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2.
Hu Li Za Zhi ; 66(4): 7-13, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342496

RESUMO

The majority of patient safety incidents cited in the latest Taiwan Patient Safety Reporting System Annual Report were medication-related, with human factors and communication issues identified as the key underlying causes of these incidents. Focusing on inpatient settings, the complex yet multiprofessional-linked drug supply scheme currently in place in medical institutions in Taiwan is described, with the aim of facilitating the accessibility and appropriateness of medication use by detailing the responsibilities of each professional role. Institutional medication management and use comprise several sequential and interconnected stages, including formulary management and drug procurement, medication storage, physician prescribing, pharmacist dispensing, nurse administration, and efficacy-and-safety monitoring and reporting. The principal tasks and personnel duties at each stage are addressed. In summary, institutional drug distribution and control is an intricate process that involves multiple processes and a diverse array of professionals and administrative staff. It is imperative to actively engage the relevant parties, especially through in-service training, in order to understand their essential roles and responsibilities and to enable communication and collaboration among stakeholders in the drug distribution chain. Implementing the appropriate initiatives in a timely manner will help establish an effective and robust safe-medication-use system.


Assuntos
Relações Interprofissionais , Conduta do Tratamento Medicamentoso/organização & administração , Comunicação , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia , Segurança do Paciente , Papel Profissional , Taiwan
4.
Yakugaku Zasshi ; 139(7): 1047-1054, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31257251

RESUMO

In 2015, Japan's Ministry of Health, Labour and Welfare released a report on the need for pharmacies to support public health, although the details of such a service was left to each pharmacy. Consequently, pharmacists had to determine the nature of such services. We considered the services that pharmacists could offer to improve people's lifestyles. This study tests such a service at a pharmacy. We prepared a lifestyle self-review test. From September 2015 to February 2016, pharmacists interviewed members of the community using the test, and pharmacists at 50 pharmacies in Aichi prefecture, Japan, set goals for lifestyle improvement. We analyzed 289 tests. The number of people who had a dietary goal concerning snacking was reduced from 19 people who snacked every day to 11. The number of people who had a goal to reduce their drinking was reduced from 7 people who drank every day to 4. The number of people who had an exercise goal was reduced from 17 people who did not exercise every day to 7. The people who had a sleep goal increased the number of days in which they got adequate rest. Those who had specific, tangible goals for walking achieved their goal at a higher rate than did those who had a goal but no tangible elements, such as time spent or number of steps achieved. Overall, the lifestyle self-review at the pharmacy was effective for lifestyle improvement. Pharmacists should help people set goals with tangible elements to improve their lifestyle more effectively.


Assuntos
Serviços Comunitários de Farmácia , Promoção da Saúde , Estilo de Vida , Farmacêuticos , Farmácia , Adulto , Idoso , Idoso de 80 Anos ou mais , Consumo de Bebidas Alcoólicas/prevenção & controle , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Papel Profissional , Lanches , Adulto Jovem
8.
Rev. urug. enferm ; 14(1): 28-37, jun 2019.
Artigo em Espanhol | LILACS, InstitutionalDB | ID: biblio-1009327

RESUMO

Objetivos: Describir las prácticas y representaciones respecto del rol enfermero en un grupo de estudiantes. Material y Métodos: Este trabajo se realizó desde un enfoque cualitativo. Se trabajó con estudian-tes de Enfermería de una facultad privada de la ciudad de Rosario (Argentina) durante el 2018. Se realizaron entrevistas semi-estructuradas. Resultados: Se observó que un grupo significativo de estudiantes poseía una mirada parcial del rol enfermero antes de ingresar a la universidad, sus percepciones se centraban en torno a las tareas asistenciales -fundamentalmente- de higiene, confort, control de signos vitales y técnicas poco complejas. La mirada de todos los estudiantes respecto del rol enfermero se amplió y se complejizó a partir de su ingreso a la universidad. Se observa una alta valoración de las prácticas pre-profesionales y, en el caso particular de las prácticas comunitarias, emerge con fuerza el rol de educador que debe construir un enfermero/a.Conclusiones: Las prácticas realizadas desde el primer año de la carrera se consideran fundamen-tales espacios de formación, incorporándose desde las primeras instancias formativas la relevancia del vínculo enfermero/a-paciente. Para los estudiantes es muy enriquecedor lo que se aprende en las prácticas en relación a otros estudiantes, pacientes, enfermeros/as y docentes reconociendo que la experiencia de lo vivido se asocia a cambios en las actitudes y a un crecimiento en el desarrollo del perfil profesional.


