Role Of Doctor Research Articles

What is nursing in advanced nursing practice? Applying theories and models to advanced nursing practice-A discursive review.

This article appraises models and theories related to advanced nursing practice. It argues that while the role of the advanced nurse practitioner builds on and extends beyond traditional nursing, it remains firmly grounded in 'caring'. The stereotype that nurses 'care' and doctors 'cure' is fading. Increasingly, nurses have crossed boundaries and conducted independent assessment, diagnosis, prescribing and consultation, which used to be the doctor's role. Confusion and argument have arisen due to the higher-level practice of the advanced nurse practitioner, as many questions where these 'doctor nurses' stand. A literature review. Databases, including CINAHL, Medline and Google Scholar, were searched. Databases were searched, and relevant studies and review articles from 1970 to 2023 were identified using the following keywords: 'advanced nurse practitioner', 'nurse practitioner', 'advanced nursing', 'advance practice', 'nurse practitioner', 'nursing theory' and 'nursing model'. Although advanced nurse practitioners identify themselves as nurses, there is limited use of nursing theory to conceptualize this new level of practice and to define their contribution to the multi-disciplinary team. It is noted that a holistic approach to personalized patient care, based on therapeutic relationships and effective communication, may help us identify the unique contribution of the advanced nurse practitioner. The development of advanced nursing theory needs to capture this holistic approach and its caring element to recognize the value and strengthen the identity allegiance of this hybrid role. Holistic approach and patient-centred care, effective communication and the therapeutic relationship are strong characteristics relating to ANP practice, the latter of which is yet to be clearly defined and captured in nursing theories. Conceptualizing ANP practice and capturing their valuable nursing care will enable better understanding and clarity for the role to realize its full potential.

Artifical intelligence in surgery: ethical considerations in the light of social trends in the perception of health and medicine.

The use of artificial intelligence (AI) in medicine and surgery is currently predicted to be very promising. However, AI has the potential to change the doctor's role and the doctor-patient relationship. It has the potential to support people's desires for health, along with the potential to nudge or push people to behave in a certain way. To understand these potentials, we must see AI in the light of social developments that have brought about changes in how medicine's role, in a given society, is understood. The trends of 'privatisation of medicine' and 'public-healthisation of the private' are proposed as a contextual backdrop to explain why AI raises ethical concerns different from those previously caused by new medical technologies, and which therefore need to be addressed specifically for AI.

Analyzing the characteristics of mission statements in Korean medical schools based on the Korean Doctor's Role framework.

This study assessed the alignment between Korean medical schools' mission statements (MSs) and Korean Doctor's Role (KDR) domains, considering school characteristics. We analyzed the South Korean medical school's MS characteristics using a mixed-methods approach. Quantitative analysis preprocessed MS text data to identify concept words, while qualitative content analysis categorized information into predefined KDR domains and extracted themes from other parts. At the KDR domain level, "social accountability" was the most frequent, followed by "education and research" and "patient care," while "professionalism" had the least frequency. At the competency level, the most frequent domains were "involvement in public and global health initiatives," while "self-regulation based on professional leadership" and "professionalism and self-management" were not present. The study found that the majority of MSs had a homogeneous pattern and included traditional themes. Medical schools should evaluate and incorporate missing elements in their MSs to reflect the institution's own purpose and current societal needs.

Scolie sur l’évolution du droit médical érotique : Des maladies vénériennes aux remèdes aphrodisiaques, « iatrique ou pas ? »

Analyse the doctor's role relative to diseases formerly qualified as venereal on the one hand, to aphrodisiac remedies on the other, reveals the existing tension between the care of the social body and the human body, between public and individual health. The evolution of the medical law relating to carnal love demonstrates a significant evolution in this area. By redefining iatric activities, in other words those that come under the art of the doctor, it questions the definition of medicine itself.

What moral weight should patient-led demand have in clinical decisions about assisted reproductive technologies?

