Alle Publikationen
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2018
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(2018): Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review. In: Contemporary nurse 54 (4-5), S. 425-442. DOI: 10.1080/10376178.2018.1519374
DOI: https://doi.org/10.1080/10376178.2018.1519374 Abstract: BACKGROUND Robots are introduced in many health and social care settings. OBJECTIVES To provide an overview of the existing evidence related to the views of nurses and other health and social care workers about the use of assistive humanoid and animal-like robots. METHODS Using the Joanna Briggs Institute guidelines we searched MEDLINE, PUBMED, CINHAL, EMBASE, PsycInfo, Web of Science, and IEEE Xplore digital library. Nineteen (19) articles met the criteria for inclusion. RESULTS Health care workers reported mixed views regarding the use of robots. They considered an array of tasks that robots could perform; they addressed the issue of patient safety and raised concerns about privacy. CONCLUSIONS A limited number of studies have explored the views of health care workers about the use of robots. Considering the fast pace with which technology is advancing in the care field, it is critical to conduct more research in this area. Impact Statement: Robots will increasingly have a role to play in nursing, health and social care. The potential impact will be challenging for the healthcare workforce. It is therefore important for nurses and other health and social care workers to engage in discussion regarding the contribution of robots and their impact not only on nursing care but also on future roles of health and social care workers.
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(2018): The influence of effective communication, perceived respect and willingness to collaborate on nurses' perceptions of nurse-physician collaboration in China. In: Applied nursing research: ANR 41, S. 73-79. DOI: 10.1016/j.apnr.2018.04.005
DOI: http://www.ncbi.nlm.nih.gov/pubmed/29853219 Abstract: BACKGROUND Nurse-physician collaboration is a critical prerequisite for high-quality care. Previous researchers have addressed multiple factors that influence collaboration. However, little of this research has explored the influence of interactional factors on nurses' perception of nurse-physician collaboration in China. AIMS To examine the influence of interactional factors (effective communication, perceived respect and willingness to collaborate) on nurses' perception of nurse-physician collaboration. METHODS A cross-sectional survey of 971 registered nurses in nine hospitals was conducted. An author-designed interactional factor questionnaire and the Nurse-Physician Collaboration Scale were used to collect data. Multiple regression analysis was used. RESULTS Nurse-physician collaboration was identified as at a moderate level (mean = 3.93 ± 0.68). Interactional factors (effective communication, perceived respect and willingness to collaborate) were identified as relatively moderate to high (mean = 4.03 ± 0.68, mean = 3.87 ± 0.75, mean = 4.50 ± 0.59, respectively). The results showed that effective communication, perceived respect and willingness to collaborate explained 57.3% of the variance in nurses' perception of nurse-physician collaboration (Adjusted R2 = 0.573, F = 435.563, P < 0.001). Perceived respect (β = 0.378) was the strongest factor relevant to nurses' perception of nurse-physician collaboration, second was effective communication (β = 0.315), and the weakest factor among these three factors was willingness to collaborate (β = 0.160). CONCLUSION Nurses' perceptions of collaboration were relatively positive, mainly in Sharing of patient information; however, improvements need to be made regarding Joint participation in the cure/care decision-making process. Effective communication, perceived respect and willingness to collaborate significantly affect nurses' perception of nurse-physician collaboration, with perceived respect having greater explanatory power among the three interactional factors. It is necessary for hospital managers to develop strategies to build professional respect for nurses, facilitate effective nurse-physician communication and improve nurses' willingness to collaborate.
