A bill to provide resources and programs to improve mental health and prevent healthcare worker suicide has been introduced in Congress with bipartisan support. The Dr. Lorna Breen Health Care Provider Protection Act addresses longstanding mental health woes in healthcare that have been compounded by the coronavirus pandemic.
Although palliative care is integral to providing quality care, in the ED the focus tends to be on aggressive and life-saving measures. More education and training is needed to make ED providers more comfortable with integrating palliative care there.
Patient care issues and work environment issues require critical reasoning. Nurse leaders need help with both of these issues. Ethicists could help by taking a more active role in developing educational content for nurse leaders.
Diagnostic errors continue to plague the healthcare system, but some progress is happening thanks to technology that can reduce the chance of an error reaching the patient and causing harm. Optimal results may require a more deliberate training program for those using the technology.
Well-run peer review committees are essential to maintaining high-quality performance for physicians and nurses, but recruiting for those committees can be challenging. Physicians and nurses may resist the time commitment or fear legal and professional repercussions from passing judgment on their peers. Those fears can be dispelled by educating physicians and nurses about the peer review process. Savvy recruiting techniques can help create effective peer review committees.
An estimated 5% of women in jails are pregnant, and human rights groups and researchers have collected evidence that these women often receive poor care and are neglected. One solution is to provide contraceptive care to incarcerated women who would like to avoid pregnancy.
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.
Hospitals are scrambling to ensure a smooth and effective process for vaccinating frontline healthcare workers against COVID-19. Leaders need to quickly equip their personnel with enough information to persuade them that the vaccine is safe and effective.