Evidence suggests that one reason doctors provide certain interventions in assisted reproductive technologies (ART) is because of patient demand. This is particularly the case when it comes to unproven interventions such as 'add-ons' to in vitro fertilisation (IVF) cycles, or providing IVF cycles that are highly unlikely to succeed. Doctors tend to accede to demands for such interventions because patients are willing to do and pay 'whatever it takes' to have a baby. However, there is uncertainty as to what moral weight should be placed on patient-led demands in ART, including whether it is acceptable for such demands to be invoked as a justification for intervention. We address this issue in this paper. We start by elucidating what we mean by 'patient-led demand' and synthesise some of the evidence for this phenomenon. We then argue that a doctor's professional role morality (PRM) yields special responsibilities, particularly in commercialised healthcare settings such as ART, because of the nature of professions as social institutions that are distinct from markets. We argue on this basis that, while there may be reasons (consistent with PRM) for doctors to accede to patient demand, this is not always the case. There is often a gap in justification between acceding to patient-led demands and providing contested interventions, particularly in commercial settings. As a result, acceding to demand in such settings needs a strong justification to be consistent with PRM.

Knowledge based quality medical education by utilizing the means of technology application

In the 21 century`s hi-tech world, imparting the scientific medical health educational instruction is changing fast, which is inclined through several indeed many factors which includes altering health care milieu, role-of Doctor of Medicine, transformed societal prospects, swiftly varying remedial-medicinal, medical and therapeutic-science, plus range of didactic (pedagogical) methods, techniques, and prototype models.Changes and transformations in `societal-expectations` set `patient-safety` in front of, also raise `ethical-issues` of learning connections plus measures over live subjects, through venerable teaching is any more suitable. Aims of education through technology in medicine comprise, providing `knowledge-acquisition’, civilizing resulting, development of perceptual disparity, enhancing quality-skills harmonization, working for unusual or grave measures, knowledge side imparting guidance, plus humanizing psycho motor skills – perceptual abilities and motor controls. Thus, various technologies could address the above objectives.Newer technologies like podcast s, videos through flipped class-work-learning’s cellular-mobiles yapps, videogames, computer-simulations model-prototypes, amateur trainers, incorporated model-simulators, virtual-reality, plus smart-wearable devices-Google glass, are few techniques accessible to tackle the varying educational-instructive milieu.This study addresses the application of technology which yields the infrastructural network plus basis for understanding several confronts given that `medical education` pro (in support of the) prospect.

Doctor's role in determining wounds qualification of terrorism victims

Introduction: The terms terrorist (perpetrator) and terrorism (action) are derived from the Latin word “terrere” which means to shake or vibrate. The European Convention first discussed the definition of terrorism on the Suppression of Terrorism (ECST) in Europe in 1977; there was a paradigm expansion in the meaning of Crime against State to Crime against Humanity. Crime against Humanity includes criminal acts committed to create a situation that causes individuals, groups, and the general public to be in a tense atmosphere. Necessary to have a clinical forensic examination to determine the degree of injury suffered by victims of terrorist criminal acts as a reference for providing compensation from the state. Case Report: On Friday, October 23rd, 2020, at 09.25 a.m. at the Bhayangkara Hospital Emergency Installation, examinations were conducted on 4 men. The basis for the examination is based on a written request from the LPSK with the number: R-1176/1a.5.1/LPSK/10/2020 on October 21st, 2020. Discussion: There is a mechanism in the forensic examination for the victims of terrorism crimes. The process for obtaining compensation can be submitted by victims of terrorism crimes, their families, or their heirs. LPSK will conduct a substantive examination and calculate the losses suffered by victims of terrorism crimes. Conclusion: Regarding the provisions of these laws and regulations, the Indonesian Forensic Doctors Association (PDFI) cooperates with LPSK, as stated in the cooperation agreement. Key Words: doctor’s role, wound qualification, terrorism victims.

Second language learning role-play: effects of patient and doctor roles on motivation and competence.

