Background: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge ...alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method. Methods/Design: The study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics. Discussion: This study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.
This study deals with effect of hospital pharmacist on solving drug-related problems (DRP) in inpatients. The study was carried out as a prospective 5-week study at the Cardiology Clinic, Teaching ...Hospital, Nitra. The study group included 73 inpatients. Pharmacotherapy of each patient was analysed for DRP within 24-48 h after admission. Information on patients was collected from electronic database, medical reports, communication with attending doctors and ward rounds. Patients’ age, medical history, diagnoses, medication prescribed during hospitalisation and laboratory test results were assessed for further pharmacotherapy rationalisation. Pharmaceutical Care Network Europe (PCNE) classification scheme for DRP V6.2 was used to characterise DRP. There were 36 DRP identified in 37% inpatients (n = 27). The most frequent causes of DRP were dose-related (n = 13; 26%) and use
Táto práca poukazuje na možnosti farmaceuta pri identifikovaní a riešení farmakoterapeutických problémov (DRP) u hospitalizovaných pacientov. Sledovaný súbor tvorilo 73 pacientov, ktorí boli hospitalizovaní na Kardiologickej klinike. U každého pacienta zaradeného do štúdie sa prehodnotila terapia do 24-48 hodín od prijatia k hospitalizácii. Informácie o pacientoch sme čerpali z elektronickej databázy, chorobopisov, osobnej konzultácie s lekárom a lekárskych vizít. Sledovanými údajmi pri racionalizácii terapie bol vek pacienta, lieková anamnéza, diagnózy, ordinovaná terapia a laboratórne parametre. Identifikáciu a riešenie DRP sme vykonávali podľa PCNE klasifikácie V6.2. V 37% (n=27) chorobopisov sme identifikovali 36 DRP. Najčastejšou príčinou DRP bola veľkosť dávky (n=13; 26%) a výber nevhodného alebo kontraindikovaného liečiva (n=11; 22%). Cieľom tejto
Se realizó una búsqueda bibliográfica sobre la historia clínica, justificada por el deterioro observado en la confección de muchos de estos expedientes, presumiblemente atribuible al desconocimiento ...de sus funciones, tipos, beneficios o perjuicios derivados de un contenido incompleto del documento, teniendo en cuenta que su adecuada elaboración permite al personal médico obtener los datos pertinentes sobre signos vitales, pruebas indicadas, esquemas terapéuticos, evolución u otras importantes informaciones sobre el estado de salud y la calidad de vida de los pacientes.A literature search on the medical record was carried out , justified by the impairment observed in making many of these files, presumably attributable to the ignorance of their functions, types, benefits or damages derivative of an incomplete content of the document, keeping in mind that their appropriate elaboration allows the medical staff to obtain the pertinent data on vital signs, prescribed tests, therapeutic schemes, clinical course or other important informations on the health state and the life quality of the patients.
The aim of this paper is to show how Medical English teaching materials may be improved by introducing multimodal tasks encouraging a holistic approach to communication. Medical English for Specific ...Purposes textbooks and coursebooks typically focus on how to speak effectively, but they fail to prepare doctors to speak and behave affectively, although it has been demonstrated that how doctors communicate is as important as what they communicate in order to build a therapeutic alliance with their patients (Ambady et al. 2002; Cao et al. 2016; DiMatteo et al. 1980; Hall 1995, among others). Teaching materials should thus include activities aimed at strengthening doctors’ ability to offer patient-centred care through mindful communication in association with specific body signals. A proof-of-concept teaching unit is provided here in order to exemplify how ESP materials could be made more responsive to the needs of professional practice by adopting a method that brings together targets for learning Medical English as well as counselling techniques.
This book is specifically designed for new psychiatrists and all other medical professionals who lack the training necessary to confront the complicated legal and ethical issues that arise at the ...intersection of the mental health and judicial systems.
El aumento de la esperanza de vida, los avances científicos y tecnológicos y la adopción de una actitud proactiva por parte del paciente han hecho que la salud se haya convertido en uno de los temas ...que más preocupan e interesan a la población. Tanto los ciudadanos, por un lado, como las organizaciones sanitarias (hospitales, farmacias, etc.) por otro, se muestran favorables a establecer relaciones bidireccionales que les permitan satisfacer las necesidades médicas de los pacientes. Y para ello, resulta fundamental saber usar la comunicación de un modo preciso y satisfactorio, lo cual supone un verdadero desafío para los ciudadanos y los profesionales sanitarios. Este libro analiza de modo claro, y basándose en ejemplos concretos, los usos correctos de la comunicación en el contexto sanitario, y subraya la importancia de las implicaciones emocionales, sociales y terapéuticas de la comunicación.
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