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- Quality improvement aims to enhance care and patient experience, particularly in palliative care, and can be guided by ethical frameworks and good clinical practices.
- * Palliative care faces unique ethical challenges that can inform quality improvement strategies in other medical specialties, as highlighted by case studies like the Liverpool Care Pathway.
- * Ethical quality improvement practices in palliative care emphasize informed consent, monitoring for vulnerability, and the significant value of time, insisting on beneficence and autonomy to safeguard patients.
Planetary health learning objectives: foundational knowledge for global health education in an era of climate change.
Lancet Planet Health
September 2024
Consortium of Universities for Global Health, Washington, DC, USA.
Planetary health is an emerging field that emphasises that humans depend on a healthy Earth for survival and, conversely, that the sustainability of Earth systems is dependent on human behaviours. In response to member demands for resources to support teaching and learning related to planetary health, the Consortium of Universities for Global Health (CUGH) convened a working group to develop a set of planetary health learning objectives (PHLOs) that would complement the existing ten CUGH global health learning objectives. The eight PHLOs feature Earth system changes, planetary boundaries, and climate change science; ecological systems and One Health; human health outcomes; risk assessment, vulnerability, and resilience; policy, governance, and laws (including the UN Framework Convention on Climate Change and the Paris Agreement); roles and responsibilities of governments, businesses, civil society organisations, other institutions, communities, and individuals for mitigation, adaptation, conservation, restoration, and sustainability; environmental ethics, human rights, and climate justice; and environmental literacy and communication.
View Article and Find Full Text PDFQuality of hospital labour and delivery care: A multilevel analysis in Southern Nations and Nationalities People's Region of Ethiopia.
PLoS One
June 2024
Vassar College, Poughkeepsie, New York, United States of America.
Background: Ethiopia has one of the highest maternal mortality ratios in Africa. Few have examined the quality of labour and delivery (L&D) care in the country. This study evaluated the quality of routine L&D care and identified patient-level and hospital-level factors associated with the quality of care in a subset of government hospitals.
View Article and Find Full Text PDFStorylines of family medicine V: ways of thinking-honing the therapeutic self.
Fam Med Community Health
April 2024
General Internal Medicine, Geriatrics & Palliative Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA.
is a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'V: ways of thinking-honing the therapeutic self', authors present the following sections: 'Reflective practice in action', 'The doctor as drug-Balint groups', 'Cultivating compassion', 'Towards a humanistic approach to doctoring', 'Intimacy in family medicine', 'The many faces of suffering', 'Transcending suffering' and 'The power of listening to stories.' May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays.
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