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At least 541 records · Page 30Linked to original sources
PubMed2002

Revisioning the nursing shortage: a call to caring for healing the healthcare system.

The nurse shortage is one of the most serious threats to quality care facing the healthcare system. This article examines the situation through multiple lenses and suggests that an ecological model of resource conservation and the creation of habitats for healing might be better solutions than traditional economic and business frameworks can offer. These habitats for healing would be the central elements of a renewed, healing healthcare system, allowing the reemergence of the caring and healing environment necessary for attracting and keeping more nurses.

Benchmarking↗
PubMed1975

On asking to die.

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Dehumanization↗
PubMedDate not supplied

Nurses' experiences of caring for the relatives of patients in ICU.

To date there have been no published qualitative studies looking solely at the experiences of nurses caring for the relatives of patients who are critically ill. This small-scale phenomenological study explores such experiences. Three intensive care units in North West England were included; the nine participants were D grade or above, with a minimum of three months' ICU experience. Each nurse attended a tape-recorded, unstructured interview to discuss caring for relatives. A thematic analysis of the nurses' comments was then performed. Although many of the nurses understood the benefits of performing the care-giver role to families, some nurses felt inadequately prepared. There were also issues about whether they felt supported by colleagues in undertaking this role.

Attitude of Health Personnel↗
PubMedDate not supplied

Leaving the field.

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Attitude to Death↗
PubMed1992

Physical restraints in the practice of medicine. Current concepts.

OBJECTIVE: This article reviews the current status of the utilization of physical restraints in the practice of medicine. Based on current data from the reference sources, appropriate guidelines for the utilization of physical restraints in the practice of medicine are presented. DATA SOURCES: A review of the current literature as referenced in the article. Only English-language references were used. STUDY DESIGN: Articles were selected based on a review of articles from Index Medicus, English-language only. Articles were reviewed by the author for validity and appropriateness. DATA EXTRACTION: The guidelines of data quality, validity, and appropriateness were applied to all articles by the author. DATA SYNTHESIS: Restraints are frequently used in the practice of medicine. As many as 85% of nursing home patients will be restrained at some time and up to 17% of hospitalized medical patients will be restrained. This treatment is not always appropriate but there are no current guidelines available for the practicing physician to assist him or her in these decisions. The current use of physical restraints is discussed. The risks of restraints are reviewed and the reasons for restraint use are cited. The question regarding the efficacy of restraints is directly addressed for each of the situations in which restraints are most commonly used. The ethical and legal considerations concerning the use of restraints are reviewed, current concepts are summarized, and guidelines for improved usage of restraints are suggested. CONCLUSIONS: Despite their extensive use, there is virtually no evidence to support the efficacy of restraints. The risks of using mechanical restraints are numerous and well documented. The detrimental psychologic impact of restraints needs to be emphasized. Restraints are inappropriately used if employed because of fear of liability should a patient fall. The proper approach to the patient at risk of falling is to address the contributing factors that place the patient at risk and, where possible, correct them. Restraints are overused in medicine. Guidelines are given to help improve the employment of this potentially harmful practice.

Accidental Falls↗
PubMed1995

Whither Nuremberg?: medicine's continuing Nazi heritage.

The medical crimes of the Hitler regime are commonly perceived to have been committed by a few demonic physicians working in isolation from the mainstream of the German medicine. The success of this myth has imperiled the value system of medicine today. The World Medical Association (WMA), established to address the ethical challenges arising from the German tragedy, has itself been compromised by this legacy. The leadership of the WMA has included doctors once associated with the Nazi SS terror organization and linked to crimes prosecuted at Nuremberg. Despite these recent revelations the WMA has yet to address the ethical issues raised by its own Nazi heritage or to pay homage to the victims of the Nazi regime.

Biomedical Research↗