Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.268
Filtrar
3.
PLoS One ; 15(1): e0227585, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31923918

RESUMO

Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students' moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students' perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students' attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.


Assuntos
Estudantes de Enfermagem/psicologia , Revelação da Verdade/ética , Adulto , Atitude , Atitude do Pessoal de Saúde , Estudos Transversais , Revelação , Feminino , Humanos , Masculino , Princípios Morais , Segurança do Paciente , República da Coreia , Inquéritos e Questionários , Universidades , Adulto Jovem
4.
Rev Gaucha Enferm ; 40: e20190017, 2019 Sep 16.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31531595

RESUMO

OBJECTIVE: To identify aspects that hinder or facilitate the work of nurses in primary health care when disclosing difficult news. METHOD: Qualitative, descriptive and exploratory study addressing 15 nurses from ten primary health care units located in the south of Brazil. Data were collected from February to April 2017, using a semi-structured interview. Interviews were audio-recorded and analyzed based on discourse analysis. RESULTS: The aspects that hinder communication include the demand for services; work organization; the characteristics of patients; and personal aspects. Facilitating aspects include privacy and being in the community. Also hindering or facilitating communication: the way the network functions and the staff; academic training; professional experience; personal aspects. CONCLUSION: This topic is seldom addressed during academic training and this lack of preparedness is one of the main barriers hindering the disclosure of difficult news. Hence, it is essential that teaching institutions establish a discussion regarding this topic.


Assuntos
Atitude do Pessoal de Saúde , Comunicação , Enfermeiras e Enfermeiros/psicologia , Atenção Primária à Saúde , Revelação da Verdade , Barreiras de Comunicação , Confidencialidade , Educação em Enfermagem , Ética em Enfermagem , Humanos , Atenção Primária à Saúde/ética , Privacidade , Pesquisa Qualitativa , Revelação da Verdade/ética
5.
Medicina (Kaunas) ; 55(8)2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31382540

RESUMO

Background and objectives: This study aimed to assess the level of HIV disclosure to children in sub-Saharan Africa as it relates to prevalence of disclosure, barriers, merits and demerits, timing of disclosure, and factors that promote parents and caregivers' decisions to disclose the information. Materials and Methods: A systematic literature search was performed using the following online databases: PubMed, Google Scholar, Web of Science, Scopus, and Embase, to obtain relevant articles on HIV disclosure to children in sub-Saharan Africa. The following search terms were used: "HIV" AND "Disclosure" AND "Sub-Saharan Africa" AND "Children". Results: A total of 18 articles were included in this systematic review. The studies on HIV status disclosure to children in sub-Saharan Africa included a total of 1343 HIV-positive children and 1879 caregiver/child or healthcare worker-child dyads, from the following countries: Ethiopia, South Africa, Ghana, Kenya, Cote d'Ivoire, Burundi, Cameroon, Democratic Republic of Congo, Uganda, Burkina Faso, and Zambia. The prevalence of HIV disclosure ranged from as low as 9% to 72%. Age was a major factor associated with disclosure. Conclusions: HIV status disclosure to children is quite low in sub-Saharan Africa. This is a result of multiple factors such as parents'/caregivers' fear of the child disclosing status to others, a lack of knowledge on how the disclosure should be made, and the assertion that the children are young and cannot withstand the psychological impact of diagnosis.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/psicologia , Revelação da Verdade/ética , Adolescente , África ao Sul do Saara/epidemiologia , Criança , Pré-Escolar , Feminino , Infecções por HIV/epidemiologia , Letramento em Saúde/normas , Humanos , Masculino , Estigma Social
11.
Rev Peru Med Exp Salud Publica ; 36(1): 123-127, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31116325

RESUMO

Communicating bad news is still a communication challenge in the field of care and, despite the there being methodologies that allow us to humanize information that has a great impact on people's lives, it is usually neither taught nor used in daily life, thus bringing about emotional outcomes, that can be, at times, more serious than the disease itself. The art of communication is a component of medical praxis, so training in the early years of medicine on methodologies related to the communication of bad news incorporating cultural diversity, beliefs, and customs will develop skills for the benefit of the patient. Although at times it is better not to use verbal language, it is important to remember that nonverbal communication can also convey the respect that every human being requires before the arrival of bad news.


Assuntos
Revelação da Verdade , Humanismo , Humanos , Revelação da Verdade/ética
12.
Pediatrics ; 143(6)2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31097466

RESUMO

One of the most common dilemmas faced by physicians and genetic counselors is the discovery of misattributed paternity. In this article, we present a case in which misattributed paternity was discovered as an incidental finding. Experts analyze the competing moral obligations that might dictate disclosure or nondisclosure.


