scholarly journals Mirror mirror on the ward, who’s the most narcissistic of them all? Pathologic personality traits in health care

2015 ◽  
Vol 187 (18) ◽  
pp. 1359-1363 ◽  
Author(s):  
Vittoria Bucknall ◽  
Suendoss Burwaiss ◽  
Deborah MacDonald ◽  
Kathy Charles ◽  
Rhys Clement
Author(s):  
Michelle M. Doty Doty ◽  
David Squires Squires ◽  
Dana O. Sarnak Sarnak ◽  
Eric C. Schneider Schneider ◽  
Arnav Shah Shah

2020 ◽  
Vol 12 (2) ◽  
pp. 31-37
Author(s):  
Sadique Kwajaffa Pindar ◽  
Victor Chidi Onyencho ◽  
Anthony Ali Mshelia ◽  
Mohammed Mukhtar Yerima ◽  
Umar Baba Musami

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 630 ◽  
Author(s):  
Antanas Goštautas ◽  
Rytis Pakrosnis ◽  
Viktorija Čepukienė ◽  
Ina Pilkauskienė ◽  
James Fleming

The objective of the study was to identify factors related to the number of solution-focused brief therapy sessions required to solve adolescents’ problems. The study was conducted at the foster care and health care institutions. The sample consisted of 73 adolescents (41% of males, 59% of females), aged 12 to 18 years, who achieved high level of therapeutic progress during solution-focused brief therapy. Respondents from foster care institutions made up 47% and from health care institutions – 53%. The study design included: (1) an initial evaluation, where adolescents’ psychosocial adjustment and personality traits were evaluated as well as information on demographic characteristics and type of referral for therapy was collected; (2) solutionfocused brief therapy was carried out. In the first session, information on the type and severity of the problem presented for the therapy and motivation to solve the problem was collected; (3) the effectiveness of solutionfocused brief therapy was evaluated. Standardized interview for the evaluation of psychosocial adjustment of adolescents was used to evaluate the difficulties of adolescents’ psychosocial functioning. Eysenck Personality Questionnaire was administered to evaluate adolescents’ personality traits. Therapist’s evaluation of improvement was used to evaluate the effectiveness of solution-focused brief therapy. The analysis of results showed that 60.3% of adolescents needed two to three solution-focused brief therapy sessions to solve their problems. Lower number of sessions needed to achieve a solution was related to lower level of psychoticism, lower level of subjectively evaluated problem severity, and living with parents (as the opposite of living in foster care institutions). Ordinal regression analysis revealed that living with parents, self-referral to the therapy, lower level of subjectively evaluated problem severity, and higher self-confidence were significant predictors of lower number of sessions needed to achieve solution.


2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Samuel Reisman ◽  
Begum Ahmed ◽  
Mostafa Balboul ◽  
Zev Blumenkranz

