Current healthcare practices are geared toward standardized policies and procedures that are intended to guide the practice of all members of the healthcare professions, especially the practice of nurses. Instead of using predefined practices, nurses often choose shortcuts or workarounds to complete daily work in healthcare institutions. Are the shortcuts considered ethical for nurse practice or for members of the discipline of nursing? This article begins an ethical straight-thinking discussion on the conflicting values and implications for those who offer professional nurse services and those who receive these services.
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Taking Shortcuts and Workarounds: Is it Ethical?
Nurs Sci Q
July 2024
Professor Emeritus, School of Nursing, Azusa Pacific University, Azusa, CA, USA.
Current healthcare practices are geared toward standardized policies and procedures that are intended to guide the practice of all members of the healthcare professions, especially the practice of nurses. Instead of using predefined practices, nurses often choose shortcuts or workarounds to complete daily work in healthcare institutions. Are the shortcuts considered ethical for nurse practice or for members of the discipline of nursing? This article begins an ethical straight-thinking discussion on the conflicting values and implications for those who offer professional nurse services and those who receive these services.
View Article and Find Full Text PDF'That's how we got around it': a qualitative exploration of healthcare professionals' experiences of care provision for asylum applicants' with limited English proficiency in UK contingency accommodation.
BMJ Open
November 2023
Division of Medical Education, University of Manchester Faculty of Biology, Medicine and Health, Manchester, UK.
Objectives: The inadequate provision of language interpretation for people with limited English proficiency (LEP) is a determinant of poor health, yet interpreters are underused. This research explores the experiences of National Health Service (NHS) staff providing primary care for people seeking asylum, housed in contingency accommodation during COVID-19. This group often have LEP and face multiple additional barriers to healthcare access.
View Article and Find Full Text PDFAn exploration of workarounds and their perceived impact on antibiotic stewardship in the adult medical wards of a referral hospital in Malawi: a qualitative study.
BMC Health Serv Res
January 2019
School of Health Sciences, Department of Pharmacy, University of KwaZulu-Natal, Durban, South Africa.
Background: Antibiotic stewardship, the proper management of antibiotics to ensure optimal patient outcomes, is based on quality improvement. Evidence-based guidelines and protocols have been developed to improve this process of care. Safe and timely patient care also requires optimal coordination of staff, resources, equipment, schedules and tasks.
View Article and Find Full Text PDFLeading the Dialysis Unit: Role of the Medical Director.
Adv Chronic Kidney Dis
November 2018
University of Cincinnati, Cincinnati, OH; and Indiana University Health, Indianapolis, IN. Electronic address:
The responsibilities of a dialysis unit medical director are specified in the ESRD Conditions for Coverage and encompass multiple quality, safety, and educational domains. Many of these responsibilities require leadership skills that are neither intuitive nor acquired as part of the medical director's training. An effective medical director is able to shape the culture of the dialysis facility such that patients and staff feel free to communicate their concerns regarding suboptimal processes without fear of retribution, and there is a continuous iterative process of quality improvement and safety, which values input from all stakeholders.
View Article and Find Full Text PDFTrust in standards: transitioning clinical exome sequencing from bench to bedside.
Soc Stud Sci
February 2015
Clinical exome sequencing is a genetic technology making the transition from a laboratory research tool to a routine clinical technique used to diagnose patients. Standards help make this transition by offering authoritative shortcuts for time-intensive tasks, but each shortcut means that something is lost during abstraction. In clinical exome sequencing, reliance on standards may obscure the match between a patient's phenotype and genotype.
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