scholarly journals Health Literacy: Read All about It …

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-4
Author(s):  
Denis Horgan ◽  
Natacha Bolanos ◽  
Ken Mastris ◽  
Luis Mendao ◽  
Nuria Malats
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Healthcare Professional ◽  
Work Environment ◽  
Healthcare Professionals ◽  
Personalised Medicine ◽  
Family Care ◽  
The Other ◽  
Optimal Result ◽  
Front Line

One of the key goals in the personalised medicine era is to improve communication between front-line healthcare professionals and their patients. The latter should have an equal role in any decisions made about their treatment, and this requires them to be able to input vital information, such as lifestyle and work circumstances, as well as to be properly informed from the other side. Discussions should be a two-way street. To help facilitate this, it is more important than ever to bring Europe together in a way that improves the already significant skills that healthcare professionals possess to permit co-decision-making which will effectively empower the patient. Clearly, the healthcare professional is trained to be an expert in diagnosing conditions and suggesting treatments. And yet the patient also knows more about his or her own lifestyle, work environment and how much he can rely on family-care resources, for example, so co-decision is a growing part of modern-day medicine. Ultimately, the two must work together to produce the optimal result.

scholarly journals Building Eminence through Evidence

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-9 ◽  
Author(s):  
Denis Horgan
Keyword(s):  
Healthcare Professionals ◽  
Personalised Medicine ◽  
Healthcare Systems ◽  
Fake News ◽  
Front Line ◽  
New Developments ◽  
New Methods ◽  
The Right ◽  
Do So ◽  
The Way

With modern-day medicine going the way it is - new developments, great science, the advent of personalised medicine and more - there's little doubt that healthcare can move in the right direction if everything is put in place to allow it to do so. But in many areas progress is being halted. Or at the very least slowed. Like it or not, many front-line healthcare professionals still do things the way they did things three decades ago, and are reluctant to adapt to new methods (assuming they are aware of them). Evidence exists that today's rapidly developing new medicines and treatments can positively influence healthcare in modern-day Europe, but a gap in education (also applying to patients and politicians), often exacerbated by “fake news” on the internet, is hampering uptake of new and often better methods, while even causing doubts about vaccines. More understanding at every level will inevitably lead to swifter integration of innovation into the healthcare systems of Europe. The time to look, listen and learn has come.

EP.TH.602Exploring decision-making of healthcare professionals in patients with benign large non-pedunculated colonic polyps (BLNPCP) virtually using combined focus group and nominal group technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
L Wheldon ◽  
J Morgan ◽  
MJ Lee ◽  
S Riley ◽  
SR Brown ◽  
...  
Keyword(s):  
Decision Making ◽  
Healthcare Professional ◽  
Patient Preference ◽  
Healthcare Professionals ◽  
Nominal Group Technique ◽  
Colonic Polyps ◽  
Nominal Group ◽  
Shared Decision ◽  
Patient Factors ◽  
Group Technique

Abstract Aim We aimed to elicit key factors that influence healthcare professional decision-making when deciding treatment for BLNPCP. Background Benign large non-pedunculated colonic polyps (BLNPCP) may harbour covert malignancy and opinions differ about the optimal treatment modality. There are several options available, including endoscopic mucosal resection, endoscopic submucosal resection, combined endoscopic laparoscopic surgery and surgical resection. Despite widespread availability of endoscopic resection techniques, there are high rates of surgery in the UK. Methods Three focus groups of healthcare professionals, comprised of either consultant colorectal surgeons, nurse endoscopists and consultant gastroenterologists, were conducted virtually utilising the Nominal Group Technique. Meetings were recorded and transcribed verbatim. Themes were devolved using the framework approach for qualitative analysis. A priority-ranked list of factors influencing healthcare professional decision-making in this setting was generated. Results Five main themes were identified as influencing decision-making: Shared decision making (patient preference, informed consent); Patient factors (co-morbidity, age, life-expectancy); Polyp factors (Location, size, morphology, risk of cancer); Healthcare professionals (skill-set, personal preference); System factors (techniques availability locally, regional referral networks). Nominal Group Technique generated 55 items across the three focus groups. Nurses and gastroentologists ranked patient factors (particularly drug history and tolerance of procedure) and shared decision making (patient preference) more highly then surgeons. Surgeons placed greater emphasis on polyp factors particularly location and the risk of submucosal invasive carcinoma. Conclusion Decision making is complex and multifactorial. These results support the benefits of complex polyp MDTs and patient involvement in the decision-making. The complexity of decision-making may underpin wide variation in practice.

scholarly journals For the Many, Not the Few: Patient Empowerment

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-4
Author(s):  
Denis Horgan ◽  
Geoffrey Henning ◽  
Ian Banks ◽  
Tom van der Wal ◽  
Stanimir Hasurdjiev ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Personalised Medicine ◽  
Patient Empowerment ◽  
Equal Access ◽  
Front Line ◽  
The Many ◽  
The Eu

Today's patients are more knowledgable than ever before and should be placed at the centre of their own healthcare decisions. Empowering the patient is, and always will be, a fundamental pillar of personalised medicine. Front-line healthcare professionals cannot treat a patient properly without taking into account his or her perceptions of value. They cannot treat a patient properly without taking into account that patient's lifestyle and, of course, they cannot treat a patient properly without creating equal access across the EU to the best possible treatments available. The authors of this article examine ways to enhance the empowerment of Europe's patients.

