Why PLoS sponsored a roundtable of medical whistleblowers.
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Reported inconsistencies in entry level exams and variations in available disciplinary mechanisms suggest the need for modifications to improve these processes. A quality assurance system combining education with some sanctions is likely to engender dentist support and improve quality of care.
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A few considerations are developed on how the disciplinary power, from Foucaut's stand-point, has been enacted on the members of the nursing team working within the hospital space, allowing in this way to know, to ponder and to make a new way to introduce changes in the area of Nursing.
OBJECTIVES: This study measured the effects of an administrative intervention on health care provider compliance with universal domestic violence screening protocols. METHODS: We used a simple, interrupted-time-series design in a stratified random sample of female emergency department patients 18 years or older (n = 1638 preintervention, n = 1617 postintervention). The intervention was a 4-tiered hospital-approved disciplinary action, and the primary outcome was screening compliance. RESULTS: Preintervention and postintervention screening rates were 29.5% and 72.8%, respectively. Before the intervention, screening was worse on the night shift (odds ratio [OR] = 0.46, 95% confidence interval [CI] = 0.31, 0.68) and with psychiatric patients (OR = 0.34, 95% CI = 0.14, 0.85); after the intervention, no previous screening barriers remained significant. CONCLUSIONS: An administrative intervention significantly enhanced compliance with universal domestic violence screening.
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This report contains the results of a predictive validity study, which examined the relationship between the employment status of a group of temporary contract operatives in a British factory, 90 days after being hired (N = 50) and their scores on the Employee Reliability Inventory. Scores were systematically related to employment status. Operatives who were involuntarily dismissed by their employer for unauthorized absence, lateness, or poor performance had poorer scores than those who remained on the job. Some preliminary benefit-cost implications are discussed.
A survey of 300 U.S. nurses recovering from alcohol and other drug dependency was conducted to describe the effect of drug use on job performance and related disciplinary actions. Subjects reported experimentation with or dependence on a variety of drug categories. Many visible effects on job performance were reported but only 23% reported disciplinary action against their nursing licenses. Females and older nurses were more often dependent on alcohol, while younger nurses and males reported narcotic dependency with greater frequency. Narcotic use was significantly related to disciplinary action.
Information about potential risk factors and characteristics of chemically-dependent nurses is imperative to the development of primary and secondary prevention strategies. However, little is known about nurses who become dependent on chemicals, especially outside of the United States. In Canada, there is a dearth of studies. The purpose of this descriptive replication study is to provide information about the characteristics of chemically-dependent nurses in Manitoba, Canada, and to determine whether these characteristics are unique to one Canadian province or resemble an international profile. The study utilized an anonymous mailed survey to collect quantitative data from 22 recovering nurses. The majority of characteristics of the Manitoba nurses were similar to those found in American studies, thus adding further support to patterns emerging in the data base.
Many agencies and individuals are involved with nurse competency, but within this cooperative effort, state boards of nursing have the unique role of assuring the public, through the issuance of licenses, that nurses are competent. The purpose of the board of nursing, as defined by public lawmakers, is to protect the public. There are public members on most boards. Boards of nursing are involved with nurse competency at the time of the nurse's initial entry into practice, on an ongoing basis at the time of license renewal, when the nurse reenters practice after a time of voluntary absence, and after disciplinary action of the nurse. The participation in continuing education activities is one major method for nurses to meet continued competency requirements.
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