跨专业实践和以人为本的护理：美国和加拿大的道德背景和伦理冲突

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-25 DOI:10.1332/23978821y2024d000000030

Phillip G. Clark

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引用次数: 0

摘要

医疗和社会护理服务及系统越来越多地提倡跨专业实践和以人为本的护理。本讨论首先从个人、人际、跨专业和组织价值观的角度，探讨了提供跨专业实践和以人为本的护理的临床和社区环境。通过美国和加拿大的实例，使用道德困扰的概念强调了价值观之间新出现的冲突。然后将比较转移到系统层面，研究美国和加拿大在提高护理质量和降低护理成本方面的不同情况。最后，介绍了影响和应用，重点是个人、跨专业团队和组织之间的相互关系。

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Interprofessional practice and person-centred care: moral contexts and ethical conflicts in the US and Canada

Health and social care services and systems increasingly promote both interprofessional practice and person-centred care. This discussion first examines the clinical and community-based contexts for providing interprofessional practice and person-centred care through the lens of personal, interpersonal, interprofessional and organisational values. Emerging conflicts among values are highlighted using the concept of moral distress, with examples from US and Canadian settings. The comparison then moves to the systems level, examining different US and Canadian contexts for improving the quality and reducing the cost of care. Finally, implications and applications are presented, focusing on interrelationships among the individual, interprofessional team and organisation.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.