2017
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(2017): Pushing boundaries-culture-sensitive care in oncology and palliative care. A qualitative study. In: Psycho-oncology 26 (6), S. 763-769. DOI: 10.1002/pon.4217
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27429221 Abstract: OBJECTIVE In increasingly globalized societies, patient-centered cancer care requires culture-sensitive approaches in order to ensure patients well-being. While migrant patients' needs are frequently reported in the literature, staff members' perception of work with migrant patients, associated challenges, or individual work approaches are largely unknown. This study addresses this research gap through qualitative exploration of experiences of multicultural health care professionals in supportive oncology and palliative care, working with patients from different cultural backgrounds. This study aims to understand staff experience of the impact of culture on cancer care. METHODS This study was conducted at the Medical University of Vienna, including staff from different settings of oncology and palliative care, in different professional positions, and with a range of individual migration backgrounds. Semistructured interviews were conducted with 21 staff members working with patients from different cultural backgrounds. Interviews explored views on the impact of culture on care were audio-taped, transcribed, and analyzed using a rigorous method of thematic analysis, enhanced with grounded theory techniques. RESULTS Interviews revealed 4 key topics: culture-specific differences, assumed reasons for differences, consequences of multicultural care, and tools for culture-sensitive care. Strategies to better deal with migrant patients and their families were suggested to improve work satisfaction amongst staff. CONCLUSIONS This study identifies relevant staff challenges in work with migrant patients. Concrete suggestions for improvement include measures on an organizational level, team level, and personal tools. The suggested measures are applicable to improve work satisfaction and culture-sensitive care not only in cancer care but also in other areas of medicine.
Keywords: Adult, Attitude of Health Personnel, Culturally Competent Care, Culture, culture specific, Female, Gesellschaftsprofit, Health Personnel/psychology/statistics & numerical data, Humans, Interaktion, Job Satisfaction, Kultur, kulturspezifisch, Male, Medical Oncology, Medizin, Middle Aged, Neoplasms/ethnology/therapy, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Palliative Care, Pflege, Qualitative research, Umgangsformen, Young Adult 2016
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(2016): Developing professional values. Perceptions of francophone occupational therapists in Quebec, Canada. In: Scandinavian journal of occupational therapy 23 (4), S. 286-296. DOI: 10.3109/11038128.2015.1130168
DOI: http://www.ncbi.nlm.nih.gov/pubmed/26824179 Abstract: Objective Recent literature shows growing interest in the values displayed by occupational therapists. Yet, none of these writings has so far examined the factors that contribute to the development of occupational therapists' professional values. These factors are important, since values play a pivotal role in forging professional identity, which in the case of some occupational therapists remains somewhat ambiguous. This article proposes possible answers to the following question: What do Quebec Francophone occupational therapists perceive as the building blocks of their professional values? Methods Using a phenomenological qualitative method, the subjective experience of occupational therapists in Quebec, Canada was examined. Twenty-six occupational therapists took part in the study. Results As intended, their professional experience was varied. According to the participants, four factors contributed significantly to their professional values: professional experience, university training, personal experience, and professional development. However, fewer than 50% of the participants cited six other factors (workplace, family upbringing, personal development, personality and abilities, professional normative framework, and sociocultural background). Conclusions Most of these results are consistent with those documented in existing works. They point to the relevance of discussing professional values during university training and continuing professional development, as well as encouraging occupational therapists to become exemplars for their colleagues and interns. This study constitutes an initial step in understanding how occupational therapists' axiological identity is formed.
Keywords: Adult, Aged, Attitude of Health Personnel, Berufserfahrung/Kompetenz, Culture, Design, Erfahrung, Family, Female, (Grad/Qualität der) Ausbildung, Humans, Male, Middle Aged, Normen innerhalb eines Berufsfelds, Occupational Therapists/education/ethics/psychology, Personality, Persönliche Entwicklung, Professionalism, Professionalität, Qualitative research, Quebec, Rolle (Beruf), Workplace, Young Adult -
(2016): Quality of Life for Diverse Older Adults in Assisted Living: The Centrality of Control. In: Journal of gerontological social work 59 (7-8), S. 512-536. DOI: 10.1080/01634372.2016.1254699
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27824306 Abstract: This pilot project asked: How do ethnically diverse older adult residents of assisted living (AL) facilities in British Columbia (BC) experience quality of life? And, what role, if any, do organizational and physical environmental features play in influencing how quality of life is experienced? The study was conducted at three AL sites in BC: two ethnoculturally targeted and one nontargeted. Environmental audits at each site captured descriptive data on policies, fees, rules, staffing, meals, and activities, and the built environment of the AL building and neighborhood. Using a framework that understands the quality of life of older adults to be contingent on their capability to pursue 5 conceptual attributes-attachment, role, enjoyment, security, and control-we conducted 3 focus groups with residents (1 per site) and 6 interviews with staff (2 per site). Attributes were linked to the environmental features captured in the audits. All dimensions of the environment, especially organizational, influence tenants' capability to attain the attributes of quality of life, most importantly control. Although many tenants accept the trade-off between increased safety and diminished control that accompanies a move into AL, more could be done to minimize that loss. Social workers can advocate for the necessary multi-sectoral changes.
