Patients and public

  • 文章类型: Journal Article
    可以区分医疗保健,同情是显而易见的,以及健康服务的功能性提供。遏制COVID-19传播的措施,如个人防护设备,远程医疗,访问限制给服务提供带来障碍,并给医疗保健带来压力。通过对NHS高级管理人员的37次定性采访(n=11),卫生专业人员(n=26),与公众进行5次焦点小组讨论(n=26),我们探索了在英国COVID-19大流行急性期后,随着服务重建而产生的日常道德紧张关系的经验。我们的分析丰富了对NHS操作文件中概述的同情心护理的理解-涵盖了情感,道德,以及超出治疗功能的医疗保健的关系组成部分。从这个分析,我们认为支撑NHS医疗保健的规范标准,结论是,只要有可能,应促进为患者及其家人提供富有同情心的医疗保健,和卫生专业人员自己应该在工作场所得到同情的支持。我们的发现前景需要考虑短期采用功能性治疗方法的后果,包括支持卫生专业人员和告知公众的战略,以避免因同情医疗保健的破裂而造成的长期损害。
    A distinction can be drawn between healthcare, where compassion is evident, and the functional delivery of health services. Measures to curb the spread of COVID-19, such as personal protective equipment, telehealth, and visiting restrictions created barriers to service delivery and put pressure on healthcare. Through 37 qualitative interviews with NHS senior managers (n = 11), health professionals (n = 26), and 5 focus group discussions with members of the public (n = 26), we explored experiences of the everyday ethical tensions created as services were being re-established following the acute phase of the COVID-19 pandemic in England. Our analysis enriches an understanding of compassionate care as outlined in NHS operational documents - covering the emotional, moral, and relational components of healthcare beyond the functionalities of treatment. From this analysis, we consider the normative standards underpinning NHS healthcare, concluding that, wherever possible, offering compassionate healthcare to patients and their families should be facilitated, and health professionals should themselves be compassionately supported in the workplace. Our findings foreground the need to consider the consequences of the short-term adoption of a functional treatment approach, including strategies that support health professionals and inform the public, to avoid the long-term damage caused by the fracturing of compassionate healthcare.
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  • 文章类型: Journal Article
    医学成像是人工辐射暴露的主要来源。证据,然而,这表明患者在参加诊断扫描时对辐射暴露知之甚少。这篇综述概述了已发表的文献,重点是核医学患者对诊断成像中辐射暴露的认识水平。
    关于意识的现有文献综述,进行了医学影像中电离辐射的知识和感知。使用混合方法评估工具对符合纳入标准的文章进行严格评估。
    确定并筛选合格的140篇文章,24项批判性评估和4项研究纳入综合。所有研究表明,患者通常缺乏对辐射暴露的认识,并强调了医疗保健专业人员与患者之间在辐射暴露方面缺乏沟通。
    研究表明,需要更好地告知患者他们的辐射暴露,特别需要针对核医学患者的进一步研究。
    充分和准确的信息对于确保知情同意原则的存在至关重要。
    Medical imaging is the main source of artificial radiation exposure. Evidence, however, suggests that patients are poorly informed about radiation exposure when attending diagnostic scans. This review provides an overview of published literature with a focus on nuclear medicine patients on the level of awareness of radiation exposure from diagnostic imaging.
    A review of available literature on awareness, knowledge and perception of ionising radiation in medical imaging was conducted. Articles that met the inclusion criteria were subjected to critical appraisal using the Mixed Methods Appraisal Tool.
    140 articles identified and screened for eligibility, 24 critically assessed and 4 studies included in synthesis. All studies demonstrated that patients were generally lacking awareness about radiation exposure and highlighted a lack of communication between healthcare professionals and patients with respect to radiation exposure.
    Studies demonstrate a need to better inform patients about their radiation exposure, and further studies focusing on nuclear medicine patients are particularly warranted.
    Adequate and accurate information is crucial to ensure the principle of informed consent is present.
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