Physician-Patient and Hospital-Patient elationships
The importance of the physician-patient and hospital-patient relationships
There exists a quite recommendable potential in the alliance between a patient and a physician. A patient, who puts trust in the care of a physician, establishes moral responsibilities that are weighty and definite. When the patient and the physician work together, the possibility of pursuing intervention comes into place, and the health and quality life of the patient is bound to improve. Trust is very essential and critical in the bond between the patient and the physician in the process of diagnosis and therapy.
How contract principle and breach of warranty apply to the health care setting
In the healthcare setting, legal responsibilities to break discretion may result in difficult choices. The physician has the ethical responsibility of following the law but must know how to scale this with the responsibility to the patient. It is very important to between the…...
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References
Giesen, D. (2008). International medical malpractice law: A comparative law study of civil liability arising from medical care. Tu-bingen: J.C.B. Mohr.
Lemmens, T. (2006). Law and ethics in biomedical research: Regulation, conflict of interest, and liability. Toronto [u.a.: Univ. Of Toronto Press.
Mengel, B., Holleman, L., & Fields, A. (2007). Fundamentals of clinical practice. New York: Kluwer Academic/Plenum Publishers.
Miller, R.D. (2006). Problems in health care law. Sudbury (Mass.: Jones and Bartlett.
doctor and patient relationship behavior in a new light. The research documented in this article attempted to describe the effect of bedside case presentations vs. conference room style presentations. The impact of the medial care was interpreted through the patients perceptions of their medical care.
The research contained in this article was premised upon the idea that a significant difference may be noticed through different doctor presentations. The dichotomy presented here was bedside presentations may be more effective than the more rigid and academic style of the conference room presentation. They wrote "Despite the potential advantages of bedside presentations for students and physicians, there has been a trend to move clinical teaching away from the bedside and into the conference room. Concern about patients' discomfort with bedside presentations appears to be one reason for this change. Studies of such presentations have focused on patients' impressions and measurements of patients' anxiety.…...
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Key Finding
The researchers of this article found that there is much ignorance about the health benefits of exclusive breast feeding in Kenya. Many of the perceived ill health symptoms appeared to be associated with a lack of exclusive breast feeding practices. The authors suggested that more needed to be done in terms of educating young mothers and caregivers in this environment to practice exclusive breast feeding methods on their infants. Too much reliance is given to "their own backyard garden, and popular and folk medicines."
Matsuyama, A., Karama, M., Tanaka, J., & Kaneko, S. (2013). Perceptions of caregivers about health and nutritional problems and feeding practices of infants: a qualitative study on exclusive breast-feeding in Kwale, Kenya. BMC public health, 13(1), 525.
Ido Jean Orlando and analyzes how her contribution has impacted the nursing profession. It has 3 sources.
The field of nursing requires the utmost care on the part of nurses if they are to understand their patients. Nurses are an integral part of the medical care provision because they provide patients both physical and emotional care. Even doctors cannot succeed in reaching the level of emotional contact that nurses can achieve with their patients. According to Ida Jean Orlando, this kind of close relationship is dependent on the communication that nurses establish with the patients. This communication, whether verbal or non-verbal, plays a vital role in dealing out the most appropriate treatment as quickly as possible. Ida Jean Orlando's The Dynamic Nurse-Patient Relationship: Function, Process, and Principles, is a book that has had an immense impact on the field of nursing, popularizing Orlando's theory.
The Theorist:
Ida Jean Orlando was born in…...
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Sources:
Lego, S. (1999) One-to-One Nurse-Patient Relationship. Perspectives in Psychiatric Care.
unning Head: IMPOVING NUSE-PATIENT ELATIONSHIP IMPOVING NUSE-PATIENT ELATIONSHIP 13Improving Nurse-Patient elationshipIntroductionThe nurses from the major core health personnel in the health care system with their support being appreciated on different occasions. However, the relationship between the nurses and the patients is essential in every scenario. The relationship forms the comprehensive interaction between the nurses and the patients.This research focuses on how the existing relationship between these individuals can be strengthened by improving the skills necessary to handle every characters patients while striving to achieve the gold standard of treatment.Nurses are charged with the sole responsibility to ensuring the continuity of the communication between them and the patients through literacy acquisition and the spread of impacts and importance of the relationship to the patients that will see the patients served diligently to satisfaction.These relationship cues range from behavioral, technical, better communication skills, building partnerships in the treatment process, adherence to the…...
