{"title":"Empowerment: A Change in Nursing and Health Care System","authors":"M. Liaqat, R. Awan, Sumaira Sharif, R. Bibi","doi":"10.35248/2155-9627.20.11.363","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.363","url":null,"abstract":"Nurses are the largest workforce in the health care system providing direct care to the patients, families, and communities. Traditionally nursing is considering a profession of the provision of nurturing, competent, and compassionate care in a holistic way. Nevertheless, today's nursing career changes from a subordinate to a more independent role as a manager, leader, and change agent. Moreover, nurses are more educated and experts in their services. However, during the provision of care often facing ridiculous situations. Thus, needs to be empowered in their work and obligations.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69970283","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}
{"title":"Bioethics Committees: Comparison of Small Community Hospitals and LargeRegional Medical Centers","authors":"Richard Boudreau","doi":"10.35248/2155-9627.20.11.344","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.344","url":null,"abstract":"Though most large regional medical centers and many small community hospitals have bioethics committees, distinct differences between these two types of facilities can impact the purpose and function of these committees. A surge in the creation of these committees since the 1990s has led to studies of the different approaches used by these committees, the different compositions, and the roles that hospital ethics committees (HECs) play in defining standards for end-of-life care. A comparison of small and large facility HECs provides some insight into the challenges in applying ethical standards in the healthcare field.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69968963","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}
{"title":"Decision making through the Lens of Fidelity: Ethical Dilemma","authors":"Fouzia Bashir","doi":"10.35248/2155-9627.20.11.347","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.347","url":null,"abstract":"Health care leaders are the key persons in an organization that uphold the reputation of an organization by providing ethical practices. The success of health care organization depends upon the quality of care that is provided to patients and community, the failure to do so would decrease the organization’s ability to meet its mission. Concealing the malpractice to prevent the employees from any penalty can cause severe consequences in future. Therefore nursing team leader should report the error and punishment should be given so that quality department considers the importance of reporting incidents. Quality department should arrange workshops and should appreciate the reporting of error so that every employee would report error to minimize the malpractice. Whistle blowing culture should be introduced and written policies should be implemented to provide high quality care.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"20 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69969158","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}
{"title":"Does Religion Kill? An Ethical Analysis","authors":"M. Khan, T. Rehman, A. Rafiq","doi":"10.35248/2155-9627.20.11.351","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.351","url":null,"abstract":"Healthcare professionals (HCP’s) encounter many ethical dilemmas in the clinical areas, every day. Treatment refusal is one of the ethical challenges, specially, when they are based on Jehovah's Witnesses. The focus of the healthcare profession is the betterment of the patient, family, and community. They follow ethical principles as a valuable tool in the process of decision making to maximize patient’s health by protecting patient’s rights through advocacy and ethical judgment and it is considered the heart of clinical nursing practices.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69969281","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}
S. Hussain, A. Akram, Rubaida Mehmood, Rehana Mumtaz
{"title":"An Investigation into Phenomena of Vitamin D Status and its Associationwith Different Bio-Chemical Parameters: Pakistani Population Based Study","authors":"S. Hussain, A. Akram, Rubaida Mehmood, Rehana Mumtaz","doi":"10.35248/2155-9627.20.11.359","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.359","url":null,"abstract":"Background: Vitamin D deficiency is related to substandard health. The frequency of vitamin D deficiency may be rising, however populace based patterns are uncertain. Objective: This study was conducted to investigate the status of vitamin D level and its association with biochemical parameters like Uric Acid, LDH, ALP, SGPT, SGOT, total bilirubin, urea, creatinine, calcium, cholesterol, triglycerides, LDL, HDL, sugar in our healthy population. Materials and method: The study was the analytically observational. A total of 271 healthy subjects was randomly included (male and female) that came to examine the basic medical checkup in MINAR cancer hospital. Biochemistry parameters were analyzed on Chemistry Analyzer by Merck. The enhanced chemiluminescent immunometeric technique was applied to measure vitamin D level in the subjects. Results: Vitamin D deficiency was investigated more in females (84.8%) as compared to males (62.8%) with significant variation (p=0.000) and in age group 1-26 years as compared to other age groups with significant variation (p=0.008). The weak negative correlation of vitamin D level with uric acid (p=0.031, r=-0.156) in the whole population was observed. No significant correlation was found between vitamin D level and other biochemical parameters ALP, SGPT, SGOT, total bilirubin, cholesterol, triglyceride, LDL, HDL, creatinine, urea, sugar, LDH. Conclusion: The deficiency of vitamin D level was high in female (84.8%) in gender and 1-26 years (82%) in age groups of southern Punjab inhabitants. Significant week negative correlation of vitamin D level with uric acid was also investigated.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69970220","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}
