Alan Cribb
- Published in print:
- 2005
- Published Online:
- May 2006
- ISBN:
- 9780199242733
- eISBN:
- 9780191603549
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199242739.003.0009
- Subject:
- Philosophy, Moral Philosophy
This chapter examines the ways in which a number of elements of health promotion, namely its prevention orientation, its population orientation, and its well-being orientation, shape ...
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This chapter examines the ways in which a number of elements of health promotion, namely its prevention orientation, its population orientation, and its well-being orientation, shape professional-patient relationships. Their compound effects are also considered.Less
This chapter examines the ways in which a number of elements of health promotion, namely its prevention orientation, its population orientation, and its well-being orientation, shape professional-patient relationships. Their compound effects are also considered.
Alan Cribb
- Published in print:
- 2005
- Published Online:
- May 2006
- ISBN:
- 9780199242733
- eISBN:
- 9780191603549
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199242739.003.0008
- Subject:
- Philosophy, Moral Philosophy
This chapter examines some of the ways in which forms of management shape professional roles and professional ethics. It also considers the ways in which management itself represents an increasingly ...
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This chapter examines some of the ways in which forms of management shape professional roles and professional ethics. It also considers the ways in which management itself represents an increasingly important form of healthcare agency. Emphasis is given to the importance of management (and ‘managerialism’) for the value field of healthcare, and for health professional ethics in particular.Less
This chapter examines some of the ways in which forms of management shape professional roles and professional ethics. It also considers the ways in which management itself represents an increasingly important form of healthcare agency. Emphasis is given to the importance of management (and ‘managerialism’) for the value field of healthcare, and for health professional ethics in particular.
Michelle M. Nickerson
- Published in print:
- 2012
- Published Online:
- October 2017
- ISBN:
- 9780691121840
- eISBN:
- 9781400842209
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691121840.003.0004
- Subject:
- History, American History: 20th Century
This chapter documents how activism in education politics turned the attention of conservative women to professional psychology as a logical next target. Fears of “brainwashing” segued into fears of ...
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This chapter documents how activism in education politics turned the attention of conservative women to professional psychology as a logical next target. Fears of “brainwashing” segued into fears of mental health professionals and the policy making they promoted in Washington, D.C., resulting in conservative protest of an amorphous “mental health establishment.” Anticommunist activists characterized psychology as a dangerous medicine that could be used to manipulate thought and, by extension, political will. Although conservative intellectuals scoffed at the conspiracy theories circulated by the “hysterical” housewives, the women's arguments nevertheless found their way into criticism articulated by scholars and politicians by the mid-1960s.Less
This chapter documents how activism in education politics turned the attention of conservative women to professional psychology as a logical next target. Fears of “brainwashing” segued into fears of mental health professionals and the policy making they promoted in Washington, D.C., resulting in conservative protest of an amorphous “mental health establishment.” Anticommunist activists characterized psychology as a dangerous medicine that could be used to manipulate thought and, by extension, political will. Although conservative intellectuals scoffed at the conspiracy theories circulated by the “hysterical” housewives, the women's arguments nevertheless found their way into criticism articulated by scholars and politicians by the mid-1960s.
R. S. Downie and K. C. Calman
- Published in print:
- 1994
- Published Online:
- September 2009
- ISBN:
- 9780192624086
- eISBN:
- 9780191723728
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192624086.003.0001
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This Introduction starts by outlining the issues raised in this book and the purpose of the book. It goes on to summarize the contents of the parts that follow. Part 1, is an essay in moral ...
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This Introduction starts by outlining the issues raised in this book and the purpose of the book. It goes on to summarize the contents of the parts that follow. Part 1, is an essay in moral philosophy or ‘ethics’ in this first sense. Part 2 illustrates the second main sense of ‘ethics’ — ordinary morality as it is found in a professional context.Less
This Introduction starts by outlining the issues raised in this book and the purpose of the book. It goes on to summarize the contents of the parts that follow. Part 1, is an essay in moral philosophy or ‘ethics’ in this first sense. Part 2 illustrates the second main sense of ‘ethics’ — ordinary morality as it is found in a professional context.
