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PubMed2002

The ethical confrontation of the unethical forensic colleague.

In the course of clinical and forensic work, psychologists sometimes discover serious weaknesses in knowledge, performance, or ethics in other psychologists' work. The ethical code of the American Psychological Association mandates confronting such a psychologist prior to making a professional complaint. This mandatory confrontation typically is omitted because of a sense of awkwardness or a fear of insulting the other psychologist. Education and training in psychology does not cover this sensitive and important area. In this article, sample templates of letters are provided to meet that ethical requirement and to begin to resolve problem behaviors by colleagues.

Communication↗
PubMed2004

Issues surrounding the administration of a credit course for medical students: survey of US academic health sciences librarians.

OBJECTIVES: For librarians developing a credit course for medical students, the process often involves trial and error. This project identified issues surrounding the administration of a credit course, so that librarians nationally can rely more upon shared knowledge of common practices and less upon trial and error. METHODS: A questionnaire was sent to the education services librarian at each medical school listed in the 2000 AAMC Data Book. A second questionnaire was sent to those librarians who did not return the first one. RESULTS: Of the 125 librarians surveyed, 82 returned the questionnaire. Of those 82, only 11 offered a credit course for medical students, though 19 more were in the process of developing one. Data were gathered on the following aspects of course administration: credit course offerings, course listing, information learned to administer the course, costs associated with the course, relationships with other departments on campus, preparation for teaching and grading, and evaluation of the course. CONCLUSIONS: Because of small number of respondents offering a credit course and institutional variations, making generalizations about issues surrounding the administration of a credit course is difficult. The article closes with a list of recommendations for librarians planning to develop a course.

Curriculum↗
PubMed2004

Volunteers: help in plain sight.

Hospital volunteers no longer fit the stereotypic patient escort and "candy striper" roles. Find out how to make the best use of the talents of newly retired Baby Boomers, downsized executives and other community helpers you may have overlooked.

Adult↗
PubMedDate not supplied

Stress and mediators: patients' perceptions of infertility treatment.

In-depth joint interviews of 25 infertile couples covering the full range of infertility etiologies and treatments were conducted in this qualitative study. Professional competency, sensitivity, and environmental comfort acted as mediators by increasing or decreasing treatment stress. In addition, couples individually or collectively developed action or mental strategies to mitigate stress. High stress, lack of hope, and frustration led to contemplation of terminating treatment.

Adult↗
PubMed2004

Improving the performance of your board.

Leadership from your Board of Directors defines who you are as an organization and steers it, hopefully, in the proper direction. It takes an optimum balance of collective knowledge, skills, generations and geography to create a Board that will best suit your needs and those of your donors, patients and consumers. Leadership takes intelligence, character, integrity and energy. Getting the right volunteer leadership is one of our tougher challenges, and helping to improve their abilities and skills as Board members is even harder.

Governing Board↗
PubMed2004

Trustee certification: around the corner or miles away?

How do lay boards make tough decisions on complicated hospital issues? The verdict is still out on whether mandatory trustee education is the best solution, but you need to confront the pros and cons before the choice is made for you.

Alaska↗
PubMed2004

[Risk factors of postpartum hemorrhage during labor and clinical and pharmacological prevention].

Prevention of postpartum hemorrhage (PPH) is a major concern in regards to its impact on maternal morbidity and mortality. While established risk factors can be identified among risk factors of PPH during labor after multivariate analysis: prolonged labor, oxytocin stimulation of labor, cesarean section, instrumental delivery, genital lacerations and episiotomy, prolonged third stage of labor, retained placenta; other risk factors are still uncertain: induction of labor, hyperthermia or chorioamniotitis, analgesia or anesthesia, macrosomia, various cesarean section techniques. Isolated identified risk factors have a moderate incidence on PPH, but their cumulation in one patient is a potential high risk. Among active management schemes of third stage of labor for PPH prevention, the most efficient technique seems to be direct injection of oxytocin when the baby's shoulders are delivered, associated with controlled cord traction. If this technique is a must for high-risk patients for PPH, and seems efficient for every patient, a correctly performed procedure requires the presence of a competent professional in addition to the midwife or obstetrician in charge of delivery, and a permanent attention so the length of third stage of labor is shortened. The alternative use of prophylactic misoprostol in the third stage of labor is less effective than injectable uterotonics in reducing PPH, and is associated with more side effects (severe shivering, pyrexia, diarrhea). None of other described prophylactic methods have proved efficiency: early suckling, umbilical blood drainage, oxytocin umbilical vein injection, among others. A decrease in PPH prevalence should be obtained by particular attention on data from the early postpartum period, active diffusion of effective prophylactic techniques, and an appropriate choice in regards to each delivery unit organization.

Delivery, Obstetric↗
PubMed1992

[Attitude of nursing staff towards the nursing profession and work community].

This study discusses the attitudes of nurses and other nursing staff towards the nursing profession; their views on the community in which they carry out their daily work; and their opinions on how their job is being affected by ongoing efforts to develop the hospital organization. The study was carried out in two hospitals, where we selected for closer analysis the nursing staff of the inpatient wards (N = 153). The data were collected using a semi-structured questionnaire. Methods of statistical description included percentage distributions, means and standard deviations, and cross tabulation. Content analysis was used in the case of the open-ended answers. The majority of the nursing staff described the general atmosphere of their work community as open. It was also widely agreed that cooperation among different occupational groups on the ward was good or fairly good. Both of these factors were considered essential in view of the common objective of improving nursing quality. All occupational groups had a high regard for their profession. Similarly, most of the respondents believed that with the general development of nursing they would be able to further develop their own professional competence. About half of nursing staff took a positive attitude towards the ongoing campaign to develop the hospital work organization; they were described as justified and meaningful. This campaign implied, for example, a stronger patient-orientation and an improved quality of nursing. Most of the respondents felt they had good opportunities to influence decision-making in matters related to their own daily job. However, there were also critical voices saying that most innovations are in practice implemented by hospital management.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude of Health Personnel↗
PubMed2005

State of the art of expert searching: results of a Medical Library Association survey.

OBJECTIVES: Medical Library Association (MLA) members were surveyed to gather background about the current state of expert searching in institutions. The survey results were intended to guide the recommendations of the Task Force on Expert Searching for promoting the importance of expert searching and implementing those recommendations. METHODS: MLA members were surveyed, and data obtained from the survey were compiled and analyzed to answer three general questions: what is the perceived value of searching skills to the institution, how do health sciences librarians maintain and improve their searching skills, and how are searching services promoted and/or mandated in the institution. RESULTS: There were 256 responses to the survey. Over 95% of the respondents saw their expert-searching skills were of value to their institutions, primarily through performing mediated searches and search consultations. Over 83% of the respondents believed that their searching skills had improved over the past 10 years. Most indicated that continued training was very important in maintaining and improving their skills. Respondents promoted searching services most frequently through orientations, brochures, and the libraries' Web pages. No respondent's institution mandated expert searching. Less than 2% of respondents' institutions had best practice guidelines related to expert searching, and only about 8% had guidelines or policies that identified situations where expert searching was recommended. CONCLUSIONS: The survey supports the belief that health sciences librarians still play a valuable role in searching, particularly in answering questions about treatment options and in providing education. It also highlights the need for more expert searching courses. There has been minimal discussion about the perceived need for expert-searching guidelines in the institutions represented by survey respondents.

Health Education↗