Role-playing has motivated foreign language learners for decades. In doctor-patient medical consultation role-plays, the doctor role has always been considered an important learning opportunity, whilst the patient role remained obscured. Our study, therefore, had a dual focus. We first explored how intrinsic motivation changes medical second-language (L2) learning through the lens of self-determination theory. We subsequently examined if playing the role of the patient provides additional value to medical L2 learning. We performed a mixed-methods study using a one-group pretest-posttest design. Participants were 15 student volunteers learning medical Dutch through peer role-play in medical consultations. Students completed a questionnaire before and after the course that measured changes in their intrinsic motivation to experience stimulation (IMES), feeling of relatedness, and feeling of competence. We also measured students' competence through a peer-rated checklist and the final course grades. At the end of the course, the students participated in semi-structured interviews to discuss their experience acting as patients. The data were subjected to the Wilcoxon signed-rank test and a thematic analysis. The pre- and post-questionnaires revealed that students' IMES as well as their feeling of relatedness increased. Their self-perceptions, feeling of competence, peer assessments, and final course grades demonstrated that students were competent in medical L2. Our thematic analysis led to the identification of five themes of the role-play exercise for medical L2 learning: (1) motivational experience, (2) supportive peer interaction, (3) setting up a role-play environment for medical L2 learning, (4) utilizing the patient role to benefit medical L2 learning, and (5) a novel patient perspective on the doctor's role. Our study found that role-play, by enhancing students' intrinsic motivation, feeling of relatedness, and competence development, aids the medical L2 learning process. Interestingly, playing a patient role in medical consultation was also found to support this process. We welcome future controlled experiments to confirm the positive impact of playing the role of the patient in medical consultation.

Predictive modeling of multistep clinical pathways: application to infertility treatment process

The predictive model was made from data that included complete information about the infertility treatment process. The data included the diagnostic stage, the laboratory stage, and all subsequent stages, such as embryo transfer or cryopreservation. The research focuses on the stages of the treatment process and considers external aspects and medical decisions. The influence of a particular physician on treatment outcome is taken into account through this approach. To achieve this goal, the feature set was divided into groups characterizing the stages of the treatment process. These stages include the initial patient consultation, the results of the patient examination, the results of materials from the laboratory, and the results of treatment. The groups of features from each stage were sequentially added to the model, and the experiment identified the most significant features from each group. In addition, the work focuses on the study of the doctor's role in the treatment process.

Islamic Approach to Doctors in Handling Children's Mental Health Due to the Covid-19 Pandemic

Research on the hypothesis during the period of the emergence of the Covid-19 Pandemic in 2020, which has now become a global crisis that not only threatens people's health physically, but also mentally. So much bad news has been received, making people anxious about the lives of themselves, their family, closest friends, and even the surrounding environment, which in turn can threaten the safety and mental health of the Indonesian population, especially the health of children who do not have good immunity such as people in the era. Lately, many children have experienced psychological mental disorders due to the potential for causing health problems from the Covid-19 pandemic; However, health services during the Covid-19 pandemic often face obstacles, including due to damaged or inadequate health facilities. The author's new problem in addressing the mental health experienced by children due to the current pandemic is not easy. This research aims to solve the problem so that children can continue to live in a healthier, more adaptive and productive mental state. This research was conducted in relation to the development of graphic media to increase flood disaster preparedness. The population in this study were children aged 6-8 years in the Martapura area of ​​South Kalimantan. This study uses the ADDIE model method (Analyze, Design, Development, Implementation, and Evaluation) with data collection techniques through interviews when carrying out doctors intership at Ratu Zalecha Martapura Hospital, South Kalimantan, observation, pretest and post-test. The conclusion obtained is that the use of graphic media is effectively used to increase children's immunity during a pandemic. The results of the analysis of this research show that the presence of the doctor's role is expected to be a savior in handling in order to reduce the feeling of anxiety in parents for children and adolescents with good mental health can achieve and maintain optimal psychological health, social and well-being functions amid the pandemic .