David A. Levin
- Published in print:
- 2009
- Published Online:
- September 2011
- ISBN:
- 9789622099180
- eISBN:
- 9789882206984
- Item type:
- chapter
- Publisher:
- Hong Kong University Press
- DOI:
- 10.5790/hongkong/9789622099180.003.0010
- Subject:
- Society and Culture, Asian Studies
This chapter views professions as communities of practice that develop and apply specialized knowledge and skills that have been acquired through a lengthy and structured process of formal education ...
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This chapter views professions as communities of practice that develop and apply specialized knowledge and skills that have been acquired through a lengthy and structured process of formal education and training. As these communities mature, they create associations, formulate codes of ethics, and seek to regulate the admission and work of occupational practitioners. The demand for professionals grows with the shift from an industrial to a postindustrial economy, as the standard of living rises and technological complexity increases. Their contribution to economic, social, and cultural life is well known. Businesses depend increasingly on a variety of professional services—accounting, advertising, analyses, designs, information technology, and legal expertise—to stay competitive. Society depends on educators for the creation and transmission of knowledge, and on culture, communication, and media specialists for information and entertainment. People depend on health care professionals, lawyers, and social workers to solve personal problems.Less
This chapter views professions as communities of practice that develop and apply specialized knowledge and skills that have been acquired through a lengthy and structured process of formal education and training. As these communities mature, they create associations, formulate codes of ethics, and seek to regulate the admission and work of occupational practitioners. The demand for professionals grows with the shift from an industrial to a postindustrial economy, as the standard of living rises and technological complexity increases. Their contribution to economic, social, and cultural life is well known. Businesses depend increasingly on a variety of professional services—accounting, advertising, analyses, designs, information technology, and legal expertise—to stay competitive. Society depends on educators for the creation and transmission of knowledge, and on culture, communication, and media specialists for information and entertainment. People depend on health care professionals, lawyers, and social workers to solve personal problems.
Stephen Peckham and Alison Hann (eds)
- Published in print:
- 2009
- Published Online:
- March 2012
- ISBN:
- 9781847421029
- eISBN:
- 9781447303114
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781847421029.001.0001
- Subject:
- Public Health and Epidemiology, Public Health
Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider ...
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Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health-promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza). At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on ‘health promotion’, and the surveillance of both ‘patients’ and the so-called ‘worried well’. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate.Less
Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health-promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza). At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on ‘health promotion’, and the surveillance of both ‘patients’ and the so-called ‘worried well’. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate.
Robert I. Field
- Published in print:
- 2006
- Published Online:
- September 2009
- ISBN:
- 9780195159684
- eISBN:
- 9780199864423
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195159684.003.0002
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter presents the regulatory structure for health care professionals with an emphasis on physicians. It traces the history of the formalization of the medical profession, initiated by the ...
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This chapter presents the regulatory structure for health care professionals with an emphasis on physicians. It traces the history of the formalization of the medical profession, initiated by the American Medical Association (AMA). This organization successfully induced every state to adopt a licensing process, and it standardized medical education based on the findings of the Flexner Report, issued in 1910. Regulation of the medical profession, including granting licenses to practice and imposing discipline, remains at the state level but with several federal and private organizations providing elements of national coordination. Oversight is also imposed by various other governmental and private bodies, including the federal Medicare program, specialty boards, health maintenance organizations, and hospitals. Similar regulatory arrangements govern osteopathic physicians and many allied health professions. The chapter concludes with a review of perennial policy conflicts, including that between licensure and consumer information as arbiters of professional quality.Less
This chapter presents the regulatory structure for health care professionals with an emphasis on physicians. It traces the history of the formalization of the medical profession, initiated by the American Medical Association (AMA). This organization successfully induced every state to adopt a licensing process, and it standardized medical education based on the findings of the Flexner Report, issued in 1910. Regulation of the medical profession, including granting licenses to practice and imposing discipline, remains at the state level but with several federal and private organizations providing elements of national coordination. Oversight is also imposed by various other governmental and private bodies, including the federal Medicare program, specialty boards, health maintenance organizations, and hospitals. Similar regulatory arrangements govern osteopathic physicians and many allied health professions. The chapter concludes with a review of perennial policy conflicts, including that between licensure and consumer information as arbiters of professional quality.
