Articles Tagged With: communication
-
Ethics Consultants Want More Training for First Jobs
Clinical bioethics training programs serve a wide variety of individuals, some with clinical backgrounds, others with PhDs. Most graduates indicated that their basic training in ethics was adequate. Still, many wanted more training in quality improvement skills, including some exposure to quality improvement methodology. They also wanted to learn how to negotiate for resources and how to communicate with hospital leadership.
-
Better Patient Experience Mitigates Malpractice Risk
Any ED would benefit from teaching emergency physicians to be more aware of how patients perceive them. Engaging in role-playing exercises are helpful. Record the exercises so they can be critiqued.
-
ED Nurses Also Face Liability for Misdiagnosis
The idea that it is not within the nurses’ scope of practice to contribute to diagnosis is both dangerous and wrong.
-
Centralized Utilization Management: The Good, the Bad, and the Best Practices
Challenged with employing enough staff in case management departments, the need for expertise in every role, and the increased requirements from payers, case management leaders are evaluating centralizing utilization review. This centralization carries both benefits and challenges, some of which are amplified because of the current healthcare climate.
-
Q&A: CM Leadership During Pandemic Surge
Case management leaders have been navigating another COVID-19 case surge. Angie Roberson, MSN, RN, ACM-RN, director of case management at Spartanburg Regional Healthcare System in Spartanburg, SC, works in one of the worst-hit counties in one of the worst-hit states during the late 2020 and early 2021 surge of COVID-19 that swept across the United States.
-
The Four C’s of Patient Care
Every day, case managers face pressure to achieve optimal outcomes in a multitude of scenarios. At the core of each case is the patient’s understanding of medical care, their ability to think critically, make decisions about their care, and use good judgment. Capacity, competency, coping, and choice are the core considerations every case manager should examine with each patient.
-
Physicians Reported Moral Distress About Surrogate Decision-Makers
Parties clash regarding comfort levels and how aggressive treatment should be. The lack of advance directives for so many patients exacerbates the problem. Nurses and other colleagues can join the conversations to assist or outright substitute for physicians who are unwilling or unable to engage deeply.
-
The Age of Misinformation and Vaccine Hesitancy
Within this broader disinformation is specific distrust of the vaccines under development for COVID-19. In addition, the messaging of doing something potentially dangerous at “warp speed,” along with media descriptions of a “race to a vaccine,” have made people nervous.
-
Tips to Improve IRB-Researcher Productivity and Relationship
Expectations and communication issues are the two biggest challenges between principal investigators and the IRB community. IRBs set expectations through their websites and response letters, but they might not have articulated those expectations to themselves and investigators. From the principal investigator perspective, researchers might not fully appreciate that IRBs can be advocates and not merely a clearing house or impediment to putting research in the field.
-
Conflicts Over Decision-Making Frequent in ICUs
Consider psychological, biological, spiritual, and social factors, and the role they play in understanding illness and healthcare delivery. Using this model, clinical ethicists can encourage dialogue between healthcare professionals caring for seriously ill patients.