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At least 793 records · Page 44Linked to original sources
PubMed2003

[A study of pharmacists' consciousness toward separation of medical practice from pharmaceutical dispensing].

Separation of medical practice from pharmaceutical dispensing had been a system with just the notation without the reality even after Showa era, although its concept was brought into Japan along with European medicine in Meiji era. Since 1970's, its concept has been prevailing gradually, and the so-called separation rate currently has reached to 47 percent. Increasingly keen attention has been paid recently by the public toward medicine in general. Taking into consideration these facts, a questionnaire survey was conducted for dispensing pharmacists in order to find out where pharmacists stand at present. Most of pharmacists (98.3%) answered that they practice patient counseling either by documents or by verbal communication, and that they take patient profiles. They said that patients could enjoy a proper medical treatment (32.9%) as well as a rational prescribing (14.3%). For a question asking what pharmacists should do to promote the separation of medical practice from pharmaceutical dispensing, 40.3% of them answered that they should make progress in their knowledge on drug therapy.

Adult↗
PubMed2005

Consent and the use of Foley catheters in epistaxis.

The Medicines and Healthcare Products Regulatory Agency stated in 2003 that doctors should endeavour to avoid using products in treatments not covered by their product licence. Foley catheters are commonly used in the management of epistaxis although their product licence does not cover this. We undertook a questionnaire survey of members of the British Association of Otorhinolaryngologists--Head & Neck Surgeons to study the extent of the use of these catheters and the knowledge that members had of their legal status. Most members appear to use Foley catheters in the management of epistaxis; however, many are not aware that the product is not licensed for this purpose. Because of this lack of knowledge, only half obtain verbal consent for treatment with this device and only a very small number obtain written consent from patients. In the era of increasing litigation, documentation of informed consent could be considered mandatory to protect us from possible legal action, and this needs to be known by all practising otolaryngologists.

Catheterization↗
PubMed2000

A pilot study of an educational service for rural mental health practitioners in South Australia using telemedicine.

Studies have found that rural patients want to be treated in their local hospitals. However, there have been difficulties with recruiting and retaining professionals in rural areas of Australia. Isolation, lack of professional development programmes, lack of academic programmes, lack of peer consultation and the need to travel long distances are some of the reasons identified in the National Rural Health strategy. A pilot service of educational programmes delivered by telemedicine was initiated and then evaluated. Forty-six community mental health workers from nine rural areas and 20 general practitioners from five rural areas participated. High satisfaction with the use of telemedicine was recorded by both groups. Telemedicine reduced the disincentives to rural practice, and also improved the professionals' competence and confidence in managing patients with psychiatric illness.

Education, Distance↗
PubMed2005

Are skills learned in nursing transferable to other careers?

OBJECTIVE: To determine the influence of skills gained in nursing on the transition to a non-nursing career. BACKGROUND: Little is known about the impact that nursing skills have on the transition to new careers or about the transferability of nursing skills to professions outside nursing. METHOD: A postal questionnaire was mailed to respondents who had left nursing. The questionnaire included demographic, nursing education and practice information, reasons for entering and leaving nursing, perceptions of the skills gained in nursing and the ease of adjustment to a new career. Data analysis included exploratory and confirmatory factor analysis, Pearson product moment correlations and linear and multiple regression analysis. RESULTS: Skills learned as a nurse that were valuable in acquiring a career outside nursing formed two factors, including "management of self and others" and "knowledge and skills learned," explaining 32% of the variation. The highest educational achievement while working as a nurse, choosing nursing as a "default choice," leaving nursing because of "worklife/homelife balance" and the skills of "management of self and others" and "knowledge and skills" had a significant relationship with difficulty adjusting to a non-nursing work role and, overall, explained 28% of the variation in this difficulty adjusting. CONCLUSION: General knowledge and skills learned in nursing prove beneficial in adjusting to roles outside nursing.

Adaptation, Psychological↗
PubMed2005

Case study: nursing professional practice councils: the quest for nursing excellence.

The quest for nursing excellence requires enthusiasm, commitment and a dedicated team of nurses. The desire to create an environment where nurses were valued, supported and empowered led to the development of a Nursing Professional Practice Council within an Ontario Public Health Unit. The journey is described in detail, from planning and implementation through lessons learned and recommendations for organizations embarking on a similar quest. As a direct result of the Nursing Professional Practice Council, experiences within the organization have exceeded expectations, justified the financial costs and improved relationships among all parties.

Decision Making, Organizational↗
PubMed1999

Making best use of every healthcare provider's knowledge and skills.

In "Organizing Primary Care for an Integrated System" Rosser and Kasperski propose changing the way family physicians practice to address deficiencies in the current primary-care delivery system in Canada. These deficiencies include a growing shortage of physicians, particularly in rural areas of Canada; the growing dependence of Canadians on acute hospital emergency units or "walk- in clinics" for primary care; fragmentation and unnecessary duplication in the delivery of primary-care services; lack of understanding on the part of the community and hospital sectors of the role of the family-practice physician; a fee-for-service funding model that does not reward prevention and health-promotion initiatives by physicians and makes high-problem visits the most lucrative; and lack of clarity with regard to what the public should expect from their physicians.

Canada↗
PubMed1999

The pharmacist's role in primary care within an integrated health system.