Objectives: Describe the practices and representations regarding the role of the nurse in a group of students. Material and Methods: ! is work was done from a qualitative approach with a group of nursing students from a private university located in Rosario (Argentina) during 2018. Semi-structurated interviews were conducted. Results: It was observed that a signifi cant group of students had a partial look about the nurse role before entering the university, their perception were centered around care tasks ­ fundamentally ­ hygiene, comfort, vital signs control and little complex techniques. ! e perception of all the stu-dents related to the nurse role became more wide and complex since the fi rst days at the university. A high valuation of the pre-professional practices is observed and, in the case of the communita-rian practices, the role of educator that a nurse must built emerges with signifi cant force. Conclusions: ! e practices made since the fi rst year of the career are considered fundamentals as training spaces, incorporating since the fi rst formative instances the relevance in the link nur-se-patient. For the students it is very enriching what it's learned in the practices in relation to other students, patients, nurses and teachers recognizing that the experience of what was lived is associa-ted with the changes in the attitudes and a growth in the development of the professional profi le.


Objetivos: Descrever as práticas e representações respeito do papel do enfermeiro em um grupo de estudantes. Material e Métodos: Este trabalho se realizou desde um enfoque qualitativo. Se trabalhou com estudantes da enfermagem de uma faculdade privada da Cidade de Rosário (Argentina) durante o 2018. Foram feitas entrevistas semi-estruturadas. Resultados: Se observou que um grupo signifi cativo de estudantes possuía uma mirada parcial do papel do enfermeiro antes de ingressar na universidade, suas percepções centravam-se em torno ás tarefas assistenciais -fundamentalmente- de higiene, conforto, controle de signos vitais e téc-nicas pouco complexas. A mirada de todos os estudantes respeito do rol enfermeiro se ampliou e tornou-se mais complexa a partir do ingresso na universidade. Observa-se uma alta valoração das práticas pré-profi ssionais e, no caso particular das práticas comunitárias, emerge com força o papel do educador que deve construir um enfermeiro/a Conclusões: As práticas feitas desde o primeiro ano da carreira consideram-se fundamentais es-paços de formação, incorporando desde as primeiras instâncias formativas a relevância do vínculo enfermeiro/a-paciente. Para os estudantes resulta muito enriquecedor o que se aprende nas prá-ticas em relação aos outros estudantes, pacientes, enfermeiros/as e docentes reconhecendo que a experiência do aquilo vivido associa-se a mudanças nas atitudes e a um crescimento no desenvol-vimento do perfi l profi ssional.


Assuntos
Animais , Estudantes de Enfermagem , Papel Profissional , Educação em Enfermagem , Prática Profissional , Relações Enfermeiro-Paciente
9.
BMC Public Health ; 19(1): 670, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31146721

RESUMO

As the overdose crisis in North America continues to deepen, public health leaders find themselves responding to sensational media stories, many of which carry forms and themes that mark them as urban legends.This article analyzes one set of media accounts - stories of misuse of naloxone, an opioid overdose antidote distributed to people who use drugs - through the lens of social science scholarship on urban legends. We suggest that these stories have met a public need to feel a sense of safety in uncertain times, but function to reinforce societal views of people who use drugs as undeserving of support and resources.Our field has a duty to speak out in favour of evidence-based programs that support the health of people who use drugs, but the optimal communication strategies are not always clear. Drawing attention to the functions and consequences of urban legends can help frame public health communication in a way that responds to needs without reinforcing prejudices, with application beyond naloxone to the other urban legends that continue to emerge in response to this crisis.


Assuntos
Analgésicos Opioides/toxicidade , Meios de Comunicação , Overdose de Drogas/tratamento farmacológico , Naloxona/uso terapêutico , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Overdose de Drogas/epidemiologia , Comunicação em Saúde , Humanos , América do Norte/epidemiologia , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Papel Profissional , Saúde Pública
10.
Expert Opin Drug Saf ; 18(8): 745-752, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31232612

RESUMO

Objectives: Adverse drug reactions (ADRs) are a pervasive global problem, and its management is integral to patient safety and healthcare quality. Pharmacists play a pivotal role in monitoring and reporting ADRs, which has a direct impact on patient care. The aim of this study was to identify potential factors that facilitate pharmacists in community and hospital settings to report ADRs. Methods: A cross-sectional, online survey using a validated questionnaire was administered to pharmacists working in community and hospital pharmacies in Saudi Arabia. Results: 1,717 community and 153 hospital pharmacists participated in this study. Only 10.2% and 26.8% of community and hospital pharmacists, respectively, admitted ever reporting an ADR. The most reported factors that may facilitate ADRs reporting have included ongoing improvements in therapeutic knowledge about ADRs, attending educational programs with continuous medical education credits, the seriousness of the experienced ADRs and accessibility to patients' medical profile. The impact of peers by seeing colleagues reporting ADRs and ADRs due to herbal or traditional medicine were the least important factors reported by pharmacists. Conclusion: The study identified factors that can effectively address the under-reporting of ADRs by pharmacists. A multi-stakeholder, multi-pronged approach of ADR reporting is needed to develop greater awareness of this issue among pharmacists.


