scholarly journals The importance of embedding psychopathology and phenomenology in clinical practice and training in psychiatry

2020 ◽  
Vol 26 (5) ◽  
pp. 287-295
Author(s):  
Nandini Chakraborty

SUMMARYPsychiatrists live and work in complex, clinically challenging times. Their paperwork is geared increasingly towards defensive practice, key performance indicators and risk assessment forms. Somewhere in the process, detailed understanding of patient experience and clinical formulation based on key psychiatric expertise and skill in mental state examination have taken a backseat. I review the history behind the Present State Examination, the realisation in the 1980s of the need for a common psychiatric language internationally and the current position on phenomenology in psychiatry curricula in the UK. I conclude that it is time to think seriously about a return to basics in psychiatric phenomenology and psychopathology.

2020 ◽  
Vol 32 (4) ◽  
pp. 251-258 ◽  
Author(s):  
Tanya McCance ◽  
Brighide M Lynch ◽  
Christine Boomer ◽  
Donna Brown ◽  
Christopher Nugent ◽  
...  

Abstract Objective The aim of the study was to evaluate a technological solution in the form of an App to implement and measure person-centredness in nursing. The focus was to enhance the knowledge transfer of a set of person-centred key performance indicators and the corresponding measurement framework used to inform improvements in the experience of care. Design The study used an evaluation approach derived from the work of the Medical Research Council to assess the feasibility of the App and establish the degree to which the App was meeting the aims set out in the development phase. Evaluation data were collected using focus groups (n = 7) and semi-structured interviews (n = 7) to capture the impact of processes experienced by participating sites. Setting The study was conducted in the UK and Australia in two organizations, across 11 participating sites. Participants 22 nurses from 11 sites in two large health care organizations were recruited on a voluntary basis. Intervention Implementing the KPIs and measurement framework via the APP through two cycles of data collection. Main Outcome Measures The main outcome was to establish feasibility in the use of the App. Results The majority of nurse/midwife participants found the App easy to use. There was broad consensus that the App was an effective method to measure the patient experience and generated clear, concise reports in real time. Conclusions The implementation of the person-centred key performance indicators using the App enhanced the generation of meaningful data to evidence patient experience across a range of different clinical settings.


2005 ◽  
Vol 13 (3) ◽  
pp. 171-179 ◽  
Author(s):  
David Gabbott ◽  
Gary Smith ◽  
Sarah Mitchell ◽  
Michael Colquhoun ◽  
Jerry Nolan ◽  
...  

2010 ◽  
Vol 11 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Craig Morris ◽  
Sean Bennett ◽  
Steven Burn ◽  
Conn Russell ◽  
Bob Jarman ◽  
...  

There are many indications for the use of echocardiography in the critically ill and little consensus about how best to provide training for intensivists in its use. There are a profusion of opinions, courses and accreditation pathways available for training in the UK. The National Point of Care Ultrasound working group aims to facilitate learning and training in both echocardiography and ultrasound. In this article, an intermediate level of training suitable for most general UK-based intensivists, that provides more depth than focused resuscitation-based protocols but less depth than British Society of Echocardiography accreditation pathways, is proposed which, if endorsed by Royal Colleges and specialist societies, could be developed into a viable national training programme within five years.


2006 ◽  
Vol 15 (4) ◽  
pp. 257-272 ◽  
Author(s):  
Rebecca Mandeville-Norden ◽  
Anthony R. Beech

Resuscitation ◽  
2005 ◽  
Vol 64 (1) ◽  
pp. 13-19 ◽  
Author(s):  
David Gabbott ◽  
Gary Smith ◽  
Sarah Mitchell ◽  
Michael Colquhoun ◽  
Jerry Nolan ◽  
...  

2003 ◽  
Vol 2 (1) ◽  
pp. 131
Author(s):  
A ZAPHIRIOU ◽  
S ROBB ◽  
G MENDEZ ◽  
T MURRAYTHOMAS ◽  
S HARDMAN ◽  
...  

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