Physician communication in consultation/referral.
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This study examined the relationship among determinants of organizational climate, identified from the literature as communication, staff utilization, interdisciplinary politics, reward and support services, and nurse stability in critical care units. The purposes of the study were (1) to describe the organizational climate reported by staff registered nurses working in eight critical care units located in the same tertiary care center, (2) to measure nurse stability in the study units, (3) to determine interunit differences in organizational climate and nurse stability, and (4) to examine relationships among organizational climate phenomena and nurse stability. The sample was composed of 192 critical care staff nurses. Results indicated significant interunit differences among organizational climate determinants and nurse stability. Relationships among communication, interdisciplinary politics, and nurse stability were also demonstrated.
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Joint Regional Exercise, 2000 (J-REX 2000) was an ambitious, multi-functional, multi-agency exercise conducted October 12-14, 2000. While the main focus of the exercise was centered in Minneapolis MN, and adjacent Fort Snelling, the exercise also involved National Disaster Medical System (NDMS) participating hospitals in Cleveland, Detroit, Duluth, Indianapolis, Omaha, and Tulsa. As such, the exercise presented a unique opportunity to simultaneously and somewhat realistically examine the response capabilities of multiple agencies and institutions within the NDMS and to 'game' several aspects of the Federal Response Plan's Emergency Support Function 8.
An improvement activity involving use of real-time waiting-time data resulted in reductions in bed-assignment times and overall diversion hours.
In the past, research on zoonotic diseases has been fragmented. Teresa Belcher and Diane Newell discuss the formation of Med-Vet-Net, a "virtual institute", which aims to integrate activity between researchers in human and veterinary medicine across the European Union.
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This paper is divided into two primary sections: challenges and opportunities in the field of NBIC. Potential interactions between information technology and cognitive technology are principally discussed.
OBJECTIVE: Due to the large number of Black South Africans known to consult with traditional healers and the influential role they play in the developing world, this study investigated the approaches of a group of 15 traditional healers toward the treatment of cleft lip and palate. DESIGN: An exploratory-descriptive, qualitative research design was employed, which involved the use of standardized, semistructured interviews, conducted with the assistance of an interpreter who was fluent in several African languages. SETTING: Interviews were conducted outdoors in places in which traditional healers usually consult with their patients. These areas were in the fields close to the traditional healers' homes or under a highway bridge in the Johannesburg inner city. PARTICIPANTS: Individual interviews were conducted with 15 African traditional healers who had been practicing in their callings for at least 1 year. RESULTS: Traditional healers interviewed had treated one to six persons with a cleft lip, cleft palate, or both. Most informants believed that clefts were caused by the ancestors, spirits, and witchcraft. A variety of plant and animal products were used to treat these conditions and were augmented by spiritual resources from the ancestors. All except one healer had undergone formal training, although they had received no specific training relative to cleft lip and palate. Most participants reported referring patients to Western health care practitioners who were referred to as modern doctors but did not receive reciprocal referrals from these professionals. Patients generally consulted with traditional healers because this approach was part of their culture. CONCLUSIONS: These findings have important implications for health care professionals as well as traditional healers in terms of cross-cultural consultation, collaboration, and information sharing with regard to cleft lip and palate; the potential use of traditional healers in primary health care and education; and further research.
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INTRODUCTION: Rapid developments take place in communication technology. It is a hard task to keep pace with them, but unavoidable. The scene of electronic communication and publication, the Internet has originally been constructed for scientific communication and publication of scientists. Nowadays, the electronic communication has spread all over the world. Though the share of sciences has been diminished, the progress in the scientific electronic communication has not been broken. AIM: The authors delineate the present situation in electronic communication in general and in Hungary. METHODS: The authors asked by questionnaire survey the medical scientists and professionals about their knowledge and usage of modern publication possibilities. For comparison's sake, the authors referred to some foreign surveys as well. RESULTS: In Hungary, the communication possibilities on the Internet--and the electronically accessible publications--are at the readers' disposal at the universities and academic institutions. The opinions about the popularity and effects of electronic publication are generally positive. Concerns were expressed in connection with the possible weaker professional control in case of certain types of publication. In the opinion of the majority of questioned people the electronic form of publication will never replace the traditional one completely, it will be, however, dominant.
Effective communication between public health agencies and their external stakeholders is vital to the agencies, as well as to those they serve. Agency leaders must obtain information from stakeholders and provide information to them. A process is described whereby agencies can systematically obtain necessary information from external stakeholders, and three of the most important forms of communications are described through which an agency provides information to stakeholders: promotion of the agency, advocacy, and social marketing. Barriers to effective communication of the interpersonal, personality, organizational, operational, skill/knowledge, attitude, and nature-of-information types are described, and guidelines are provided for minimizing the impact of these barriers.
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BACKGROUND: At The Johns Hopkins Hospital (JHH), a culture of safety refers to the presence of characteristics such as the belief that harm is untenable and the use of a systems approach to analyzing safety issues. PATIENT SAFETY AS A LEADERSHIP AND ORGANIZATIONAL PRIORITY: The leadership of JHH provides strategic planning guidance for safety and improvement initiatives, involves the patient safety committee in capital investment allocation decisions and in designing and planning new hospital facilities, and ensures that safety and quality head the agenda of board-of-trustees meetings. Although JHH takes a systems approach, structures such as monitoring staff behavior trends are used to hold people accountable for job performance. CHALLENGES AND LESSONS LEARNED: JHH encountered three major hurdles in implementing and sustaining a culture of safety. First, JHH's decentralized organizational structure contributes to a silo effect that limits the spread of ideas, practices, and culture. JHH intends to create an internal collaborative of departmental safety initiatives to foster opportunities for units to share ideas and results. Second, in response to the challenge of encouraging teams to think and act in an interdisciplinary fashion, communication and teamwork training are being used to enhance the effectiveness of interdisciplinary teams. Further development of valid and meaningful safety-related measurement and data collection methodologies is JHH's largest remaining challenge.
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