Assuntos
Sistemas de Notificação de Reações Adversas a Medicamentos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Farmacêuticos/estatística & dados numéricos , Adulto , Serviços Comunitários de Farmácia/organização & administração , Estudos Transversais , Feminino , Humanos , Masculino , Farmacovigilância , Serviço de Farmácia Hospitalar/organização & administração , Papel Profissional , Arábia Saudita , Inquéritos e Questionários
12.
Work ; 63(2): 309-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156204

RESUMO

As the population of individuals aged sixty-five and older continues to grow, the number of older individuals participating in the workforce rises alongside, with projections estimating as many as 72 million older workers by 2030. Due to this rapid increase in the number of older workers, new challenges to worker health and to health-related productivity will arise in the coming years. Occupational therapy practitioners are uniquely suited to address many of these challenges given their background in activity analysis, assessment and modification of job demands, health promotion and successful aging. However, there is need for continued research in this area to expand the role of the occupational therapy practitioner in prevention and return-to-work interventions focused on the older worker, and to advocate for the value occupational therapy practitioners can contribute to this field.


Assuntos
Promoção da Saúde/métodos , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional/normas , Ferimentos e Lesões/prevenção & controle , Idoso , Feminino , Geriatria/métodos , Promoção da Saúde/normas , Humanos , Masculino , Saúde do Trabalhador/normas , Saúde do Trabalhador/estatística & dados numéricos , Terapeutas Ocupacionais/normas , Terapia Ocupacional/métodos , Papel Profissional/psicologia , Qualidade de Vida/psicologia , Retorno ao Trabalho/estatística & dados numéricos
13.
BMC Public Health ; 19(1): 721, 2019 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-31182067

RESUMO

BACKGROUND: Pastoralists rely on traditional healers (THs) for general health problems. However, some studies indicate that such practices result in delays in the diagnosis and treatment of tuberculosis (TB) cases. This study aims to assess the role of traditional healers in the detection and referral of active TB cases in a pastoralist community. METHODS: We identified 22 traditional healers from 7 villages of Kereyu pastoralist community in the Fentale district in Ethiopia in January 2015. We trained these THs in identifying presumptive TB symptoms and early referral to the nearby healthcare facilities. The training was held during a 1 week period that included a visit to their villages and follow-up. A 1 day meeting was held with the traditional healers, the district TB care and prevention coordinator and health extension workers from the selected sub-district to discuss the referral link between THs and the nearby healthcare facilities. Health providers working at the TB units in the selected healthcare facilities were oriented about the training given and planned involvement of THs in referring presumptive TB case. In addition, documentation of the presumptive TB cases was discussed. RESULTS: We succeeded in tracing and interviewing 8 of the 22 THs. The rest were on seasonal migration. According to the THs report for the 1 year period, these 8 THs had referred 24 TB suspects to the healthcare facilities. Sputum smear microscopy confirmed 13 of the 24 suspects as having TB cases. Among those confirmed, 10 completed treatment and three were on treatment. Five presumptive TB cases were confirmed non TB cases through further evaluation at the healthcare facilities and six of the presumptive TB cases were lost to follow up by the THs. Whereas, four of the presumptive TB cases were lost to follow up to the healthcare facility. CONCLUSIONS: Results of the present study indicate that THs can contribute to the detection of undiagnosed active TB cases in a pastoralist community, provided they are given appropriate training and support.


Assuntos
Programas de Rastreamento/estatística & dados numéricos , Medicina Tradicional/estatística & dados numéricos , Papel Profissional , Encaminhamento e Consulta/estatística & dados numéricos , Tuberculose/diagnóstico , Adulto , Etiópia , Feminino , Humanos , Masculino , Assistência Religiosa , Projetos Piloto
14.
Yakugaku Zasshi ; 139(6): 931-937, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31155538