Assuntos
Aconselhamento Genético/ética , Testes Genéticos/ética , Achados Incidentais , Paternidade , Revelação da Verdade/ética , Claudina-1/genética , Feminino , Aconselhamento Genético/psicologia , Humanos , Recém-Nascido , Masculino , Adulto Jovem
13.
J Surg Oncol ; 120(1): 23-29, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31001875

RESUMO

Breaking bad news and navigating difficult conversations is challenging and a frequent occurrence in surgical oncology practice. Cancer communication recommendations are guided by ethical principles, legal precedence, and emerging evidence regarding patient preference and efficacy of communication tools. Evidence continues to mount supporting a patient-centered communication approach and a model of shared decision making. Likewise, physician training in effective patient-centered cancer communication continues to evolve.


Assuntos
Neoplasias/terapia , Assistência Centrada no Paciente , Relações Médico-Paciente , Revelação da Verdade , Protocolos Clínicos , Comunicação , Tomada de Decisões/ética , Educação Médica , Humanos , Neoplasias/psicologia , Cuidados Paliativos , Aceitação pelo Paciente de Cuidados de Saúde , Participação do Paciente/legislação & jurisprudência , Assistência Centrada no Paciente/ética , Assistência Centrada no Paciente/legislação & jurisprudência , Relações Médico-Paciente/ética , Prognóstico , Assistência Terminal , Revelação da Verdade/ética
16.
Soins Gerontol ; 24(136): 15-18, 2019.
Artigo em Francês | MEDLINE | ID: mdl-30879613

RESUMO

Breaking bad news to a patient with Alzheimer's often raises ethical questions: should the person be informed or not when there is a risk he or she will not understand or retain the explanations provided? While on the face of it the truth seems desirable, it is important to carefully analyse what is at stake as this truth can potentially harm a vulnerable patient. The person making the disclosure can find themselves at the centre of a conflict: on the one hand loyalty and a moral duty to inform, on the other a compassionate lie to protect the patient from upsetting news. Being aware of the ethical issues at the heart of this dilemma can help to indicate the best path to take for the benefit of the patient, the family and the nurses.


Assuntos
Doença de Alzheimer , Relações Enfermeiro-Paciente/ética , Revelação da Verdade/ética , Humanos
18.
Ulster Med J ; 88(1): 1-3, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30675067

RESUMO

Since the landmark case of Montgomery v Lanarkshire in 20151, much has been written in medical press regarding the implications for medical practice. The moral duty - varied though it has been over this time, has been discussed since the earliest days of the medical profession. The law has sought to define this duty in response to changes in society, and the nature of the relationship between doctor and patient. The moral and legal duty are intrinsically linked, but the latter must surely follow the former for "the law has little to do with morally required forms of communication in the clinic and in the research environment."2 The common law nature of this process has resulted in an inconsistent and often tortuous path as societal standards have shifted. Accordingly, the ultimate definition of the legal doctrine, "informed consent," has changed since its relatively recent entry into the medicolegal vocabulary. These parallel shifts in the legal and moral duty to disclose risk have resulted in a confusing melee of evidence and recommendations for clinicians. We address the development of the law of "informed consent," as the legal mirror of the moral duty upon a clinician to disclose risk to their patient.


Assuntos
Consentimento Livre e Esclarecido/legislação & jurisprudência , Papel do Médico , Revelação da Verdade , História do Século XX , Humanos , Consentimento Livre e Esclarecido/história , Autonomia Pessoal , Fatores de Risco , Revelação da Verdade/ética
19.
Pediatrics ; 143(Suppl 1): S37-S43, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30600270

RESUMO

The return of information from genomic sequencing in children, especially in early life, brings up complex issues around parental autonomy, the child's future autonomy, the best interest standard, and the best interests of the family. These issues are particularly important in considering the return of genomic results for adult-onset-only conditions in children. The BabySeq Project is a randomized trial used to explore the medical, behavioral, and economic impacts of integrating genomic sequencing into the care of newborns who are healthy or sick. We discuss a case in which a variant in a gene for an actionable, adult-onset-only condition was detected, highlighting the ethical issues surrounding the return of such finding in a newborn to the newborn's parents.


Assuntos
Idade de Início , Genes BRCA2 , Pais , Revelação da Verdade/ética , Sequenciamento Completo do Genoma , Adulto , Neoplasias da Mama/genética , Evolução Fatal , Feminino , Variação Genética , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Recém-Nascido , Masculino , Triagem Neonatal , Neoplasias Ovarianas/genética , Autonomia Pessoal , Ensaios Clínicos Controlados Aleatórios como Assunto
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA