scholarly journals The role of prison nursing: an integrative review

2021 ◽  
Vol 23 (2) ◽  
pp. 76-85
Author(s):  
A Isaac Caro
Keyword(s):  
Nursing Education ◽  
Ethical Issues ◽  
Prison Population ◽  
Quality Care ◽  
Integrative Review ◽  
Ethical Implications ◽  
Review Period ◽  
Training Need

Objectives: To review the scientific literature on the role of the nurse in Penitentiary Institutions through the study of care training and ethical implications when offering quality care to the prison population. Material and method: An integrative review was carried out in Medline, SciELO and LILACS databases. The MeSH and DeCS terms used were: nurse’s role, nursing, nurse, nursing education, prison, ethics, ethical issues, job satisfaction, enfermeria, penitenciaria, health professionals, nursing care. The types of studies included in this work are literature reviews, and qualitative, quantitative and mixed studies. The CASPe tool was used to assess the methodological quality of selected literature. The review period was October, November and December 2019. Results: A total of 264 articles were obtained, of which 98 were chosen after applying filters corresponding to each database and after discarding duplicate articles. The title and abstract of these articles were read and the established selection criteria were applied, to obtain 18 studies. Finally, after critical reading, 15 articles were selected for this work. Discussion: The role of the prison nurse is generally unknown. Nursing undergraduate training in this area is limited, exposing a specific training need, which may help these professionals to deal with ethical issues that they may find in their practice, as well as to improve the quality of care for the prison population.

Full Head Block for headache treatment: technical description, indications and mechanisms

2019 ◽  
pp. 37-40
Author(s):  
Bruna de Freitas Dias ◽  
Thiago Nouer Frederico ◽  
Iron Dangoni Filho ◽  
Mario Fernando Prieto Peres
Keyword(s):  
Nerve Block ◽  
Professional Training ◽  
Effective Treatment Option ◽  
Adequate Dose ◽  
Headache Management ◽  
Full Head ◽  
Occipital Nerve Block ◽  
Training Need

Headache is a most prevalent neurological condition in the world and has a major impact on quality of life. The causes are usually multifactorial and may have a chronic character. Headache management involves pharmacological and non-pharmacological approach; invasive and noninvasive. Peripheral nerve block is already a viable, safe, and effective treatment option, such as major occipital nerve block. Full head block is a minimally invasive proposal of peripheral pain neuromodulation for the treatment of refractory or severe headache, mainly. The aim of this paper is to describe a technique and discuss the role of full head block in the headache management. The proposal is bilaterally anesthetizing the following nerves: major and minor occipital, supraorbital, supratrochlear, zygomatic-temporal and auriculo-temporal with local anesthetic and a corticosteroid. Many aspects should be studied: efficacy and safety of the technique, clinical indications, professional training, need for USG guidance, adequate dose of anesthetic and corticosteroids. In order to further evaluate the role of peripheral blocks in headaches randomized controlled trials are required.

Emerging Technologies for Dementia Patient Monitoring

2017 ◽  
pp. 110-154
Author(s):  
Tarik Qassem
Keyword(s):  
Social Networking ◽  
Social Networking Sites ◽  
Ethical Issues ◽  
Psychological Symptoms ◽  
Response To Treatment ◽  
Dementia Patient ◽  
Independent Life ◽  
Use Of The Internet

In this chapter, the author explores the available technologies that can enhance the Quality of Life of individuals with dementia. He investigates the foundations of telemetry, different sensor technologies, Context-Aware Systems, and the use of the Internet of Thing in supporting those to live an independent life. The author reviews the use of Smart Homes in supporting individuals with dementia. He then discusses the role of social networking sites in keeping this group connected. In addition to that, the author examines the use of Global Poisoning System (GPS) technology in management of wandering behaviour and the possible use of the currently available technologies in the detection, diagnosing the cause, assessing the response to treatment, as well as prevention of Behavioural and Psychological Symptoms in Dementia (BPSD). This is followed by a brief discussion of the acceptability and the ethical issues that surround the use of these technologies.

