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《Health & place》2014
Physical environments of clinical settings play an important role in health communication processes. Effective medication management requires seamless communication among health professionals of different disciplines. This paper explores how physical environments affect communication processes for managing medications and patient safety in acute care hospital settings. Findings highlighted the impact of environmental interruptions on communication processes about medications. In response to frequent interruptions and limited space within working environments, nurses, doctors and pharmacists developed adaptive practices in the local clinical context. Communication difficulties were associated with the ward physical layout, the controlled drug key and the medication retrieving device. Health professionals should be provided with opportunities to discuss the effects of ward environments on medication communication processes and how this impacts medication safety. Hospital administrators and architects need to consider health professionals' views and experiences when designing hospital spaces. 相似文献
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目的 评价Peplau人际关系理论对于提高护士沟通能力的影响.方法 对宁波市某三甲医院共50名护士进行了8次的Peplau人际关系理论训练,对训练前后护士的临床沟通能力进行比较.结果 训练后护士的临床沟通能力明显高于训练前,差异有统计学意义.结论 Peplau人际关系理论训练能够有效提升护士的临床沟通能力. 相似文献
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Jeffrey D. Hirsch Eliot L. Siegel Sridhar Balasubramanian Kenneth C. Wang 《Journal of digital imaging》2015,28(4):407-411
The Digital Imaging and Communications in Medicine (DICOM) standard is the universal format for interoperability in medical imaging. In addition to imaging data, DICOM has evolved to support a wide range of imaging metadata including contrast administration data that is readily available from many modern contrast injectors. Contrast agent, route of administration, start and stop time, volume, flow rate, and duration can be recorded using DICOM attributes [1]. While this information is sparsely and inconsistently recorded in routine clinical practice, it could potentially be of significant diagnostic value. This work will describe parameters recorded by automatic contrast injectors, summarize the DICOM mechanisms available for tracking contrast injection data, and discuss the role of such data in clinical radiology. 相似文献
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Jaume Morera-Balaguer José Martín Botella-Rico Mari Carmen Martínez-González Francesc Medina-Mirapeix Óscar Rodríguez-Nogueira 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2018,22(6):484-492
Background
Over recent years there has been a paradigm shift towards a patient-centred biopsychosocial care model in physical therapy. This new paradigm features a growing interest in understanding the contextual factors that influence the patient's experience of disease, pain and recovery. This includes generalized consensus regarding the importance of establishing a therapeutic relationship that is centred on the patient.Objective
To explore physical therapists’ perceptions and experiences regarding barriers and facilitators of therapeutic patient-centred relationships in outpatient rehabilitation settings.Methods
This is a qualitative study with four focus groups including twenty-one physical therapists. Two researchers conducted the focus groups, using a topic guide with predetermined questions. The focus group discussions were audiotaped and videotaped, transcribed verbatim and analysed thematically using a modified grounded theory approach.Results
Physical therapists perceived that the therapeutic patient-centred relationship not only depends on the personal qualities of the professional, but also on the patient's attitudes and the characteristics of the context, including the organization and team coordination.Conclusions
Although being more linked towards the patients’ contextual factors and needs than towards the practice of the profession, a therapeutic relationship is worth considering by physical therapists. Furthermore this study highlights the need for physical therapists and administrators to rethink the situation and propose strategies for improvement. 相似文献99.
加强儿科住院医师规范化培训期间住院医师的医患沟通能力,对改善医患关系紧张的局面具有重要意义。目前我国各级医疗单位儿科就医群体存在住院患儿为独生子女、家长过度溺爱、诊疗中过度紧张和恐惧等特点。分析现状可见,临床实践中儿科住院医师的医患沟通受到患儿、家长、医师三方面影响,存在患儿不易配合、家长医学护理知识不足、住院医师临床与沟通经验缺乏等问题。因此,有必要在规范化培训期间,加强儿科住院医师医患沟通能力专项培训,建立医患沟通反馈机制,针对其医患沟通存在的薄弱环节加以改进,以完善儿科住院医师医患沟通能力培养方案。 相似文献
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Vanessa Pirani Gaioso Antonia Maria Villarruel Lynda Anne Wilson Andres Azuero Gwendolyn Denice Childs Susan Lane Davies 《Revista latino-americana de enfermagem》2015,23(3):500-511