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Information Giving (information + giving)
Selected AbstractsA structured observation of the interaction between nurses and patients during the administration of medication in an acute mental health unitJOURNAL OF CLINICAL NURSING, Issue 17-18 2010Joy A Duxbury Aims., This aims of this study are to describe current practice in the administration of medication in an acute psychiatric unit and explore factors that influence nurses' decisions regarding the administration of medication during ,rounds'. Background., Medication ,rounds' form part of the ward routine in many inpatient mental health settings. Nurses make several clinical decisions about administrating medication; yet, concerns have been raised about the poor assessment of patients' needs and the quality of the information exchanged. Design., A structured non-participant observational design was used for this research. Method., This study involved the observation of 20 medication ,rounds' over three months. The Ward Administration of Medication Schedule was used to report on the interactions between nurses and patients and aspects of their communication during each round. Results., From the rounds observed nurses appeared adept at communicating a positive interpersonal style but less so in demonstrating skills portraying collaboration and information giving. For example whilst nurses communicated warmth in 97% of cases, using non-verbal behaviours such as good eye contact, the provision of information was only initiated in 46% of cases. Enquiries regarding the patient's general health and medication taking (35% and 17% respectively) were less commonly observed. Verbal consent was sought in only 25% of cases. Procedural matters were adhered to overall. Conclusions., Findings suggest limited collaboration between nurses and patients and the poor monitoring of health status and medication effects. Information exchange could be improved; however, this may be related to medication procedures that make it difficult to explore sensitive information with patients, rather than nursing skills and behaviour. Relevance to clinical practice., The Ward Administration of Medication Schedule can be used as a clinical or educational tool in the administration of medication. In both instances, it may be self-administered and used to reflect on personal skills or employed as an observational tool during peer review and audit. [source] Patients as teachers: a new approach to patient involvementMUSCULOSKELETAL CARE, Issue 2 2005BSc(Hons), Jill Firth RGN Abstract Patients as Teachers is an approach to patient involvement which involves bringing together a key sub-group for a speciality with a facilitator to focus on particular aspects of the service. This approach was used by the rheumatology team in Bradford to elicit feedback from South Asian women for whom English is not the first language. The focus groups generated constructive feedback about issues relating to, the hospital environment, information giving and service provision. This was fed back to clinicians at an educational meeting attended by lay representatives, and agreed actions were determined. Progress made on the recommendations was evaluated at six months. Copyright © 2005 Whurr Publishers Ltd. [source] Patient education in arthritis: helping people changeMUSCULOSKELETAL CARE, Issue 2 2003Alison Hammond PhD, BSc(Hons), DipCOTArticle first published online: 16 FEB 200 Abstract Systematic reviews of education for arthritis patients have emphasized behavioural approaches are effective in facilitating behaviour change and improving psychological and health status. This article discusses how a range of patient education and motivational approaches could be integrated into clinical practice to help people make behavioural changes to benefit their health. These include information giving, counselling, motivational interviewing, behaviour-orientated self-management therapy and cognitive,behavioural approaches. Copyright © 2003 Whurr Publishers Ltd. [source] Dilemmas encountered by health practitioners offering nuchal translucency screening: a qualitative case studyPRENATAL DIAGNOSIS, Issue 3 2002Clare Williams Abstract Objective To explore dilemmas experienced by practitioners involved in routine prenatal nuchal translucency (NT) screening. Design Qualitative study incorporating multidisciplinary practitioner discussion groups led by a health care ethicist. Setting Inner-city teaching hospital with fetal medicine unit. Participants Thirty-two practitioners whose work relates directly or indirectly to perinatal care. Results Practitioners identified a number of dilemmas, many of which centred on the tension between pregnancy being seen as a normal or a ,risky' time. Practitioners and women were perceived to have contrasting reasons for screening, with women welcoming the opportunity to ,see' their baby on the ultrasound scan, whilst practitioners were screening for abnormalities. These differing agendas led to various dilemmas particularly in relation to information giving, performing scans incorporating NT screening and promoting individual client choice. Conclusions Plans to introduce routine NT screening need careful prospective consideration of the potential implications for both providers and users of the service. The discussion groups also identified the need for training in the complex communication skills required and an awareness of the related