RESUMO

Benzodiazepine receptor agonists (BZRAs) are used in the treatment of a wide variety of clinical conditions. Although clinical practice guidelines discourage high dosage or long-term use of BZRAs, they are prescribed in clinical settings. This study aimed to investigate whether the pharmacists at multidisciplinary clinical team meetings can help reduce BZRA use and promote appropriate use of these drugs. The psychiatric unit of the Tokyo Women's Medical University Hospital occupies two floors, with 31 beds on Floor A and 34 beds on Floor B. The multidisciplinary clinical team meetings were held once a week in each ward. During the meetings, the pharmacists comprehensively assessed the number of BZRA doses administered and the equivalent diazepam doses, presented their prescription recommendations aimed at dosage reduction, and shared their views with the entire clinical team. This intervention was commenced on Floor A in 2014 and on Floor B in 2015. The average number of BZRAs in each period and equivalent diazepam doses were assessed for 273 psychiatric inpatients hospitalized from April to June in 2013, 2014, and 2015. Changes in the number of BZRA doses administered were assessed per floor per year. The results showed a statistically significant decrease between years with and without interventions. The intervention of pharmacists allowed multidisciplinary clinical team members to gain the same understanding about BZRA use and formulation of drug therapy plans. The results suggest that the intervention of pharmacists at clinical team meetings can strategically lead to decreased BZRA dosages and their proper use.


Assuntos
Agonistas de Receptores de GABA-A/administração & dosagem , Processos Grupais , Prescrição Inadequada/prevenção & controle , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente , Farmacêuticos , Papel Profissional , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Agonistas de Receptores de GABA-A/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
Soins Psychiatr ; 40(322): 31-34, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31229144

RESUMO

Mood disorders, including depression, are the most common psychiatric disorders encountered in elderly people. The care team in geriatric psychiatry comes together in order to perform effective therapeutic actions in daily practice, optimising the effects of this global care. The relational approach of the caregiver is fundamental as it favours the encounter with the elderly patient. This caregiving approach and the coherence of the multidisciplinary team help to construct real links, to gain the trust of the elderly patient and take into account his or her suffering.


Assuntos
Psiquiatria Geriátrica , Transtornos Mentais/terapia , Equipe de Assistência ao Paciente , Papel Profissional , Idoso , Humanos
16.
Forensic Sci Int ; 300: 1-5, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31063882

RESUMO

Forensic science faces a range of new challenges this past decades, including a change in definition of the scope of the roles of the actors in the criminal justice process. A decentralisation process has been occurring, leading to non-specialists using forensic capabilities. This shift in responsibility has led to a lack of global view of the case which has been remedied by some forensic science laboratories by the creation of a (new) role, that of forensic case coordinator (i.e. forensic coordinator or advisor). In the scope of this study, their role and position within five forensic science laboratories is presented and compared. Although some differences exist (e.g. judicial framework, training, cases involved in and manner of involvement), a common understanding of the supportive role of the forensic case coordinator within the criminal justice system and their actors can be devised and an increasing growth of the number of these positions emphases the demand and need for a centralising role.


Assuntos
Ciências Forenses/organização & administração , Relações Interinstitucionais , Papel Profissional , Europa (Continente) , Humanos
19.
Pan Afr Med J ; 32: 36, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31143341

RESUMO

Zoonotic diseases accounts for about 75% of emerging infectious disease and can be devastating to both human and animal health globally. A subset of zoonotic diseases is referred to as "neglected zoonotic diseases - NZDs" as they mainly affect poor populations who live in close proximity to domestic or wild animals often in areas where access to health and adequate sanitary facilities are not available. Furthermore, underestimation of the burden of NZD has continually led to its further neglect in least developed countries such as Nigeria. Controlling zoonotic infections including NZDs in animals is crucial in reducing human infections. Veterinarians provides an understanding of the epidemiology of infectious diseases in animal population and are therefore integral for the overall reduction in global burden of NZDs worldwide. Due to the current lack of and in some cases weak involvement of Veterinarians in policy issues related to zoonotic diseases, there is need to elucidate their importance in NZDs control in Nigeria. This review therefore summarises the neglected zoonotic diseases so far documented in Nigeria and also highlight the important role of the Veterinarian in their prevention and control within both human and animal population. Important recommendations to strengthen the role of the public health Veterinarian for sustainable control of NZDs were made.


Assuntos
Doenças Negligenciadas/prevenção & controle , Médicos Veterinários/organização & administração , Zoonoses/prevenção & controle , Animais , Países em Desenvolvimento , Acesso aos Serviços de Saúde , Humanos , Doenças Negligenciadas/epidemiologia , Doenças Negligenciadas/veterinária , Nigéria/epidemiologia , Papel Profissional , Saúde Pública , Zoonoses/epidemiologia
20.
N C Med J ; 80(3): 171-173, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31072949

RESUMO

A strong, unified professional identity is important for any profession, but this is especially true for the counseling profession as it aids in identifiability, competence, and consistency. This commentary identifies North Carolina's licensure processes as well as the importance of professional identity in advocating for counselors' role in state policy decision-making.


Assuntos
Conselheiros , Licenciamento , Humanos , North Carolina , Papel Profissional , Identificação Social
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