The roles of primary care doctors in the COVID-19 pandemic: consistency and influencing factors of doctor's perception and actions and nominal definitions

BackgroundAt the end of 2019, the Coronavirus Disease 2019 (COVID-19) pandemic broke out. As front-line health professionals, primary care doctors play a significant role in screening SARS-CoV-2 infection and transferring suspected cases. However, the performance of primary care doctors is influenced by their knowledge and role perception. A web-based cross-sectional survey was conducted to assess the consistency and influencing factors of primary care doctor's role perception and expert advice in the guidelines (regulatory definition).MethodsWe designed the questionnaire using “Wenjuanxing” platform, distributed and collected the questionnaire through WeChat social platform, and surveyed 1758 primary care doctors from 11 community health service stations, community health service centers and primary hospitals in Zhejiang Province, China. After the questionnaire was collected, descriptive statistics were made on the characteristics of participants, and univariate analysis and multivariate analysis were used to determine the relevant factors affecting their role cognition.ResultsIn the reporting and referral suspected cases and patients receiving treatment, most participants’ cognition of their roles were consistent with the requirements of guidelines. However, 49.54% and 61.43% of participant doctors were not in line with the government guidelines for diagnosing and classifying COVID-19 and treating suspected cases, respectively. Having a middle or senior professional title and participating in front-line COVID-19 prevention and control work is beneficial to the accurate role perception of diagnosis and classification of COVID-19, the reporting and transfer of suspected cases, and the treatment of suspected cases.ConclusionsPrimary care doctors’ role perceptions in the COVID-19 pandemic are not always consistent with government guidelines in some aspects, such as transferring and diagnosing suspected cases. Therefore, it is essential to guide primary care doctors in performing their duties, especially those with lower professional titles.

"Fun slipping into the doctor's role"-The relationship between sonoanatomy teaching and professional identity formation before and during the Covid-19 pandemic.

The various psychological dimensions of professional identity formation (PIF) are an important aspect of the study course for undergraduate medical students. Anatomical learning environments have been repeatedly shown to play a critical role in forming such an identity; however, relevance of PIF during sonoanatomical training remains underexplored. At the end of their basic anatomy studies, third-semester medical students took part in a four-day block course on anatomy and imaging. Anatomical content was revised in small groups using peer teaching and imaging methods, including one hour of hands-on sonoanatomy sessions each day. On-site sonoanatomy was identified as an excellent format to support students' transition from the pre-clinical to clinical phase as medical experts-to-be. Students enjoyed practical exercises and the clinical input, which increased their interest in the medical profession and their academic studies. This study further examined the effects of the transition into an online-only format, necessitated by the current Covid-19 pandemic. A comparison was made between the quantitative and qualitative evaluation data, and the written results of examinations of several on-site (n=1096, mean age = 22.4years ± 2.18), and online-only cohorts (n=230, mean age = 22.6years ± 2.21). The online-only transition led to a reduction of all PIF-related variables measured, losing identity-related variables, increasing students' stress levels, and reducing their long-term academic performance. Together, this study demonstrates presence of PIF in undergraduate sonoanatomy teaching, and cautions against the uncritical online-only substitution of hands-on learning environments.

Exploring medical students' early experiences of interacting with the multi-disciplinary team (MDT): A qualitative study.

Interprofessional education relates to educators and learners from two or more different health professions working together to create a collaborative learning environment which aims to improve patient care and teamwork. Part of a doctor's role requires an understanding and respect for the multiple professions involved in patient care and an ability to work within an interprofessional team. Development of future NHS highlights a central role for IPE.This study aims to explore the early experiences that medical students have with the MDT, looking at IPE at Barts and London School of Medicine and Dentistry.It aims to understand students preconceptions of different professional roles involved in patient care, and the effect of these shadowing experiences on these views, and explore students opinions on what are the barriers to effective interprofessional collaboration. Phase 1: Thematic analysis of student reflections 50 reflections usedOrganised using NvivoThematic analysis approachTree like framework of codes and subcodes Phase 2: Focus group and interviews More detailed exploration of key themes and issuesTotal 50 minutes recording timeSame codes used and organised in NVivo Results: Students interacted with a variety of health professionals, developing awareness of interprofessional teamwork, and of the different roles involved in patient care. Students showed very limited prior knowledge and stereotyped views of some professional roles in healthcare, but demonstrated changes in attitude as a result of IPE, and were able to gain a greater understanding and appreciation of different professions. Students feel more comfortable approaching and learning from those who are actively involved in working and communicating with them and their team throughout their placement. It is important that opportunities for the students to shadow other professions are encouraged and supported as students find it challenging approaching and initiating these encounters themselves.

