Clinics in Integrated Care最新文献_第2页

‘Anyone can make bad use of a good law’: exploring how constrained choice can result in moral injury 任何人都可能滥用良法"：探讨受限选择如何导致道德伤害

Clinics in Integrated Care Pub Date : 2024-01-04 DOI: 10.1016/j.intcar.2023.100190

Sarah-Jane Fenton, Sarah Carr, Louise Isham

引用次数: 0

Healthcare disparities 医疗差距

Clinics in Integrated Care Pub Date : 2023-12-17 DOI: 10.1016/j.intcar.2023.100181

Shondell V. Hickson

引用次数: 0

Nurses finding a global voice by becoming influential leaders through advocacy 护士通过倡导成为有影响力的领导者，找到了全球的声音

Clinics in Integrated Care Pub Date : 2023-10-01 DOI: 10.1016/j.intcar.2023.100165

Elizabeth A. Madigan, Emily McWhirter, Greta Westwood, Ruth Oshikanlu, Zipporah M. Iregi, Munashe Nyika, Jonathan Bayuo

{"title":"Nurses finding a global voice by becoming influential leaders through advocacy","authors":"Elizabeth A. Madigan, Emily McWhirter, Greta Westwood, Ruth Oshikanlu, Zipporah M. Iregi, Munashe Nyika, Jonathan Bayuo","doi":"10.1016/j.intcar.2023.100165","DOIUrl":"https://doi.org/10.1016/j.intcar.2023.100165","url":null,"abstract":"<div>Nursing has long faced barriers to effective advocacy, based on the gendered identity of the profession and its status as a second class or “softer” profession. The Covid pandemic showed the importance of the profession to the health of the world and the profession has been adversely impacted as a result of the pandemic. The nursing profession has long had skill in advocating for the recipients of their care but many nurses do not make the connection with advocacy for change in the health care systems in which they work or for themselves. Yet, advocacy for change in the health care system and for the profession will impact larger areas of global health than advocacy at the individual care recipient level. Advocacy for system change includes: recognizing the context, problem solving, building relationships, excellent communication skills and leveraging influence. Nursing has a long history of advocating for those who are historically marginalized and now it is time to advocate for nurses who are historically marginalized, like those who are internationally educated and working outside their home countries. Effective advocacy techniques that go beyond individual interactions to advocating for policy and systems change must be included in future leadership development for nurses.</div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"20 ","pages":"Article 100165"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49710129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Responding to global emergencies: what has the role of nurses been and what can it be in the future? 应对全球紧急情况:护士的作用是什么?未来可以发挥什么作用?

Clinics in Integrated Care Pub Date : 2023-10-01 DOI: 10.1016/j.intcar.2023.100166

Marcus Wootton, Lydia Davidson

引用次数: 0

Assessment of cultural competency 文化能力评估

Clinics in Integrated Care Pub Date : 2023-09-30 DOI: 10.1016/j.intcar.2023.100173

Shondell V. Hickson

引用次数: 0

Personal account: the impact of eating disorders on my mental health 个人叙述:饮食失调对我心理健康的影响

Clinics in Integrated Care Pub Date : 2023-08-01 DOI: 10.1016/j.intcar.2023.100158

Hope Virgo

引用次数: 0

Do not attempt cardiopulmonary resuscitation decisions (DNACPR) – Policy approaches in Wales 不要尝试心肺复苏决定(dacpr) -威尔士的政策方法

Clinics in Integrated Care Pub Date : 2023-08-01 DOI: 10.1016/j.intcar.2023.100149

Mark Taubert, Ben Rose, Miriam Rigby

{"title":"Do not attempt cardiopulmonary resuscitation decisions (DNACPR) – Policy approaches in Wales","authors":"Mark Taubert, Ben Rose, Miriam Rigby","doi":"10.1016/j.intcar.2023.100149","DOIUrl":"https://doi.org/10.1016/j.intcar.2023.100149","url":null,"abstract":"<div>Cardiopulmonary resuscitation (CPR) was first described in 1960, when Kouwenhoven and colleagues described a novel technique of ‘closed chest cardiac massage’. CPR is an emergency medical intervention undertaken in an attempt to restore breathing and circulation following a respiratory or cardio-respiratory arrest. The intervention includes the administration of external chest compressions, artificial ventilation, and consecutive electric shocks applied to the bare chest (known as defibrillation) and the rapid administration of medicines intravenously or intra-osseously. But there are clear differences in who will and will not respond to these ferocious interventions in cardiac arrest situations. In some instances, clinicians may be as certain as they can be that future attempts at CPR will not work. In those situations, a Do Not Attempt CPR form may be filled out, after a consultation with the patient. Here, the authors review current policies, guidelines and resources, discuss how the prospect of a natural, anticipated and accepted death in the near future can be a trigger to advance care planning, and outline resources that can help improve communication in an area rife with misconceptions and misunderstanding.</div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"19 ","pages":"Article 100149"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49732814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-prescribed use of gabapentinoids 非处方使用加巴喷丁类

Clinics in Integrated Care Pub Date : 2023-07-10 DOI: 10.1016/j.intcar.2023.100164

David S. Baldwin, Vasilios Masdrakis

{"title":"Non-prescribed use of gabapentinoids","authors":"David S. Baldwin, Vasilios Masdrakis","doi":"10.1016/j.intcar.2023.100164","DOIUrl":"https://doi.org/10.1016/j.intcar.2023.100164","url":null,"abstract":"<div>The gabapentinoid drugs gabapentin and pregabalin are medications used clinically across a range of neurological and psychiatric conditions. They have analgesic, anticonvulsant and anxiolytic effects. Their specific licensed indications differ, and vary across countries, but include certain neurological problems such as focal seizures, peripheral neuropathic pain, spasticity in multiple sclerosis, and muscular symptoms in motor neurone disease, and the psychological condition of generalized anxiety disorder. However, in many countries, gabapentin and pregabalin are frequently prescribed outside the terms of their market authorisations, and non-prescribed use has become widespread and troublesome in many populations. Increasing concerns regarding non-prescribed use have led some regulatory authorities to designate gabapentin and pregabalin as controlled substances, with accompanying regulations regarding prescriptions. This review describes the pharmacological properties of gabapentin and pregabalin, highlights evidence regarding efficacy and tolerability, summarises the findings of investigations of potential hazards with these drugs, and concludes with guidance on the clinical management of non-prescribed use.</div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"21 ","pages":"Article 100164"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Barriers and challenges to integrated care 综合护理的障碍和挑战

Clinics in Integrated Care Pub Date : 2023-06-01 DOI: 10.1016/j.intcar.2023.100148

Hayley Bamber, Kirsty Marshall

引用次数: 0

Integrated care for LGBTQ+ people LGBTQ+人群的综合护理

Clinics in Integrated Care Pub Date : 2023-06-01 DOI: 10.1016/j.intcar.2023.100157

Claire Brown

引用次数: 0