Field Of Patient Care Research Articles

Future of University Medicine: How Important are Research and Teaching? - An Inventory

The requirements and challenges for the university hospitals in Germany are changing. Especially in surgical subjects, it is more and more difficult to adequately serve these three pillars of university medicine - clinic, research and education. This survey was intended to determine the status quo of general and visceral surgery at universities, in order to provide a basis for proposed solutions.For this online survey, 1505 visceral surgeons at the 38 university clinics were contacted. The questionnaire contained 29 questions on the structure of the clinic, scientific motivation, opportunities for time-off and the appreciation of academic achievements. The type and scope of student courses and the preparation for them were also determined. With regard to patient care, the type and number of services and the course of surgical training were examined. Based on the data published on the websites of the individual clinics on the number, gender, position and academic title of the doctors, a demographic analysis of university visceral surgeons could also be created.Of 1505 surgeons successfully contacted, 352 took part in the survey, which corresponds to a response rate of 23.4%. Of the participants, 93.5% were scientifically active, the majority being in the field of clinical data collection. Many indicated that they were also active in translational and/or experimental research, while educational research was rarely named. 45% confirmed that they could perform scientific work during their normal working hours. The reward for this activity was mostly in the form of time-off for congresses and clinical appreciation. Most participants stated that they were involved in 3-4 student courses per week, with 24.4% reporting that they were not adequately prepared for them.The compatibility of the classic three pillars of clinic, research and teaching continues to be of great relevance. There is a high level of motivation among the participating visceral surgeons not to neglect research and teaching, despite increasing economic pressure in the field of patient care. However, arrangements must be created in order to reward and promote commitment in research and teaching in a structured way.

The Predictive Power of Moral Intelligence on Professional Commitment of Nurses

Background: Nurses’ adherence to ethical values in the field of patient care is affected by various factors,especially moral intelligence. The role of moral intelligence on professional commitment is an issue leadingto improving the quality of services and health promotion. The aim of this study was to investigate thepredictive power of moral intelligence on professional commitment of nurses.Method and Materials: This descriptive-analytical study was carried out on 100 nurses and 300 patientsselected by stratified random sampling. Data were collected using the Lenik & Kiel moral IntelligenceQuestionnaire and Nurse Professional Commitment Questionnaire. Data were analyzed using descriptiveanalysis and regression.Results: The results showed that there was a significant statistical relationship between moral intelligence andprofessional commitment (P=0.001). There was a significant relationship between demographic variables,age and work experience with moral intelligence and two variables of gender and professional commitment(P <0.05). In addition, regression showed that dimensions of nurses ‘moral intelligence account for 41%of the variance of nurses’ professional commitment. of the four dimensions of nurses’ moral intelligence,compassion had the most significant effect (P=0.03, ?=0.32).Conclusion: The results of this study showed that moral intelligence is associated with professionalcommitment and is able to predict it. Therefore, it is recommended that nursing managers and authorities toput the Strengthening nurses’ moral intelligence in the list of their priorities.

Clinical application of rapid diagnostic test kit for SARS-CoV-2 antibodies into the field of patient care.

Clinical applicability of rapid diagnostic test kit for SARS-CoV-2 antibodies was evaluated. The kit detected antibodies from day 9–56 of illness. IgG bands were observed up to 1: 1000 dilutions. The kit could detect 90.5% of IgG and 61.9% of IgM antibodies of mild febrile patients without pneumonia.

The Role of Evidence in Chronic Care Decision-Making

In the domain of medical science, factual evidence is usually considered as the criterion on which to base decisions and construct hypotheses. Evidence-based medicine is the translation of this approach into the field of patient care, and it means providing only the type of care that is based on evidence that proves its effectiveness and appropriateness. However, while the literature has focused on the types and force of evidence used to establish the recommendation and treatment guidelines, the problem of how evidence is used in doctor–patient interactions to motivate, or refuse, treatment or habit change has been almost completely neglected. In this specific context, characterized by the epistemic unbalance between the interlocutors and a specific conversational goal (making a decision shared by the patient), the scientific categories of evidence are often irrelevant. The goal of this paper is to address this challenge by analyzing the role evidence plays in doctor–patient interactions in diabetes care. After introducing an analytical distinction between the epistemic and the pragmatic aspect of evidence, we will propose a classification of the types and functions of evidence in chronic care communication, and illustrate its possible uses through its application to our corpus of diabetes-care consultations. From our qualitative analyses, it is possible to observe how in this communicative context a crucial role is played by the conflicts of evidence, in which providers correct patients’ uses of evidence leading them to using less defeasible levels of evidence.

Safety of the medical gas pipeline system

Medical gases are nowadays being used for a number of diverse clinical applications and its piped delivery is a landmark achievement in the field of patient care. Patient safety is of paramount importance in the design, installation, commissioning, and operation of medical gas pipeline systems (MGPS). The system has to be operational round the clock, with practically zero downtime and its failure can be fatal if not restored at the earliest. There is a lack of awareness among the clinicians regarding the medico-legal aspect involved with the MGPS. It is a highly technical field; hence, an in-depth knowledge is a must to ensure safety with the system.