“DYING: A HUMAN THING” A IMPORTÂNCIA DA HUMANIZAÇÃO DA MEDICINA ATUAL

Objetivo: Relatar a experiência de participação do projeto “Dying: a human thing” na perspectiva do desenvolvimento de estudantes da área de saúde. Metodologia: O presente trabalho tem caráter descritivo do tipo relato de experiência com base na vivência do projeto de extensão em foco desde sua fundamentação teórica até o desenvolvimento das habilidades adquiridas ao longo da execução sob a perspectiva de um participante da ação. Resultados: A vivência proporcionada pela atividade possibilita um olhar abrangente e muito próprio a respeito de temas delicados na rotina médica, de forma a fomentar a empatia dos participantes e, portanto, auxiliar no amparo e cuidado completo aos pacientes que, inevitavelmente, passarão por momentos de perdas em suas vidas, reafirmando o papel do médico não somente como responsável por um paciente singular, mas também de toda a estrutura familiar que o cerca. Conclusões: O projeto proporciona um maior preparo para a prática clínica, ofertando a ampliação da visão dos discentes a questões delicadas de perda de modo formar profissionais sensíveis e humanizados.

Revisiting the doctor's role at the primary healthcare clinic.

With the growing evidence regarding the benefit of a primary healthcare (PHC) approach to both individual patients and for a healthier community, a number of policy initiatives in South Africa are aimed at strengthening services at subdistrict level. Historically, the role of the doctor in many PHC clinics in South Africa had been limited to a clinical role. However, in the context of wanting to have a greater impact on social determinants of health, the role of the doctor at the PHC clinic needs to be revisited. A wider role of the doctor, in the context of an expanded multidisciplinary team is being explored.

Examination of the needs of hygienizational patients of periodontological guidelines in Lublin

Introduction: The dental treatment of every patient, who comes to the dental office, should start with his hygienization. The basis of treatment should be daily, careful oral hygiene at home. Clinical observations suggest that patients neglect or perform this incorrectly. Purpose of work: The aim of the study was to assess the oral hygiene condition of patients reporting to the periodontics clinic Materials and Methods: The medical documentation of 52 patients who came to the Clinic of Periodontology at the Clinical Center of the Medical University in Lublin in 2015-2016 was analyzed. There were 24 men and 28 women between 19 and 75 years of age. Extraoral and intraoral examination were performed and general medical history was taken. The CPITN index was used to assess the presence of dental deposits and tartar. Results: In the group of respondents; 47 patients [90.38%] required professional hygienization. Conclusions: Although almost all patients declare meticulous removal of dental deposits at least twice a day, more than 90% have shown numerous abnormalities in brushing or irregular oral hygiene. Patients do not have the skills or neglect to maintain oral hygiene, while being convinced about compliance with the hygiene regime. The doctor's role is to create conditions for education and patient motivation

Advance care planning: the who, what, when, where and why.

Advance care planning is an opportunity for patients to express their priorities for future care. NHS England has outlined a commitment to end-of-life care, advocating a shift towards more patient-centred care. The NHS is encouraging the workforce to engage patients in conversations about what is important to them, shifting the focus from 'what is wrong with you' to 'what matters to you'. Traditionally, this was seen as the doctor's role but this conversation can and should happen with the wider skilled medical workforce. The key to advance care planning is to have these conversations early on when patients have the capacity to discuss their preferences for care. Advance care planning can occur in any setting where the patient is comfortable to have the conversation, be that at home, in the GP surgery, in hospital or another setting. Patients with advance care plans are more likely to have their wishes respected, have fewer unwanted interventions, experience reduced transitions between care settings and are more likely to die in their preferred place of death. Healthcare professionals have a duty to offer advance care planning to patients nearing the last phase of life so that care can be delivered to honour individual needs at the end of life.