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

scholarly journals The Ethical Implications of Personal Health Monitoring

2014 ◽  
Vol 5 (2) ◽  
pp. 37-60 ◽  
Author(s):  
Brent Mittelstadt ◽  
Ben Fairweather ◽  
Mark Shaw ◽  
Neil McBride
Keyword(s):  
Health Monitoring ◽  
Ethical Issues ◽  
Personal Health ◽  
Delivery Of Care ◽  
Related Data ◽  
Ethical Implications ◽  
Holistic Understanding ◽  
Health Related ◽  
Personal Health Monitoring

Personal Health Monitoring (PHM) uses electronic devices which monitor and record health-related data outside a hospital, usually within the home. This paper examines the ethical issues raised by PHM. Eight themes describing the ethical implications of PHM are identified through a review of 68 academic articles concerning PHM. The identified themes include privacy, autonomy, obtrusiveness and visibility, stigma and identity, medicalisation, social isolation, delivery of care, and safety and technological need. The issues around each of these are discussed. The system / lifeworld perspective of Habermas is applied to develop an understanding of the role of PHMs as mediators of communication between the institutional and the domestic environment. Furthermore, links are established between the ethical issues to demonstrate that the ethics of PHM involves a complex network of ethical interactions. The paper extends the discussion of the critical effect PHMs have on the patient's identity and concludes that a holistic understanding of the ethical issues surrounding PHMs will help both researchers and practitioners in developing effective PHM implementations.1

scholarly journals International consensus conference on stool banking for faecal microbiota transplantation in clinical practice

Gut ◽  
2019 ◽  
Vol 68 (12) ◽  
pp. 2111-2121 ◽  
Author(s):  
Giovanni Cammarota ◽  
Gianluca Ianiro ◽  
Colleen R Kelly ◽  
Benjamin H Mullish ◽  
Jessica R Allegretti ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Ethical Issues ◽  
Consensus Conference ◽  
Faecal Microbiota ◽  
International Consensus ◽  
Face To Face ◽  
Faecal Microbiota Transplantation ◽  
Clostridioides Difficile

Although faecal microbiota transplantation (FMT) has a well-established role in the treatment of recurrent Clostridioides difficile infection (CDI), its widespread dissemination is limited by several obstacles, including lack of dedicated centres, difficulties with donor recruitment and complexities related to regulation and safety monitoring. Given the considerable burden of CDI on global healthcare systems, FMT should be widely available to most centres.Stool banks may guarantee reliable, timely and equitable access to FMT for patients and a traceable workflow that ensures safety and quality of procedures. In this consensus project, FMT experts from Europe, North America and Australia gathered and released statements on the following issues related to the stool banking: general principles, objectives and organisation of the stool bank; selection and screening of donors; collection, preparation and storage of faeces; services and clients; registries, monitoring of outcomes and ethical issues; and the evolving role of FMT in clinical practice,Consensus on each statement was achieved through a Delphi process and then in a plenary face-to-face meeting. For each key issue, the best available evidence was assessed, with the aim of providing guidance for the development of stool banks in order to promote accessibility to FMT in clinical practice.

Limits on testamentary freedom for people with dementia in Albania: Innovative Practice

Dementia ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 658-664
Author(s):  
Gentian Vyshka ◽  
Jera Kruja
Keyword(s):  
Ethical Issues ◽  
Expert Witness ◽  
Societal Change ◽  
Legal Practice ◽  
People With Dementia ◽  
Prescription Drug Use ◽  
Testamentary Capacity ◽  
The Subject

The extent to which dementia affects a person’s testamentary capacity has been the subject of much litigation with some countries introducing legal tests to assess capacity. In light of substantial societal change in Albania in the last two decades and an epidemic of property litigation, Albanian legal practice is witnessing an increasing number of attempts to posthumously nullify wills. Plaintiffs are mainly relatives of the deceased testator who are unhappy with the quantity or quality of the property they have inherited. Based on plaintiffs’ claims, solicitors may request expert neuropsychiatric reviews postmortem, often basing their position on prescription drug use by the testator during his/her last years of life. The authors discuss ethical issues intrinsically related to the difficult role of a potential expert witness in these litigation cases.

scholarly journals The Effect of Hierarchy on Moral Silence in Healthcare: What Can the Holocaust Teach Us?

Conatus ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. 21
Author(s):  
Ashley K Fernandes ◽  
DiAnn Ecret
Keyword(s):  
Medical Education ◽  
Nursing Education ◽  
National Socialism ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Clinical Care ◽  
Negative Effects ◽  
Professional Students ◽  
Parallel Features