OCCUPATIONAL BURNOUT AMONG POLICE OFFICERS AS A CHALLENGE FOR HUMAN RESOURCES MANAGEMENT

2021 ◽  
Vol 22 (2) ◽  
pp. 101-114
Author(s):  
Sylwia Kostrzewa
Keyword(s):  
Social Support ◽  
Decision Making ◽  
Human Resources ◽  
Work Environment ◽  
Police Officers ◽  
Human Resources Management ◽  
Sociodemographic Factors ◽  
The Other ◽  
Occupational Burnout ◽  
Resources Management

The aim of the article was to demonstrate that occupational burnout is one of the problems in human resources management. The authors’ own research conducted among 99 police officers focused on identifying burnout individuals and determining which sociodemographic factors differentiate the state of burnout. Furthermore, the research attempted to identify factors related to the workplace, work environment and the lack of social support which may contribute to occupational burnout. The obtained results demonstrated that among the respondents there were people who had reached a high score for burnout. Sociodemographic factors, such as: age, job seniority, and rank influence the level of occupational burnout. On the other hand, the factors related to the workplace and work environment in the form of: low level of remuneration, lack of participation in decision making, sensing lack of recognition and negative assessment by others, might be predictors of this phenomenon. Moreover, based on the evaluation of research results, it was found that police officers felt social support.

scholarly journals Who Is Making Decisions? An Open Letter to Healthcare Professionals in the Developing World

2021 ◽  
Author(s):  
Rasheed Ofosu-Poku
Keyword(s):  
Decision Making ◽  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Developing World ◽  
Ethical Issues ◽  
Informed Decision Making ◽  
Open Letter ◽  
Middle Income ◽  
Middle Income Countries ◽  
Educational Standard

The educational standard of people living in low- and middle-income countries (LMICs) such as Ghana is relatively low. Thus, most resources of information about health available on electronic and print media remain to a large extent non-beneficial to them. They rely mostly on healthcare professionals to discuss about their health, illnesses, resources available for care, and how and to what extent the available resources can meet their needs and expectations. Some healthcare professionals in these LMICs, instead of taking the opportunity to carry out these educational and empowering discussions with patients and their families, assume a paternalistic role, making decisions unilaterally and involving them only minimally in providing care. This article, instead of being written as a scholarly referenced paper exploring ethical issues of autonomy and informed decision making, has been worded as a letter to healthcare professionals. Although it addresses healthcare professional in LMICs in general, it does not in any way imply that none adheres to these important ethical principles.

A Bird in the Hand Isn’t Good for Long

2018 ◽  
Vol 65 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Stefan Scherbaum ◽  
Simon Frisch ◽  
Maja Dshemuchadse
Keyword(s):  
Decision Making ◽  
Cognitive Control ◽  
The Other ◽  
Decision Task ◽  
Short Term ◽  
Additional Time ◽  
Control Processes ◽  
Folk Wisdom ◽  
Study Participants ◽  
Insight Into

Abstract. Folk wisdom tells us that additional time to make a decision helps us to refrain from the first impulse to take the bird in the hand. However, the question why the time to decide plays an important role is still unanswered. Here we distinguish two explanations, one based on a bias in value accumulation that has to be overcome with time, the other based on cognitive control processes that need time to set in. In an intertemporal decision task, we use mouse tracking to study participants’ responses to options’ values and delays which were presented sequentially. We find that the information about options’ delays does indeed lead to an immediate bias that is controlled afterwards, matching the prediction of control processes needed to counter initial impulses. Hence, by using a dynamic measure, we provide insight into the processes underlying short-term oriented choices in intertemporal decision making.