{"title":"Community Participation to Break the Nursing Profession Stigma in Pakistan of Preoperative Cessation Programs: A Mini-Review","authors":"M. Liaqat, Sumaira Sharif, Kashif Ali","doi":"10.35248/2155-9627.20.11.358","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.358","url":null,"abstract":"Nursing is a caring profession, facing numerous stereotypical issues in the community. Different factors are responsible for creating and building a negative image. Consequences of negative stereotyping because brain drain, dissatisfaction, violence, and shortening of the nursing profession. Rodger’s and community participation framework focus to provide awareness and enhancing the nursing image in society.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69968998","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}
{"title":"Can Health Care Provider be a Surrogate Decision Maker","authors":"Sobia Latif, A. Yaqoob","doi":"10.35248/2155-9627.20.11.361","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.361","url":null,"abstract":"This commentary article is based on surrogate decision making which arises conflict for not giving consent for surgery but the health care provider (surgeon) took decision for surgery on the behalf of family to ensure a successful outcome for the patient. Ethics are central to the clinical practice of quality and safety of patient life. The informed consent process for emergency surgery and his surrogate as well as parents should make conclusion in regarded less time. The special cases of a surgical emergency developed possible complication to attain the target plan of the late decision for patient surgery, in the favor of patient right and humanitarian. The aim of this study is to lead a real direction for health care provider to take decision for surgery on the behalf of family for patient surgery in emergency situation.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69970654","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}
{"title":"Medical Negligence: There are No Winners","authors":"Shagufta H. Khan, R. Karmaliani","doi":"10.35248/2155-9627.20.11.362","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.362","url":null,"abstract":"A 65 years old female patient admitted for colon cancer treatment. The patient was on tramadol infusion for pain management. In the night shift, nurse sent the patient to washroom without assistance. After a while nurse encountered the patient fell down in washroom. The patient complained about severe pain at her right arm consistently after the incidence so nurse increased the tramadol infusion without doctor’s order. The night shift nurse did not inform about the incidence of anyone in the unit. However, on assessment, morning nurse identified that right arm was swelled and patient was complaining of severe pain. X-Ray examination revealed right arm fractured. For not informing the incidence, the unit management decided to terminate the nurse.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69970717","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}
S. Rai, Z. Jin, Bing Wu, Yang Xiang, San-wu Wu, Y. Zhang
{"title":"Azygos Vein Dissection during Pacemaker Electrode Lead Insertion: A Case Report","authors":"S. Rai, Z. Jin, Bing Wu, Yang Xiang, San-wu Wu, Y. Zhang","doi":"10.35248/2155-9627.20.11.345","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.345","url":null,"abstract":"The invention of pacemakers has saved lives and improved the quality of life of countless patients. As the number of implantations has increased, so has the number of cases of post-implantation complications. To improve the ability to identify the complications of cardiac pacemaker insertion, it is necessary to remember that any type of intervention, however small, requires constant caution to achieve optimal surgical safety, minimal intraoperative risk, and individualized surgical methods, all of which can reduce the risk of complications of cardiac pacemaker insertion and maximize therapeutic benefits.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"38 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69969092","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}
Nolan J. Brown, Stephen Szabadi, Cameron M Quon, N. Shlobin, Brian V Lien, S. Shahrestani, Katelynn Tran, A. Tafreshi, S. Ransom, Alex, er Himstead, Celina Yang, R. C. Ransom, Ronald Sahyouni, Aaron Kheriaty
{"title":"Ethical Considerations for the Cancellation of Non-Urgent Surgeriesduring the COVID-19 Pandemic and Suggestions for Future HealthCrises","authors":"Nolan J. Brown, Stephen Szabadi, Cameron M Quon, N. Shlobin, Brian V Lien, S. Shahrestani, Katelynn Tran, A. Tafreshi, S. Ransom, Alex, er Himstead, Celina Yang, R. C. Ransom, Ronald Sahyouni, Aaron Kheriaty","doi":"10.35248/2155-9627.20.11.365","DOIUrl":"https://doi.org/10.35248/2155-9627.20.11.365","url":null,"abstract":"In light of the national emergency the pandemic has spawned, hospitals across the United States made the decision to cancel non-urgent surgeries to free up resources and personnel and protect healthcare workers, patients, and the public from further spread. By one estimate, the initial wave of COVID-19 will lead to 28 million surgeries being postponed worldwide, with 343,670 projected cancellations each week in the USA alone over the course of a 12-week peak. This is an unprecedented disruption in the modern system of healthcare delivery that has the potential to produce long-lasting deleterious effects and troublesome ethical dilemmas.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"11 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69970426","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}