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ReferencesHartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International journal of nursing studies, 102, 103490.Konlan, K. D., Saah, J. A., Doat, A. R., Amoah, R. M., Abdulai, J. A., Mohammed, I., & Konlan, K. D. (2021). Influence of nurse-patient relationship on hospital attendance. A qualitative study of patients in the Kwahu Government Hospital, Ghana. Heliyon, 7(2), e06319.Feo, R., Conroy, T., Wiechula, R., Rasmussen, P., & Kitson, A. (2020). Instruments measuring behavioural aspects of the nurse–patient relationship: A scoping review. Journal of clinical nursing, 29(11-12), 1808-1821.Gou, L., Wang, G., Feng, L., & Zhang, Y. (2020). A multilevel analysis of the impact of group organisational citizenship behaviour on nurse–patient relationship: The mediating effect of work engagement and the moderating effect of emotional intelligence. Journal of Nursing Management.Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International journal of environmental research and public health, 17(3), 835.
Essay Topic Examples
1. The Evolution of the hysician-atient Relationship:
Explore how the physician-patient relationship has changed over time, influenced by factors such as technology, patient autonomy, and changing social attitudes. Discuss historical perspectives, current trends, and potential future developments in the dynamic between physicians and their patients.
2. The Role of Trust and Communication in Effective Healthcare:
Analyze the importance of trust and effective communication in the physician-patient relationship. Examine barriers that can inhibit these elements and strategies that can enhance trust and understanding. Discuss the impact on patient outcomes and satisfaction when these factors are prioritized.
3. The Impact of Cultural Competence on atient Care:
Examine the significance of cultural competence in healthcare and its effects on the physician-patient relationship. Discuss the challenges physicians face when encountering patients with diverse backgrounds and beliefs, and how cultural competence can lead to improved healthcare…...
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Primary Sources
Peabody, Francis W. \"The Care of the Patient.\" Journal of the American Medical Association, vol. 88, no. 12, 1927, pp. 877-882.
Beckman, Howard B., and Richard M. Frankel. \"The Effect of Physician Behavior on the Collection of Data.\" Annals of Internal Medicine, vol. 101, no. 5, 1984, pp. 692-696.Charon, Rita. \"Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust.\" The Journal of the American Medical Association, vol. 286, no. 15, 2001, pp. 1897-1902.Stewart, Moira A. \"Effective Physician-Patient Communication and Health Outcomes: A Review.\" Canadian Medical Association Journal, vol. 152, no. 9, 1995, pp. 1423-1433.Stange, Kurt C. \"The Problem of Fragmentation and the Need for Integrative Solutions.\" Annals of Family Medicine, vol. 7, no. 2, 2009, pp. 100-103.
To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
orks Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Donovan, Jenny L., and Blake, David R. (2002). Patient non-compliance:…...
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Works Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
How the Patient-Centered Medical-Home reducing cost and improving quality and safety for patients.
The patient centered medical home is a platform that fills a need in the current healthcare system. The U.S. healthcare system has been plagued for quite some time with a trend of substantially rising healthcare costs as well as another trend of slipping quality standards. These two trends are argued to be a phenomenon that has emerged at least partly from poor planning and ineffective use of resources. One solution to some of these issues can be found in the patient-centered medical home (PCMH) model of primary care. This model has been developed with the coordination of long-term physician-patient relationships in mind. Developing these relationships further can not only reduce costs in unnecessary procedures that are the result of the missed opportunity for preventive care, but also have been shown to improve patient satisfaction. This…...
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References
Christensen, E., Dorrance, K., Ramchandiani, S., Lynch, S., Whitmeore, C., Borsky, A., . . . Bickett, T. (2013). Impact of a Patient-Centered Medical Home on Access, Quality, and Cost. Military Medicine, 135-141.
Ewing, M. (2013). The Patient-Centered Medical Home Solution to the Cost-Quality Conundrum. Journal of Healthcare Management, 258-266.
Kern, L., Dhopeshwarker, R., Edwards, A., & Kaushal, R. (2013). Patient Experience Over Time in Patient-Centered Medical Homes. American Journal of Managed Care, 403-410.
Nielsen, M., Olayiwola, J., Grundy, P., & Grumbach, K. (2014). The Patient-Centered Medical Home's Impact on Cost & Quality. Patient-Centered Primary Care Collaborative, 1-38.
These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.
Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low educational…...
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References
Barber, N., Parsons, J., Clifford, S., Darracott, R., & Horne, R. (2004). Patients' problems with new medication for chronic conditions. Quality and Safety in Healthcare. 13(3): 172-175.
Chatterjee, J. (2006). From compliance to concordance in diabetes. Journal of Medical Ethics. 32(9): 507-510.
Chisholm, M., Lance, C. & Mulloy, L. (2005). Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. American Journal of Health- System Pharmacy. 62 (17): 1775-1781.