Mental Contrasting of Future and Reality

2010 ◽  
Vol 9 (3) ◽  
pp. 138-144 ◽  
Author(s):  
Gabriele Oettingen ◽  
Doris Mayer ◽  
Babette Brinkmann
Keyword(s):  
Decision Making ◽  
Everyday Life ◽  
Brief Intervention ◽  
Middle Level ◽  
The Other ◽  
Metacognitive Strategy ◽  
Mental Contrasting ◽  
Low Expectations

Mental contrasting of a desired future with present reality leads to expectancy-dependent goal commitments, whereas focusing on the desired future only makes people commit to goals regardless of their high or low expectations for success. In the present brief intervention we randomly assigned middle-level managers (N = 52) to two conditions. Participants in one condition were taught to use mental contrasting regarding their everyday concerns, while participants in the other condition were taught to indulge. Two weeks later, participants in the mental-contrasting condition reported to have fared better in managing their time and decision making during everyday life than those in the indulging condition. By helping people to set expectancy-dependent goals, teaching the metacognitive strategy of mental contrasting can be a cost- and time-effective tool to help people manage the demands of their everyday life.

A study on the design of a wardrobe, for patients bed-ridden with cancer, applying the knowledge of anonymous design

Impact ◽  
2020 ◽  
Vol 2020 (7) ◽  
pp. 45-47
Author(s):  
Naoko Fujii
Keyword(s):  
Hospital Stay ◽  
Nursing Care ◽  
Healthcare Professionals ◽  
The Other ◽  
Human Beings ◽  
Prolonged Hospital Stay ◽  
Hospital Patients ◽  
Hospital Gowns ◽  
Hospital Stays ◽  
Prolonged Hospital

The majority of human beings will be admitted to hospital at some point over the course of their lives. For the more fortunate among us, these hospital stays will be brief and will barely register as a significant experience. However, for others, being admitted for weeks or months at a time will be necessary in order to combat and recover from whatever it was that made admittance to hospital necessary. While it is easy to think of many reasons why a prolonged hospital stay might be undesirable, one that may escape our attention is the clothes that are worn by patients during their stay. Once a patient has been assigned a bed, they are often given a gown which they put on without thought and then lie down. The gowns that are given to patients are generally designed with healthcare professionals in mind. For example, in Japan pyjamas and yukata (bathrobes) are used as hospital gowns because they have a front opening that is easy to use during treatment and nursing care. In addition, the other gowns can be opened from the ankle to the crotch using the zip. Dr Naoko Fujii has focused her career on designing clothes for hospital patients and believes that there is a way to satisfy the practical needs of a hospital and the care it gives at the same time as satisfying the requirements of patients. She is now focusing her attention on this challenge.

Challenges in prevention & control of COVID - 19 pandemic in dentistry: A review. (Preprint)

2020 ◽  
Author(s):  
Sameera Begum ◽  
Riaz Abdulla ◽  
Akhter Hussain
Keyword(s):  
Healthcare Professionals ◽  
Preventive Measures ◽  
Health Concern ◽  
Front Line ◽  
Public Health Concern ◽  
College Hospital ◽  
Dental Clinics ◽  
Dental Procedures ◽  
Spread Of Infection ◽  
High Chance

UNSTRUCTURED The menace of COVID 19 pandemic has become a major public health concern all over the world. It is a pandemic outbreak that originated from Wuhan, Hubei province of China in December 2019. All healthcare professionals including dental surgeons are in the front line and a high chance of constantly getting infected. Droplet and aerosol transmissions are the utmost concern in dental clinics and dental college hospitals. Hence, COVID 19 has a high risk of spread through droplets and aerosols generated during dental procedures from infected patients. This review article highlights the dental perspective and discusses the various preventive measures undertaken to control the spread of infection in dental clinics and dental college hospital setups.

Illuminating the decision-making strategies of anesthesia providers in challenging cases

2020 ◽  
Vol 64 (1) ◽  
pp. 653-657
Author(s):  
Joshua Biro ◽  
David M. Neyens ◽  
Candace Jaruzel ◽  
Catherine D. Tobin ◽  
Myrtede Alfred ◽  
...  
Keyword(s):  
Decision Making ◽  
Work Environment ◽  
Medication Errors ◽  
Information Seeking ◽  
Best Practice ◽  
Practice Recommendations ◽  
Medication Delivery ◽  
Anesthesia Providers ◽  
Healthcare Work ◽  
Realistic View

Medication errors and error-related scenarios in anesthesia remain an important area of research. Interventions and best practice recommendations in anesthesia are often based in the work-as-imagined healthcare system, remaining under-used due to a range of unforeseen complexities in healthcare work-as- done. In order to design adaptable anesthesia medication delivery systems, a better understanding of clinical cognition within the context of anesthesia work is needed. Fourteen interviews probing anesthesia providers’ decision making were performed. The results revealed three overarching themes: (1) anesthesia providers find cases challenging when they have incomplete information, (2) decision-making begins with information seeking, and (3) attributes such as expertise, experience, and work environment influence anesthesia providers’ information seeking and synthesis of tasks. These themes and the context within this data help create a more realistic view of work-as-done and generate insights into what potential medication error reducing interventions should look to avoid and what they could help facilitate.

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