Objective● Describe the diverse determinants of national health and how they are compositely graded in health care system rankings.● Articulate intrinsic reasons why equity should not be subsumed within other evaluative categories.● Design an equity-limited ratings framework for limiting maximum ratings of inequitible healthcare systems.IntroductionHealthcare systems are often evaluated using comparative health care rankings. Simulations have shown that maximally inequitable health care systems can perform well in published, influential health care system rankings by excelling in non-equity categories1, resulting in highly ranked yet grossly inequitable healthcare systems. Recently, despite below average equity rankings, the healthcare systems of Australia and New Zealand ranked among the top four in The Commonwealth Fund’s international comparative study Mirror, Mirror 20172. Equity rankings should logically limit non-equity rankings given the insignificance of healthcare system improvements to those lacking adequate healthcare coverage. We analyzed whether an equity-limited ranking methodology would limit overall rankings for significantly inequitable healthcare systems while maintaining the general findings of the Commonwealth Fund study.MethodsWe reanalyzed The Commonwealth Fund’s 2017 international health care system comparison using a modified, equity-limited methodology. For each country, maximum non-equity domain summary scores were limited to the equity domain summary score. Countries were ranked using the mean of the five domain-specific performance scores. Overall rankings were compared to the original rankings.ResultsSeven of eleven countries had an overall rank change in the equity-limited model. Countries with above average overall ratings but poor equity ratings had the greatest changes in overall rank. Australia’s overall ranking decreased from second to seventh, thereby matching its equity ranking of seventh. New Zealand changed from fourth to eighth overall, matching its equity ranking as well. Other changes were less significant, with changes of only one overall rank position. Notably, the bottom three countries and the top country were unchanged.ConclusionsEquity-limited ranking methodologies can prevent inequitable health care systems from attaining high overall ratings. Such equity-limited rankings are logical considering the diminished significance of health care system improvements to those lacking adequate health coverage. Methodologies that incorporate equity limits should be used to produce fairer rankings that respect the dignity and rights of all individuals.References1. Reisman S, Blumenkranz Z. Comparative health care system rankings can obscure maximal inequities: A simulation study.Society for Public Health Education (SOPHE) 69th Annual Conference. 2018, June.2. Schneider EC, Sarnak DO, Squires D, Shah A, Doty MM. Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. The Commonwealth Fund. 2017, July.


2021 ◽  
Vol 14 (4) ◽  
pp. 2123-2129
Author(s):  
Saidunnisa Begum ◽  
Manjunatha Goud BK ◽  
Najila Abdul Hameed ◽  
Nadiya Dileep ◽  
Sreenidhi Geetha Santhosh

Introduction Students from diverse health care professions, their personality traits have a positive influence on their academic performance. This is viewed as an indicator of collaborative education and practice for efficient patient care. The health-care professional sciences graduates who join health sciences program should be highly motivated and determined to perform academically well to accomplish their goals. The personality trait assessment gives a holistic approach to know how efficiently students use their cognitive, psychomotor and affective domains for learning which improves patient-doctor relations and ultimately results in patient satisfaction. The objective of the study was to assess the preferred personality trait and to know its relation to their academic performance. Materials and methods The study design adopted was a prospective, cross sectional using a stratified randomized sampling. First year students enrolled for medical, dental, nursing and pharmacy programs at RAKMHSU were included in the study. The Big five model questionnaire was administered to study participants during their self-study hours and data collected were analyzed in SPSS version 18. Results The most common personality trait was openness 43% followed by agreeable 21%. The analysis of their GPA (Grade point average) found that agreeableness had high GPA and Neuroticism had the lowest GPA among all traits. The study also found that high unsuccessful students were seen with Neuroticism (31.5%), Extraversion (26.3%) followed by other traits. Conscientiousness also had positive and significant correlation with AP (p<0.001) along with agreeableness. In conclusion, each student is unique, and their personality trait can be used as an aptitude test tool during their admission process for health care professions related courses.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Poorva Pradhan ◽  
Dr. Tejinder Kaur

The objective of present study is to examine the extent of organizational citizenship behaviour among type A and type B personality nursing professionals. OCB is a spontaneous and voluntary initiative taken by an employee which is not formally rewarded by an organization’s management. A nursing professional in a health care organization is primarily concerned with the well-being and assurance of proper health care facilities to the patients. So, in this respect, the concept of OCB becomes crucial particularly in a health care organization. Contemporary literature largely focuses on linking organizational citizenship behaviours with Big-5 personality traits. However, only a few of them addressed the personality traits of type A and type B among nursing professionals. The hypotheses predicting a negative relationship between type A and OCB while, a positive relationship between type B and OCB were formulated. The correlational analysis was carried in order to test the proposed hypotheses. For this purpose, data were gathered from 50 female nursing professional working in a private hospital using standardised tools. The obtained results indicate a significant positive relationship between type B and OCB and a negative correlation was obtained between OCB ant type B personality. The findings suggest that type B nurses are willing to go beyond their in-role tasks for the welfare of both the patients and their organizations. Ultimately, the study aims to contribute to the hiring of nursing staff and providing appropriate interventions for each personality type.


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