Essay Topic Examples
1. Ethical Foundations of atient Confidentiality:
Explore the moral and ethical principles that underpin the concept of patient confidentiality. Discuss the importance of trust in the doctor-patient relationship and how confidentiality serves as a critical component to providing high-quality healthcare. Examine the arguments for and against strict adherence to patient confidentiality in different scenarios.
2. Legal Aspects and Challenges of atient Confidentiality:
Analyze the legal framework that governs patient confidentiality, including notable legislation such as HIAA in the United States. Address the legal consequences healthcare professionals may face for breaches of confidentiality. Additionally, investigate real-world cases where violations have occurred and the resulting legal and professional outcomes.
3. atient Confidentiality in the Digital Age:
Discuss the impact of digital technology, electronic health records, and telemedicine on patient confidentiality. What new risks and challenges have emerged? Evaluate the effectiveness of current safeguards to protect sensitive information and propose enhancements to current practices to strengthen…...
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Primary Sources
United States. Health Insurance Portability and Accountability Act of 1996. Pub. L. No. 104-191. 104th Congress.
World Health Organization. \"Guidelines on HIV/AIDS and Human Rights.\" United Nations, 2006.American Medical Association. \"AMA Code of Medical Ethics: Opinions on Confidentiality, Advertising, and Communications Media Relations.\" American Medical Association, 2017.General Medical Council. \"Confidentiality: Good Practice in Handling Patient Information.\" GMC, 2017.British Medical Association. \"Confidentiality and Disclosure of Health Information Tool Kit.\" BMA, 2009.
Essay Topic Examples
1. The Ethical illars of atient Confidentiality:
Explore the ethical principles that underpin the concept of patient confidentiality, such as respect for autonomy, beneficence, non-maleficence, and justice. Discuss the role these principles play in establishing the trust necessary for an effective patient-provider relationship and the implications when confidentiality is breached.
2. The Evolution of atient Confidentiality Laws:
Examine the historical development of laws and regulations related to patient confidentiality, from early professional oaths to modern legislation such as HIAA in the United States. Analyze how societal changes, technological advancements, and evolving expectations have shaped current confidentiality standards.
3. Balancing Confidentiality with ublic Health Concerns:
Delve into the challenges of maintaining patient confidentiality in the context of public health issues, such as infectious disease outbreaks or bioterrorism. Discuss how policies might differ in times of public health emergencies and the criteria…...
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Primary Sources
American Medical Association. \"AMA Code of Medical Ethics\' Opinions on Confidentiality.\" JAMA, vol. 317, no. 17, 2017, pp. 1768–1769.
United States. Dept. of Health and Human Services. \"Standards for Privacy of Individually Identifiable Health Information.\" Federal Register, vol. 65, no. 250, 2000. 45 CFR Parts 160 and 164.Gostin, Lawrence O., and James G. Hodge. \"Personal Privacy and Common Goods: A Framework for Balancing Under the National Health Information Privacy Rule.\" Minnesota Law Review, vol. 86, no. 6, 2002, pp. 1439–1479.British Medical Association. \"Medical Ethics Today: The BMA\'s Handbook of Ethics and Law.\" 3rd edition, BMJ Books, 2012.Hendrick, Judith. \"Law and Ethics in Children\'s Nursing.\" Wiley-Blackwell, 2010.
Merrill, in the UK. Following his experience with heart surgery using innovating surgical techniques, the physician noted the problems he experienced in understanding all of his alternatives compared to a simpler earlier procedure, and finally trusted to the advice of his cardiologist to surgically intervene. In response to the experience, Dr. Merrill emphasized that, "As a physician talking to colleagues, I had the best information possible under the circumstances. But it wasn't the same as my hernia repair. The experience brought home to me the realization that the progress of medicine has made informed consent impossible -- even for me" (Merrill 1999: 190).
ationale of Study
Taken together, the foregoing issues indicate that there is an ongoing need for an assessment of knowledge levels of informed consent among perioperative nurses and operating department practitioners. Perioperative nurses and operating department practitioners, though, are frequently subjected to an enormous amount of stress in…...
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References
Calloway, S.J. (2009) 'The Effect of Culture on Beliefs Related to Autonomy and Informed
Consent.' Journal of Cultural Diversity 16(2): 68-69.
Essay Topic Examples
1. The Ethical Implications of atient Autonomy in Modern Healthcare:
Explore how patient autonomy is considered a fundamental ethical principle in healthcare and its implications on the decision-making process regarding medical treatments, including the tension between patient rights and the professional judgment of healthcare providers.