Physicians, nurses, and healthcare professional students openly (and in many cases, eagerly) participated in the medical atrocities of the Shoah. In this paper, a physician-bioethicist and nurse-bioethicist examine the role of hierarchical power imbalances in medical education, which often occur because trainees are instructed ‘to do so’ by their superiors during medical education and clinical care. We will first examine the nature of medical and nursing education under National Socialism: were there cultural, educational, moral and legal pressures which entrenched professional hierarchies and thereby commanded obedience in the face of an ever-diminishing individual and collective conscience? We will then outline relevant parallel features in modern medical education, including the effects of hierarchy in shaping ethical decision making and conscience formation. We then propose several solutions for the prevention of the negative effects of hierarchical power imbalances in medical education: (1) universal Holocaust education in medical and nursing schools; (2) formative and experiential ethics instruction, which teaches students to ‘speak up’ when ethical issues arise; (3) acceptance of, and adherence to, a personalistic philosophical anthropology in healthcare; (4) support for rigorous conscience protection laws for minority ethical views that respect the role of integrity without compromising patient care.

scholarly journals Living Theory Action Research: A Methodology for Improvement in Practice and Generation of Knowledge in Education

2021 ◽  
Vol 5 (1) ◽  
pp. 20-28
Author(s):  
Bhawana Shrestha
Keyword(s):  
Action Research ◽  
Ethical Issues ◽  
Practical Implementation ◽  
Analysis Process ◽  
Innovative Methodology ◽  
Data Collection And Analysis ◽  
Research Questions ◽  
Living Theory

This paper will provide an overview of the philosophical premises, the generation of research questions, data collection and analysis process, potential ethical issues, and quality of inference of living theory action research methodology. Based on the ontological value that everyone has knowledge within themselves, living theory action research considers knowledge to be the creation from evaluation and reflection as part of actions to improve educational practices. This paper suggests a way to move ahead with living theory action research by shedding light on the significance of multimedia use and the role of educational influence in its methodology to communicate the meanings of expression of embodied values and for the validation process. This paper aims to help emerging educational action researchers understand living theory action research as an innovative methodology to address the gap between values and practical implementation for action researchers.

scholarly journals Motivations for Pursuing Radical Life Extension

2021 ◽  
Author(s):  
◽  
Lucinda April Campbell
Keyword(s):  
Ethical Issues ◽  
Human Life ◽  
Life Extension ◽  
Life And Death ◽  
Ethical Implications ◽  
The Subject ◽  
Radical Life Extension ◽  
The Relationship ◽  
Human Life Span

<p>In bio-ethics, the potential practical and ethical implications of radical life extension are being seriously debated. However, the role of motivation in relation to dramatically increasing the human life span has been largely overlooked. I propose that motivation is a crucial aspect to consider within the radical life extension discourse by conjecturing about why it might appeal and the possible ways it could impact outcomes where it is successfully developed and implemented. I do not thereby present an argument that supports or opposes radical life extension technology. This is ultimately a speculative piece. In exploring the relationship between motivation and radical life extension, I present a conceptual framework called the Thanatophobic and Romantic Motivational Spectrum (TRM Spectrum) designed to assist deeper examination on the subject. It captures what I suggest are two key motivators related to life and death, that is, the fear of death (Thanatophobia) and the “love” of life (Romanticism). The motivational spectrum is then applied to the death penalty versus life imprisonment, and euthanasia and suicide debates to demonstrate how it can be used for analysis of ethical issues in relation to the potential introduction of radical life extension technology.</p>

The trainee assistant in nursing: a pilot exercise in building and retaining a workforce

2010 ◽  
Vol 34 (1) ◽  
pp. 41 ◽  
Author(s):  
Diane Deshong ◽  
Amanda Henderson
Keyword(s):  
Nursing Education ◽  
Care Delivery ◽  
Princess Alexandra Hospital ◽  
Successful Development ◽  
Skilled Nursing ◽  
Nursing Role ◽  
Innovative Solutions ◽  
Workforce Strategies

With increasing pressures on the skilled nursing workforce, strategies need to be developed to maximise the value of the existing workforce without impacting on the quality of care delivery. This paper reports on the introduction of a Commonwealth and State subsidised program for assistants-in-nursing (AINs) to assist in addressing the global nursing shortage. The program – which has included education sessions with registered nurses about the role of the AIN, delegation and supervision, and has also sustained support to the participants throughout the duration of their employment – has delivered benefits locally to the Princess Alexandra Hospital (PAH) and, broadly, to the nursing profession. Most of the participants completing the program have chosen to continue their employment at PAH or pursue further studies in nursing. What is known about the topic?The shortage of skilled nurses means there is a need for innovative solutions to support the existing workforce. What does this paper add?The development of an assistant-in-nursing role was seen as a successful development for a Queensland hospital. What are the implications for practitioners?The trained assistants have largely remained employed in the area and 68% have gone on to further nursing education.

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