ethical dilemmas, plus the need for increased time and resources to enable practitioners to promote informed choice. Copyright © 2002 John Wiley & Sons, Ltd. [source] Motives for giving information in non-work contexts and the expectations of reciprocity.PROCEEDINGS OF THE AMERICAN SOCIETY FOR INFORMATION SCIENCE & TECHNOLOGY (ELECTRONIC), Issue 1 2007The case of environmental activists Information sharing stands for a two-way activity in which information is given and received in the same context. The present study reviews information sharing from the viewpoint of information giving. The empirical analysis draws on interviews with twenty environmental activists in Finland, 2005. Three major motives for information giving in non-work contexts were identified: first, seredipitous altruism to provide help to other people, second, pursuit of the ends of seeking information by proxy, and third, duty-driven needs characteristic of persons elected to positions of trust. Since in most cases information giving was driven by altruistic motives, the lack of reciprocity did not in practice weaken the motives for information giving. However, in the case of sensitive information, information giving tends to be restricted by calculations of the risk of information leakage against benefits obtained from the personally rewarding experience of providing important information to others. [source] Predictors of depressive symptomatology of geriatric patients with lung cancer,a longitudinal analysisPSYCHO-ONCOLOGY, Issue 1 2002M.E. Kurtz Background: Lung cancer is a major health problem throughout the world. It is the leading cause of cancer-related death in men and women in the USA, with a 5-year survival rate of only 14%. It has been hypothesized that variables such as physical and social functioning, cancer-related symptomatology, comorbid conditions, cell type, and treatment are valid predictors of the psychological response to a diagnosis of lung cancer. Methods: As part of a larger longitudinal study, 211 patients, 65 years of age or older, with an incident diagnosis of lung cancer, were recruited from 23 sites within a midwestern state. Repeated measures analysis of variance techniques were used to analyse how age, gender, comorbid conditions, stage of disease, cell type, as well as the time-dependent variables symptoms, physical functioning, social functioning, and treatment predict depressive symptomatology at four assessments over the first year following diagnosis. Results: Social functioning (p<0.0001), symptoms severity (p<0.0001) and radiation treatment (p=0.017) were significant predictors of depressive symptomatology, with more symptoms and more restricted social functioning generally corresponding to higher levels of depressive symptomatology. Patients who had not received radiation treatment were more depressed than those who had received treatment at least 40 days prior to the interview. Conclusions: At a clinical level of patient care, these findings mandate early identification of psychosocial difficulties experienced, an individualized symptom management plan and the application of other interventions, such as information giving, reassurance and referral to other resources. Copyright © 2002 John Wiley & Sons, Ltd. [source] Breast reconstructive surgery in medically underserved women with breast cancerCANCER, Issue 20 2009The role of patient-physician communication Abstract BACKGROUND: Breast reconstructive surgery can improve mastectomy patients' emotional relationships and social functioning, but it may be underutilized in low-income, medically underserved women. This study assessed the impact of patient-physician communication on rates of breast reconstructive surgery in low-income breast cancer (BC) women receiving mastectomy. METHODS: A cross-sectional, California statewide survey was conducted of women with income less than 200% of the Federal Poverty Level and receiving BC treatment through the Medicaid Breast and Cervical Cancer Treatment Program. A subset of 327 women with nonmetastatic disease who underwent mastectomy was identified. Logistic regression was used for data analysis. The chief dependent variable was receipt of or planned breast reconstructive surgery by patient report at 6 months after diagnosis; chief independent variables were physician interactive information giving and patient perceived self-efficacy in interacting with physicians. RESULTS: Greater physician information giving about BC and its treatment and greater patient perceived self-efficacy positively predicted breast reconstructive surgery (OR = 1.12, P = .04; OR = 1.03, P = .01, respectively). The observed negative effects of language barriers and less acculturation among Latinas and lower education at the bivariate level were mitigated in multivariate modeling with the addition of the patient-physician communication and self-efficacy variables. CONCLUSIONS: Empowering aspects of patient-physician communication and self-efficacy may overcome the negative effects of language barriers and less acculturation for Latinas, as well as of lower education generally, on receipt of or planned breast reconstructive surgery among low-income women with BC. Intervening with these aspects of communication could result in breast reconstructive surgery rates more consistent with the general population and in improved quality of life among this disadvantaged group. Cancer 2009. © 2009 American Cancer Society. [source] | ||||||||||