2. Balancing atient Autonomy and ublic Health Concerns:
Examine the challenges faced when individual patient autonomy must be weighed against public health interests, such as during vaccination campaigns or infectious disease outbreaks, and propose strategies for achieving a balance between these two imperatives.
3. Informed Consent: The Cornerstone of atient Autonomy:
Analyze the concept of informed consent, its legal and ethical foundation, and its role in ensuring patient autonomy, while considering the complexities of understanding medical information and potential barriers to truly informed decision-making.
4. The Role of Advance Directives in Upholding atient Autonomy:
Discuss the importance of advance directives, such as…...
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Primary Sources
Beauchamp, Tom L., and James F. Childress. Principles of Biomedical Ethics. Oxford University Press, 2013.
Entwistle, Vikki A., et al. \"Supporting patient autonomy: The importance of clinician-patient relationships.\" Journal of General Internal Medicine 25.7 (2010): 741-745.Charter of Fundamental Rights of the European Union. 2000/C 364/01. Official Journal of the European Communities, 2000.Faden, Ruth R., and Tom L. Beauchamp. A history and theory of informed consent. Oxford University Press, 1986.Mackenzie, Catriona, and Natalie Stoljar, eds. Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self. Oxford University Press, 2000.
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety of…...
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Bibliography
109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .
Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.
De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.
NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy: http://www.nashp.org/med-home-map
Patient Perceptions of Maternal HIV Testing
Ob-Gyn Maternal HIV Testing Study
Coleman et. al., (2009) Patient Perceptions of Obstetrician-gynecologists' Practices Related to HIV Testing. Maternal Child Health Journal 13: 355-363.
The study objectives were to identify the percentage of women who had been tested for HIV, explore the perceptions of women patients about HIV testing and ascertain their knowledge about their own HIV risk status, to determine the primary reasons patients refuse to be tested for HIV, and to learn what patients recall about how their obstetrician-gynecologists' introduced the topic of HIV testing.
The authors hypothesized that pregnant women, women seeking preconception care, and women with risk factors for HIV infection would recall their obstetrician-gynecologists recommending HIV testing" (Coleman, et al., 2009)
Overall research goal & recommendation. The purpose of the study was to identify if patient-physician communication about HIV risks and testing to pregnant women is consistent with current recommended practice, and to determine…...
There is also relevant information for specific sectors of society such as women and seniors. The MedlinePlus Magazine includes several links to asthma information. The bottom of the page includes links that contain information such as disclaimers, copyright, and privacy information. It also contains links that provide information on the contributors of information to the Website. The privacy statement clearly provides visitors and subscribers with the assurance that their information will not be shared. All the information on the site is therefore provided on the basis of full disclosure, both of the information itself and on information providers.
This Website is therefore very reliable, and also includes information on a myriad of other health topics, which will be helpful for Amy if she wants more information on her other conditions as well.
A comprehensive and multifaceted approach, including enhanced communication, patient-centered care, staff empowerment, and data-driven decision-making, is necessary to effectively improve patient satisfaction in nurse quality care.
### Introduction:
Patient satisfaction is a crucial indicator of the quality of healthcare services. Enhancing patient satisfaction leads to improved clinical outcomes, increased patient loyalty, and reduced healthcare costs. Nurses play a pivotal role in shaping patient experiences and influencing satisfaction levels. This thesis will explore the multifaceted strategies that can be implemented to improve patient satisfaction in nurse quality care.
### Body:
1. Enhanced Communication:
Establish clear channels of communication between nurses and patients, allowing....
1. The benefits of telehealth in increasing access to healthcare services in rural and underserved areas. 2. The impact of telehealth on improving patient satisfaction and outcomes. 3. The role of telehealth in reducing healthcare costs and increasing efficiency. 4. The challenges and opportunities of integrating telehealth into existing healthcare systems. 5. The ethical considerations of telehealth, such as privacy and data security. 6. The potential impact of telehealth on the traditional doctor-patient relationship. 7. The implications of telehealth for healthcare disparities and access to care for marginalized populations. 8. The role of telehealth in addressing mental health and behavioral health needs. 9. The impact of telehealth on....
Neonatal vaccination is a crucial aspect of early childhood healthcare, as it helps protect infants from a variety of infectious diseases. The Centers for Disease Control and Prevention (CDC) recommends a series of vaccinations for newborns, starting as early as the first few days of life. However, compliance with these recommendations can vary among first-time mothers, influenced by a variety of factors.
One key factor that influences first-time mothers compliance with neonatal vaccination is their knowledge and beliefs about vaccines. Studies have shown that mothers who have a positive attitude towards vaccinations and understand the importance of immunization are more....
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