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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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PubMed2005

The way we were: health library life seen through the pages of the Medical Library Bulletin of the Thames Regions, 1974-94.

The Medical Library Bulletin of the Thames Regions reflected the development of health-service libraries over the 20 years it existed. Originally begun as a practical aid to improving services by encouraging co-operation, improving communication and giving instructive advice, it charted the work of health-service librarians and the growth of their services. The articles contained in it covered professional developments and wider political issues as they occurred, and illustrated the extension of the librarians' knowledge and skills. Leslie Morton, Library Adviser to the British Postgraduate Medical Federation, edited almost every issue, starting at a time when there was little guidance or professional literature available for health-service librarians.

History, 20th Century↗
PubMed2006

Research awareness: An important factor for evidence-based practice?

BACKGROUND: Despite the growing body of literature, the reality of getting evidence into practice remains problematic. OBJECTIVE: The purpose of this study was to establish levels of research awareness amongst registered health care professionals (RHCPs) and the influence of research awareness on evidence-based practice activities. DESIGN AND METHODS: This was a descriptive quantitative study. A convenience sample of 2,126 registered RHCPs working in a large acute hospital in Northeast England, the United Kingdom was used. A self-completion Research Awareness Questionnaire (RAQ) was directed towards measuring RHCP: attitudes towards research, understanding of research and the research process, and associations with practising using an evidence base. Data were entered into a Statistical Package for Social Science (SPSS) database and descriptive and inferential statistics were used. FINDINGS: A total of 843 questionnaires were returned. Seven hundred and thirty-three (91%) RHCPs overwhelmingly agreed with the principle that evidence-based practice has a large part to play in improving patient care. This point was reinforced by 86% (n = 701) of respondents strongly agreeing or agreeing with the idea that evidence-based practice is the way forward to change clinical practice. Significant associations were noted between levels of confidence to undertake a piece of research and whether the individual had received adequate information about the research process, had basic knowledge and understanding of the research process, or had research awareness education or training. CONCLUSIONS: The study shows that RHCPs, regardless of position or grade, have a positive attitude towards research but face many obstacles. The key obstacles are lack of time, support, knowledge, and confidence. To address these obstacles, it is imperative that the organisation adopts a structured and coordinated approach to enable and empower individuals to practice using an evidence base.

Acute Disease↗
PubMedDate not supplied

Counselling should be offered to people with end-stage renal failure.

Having a counsellor as a member of the multiprofessional team has made a positive contribution to the way in which people with end-stage renal failure manage their illness. This paper will show how families can be supported when someone close to them develops renal failure. A self-report questionnaire was sent to those who used the renal counselling service over a one-year period. Findings suggest that those who received a period of short-term counselling were able to cope more effectively with their illness and lifestyle changes and felt less stress as a result. The limitations of the evaluation will be discussed, however, we are not seeking to generalise our results but to describe our experience in our unit. This points to the value and necessity of having someone with the requisite skills, to offer people a place to talk about often difficult and painful emotions. In our professional opinion, all renal units should consider having a counsellor as part of an integrated approach to patient care.

Adaptation, Psychological↗
PubMedDate not supplied

Medicine needs its MI5.

Explore the source record for details and available documents.

Biomedical Research↗
PubMed2003

Corridor consultations and the medical microbiological record: is patient safety at risk?

The performance procedures of the General Medical Council are aimed at identifying seriously deficient performance in a doctor. The performance procedures require the medical record to be of a standard that enables the next doctor seeing the patient to give adequate care based on the available information. Setting standards for microbiological record keeping has proved difficult. Over one fifth of practising medical microbiologists (including virologists) in the UK (139 of 676) responded to a survey undertaken by the working group developing the performance procedures for microbiology, to identify current practice and to develop recommendations for agreement within the profession about the standards of the microbiological record. The cumulative frequency for the surveyed recording methods used indicated that at various times 65% (90 of 139) of respondents used a daybook, 62% (86 of 139) used the back of the clinical request card, 57% (79 of 139) used a computer record, and 22% (30 of 139) used an index card system to record microbiological advice, suggesting wide variability in relation to how medical microbiologists maintain clinical records.

Health Care Surveys↗
PubMed1987

Ethical considerations concerning computers in medicine in the 1980s.

The advent of information technology and computers in medicine two decades ago posed a new set of ethical problems. In recent years, these problems have been compounded by the increasing use of computers for supporting clinical decisions as well as administration and record keeping. This presentation considers some of the problems which are raised by the use of computers to support clinical decisions, under the various headings of beneficence, non-maleficence, autonomy and justice. For each aspect the problems raised are described and the implications discussed.

Beneficence↗
PubMed2004

Ethics and evidence based surgery.

Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. "Evidence based medicine" (EBM) emerged in the 1980s and a new gospel of "Rules of Evidence" was introduced. There is no doubt that the net effect of EBM has been beneficial, but over reliance on randomised controlled trials and the lack of generalisability of scientific evidence to individual patients has perhaps led to less enthusiasm for its tenets among surgeons. There are valid and spurious reasons for this that are discussed. The situation is improving but inevitable tensions remain between the surgeon committed to the individual patient here and now, and the clinical researcher whose focus is the benefit of future patients in the larger community.

Attitude of Health Personnel↗
PubMed1998

Ethical dilemmas in occupational therapy and physical therapy: a survey of practitioners in the UK National Health Service.

OBJECTIVES: To identify ethical dilemmas experienced by occupational and physical therapists working in the UK National Health Service (NHS). To compare ethical contexts, themes and principles across the two groups. DESIGN: A structured questionnaire was circulated to the managers of occupational and physical therapy services in England and Wales. SUBJECTS: The questionnaires were given to 238 occupational and 249 physical therapists who conformed to set criteria. RESULTS: Ethical dilemmas experienced during the previous six months were reported by 118 occupational and 107 physical therapists. The two groups were similar in age, grade, and years of experience. Fifty of the occupational therapy dilemmas occurred in mental health settings but no equivalent setting emerged for physical therapy. Different ethical themes emerged between the two groups, with the most common in occupational therapy being difficult/dangerous behaviour in patients and unprofessional staff behaviour, and for physical therapists resource limitations and treatment effectiveness. No differences were found in the ethical principles used. CONCLUSION: The ethical dilemmas reported by the therapists were primarily concerned with health care ethics, rather than the more dramatic ethics reported in much of the biomedical ethics literature. Differences were found between the two professional groups when ethical contexts and themes were compared but not when ethical principles were compared. This suggests that educators and researchers need to be aware of work settings and the interdisciplinary nature of employment as well as ethical principles held by individual therapists.

Adult↗
PubMed2004

Clinicians, librarians and patient safety: opportunities for partnership.

Librarians could improve the safety of medical care through greater participation in patient safety initiatives. A librarian's expertise in accessing the evidence base could enhance the safety and appropriateness of care in a clinical environment. In addition, librarians could apply specific technical knowledge management skills to medicine. To realize improvements from these skill sets, healthcare leaders must consider ways of working with librarians to enhance patient safety.

Cooperative Behavior↗