Clinical Education I
Robert J. Parelli in Radiologic Technology Clinical Manual, 2020
Hospital and radiology department orientation. The student will be oriented to the radiology department. Orientation should include: Description of the type of hospital.Introduction to co-workers, radiologists, and clerical personnel.Description of the physical structure of the department. The student should be given a list of different radiographic rooms and the equipment located in each one.Introduction to and study of the department policies and procedures.Importance of appearance and dependability, and expectations as to dress code and personal hygiene.
Medical Staff and Clergy
Michele A. Finneran in Surviving Domestic Abuse, 2020
Medical staff and personnel are comprised of medical doctors, nurses and hospital staff. Interviewed victims would only have contemplated going to a doctor or medical office if they thought their injuries were significant. Many victims viewed their interactions with medical staff at the doctors or hospitals as being ineffective, as evidenced by the following: Victims’ belief that medical professionals were unable to relate to them.Confidentiality and HIPAA violations.Not conducting a thorough assessment and evaluation of the victim.
Tailoring the Contextual Framework for Healthcare
Alexandra E. Schmidt Hulst, D. Scott Sibley in Contextual Therapy for Family Health, 2018
Although some of the same concepts of applying contextual therapy within ambulatory care settings can carry over into inpatient hospitalization, there are also major differences that impact the potential for contextual therapy to be useful in select situations. The amount of time that a patient spends in the hospital varies greatly, from hours in an emergency room to days or even months in a medical, surgical, rehabilitation, or intensive care unit. In general, people who are hospitalized are there because they are acutely sick and their body is in significant distress or they are receiving intensive treatment that cannot be done on an outpatient basis. This means that timing is of the essence when planning how to conduct therapeutic interventions in the hospital. If a heavily sedated patient is on a ventilator in the intensive care unit, that is probably not the best time to begin an in-depth conversation about his or her family’s relational ethics and expectations for caregiving after discharge from the hospital. However, family members may signal to the treatment team that they are in distress and struggling to find balance in caregiving roles and self-care, and stabilizing therapeutic interventions may be more helpful for the family than the patient at that point in time.
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.
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
Based on our findings, healthcare professionals need clear guidelines, roles, and responsibilities when it comes to improving physical activity in hospitalized patients. Healthcare professionals also need tools that help to empower patients to take an active role in physical activity. Furthermore, hospital wards should be designed and furnished so that patients are encouraged to be active. A possible next step towards adopting physical activity as a priority in clinical practice would be to translate the solutions suggested in this study into feasible interventions in collaboration with patients, healthcare professionals, team leaders, and hospital managers. Future research is needed on effectiveness of these interventions and the dose-response relationship between physical activity and the prevention of HADS. More research is also needed to understand how healthcare professionals can empower patients to take an active role in physical activity during hospital stay. Finally, our findings imply that more insight is needed to identify the changes in the hospital environment that can help to increase the patient’s level of physical activity.
Adjustments of medication dosages in patients with renal impairment in Botswana; findings and implications to improve patient care
Published in Hospital Practice, 2019
Abid Mubashir Sheikh, Godfrey Mutashambara Rwegerera, Brian Godman, Dereje Habte
Princess Marina Hospital (PMH) was chosen for this initial investigation as it is the leading tertiary hospital in Botswana training future physicians. It is also the leading hospital for treating patients with HIV in Botswana, and also treats ambulatory care patients from Gaborone and across the Southern part of Botswana with non-communicable diseases (NCDs) such as chronic kidney diseases, hypertension, and diabetes [13]. There are two medical wards in the hospital, male and female medical wards, with bed capacities of 30 patients in each and a monthly admission rate ranging from 125 to 150 patients per ward. Consequently, if there are concerns with renally impaired patients in this setting, these are likely to be echoed throughout Botswana. A similar situation may also exist in other African countries with high rates of both HIV and NCDs such as diabetes [14–16].
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