Keywords: 80 and over, Aged, Assistenz, Assisting Living Facilities, Attitude of Health Personnel, British Columbia, Community Networks, Female, Focus Groups, Gerontologie, Humans, Male, Personal Autonomy, Personal Satisfaction, Pilot Projects, PSYCHOLOGY, Quality of Life, Safety Management, standards -
(2016): What it Takes to Successfully Implement Technology for Aging in Place: Focus Groups With Stakeholders. In: Journal of medical Internet research 18 (5). DOI: 10.2196/jmir.5253
DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904824 Abstract: BACKGROUND There is a growing interest in empowering older adults to age in place by deploying various types of technology (ie, eHealth, ambient assisted living technology, smart home technology, and gerontechnology). However, initiatives aimed at implementing these technologies are complicated by the fact that multiple stakeholder groups are involved. Goals and motives of stakeholders may not always be transparent or aligned, yet research on convergent and divergent positions of stakeholders is scarce. OBJECTIVE To provide insight into the positions of stakeholder groups involved in the implementation of technology for aging in place by answering the following questions: What kind of technology do stakeholders see as relevant? What do stakeholders aim to achieve by implementing technology? What is needed to achieve successful implementations? METHODS Mono-disciplinary focus groups were conducted with participants (n=29) representing five groups of stakeholders: older adults (6/29, 21%), care professionals (7/29, 24%), managers within home care or social work organizations (5/29, 17%), technology designers and suppliers (6/29, 21%), and policy makers (5/29, 17%). Transcripts were analyzed using thematic analysis. RESULTS Stakeholders considered 26 different types of technologies to be relevant for enabling independent living. Only 6 out of 26 (23%) types of technology were mentioned by all stakeholder groups. Care professionals mentioned fewer different types of technology than other groups. All stakeholder groups felt that the implementation of technology for aging in place can be considered a success when (1) older adults' needs and wishes are prioritized during development and deployment of the technology, (2) the technology is accepted by older adults, (3) the technology provides benefits to older adults, and (4) favorable prerequisites for the use of technology by older adults exist. While stakeholders seemed to have identical aims, several underlying differences emerged, for example, with regard to who should pay for the technology. Additionally, each stakeholder group mentioned specific steps that need to be taken to achieve successful implementation. Collectively, stakeholders felt that they need to take the leap (ie, change attitudes, change policies, and collaborate with other organizations); bridge the gap (ie, match technology with individuals and stimulate interdisciplinary education); facilitate technology for the masses (ie, work on products and research that support large-scale rollouts and train target groups on how to use technology); and take time to reflect (ie, evaluate use and outcomes). CONCLUSIONS Stakeholders largely agree on the direction in which they should be heading; however, they have different perspectives with regard to the technologies that can be employed and the work that is needed to implement them. Central to these issues seems to be the tailoring of technology or technologies to the specific needs of each community-dwelling older adult and the work that is needed by stakeholders to support this type of service delivery on a large scale.
