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At least 271 records · Page 15Linked to original sources
PubMed2005

Perilous work: nurses' experiences in psychiatric units with high risks of assault.

Psychiatric facilities struggle to maintain therapeutic environments made increasingly difficult by severe nursing shortages. Related safety concerns prompted a phenomenological inquiry about nurses' experiences working in environments with high risks of assault. Ten registered nurses participated in open-ended interviews. Analysis of interview transcripts generated four categories and 13 subcategories subsumed under the primary construct of "perilous work," providing the frame for the exhaustive description and essential structure of participants' lived experiences. Outcomes suggest that serious work-related hazards exist and provide insight into possible remedies and a springboard for follow-up studies.

Accidents, Occupational↗
PubMed2005

Views of physicians, disciplinary board members and practicing lawyers on the new statutory disciplinary system for health care in The Netherlands.

The introduction of the Individual Health Care Professions Act (IHCP Act) at the end of 1997 brought a change in various aspects of the disciplinary proceedings. The opinions of those directly involved give an overview of the way in which the disciplinary proceedings functions under the IHCP Act in daily practice, and thus an indication of the contribution made by the disciplinary system to fostering and monitoring high standards of professional practice. Questionnaires were sent to 1300 physicians: 400 general practitioners, 350 internists, 250 gynaecologists and 300 psychiatrists (response 69%, 65%, 60% and 60%, respectively), all 388 disciplinary board members (response 89%) and 43 practicing lawyers (response 65%). Almost all of the disciplinary board members and the practicing lawyers, compared to less than one-third of the physicians, were of the opinion that in their judgement of the complaints the disciplinary boards complied adequately with the concept of good professional practice. A large majority of the disciplinary board members and the practicing lawyers regretted that a complaint could not be declared justified without a sanction being imposed. Most of them were of the opinion that there would be an increase in the number of justified complaints if this possibility were incorporated in the Act. According to the majority of the disciplinary board members and practicing lawyers, the change in the composition of the disciplinary boards had not strengthened the position of the complainant. Most of the respondents were of the opinion that the inclusion of a health professional instead of a legally qualified member was necessary in order to promote consistency in the verdicts concerning professional practice, and thought that a member from the same specialism should always be involved in the judgement of a complaint. A further contribution to the fostering and monitoring of high standards of professional practice could be made by increasing the number of health professional members, adapting the composition of the disciplinary boards to suit the specialism of the accused professional, and introducing the possibility to justify a complaint without imposing a sanction.

Attitude of Health Personnel↗
PubMed2005

The disciplinary code for nurses and its contribution to the quality of nursing care in the Netherlands.

AIM: To obtain insight into the contribution of the disciplinary code for nurses to monitoring the quality of nursing care in the Netherlands. METHODS: Complaints dealt with in the period 1998-2001 were studied. Questionnaires were sent to 3200 nurses (71%), all 388 members of the disciplinary boards (89%) and 43 lawyers (65%). RESULTS: There was an increase in the number of nurses who were accused (20 in 1998, 12 in 1999, 54 in 2000, and 56 in 2001) and also in the annual percentages of sanctions imposed (0% in 1998, 8% in 1999, 13% in 2000 and 16% in 2001). The disciplinary code appears to be an important corrective instrument for serious professional misconduct.

Attitude of Health Personnel↗
PubMed2005

The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper.

Nurses globally are required and expected to report nursing errors. As is clearly demonstrated in the international literature, fulfilling this requirement is not, however, without risks. In this discussion paper, the notion of 'nursing error', the practical and moral importance of defining, distinguishing and disclosing nursing errors and how a distinct definition of 'nursing error' fits with the new 'system approach' to human-error management in health care are critiqued. Drawing on international literature and two key case exemplars from the USA and Australia, arguments are advanced to support the view that although it is 'right' for nurses to report nursing errors, it will be very difficult for them to do so unless a non-punitive approach to nursing-error management is adopted.

Attitude of Health Personnel↗
PubMed2006

Compliance with restrictions on sale of indoor tanning sessions to youth in Minnesota and Massachusetts.

BACKGROUND: Minnesota and Massachusetts require parental permission, for persons younger than 16 or 18 years of age, respectively, for indoor tanning. OBJECTIVES: This report examines business practices and characteristics associated with sales of indoor tanning to underage girls. METHODS: Fifteen-year-old girls tried to purchase an ultraviolet tanning session in 200 indoor tanning businesses in the Minneapolis-St Paul and Boston areas without parental consent. Business characteristics were recorded. Later, businesses were interviewed by telephone about their facilities and practices. RESULTS: Eighty-one percent of businesses sold a session to an underaged buyer on at least one of two tries. Illegal purchases did not differ by state. Businesses least likely to sell were larger, dedicated to indoor tanning, required employee certification, and had a minimum age of sale for their business. However, businesses in each of these categories still sold tanning sessions to underaged adolescents at 44% to 62% of the visits. Employees who requested parental consent or age identification almost never sold a session. LIMITATIONS: Businesses in Minnesota and Massachusetts only were included. CONCLUSION: Minnesota and Massachusetts laws specifying a minimum age of sale for indoor tanning are ineffective.

Adolescent↗
PubMed2005

Substance abuse among nurses--intercession and intervention.

IT IS NOT EASY to report a coworker who may have a substance abuse problem, so many nurses choose to remain silent about this issue. THIS ARTICLE PROVIDES suggestions for staff nurses about how to confront a peer, document inappropriate nursing behaviors related to substance abuse, and report these issues to a manager. The manager's role in counseling and intercession with a substance abusing employee also is detailed. REMEDIATION AND SUPPORT programs are addressed along with return-to-work issues and the need for education about this debilitating disease.

Employee Discipline↗
PubMed1988

The immature employee. A manager's challenge.

Skill in managing immature employees is seldom learned in nursing management classes and is usually developed as a result of difficult experiences. A technique in which limits are set is most effective. As with other difficult management situations, the manager cannot expect immediate rewards. The immature employee who has trouble with authority will not readily offer appreciation to his or her manager. The manager's reward is knowing that he or she handled the situation well.

Administrative Personnel↗