Patients' illness narratives-From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory.

Narrative medicine emphasizes how stories can increase the understanding of patients' experiences and give important insights into how patients interpret and strive to make meaning in the situation they find themselves in. The aim of this study was to gain insight into the illness narratives of cancer patients, from the day they suspected that something was wrong until living with incurable cancer. Six men and seven women, aged 47 to 79 years, diagnosed with metastatic cancer and undergoing chemotherapy with life-prolonging intent in an oncology outpatient clinic, were asked to tell their illness stories as freely as possible, without guiding questions. Stories were tape recorded, transcribed, and analyzed by a thematic narrative analysis. Encounters with doctors through the disease trajectory were highlighted by all narrators. Several informants described poor communication and consequences in the form of "doctors delay" and substandard psychosocial care. Continuity in follow-up and the physician's ability or inability to break bad news and adapt information to the patient's wishes and preferences were particularly emphasized. A key finding was the importance of the doctor's role throughout the whole trajectory. A good doctor-patient relationship was characterized by continuity of care in follow-up, and trust acquired over time, based on the physician's thorough medical knowledge combined with sensitive communication and empathy.

"An indelible mark" the response to participation in euthanasia and physician-assisted suicide among doctors: A review of research findings.

The debate regarding euthanasia and physician-assisted suicide (E/PAS) raises key issues about the role of the doctor, and the professional, ethical, and clinical dimensions of the doctor-patient relationship. This review aimed to examine the published evidence regarding the response of doctors who have participated in E/PAS. Original research papers were identified reporting either qualitative or qualitative data published in peer-reviewed literature between 1980 and March 2018, with a specific focus on the impact on, or response from, physicians to their participation in E/PAS. PRISMA and CASP guidelines were followed. Nine relevant papers met selection criteria. Given the limited published data, a descriptive synthesis of quantitative and qualitative findings was performed. Quantitative surveys were limited in scope but identified a mixed set of responses. Where studies measured psychological impact, 30-50% of doctors described emotional burden or discomfort about participation, while findings also identified a comfort or satisfaction in believing the request of the patient was met. Significant, ongoing adverse personal impact was reported between 15% to 20%. A minority of doctors sought personal support, generally from family or friends, rather than colleagues. The themes identified from the qualitative studies were summarized as: 1) coping with a request; 2) understanding the patient; 3) the doctor's role and agency in the death of a patient; 4) the personal impact on the doctor; and 5) professional guidance and support. Participation in E/PAS can have a significant emotional impact on participating clinicians. For some doctors, participation can contrast with perception of professional roles, responsibilities, and personal expectations. Despite the importance of this issue to medical practice, this is a largely neglected area of empirical research. The limited studies to date highlight the need to address the responses and impact on clinicians, and the support for clinicians as they navigate this challenging area.

Evidence of multiple methods of torture in a case from Sri Lanka

Torture, which violates human rights, is still being practiced worldwide despite of all the bound rules and regulations. Although “beating” is the commonest method applied, other physical, psychological and sexual methods are often being practiced. 1975 Tokyo declaration defines torture and the doctor's role in managing torture. Injury identification and accurate dating are major challenges faced by medical professionals in dealing with cases of torture. Inadequacy of the history and late presentation are another major issues that often interfere with proper medico-legal management.It would be wise for the professional who is involved in management of torture cases to be thorough of ‘Istanbul protocol’ which contain the first set of internationally recognized standards for effective examination of torture victim. This case report discusses some of the entities such as beating, water torture, mock execution and other psychological methods, and rear occurrence of hanging with near death experience.