I read, with interest, the paper by Rosser and Kasperski. I was struck by how similar and applicable the problems and issues identified for family physicians are to those pharmacists face today in Canada's health system. There is a need for a coordinated and systematic approach to address infrastructure support for all primary-care providers. In this companion article, I will provide evidence to support the Ontario College of Family Physicians' position on strengthening family physicians' abilities to provide excellent primary care. In addition, I will make a case for support of greater involvement of pharmacists in community-based primary-care teams.

Canada↗
PubMed2005

Steering and rowing in healthcare: the devolution option.

Claims of"underfunding" notwithstanding, the problems we are experiencing with healthcare in Canada are primarily attributable to a deficiency of governance of our ill-coordinated non-system of health and healthcare services.

Administrative Personnel↗
PubMedDate not supplied

Hospital nurses' perceptions of pharmacist prescribing.

The final report from the Crown review team was published in March 1999. It proposed that new groups of healthcare professionals should be permitted to prescribe medicines. Most of the recent progress has centred on the extension of community nurse prescribing. However, changes have also been proposed to prescribing practices within the hospital setting to include nurses, pharmacists, and other healthcare professionals. This study is an initial piece of work examining hospital nurses' perceptions of pharmacist prescribing to identify if there are issues that warrant further investigation. Postal questionnaires, seeking responses to statements describing pharmacists writing prescriptions for drug treatment, were sent to 200 nurses at five NHS teaching hospitals in Birmingham. Completed questionnaires were received from 115 nurses (a response rate of 57.5%). Fifty-four respondents added comments to the questionnaire, giving some insight into their responses to the statements on pharmacist prescription-writing and prescribing. These comments indicated five key issues that may warrant further investigation: (1) pharmacists' knowledge of the patient (2) doctors losing the opportunity to review drug treatment (3) potential communication problems (4) pharmacists' workload, and (5) legal and professional accountability.

Attitude of Health Personnel↗
PubMed2005

A career in hospital social work: do you have what it takes?

Hospitals present a variety of complex challenges for social work practitioners. Clinical social workers deal with emotionally intense and potentially draining cases in a setting where they are often faced with threats to their identity or existence. They must balance their role as patient advocates with institutional needs and be able to adjust to ever-changing models of health care delivery. Why do some social workers thrive in this environment while others struggle to survive? This article draws upon the author's twenty-year career in hospital social work to provide a "snapshot" of the clinical social work role in teaching hospitals. Included in the discussion are observations about the unique aspects of clinical practice in the hospital and strategies for surviving power struggles, turf battles and hospital "politics."

Career Choice↗
PubMed2004

Mentoring new social work faculty:a gerontological perspective.

The John A. Hartford Foundation, in collaboration with the Gerontological Society of America, has developed new models to create geriatric faculty capacity within social work. The Faculty Scholars Program is building faculty leadership in academic geriatric social work through a strategic approach that includes long-distance national and institution- based mentoring. While mentoring models have proven to be effective means of career development, this is relatively new in academic social work and little is known about the impact of long-distance mentoring in association with sponsorship from a mentor at the scholar's home institution. This paper describes the mentoring model and its conceptual underpinnings. Evaluation data from an ongoing evaluation is presented in discussion of the strengths and limitations of the mentoring model.

Aged↗
PubMed2000

[Not Available].

In the context of a German-wide project establishing oncologic palliative clinics, a discussion has been started dealing with the specific requirements of the health Community. As a result of this discussion, the question as to the possible differences in quality and quantity of stress has arisen. An empiric case study has been undertaken in a Special oncologic clinic with a palliative ward. The following phenomenon were investigated: stress level according to the Maslach Burnout Inventory twice within a period of two years, coping strategies, and the design of the work place. The differences in stress between the groups resulted in only specific differences, but a distinct drop in levels of stress was recognized in proportion to the level of professional competence. Relations between conditions in the work place, coping skills, and subjective perception of stress offer many opportunities for health promoting interventions in palliative wards, namely increasing Special competences of the nursing staff and improving work conditions.

Burnout↗
PubMed2002

Discursive reflections on a research agenda for clinical supervision.

In my view there is curiously little evidence, but much emotional rhetoric, supporting the value or clarifying the purposes of supervision. Even Roth and Fonagy (1996) resort to purely rhetorical support for supervision in their otherwise evidence-obsessed study. Supervision, I submit, is highly problematic terrain. And any consideration of the problems of supervision implicitly reminds us of the problems simmering throughout the entire counselling and psychotherapy enterprise (Feltham, 2000, p. 21).

Counseling↗
PubMed1998

Future directions in genetic counseling: practical and ethical considerations.

The accelerated discovery of gene mutations that lead to increased risk of disease has led to the rapid development of predictive genetic tests. These tests improve the accuracy of assigning risk, but at a time when intervention or prevention strategies are largely unproved. In coming years, however, data will become increasingly available to guide treatment of genetic diseases. Eventually genetic testing will be performed for common diseases as well as for rare genetic conditions. This will challenge genetic counseling practice. The ethical principles that now guide this practice take into account the personal nature of test decision making, the need to respect individual self-determination, and the importance of client confidentiality. Certain of these principles may have to be modified as genetic testing becomes more widespread in order to meet the changing needs of clients and society. This paper offers recommendations to ensure that genetic counselors will take a leading role in the future delivery of ethical genetic services.

Communication↗