Keywords: Administrative Personnel, Aged, Aging, Assistenz, Attitude of Health Personnel, Biomedical Technology/methods/trends, Caregivers/psychology, Delivery of Health Care/trends, Female, Focus Groups, Geriatrics/methods/trends, Goals, Home Care Services, Humans, Independent Living/trends, Male, Mensch-Roboter-Interaktion, Middle Aged, Needs Assessment, Social Workers/psychology, Telemedicine/trends 2012
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(2012): Send it. Study of e-mail etiquette and notions from doctors in training. In: Journal of surgical education 69 (3), S. 393-403. DOI: 10.1016/j.jsurg.2011.12.002
DOI: http://www.ncbi.nlm.nih.gov/pubmed/22483143 Abstract: OBJECTIVES Worldwide, more than 247 billion e-mails are sent each day. Little empiric evidence is available to guide how e-mail presentation style, tone, and content affect e-mail recipients and whether these factors impact opinions about the sender and the rapidity of response. In a study of physicians in training assessing a series of 100 e-mail examples, we examined the following: (1) formatting characteristics most and least endorsed, (2) impression of the sender based on the e-mail itself, and (3) factors associated with the decision to respond. We reasoned that our study would provide empiric data to support recommendations for e-mail etiquette, focusing specifically on doctors in training. DESIGN Cross-sectional survey study. SETTING Division of Orthopaedic Surgery at McMaster University, Hamilton, Ontario, Canada. PARTICIPANTS After each e-mail, the participating surgical residents completed a series of questions focusing on their impression of the e-mail appearance, their perception of the sender, and their motivation to respond to the e-mail. RESULTS Thirty-two residents participated in this study. The responses indicate that the key negatively endorsed features of the e-mails included the use of colored backgrounds (84%), difficult-to-read font (83%), lack of a subject header (55%), opening salutations without recipient names (50%), or no salutation at all (42%). The senders of negatively endorsed e-mails were perceived by participants as inefficient (p = 0.03), unprofessional (p < 0.001), and irritating (p = 0.007). E-mails with overall positive endorsements were significantly more likely to have the participants perceive the e-mail senders as professional (p < 0.001), pleasant (p = 0.048), and kind (p = 0.059). The participants were 2.6-fold more likely to respond immediately when they perceived e-mails as favorable compared with disliking them (42% vs 16% of responses, respectively, p < 0.001). CONCLUSION The e-mails perceived as being disliked overall are likely to result in a negative perception of the sender and delays in response time.
Keywords: Adult, Art des Kommunikationsmediums, Attitude of Health Personnel, Competency-Based Education/trends, Cross-Sectional Studies, Disziplin, Education, Medical, Graduate/standards/trends, Electronic Mail/ethics/standards, Email, Erziehungswissenschaften, Etikette, etiquette guide, Female, Gestaltung von E-Mails/Informationsmedien etc., Humans, Informations- & Kommunikationstechnik, Interprofessional Relations/ethics, Male, Medienwissenschaft, Mensch-Technik-Relationen (MTR), Ontario, Orthopedics/education, Quality Control, Realtechnik, Rolle (Beruf), Situationsbedingter Kontext, Soziale Angemessenheit, Surveys and Questionnaires, Technik 2008
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(2008): Value of wireless personal digital assistants for practice: perceptions of advanced practice nurses. In: Journal of clinical nursing 17 (16), S. 2146-2154. DOI: 10.1111/j.1365-2702.2008.02351.x
DOI: http://www.ncbi.nlm.nih.gov/pubmed/18705736 Abstract: AIMS AND OBJECTIVES The aims were to explore advanced practice nurses' perceptions on wireless Personal Digital Assistant technologies, to establish the type and range of tools that would be useful to support their practice and to identify any requirements and limitations that may impact the implementation of wireless Personal Digital Assistants in practice. BACKGROUND The wireless Personal Digital Assistant is becoming established as a hand-held computing tool for healthcare professionals. The reflections of advanced practice nurses' about the value of wireless Personal Digital Assistants and its potential to contribute to improved patient care has not been investigated. DESIGN A qualitative interpretivist design was used to explore advanced practice nurses' perceptions on the value of wireless Personal Digital Assistant technologies to support their practice. METHODS The data were collected using survey questionnaires and individual and focus group interviews with nurse practitioners, clinical nurse specialists and information technology managers based in British Columbia, Canada. An open-coding content analysis was performed using qualitative data analysis software. RESULTS Wireless Personal Digital Assistant's use supports the principles of pervasivity and is a technology rapidly being adopted by advanced practice nurses. Some nurses indicated a reluctance to integrate wireless Personal Digital Assistant technologies into their practices because of the cost and the short technological life cycle of these devices. Many of the barriers which precluded the use of wireless networks within facilities are being removed. Nurses demonstrated a complex understanding of wireless Personal Digital Assistant technologies and gave good rationales for its integration in their practice. CONCLUSIONS Nurses identified improved client care as the major benefit of this technology in practice and the type and range of tools they identified included clinical reference tools such as drug and diagnostic/laboratory reference applications and wireless communications. RELEVANCE TO CLINICAL PRACTICE Nurses in this study support integrating wireless mobile computing technologies into their practice to improve client care.
