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Information technology: soul of a new organization.

If the total quality organization is the structure of the 1990s, then the structure of the new millennium is the world class organization--and information technology (IT) is the foundation upon which it will be built. This article explores how clinical information systems and IT are evolving to support several unique characteristics of the world class organization, including (1) how patient-centered care and the advent of the interdisciplinary care team has led to the development of a new breed of clinical information systems; (2) how accountability has empowered nursing and led, in turn, to a need for systems and languages to measure and document nursing care and its outcomes; and (3) how care across the continuum and rapid, constant change demands open systems that are scalable and interoperable.

Forecasting↗

To find a soul.

Explore the source record for details and available documents.

Aged↗

Mind, brain, body, and soul: a review of the electrophysiological undercurrents for Dr. Frankenstein.

Mary Shelley's Frankenstein is perhaps the most famous work of medical science fiction. She and her husband, the poet Percy Shelley, were aware of nascent neuroscience experimentation and the effects of electricity on neuromuscular function. Such experiments generated theories of voluntary, involuntary, and unconscious neuromuscular function; animal electricity; and the anima--the human vital principle. In Germany and Italy, investigators were performing bizarre electrical experiments on animals and humans to "reanimate" lifeless limbs and bodies. These demonstrations and theories find expression in Frankenstein and provide models for Dr. Frankenstein and his creation.

Brain↗

Chancers, pests and poor wee souls: problems of legitimation in psychiatric nursing.

This paper explores the relationship between psychiatric nurses and 'problem' patients as a means of commenting on the occupation of psychiatric nursing. Proceeding from a detailed examination of the case of one particularly problematic female patient, and drawing on a body of observational and interview data relating mainly, though not exclusively, to nursing activity on two very different psychiatric wards, we argue that what is critical in determining nurses' categorization of some patients as 'problems' is not so much the level or nature of patients' demands, as much previous work has suggested, but rather the patient's willingness to legitimate the nurses' therapeutic aspirations. Possessing neither readily identifiable technical skills nor unambiguous authority, the psychiatric nurse must look to her dealings with patients to sustain a viable professional identity. 'Problem' patients are those who call attention to the fragility of nursing authority by rejecting, implicitly or explicitly, the special services that the psychiatric nurse stands ready to provide.

Hospitals, Psychiatric↗

The belief in the transmigration of souls: psychotherapy of a Druze patient with severe anxiety reaction.

In this paper the culture-sensitive psychotherapy of a 19-year-old Druze patient with severe anxiety reaction is described. The patient explained his anxiety and his symptoms as stemming from violent death in his former life and subsequent transmigration. The therapists joined the patient's explanatory model and previous traditional healing, adding hypnotic suggestion which relieved the symptoms. The relationship of patient symptomatology to cultural background, multiple personality disorder, possession and dissociation is discussed. The strategic combination of culture-specific and modern psychiatric approaches is advocated in similar cases.

Adult↗

Case of the month: "bugs are eating my soul"--sternal abscess, osteomyelitis, and mediastinitis complicating a closed sternal fracture.

Wound complications of closed sternal fracture are rare, but may have serious consequences if not effectively managed. We report a case of a patient who presented to the emergency department with a sternal abscess, osteomyelitis, and mediastinitis complicating a closed sternal fracture. It is hypothesised that in our patient bacteraemia post intravenous drug use resulted in seeding of the haematoma with Staphylococcus aureus. Early diagnosis and a multidisciplinary team effort were important in ensuring a favourable outcome.

Abscess↗