional Neurology
https://www.readbyqxmd.com/read/29034727/examining-the-impacts-of-health-literacy-on-healthcare-costs-an-evidence-synthesis
#19
Rocco Palumbo
Scholars and practitioners share a significant concern about rising healthcare costs. Health literacy is widely presented as a solution to this momentous issue, paving the way for a more appropriate access to care and therefore, for cost savings. However, to date little is still known about the ultimate effects of better health literacy on healthcare costs. Drawing from the findings of a systematic literature review which ultimately involved 29 papers retrieved from Scopus-Elsevier and PubMed. This manuscript is aimed at shedding light on the relationship between health literacy and healthcare costs...
November 2017: Health Services Management Research
https://www.readbyqxmd.com/read/29034668/-health-expectations-of-the-inhabitants-of-a-health-priority-area-a-qualitative-study
#20
Emmanuel Allory, Agnès Banâtre, Eléonore Bourbonnois, Gaëlle Le Cavil, Bertille Leborgne, Françoise Tattevin, Sidonie Chhor, Laure Fiquet
INTRODUCTION: French law of 4 March 2002 instituted health democracy, making health system users a real partner and active stakeholder in the healthcare system. This role of health system users must be taken into account particularly in health priority areas in order to reduce social inequalities in health. In the context of primary care, multidisciplinary clinics would appear to be ideal places to develop the expression of health democracy. OBJECTIVE: Identify the health expectations of the users of the Villejean clinic (Brittany, France) situated in a health priority area...
October 2, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
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