Keywords: Assistenz, Attitude of Health Personnel, Attitude to Computers, British Columbia, computer literacy, Computers, Handheld, Data Collection, Decision Support Systems, Clinical, Drug Information Services, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Medical Records Systems, Computerized, Mensch-Roboter-Interaktion, Motivation, Nurse Clinicians/education/organization & administration/psychology, Nurse Practitioners/education/organization & administration/psychology, Nurse's Role/psychology, Nursing Methodology Research, Qualitative research, Quality of Health Care, Surveys and Questionnaires, Technology Assessment, Biomedical, Time Management, Workload 2007
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(2007): Ethics of unprofessional behavior that disrupts. Crossing the line. In: Journal of vascular surgery 45 (2), S. 433-435. DOI: 10.1016/j.jvs.2006.11.043
DOI: https://doi.org/10.1016/j.jvs.2006.11.043 Abstract: As chief of surgery, you have been contacted by the managing operating room (OR) nurse about Dr Frank N. Stein’s behavior earlier this morning. Dr Stein, a senior surgeon, has long had a reputation for outlandish behaviors in the OR. He is the impeccable gentleman outside that environment, loved by patients and nonoperating personnel alike. He has an international reputation as a master technical surgeon, operates as efficiently as anyone on the planet, and has the largest practice at the medical center. He has survived beyond the generation of tolerance because he has retained the same OR crew that over the years have calloused enough to regard his scurrilousness as just being Dr S. Today, he crossed the line. Dr. Stein, known for his colorful diatribes, trounced decorum when he ordered the operative team, excepting the anesthesiologist, out of the OR and demanded that a new team be substituted. This resulted from a shouting match with a new circulator when she took issue with a personal insult. The transition was accomplished, causing delays in both Dr Stein’s OR and several other ORs where substitute nurses were commandeered. At least one other faculty surgeon has complained about the inconvenience. In your office, Frank, long a colleague, insists that the nurses involved are assassins and refuses to work with them from this day. What should be done?
Keywords: Agonistic Behavior, Attitude of Health Personnel, Beispiel, Clinical, Clinical Competence, Control, decorum, Disziplin, Employee Discipline, Ethics, Ethik, Fehlverhalten, General Surgery, Grenzüberschreitung, Humans, Medical Errors, Medizin, Patient Care Team, Philosophie, Physician-Nurse Relations, Physicians/ethics, Prevention, Professional Misconduct, Rolle (Beruf), Soziale Angemessenheit, Soziale Hierarchie, Übertretung von sozialen Grenzen/Gewalt, Umgangsformen, Unprofessionel 2006
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(2006): "Tu" or "Vous?" A European qualitative study of dignity and communication with older people in health and social care settings. In: Patient education and counseling 61 (3), S. 363-371. DOI: 10.1016/j.pec.2005.04.014
DOI: http://www.ncbi.nlm.nih.gov/pubmed/15970421 Abstract: OBJECTIVE To examine the experiences of communication between older people and health and social care providers in six European countries. METHODS Focus groups were carried out with groups of older people (91 focus groups, 391 participants), and health and social care professionals (85 focus groups, 424 participants), in order to gain insights into concepts of good communications. Data collection and analysis continued concurrently according to the method of constant comparison. RESULTS Different styles of communication between professionals and older people were found to be capable of enhancing or jeopardising dignity. The use of appropriate forms of address, listening, giving people choice, including them, respecting their need for privacy and politeness, and making them feel valued emerged as significant ways to maintain older peoples' sense of self-worth and dignity. Despite being aware of good communication practices, health and social care professionals often failed to implement them. Lack of time, staff, resource scarcity, regulation and bureaucracy were cited as barriers, as was a lack of awareness and effort. CONCLUSIONS AND PRACTICE IMPLICATIONS The findings have important implications for health and social care professionals when they engage with older people.
Keywords: 80 and over, Adolescent, Adult, Aged, Attitude of Health Personnel, Attitude to Health, ATTITUDES, Choice Behavior, Communication, Confidentiality, Europe, Female, Focus Groups, Health Knowledge, Humans, Intergenerational Relations, Male, Middle Aged, Morals, Personal Autonomy, practice, Professional-Patient Relations, PSYCHOLOGY, Qualitative research, Self Efficacy, Semantics, Social Values, time, Videotape Recording
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