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Organisational culture in health and social care
Published in Janet Thomas, Understanding and Supporting Professional Carers, 2021
Another type of system that is commonly seen in health and social care is the layered system. A nurse working on a hospital ward has a role on that ward. The ward is part of the hospital system, which in turn is part of an NHS trust, which is part of the whole NHS. The NHS is a government agency and the Government is chosen by the electorate, which is yet another system. Communication mostly takes place in a linear fashion, consistent with the hierarchical model in this sector.
Do you really want to become a doctor?
Published in Viyaasan Mahalingasivam, Marc A Gladman, Manoj Ramachandran, Secrets of Success: Getting into Medical School, 2020
Viyaasan Mahalingasivam, Marc A Gladman, Manoj Ramachandran
Psychiatrists usually work in large teams with social workers, community psychiatric nurses and psychologists. The old lunatic asylums are long gone as patients are kept as inpatients only when necessary and the emphasis is placed on looking after them in the community. Even within the hospital ward, patients are given independent rooms and are encouraged to tend to their daily activities.
Towards a dialogic medical education
Published in Sally G. Warmington, Storytelling Encounters as Medical Education, 2019
For patients in hospital, ward rounds may be their main contact with treating medical staff. Typically, a ward round involves a clinical team comprising medical, nursing, other health care staff, and often students seeing patients in turn as they move from bed to bed. It is a long-standing work practice which serves multiple functions: review of patients’ medical condition and investigation results, information exchange within the team, and the teaching of students and junior staff. Many students recognise that ward rounds can be alienating or demeaning experiences for patients. It is particularly troubling when patients are spoken about rather than spoken with, and when they are discouraged from raising questions due to time constraints (Sweet & Wilson, 2011).
Physical dependence and urinary catheters both strongly relate to physical inactivity in adults during hospital stay: a cross-sectional, observational study
Published in Disability and Rehabilitation, 2022
Sven J. G. Geelen, Boukje M. Giele, Cindy Veenhof, Frans Nollet, Raoul H. H. Engelbert, Marike van der Schaaf
This cross-sectional, observational study was conducted in five hospital wards – two gastrointestinal surgery, internal medicine haematology, internal medicine infectious diseases, and cardiology – at Amsterdam University Medical Centres (Amsterdam UMC) - location Academic Medical Centre, a 1002-bed tertiary university hospital in Amsterdam. Each hospital ward had nursing-to-patient ratios of 1:3 or 1:4, depending on the patients’ acuity. Allied health staffing consisted of 0.5–1 physiotherapists to each hospital ward. The Medical Ethical Review Committee of the Amsterdam UMC assessed and approved this study (reference number W17_479 # 18.003), and this study has been conducted according to the principles of the Declaration of Helsinki. Participants gave verbal and written informed consent to participate in the study. The study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
Barriers to and solutions for improving physical activity in adults during hospital stay: a mixed-methods study among healthcare professionals
Published in Disability and Rehabilitation, 2022
Sven J. G. Geelen, Boukje M. Giele, Raoul H. H. Engelbert, Sandra de Moree, Cindy Veenhof, Frans Nollet, Fenna van Nes, Marike van der Schaaf
Even though healthcare professionals perceived physical activity as being important, each healthcare professional defined “physical activity/inactivity” differently. The healthcare professionals described how this variation in defining physical activity makes it difficult for them to estimate the extent to which they should improve physical activity in hospitalized patients. They also indicated that they perceived this variation not only across different hospital wards but also between different healthcare professionals working with the same patient population within a single hospital ward. They also noted that defining physical activity is even more difficult in patients who are not motivated or who are "sick" in their opinion. This is exemplified by the following two comments:
Improving the healthcare using perception of health professional and patients: Need to develop a patients centered structural equation model
Published in International Journal of Healthcare Management, 2021
A. Bhoomadevi, M. Ganesh, N. Panchanatham
According to the study results, the patient needs appreciated by showing genuine interest towards the patients as individual person. Overall Coordination could be realized by giving more information on when patient should resume to normal activities and by encouraging the family members to ask questions. The patients prefer to be treated in a hospital ward that is well organized and coordinated in the way care is provided. The patients and the professionals agree upon the fact that any kind of dangerous developments and deteriorating signals in the course of treatment should be aptly informed. The patients expect during the time of admission that every single query that arise in their minds should be responded with courteousness. They also feel that during their entire stay in the hospital the right person should be available at the right time for the effective and efficient delivery of healthcare. Proper modes of communication are advocated to make patients understand their diagnosis and information about risks and benefits of treatment. Emotional support could be realized by attending to patient’s daily routine activities and alleviate the fear at the time of investigation. Further support could be given by explaining the side effects in an understandable way to the patient. The health care professionals and other staffs in the hospital should make patients feel comfortable with the environment in the ward.