The relationship between social capital in hospitals and physician job satisfaction.

BackgroundJob satisfaction in the hospital is an important predictor for many significant management ratios. Acceptance in professional life or high workload are known as important predictors for job satisfaction. The influence of social capital in hospitals on job satisfaction within the health care system, however, remains to be determined. Thus, this article aimed at analysing the relationship between overall job satisfaction of physicians and social capital in hospitals.MethodsThe results of this study are based upon questionnaires sent by mail to 454 physicians working in the field of patient care in 4 different German hospitals in 2002. 277 clinicians responded to the poll, for a response rate of 61%. Analysis was performed using three linear regression models with physician overall job satisfaction as the dependent variable and age, gender, professional experience, workload, and social capital as independent variables.ResultsThe first regression model explained nearly 9% of the variance of job satisfaction. Whereas job satisfaction increased slightly with age, gender and professional experience were not identified as significant factors to explain the variance. Setting up a second model with the addition of subjectively-perceived workload to the analysis, the explained variance increased to 18% and job satisfaction decreased significantly with increasing workload. The third model including social capital in hospital explained 36% of the variance with social capital, professional experience and workload as significant factors.ConclusionThis analysis demonstrated that the social capital of an organisation, in addition to professional experience and workload, represents a significant predictor of overall job satisfaction of physicians working in the field of patient care. Trust, mutual understanding, shared aims, and ethical values are qualities of social capital that unify members of social networks and communities and enable them to act cooperatively.

Schmerztherapie

In this day and age expertise in pain therapy is required in all fields of medicine. Unfortunately pain therapy has become a recurrent focus of forensic considerations. Legal experience shows that preliminary criminal proceedings and civil liability suits also involve pain specialists and palliative physicians, but not inordinately; in fact, most cases concern other medical disciplines such as a general medicine, internal medicine, surgical specialties, and the field of patient care. From the legal point of view, it should be taken into account that every patient is entitled to receive adequate pain therapy. This should be ensured in both private practice and the inpatient setting, if necessary by calling in a pain specialist. If the patient s incapable of giving consent, in emergency situations the assumption can be made that the patient desires optimal pain control. If the circumstances are not urgent, the decision is made by the Guardianship Court or a representative empowered by the patient while still capacitated. All measures for pain management including information given to the patient should be precisely documented by the physician.

The use of national registries data in three European countries in order to improve health care quality

The purpose of this paper is to highlight the role of national health registries in three European countries in order to improve patient care. The methodology used was a literature review of databases in Sweden, the UK and Portugal, and a search on Medline and Pubmed as well. In addition case studies from the three countries are included. In Sweden registries encompassing cardiac intensive care, hip-fractures and stroke are the most developed. In the UK, the collection of information on healthcare performance, both specific to particular specialties and general hospital performance, is widespread. There are some national and regional registries in Portugal, but the most developed areas are the Cardiovascular and the Oncology areas. The collection of information on health quality/performance indicators, based on administrative and clinical data is an important tool for quality improvement. This paper showed differences and similarities between the three countries with a common aim; to improve quality of care, delivered on equal terms for the whole populations, and in an effective and efficient way and will be useful to those in the field of patient care.

Paediatric cardiology in Europe--medical/scientific statement of the Association of European Paediatric Cardiologists. Definition of profession and training requirements.

The treatment of growing and developing individuals with heart and circulation diseases demands expertise and organization. Due to the unification of Europe, international exchange of doctors can take place. The Association of European Paediatric Cardiologists had laid down professional and training requirements to harmonize the field of patient care, training and training institutes all over Europe.

Information technology

This new section of the journal aims to review material from the broad field of information technology, and will include relevant teaching material. Why should we offer such a section in a journal of palliative medicine? In this particular field of patient care, where art and science have to be so skilfully blended, each discipline also needs to be aware of the liberating effect of the efficient use of technology. Computers have become an everyday reality of office life, although those above the age of thirtysomething may not view this trend with equanimity. This divide between the computerate and the noncomputerate presents such a section with an impossible challenge. The needs of the expert will require a level of detail that will be offputting to the nonexpert. This section will try to offer something of interest to both camps, but some forbearance from the readership will be required. Information technology is based upon the computer and its capacities. It is concerned with the compilation, storage and retrieval of significant and useful data. With the proper processing of such data, decision making should be improved. Information technology also covers the design and use of forms for data collection, the use of modern communication facilities, and the linkage of electronic equipment to the computer system, all of which provide access to data. It can be seen therefore that not only is information technology applicable to the development of clinical care, but also to the process of management. The management of information needed by a whole organization is the responsibility of all senior managers, and it is fundamental to the success of that enterprise, large or small, public or private. For this section to meet the future needs of readers, the Editor would be pleased to hear of products or topics to review, particularly from overseas readers. It would also be extremely helpful to have feedback about the level of detail and complexity readers find useful.