Fiona Randall and R. S. Downie
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199547333
- eISBN:
- 9780191730405
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199547333.003.0008
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter discusses concept of advance care planning (ACP) in end of life care and explains the responsibilities of health care professionals in ACP. Properly conducted, ACP is likely to enable ...
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This chapter discusses concept of advance care planning (ACP) in end of life care and explains the responsibilities of health care professionals in ACP. Properly conducted, ACP is likely to enable patients' previously stated preferences to be understood and taken into account once they have lost capacity. However, there is a risk that the ACP process may give rise to unrealistic patient expectations and in some patients to avoidable emotional distress.Less
This chapter discusses concept of advance care planning (ACP) in end of life care and explains the responsibilities of health care professionals in ACP. Properly conducted, ACP is likely to enable patients' previously stated preferences to be understood and taken into account once they have lost capacity. However, there is a risk that the ACP process may give rise to unrealistic patient expectations and in some patients to avoidable emotional distress.
Annalee Yassi, Tord Kjellström, Theo de Kok, and Tee L. Guidotti
- Published in print:
- 2001
- Published Online:
- September 2009
- ISBN:
- 9780195135589
- eISBN:
- 9780199864102
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195135589.003.0012
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter focuses on ethical issues and the applications of the discussions in the preceding chapters. It also discusses the role of environmental health professionals.
This chapter focuses on ethical issues and the applications of the discussions in the preceding chapters. It also discusses the role of environmental health professionals.
Cathy Heaven and Peter Maguire
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780199216420
- eISBN:
- 9780191730306
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216420.003.0002
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines the problems health professionals involved in cancer and palliative care report in communicating with patients, families, and colleagues. It proposes a three-step guide for ...
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This chapter examines the problems health professionals involved in cancer and palliative care report in communicating with patients, families, and colleagues. It proposes a three-step guide for improving communication in a palliative care setting. These steps include looking at how good communication skills can be acquired and considering the difficulties of transferring training into clinical practice, identifying the skills necessary for effective interviewing, and understanding how communication goes wrong and investigating why this happens.Less
This chapter examines the problems health professionals involved in cancer and palliative care report in communicating with patients, families, and colleagues. It proposes a three-step guide for improving communication in a palliative care setting. These steps include looking at how good communication skills can be acquired and considering the difficulties of transferring training into clinical practice, identifying the skills necessary for effective interviewing, and understanding how communication goes wrong and investigating why this happens.
Fiona Randall
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198567363
- eISBN:
- 9780191730535
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198567363.003.0007
- Subject:
- Palliative Care, Palliative Medicine Research
WHO defines palliative care as an approach that is not only aimed at improving the quality of life of the patients and their families but also one aimed at the treatment of the physical, ...
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WHO defines palliative care as an approach that is not only aimed at improving the quality of life of the patients and their families but also one aimed at the treatment of the physical, psychosocial, and spiritual problems of all the parties involved. This chapter discusses another philosophy of palliative care that focuses on the treatment of the emotional, psychosocial, and spiritual distress of the patients and their families. It examines the responsibility of the health-care professionals in addressing the psychosocial and spiritual problems of the patients and their families. The chapter also explores alternative means to address such needs in the event that treatment of such needs is not possible or desirable.Less
WHO defines palliative care as an approach that is not only aimed at improving the quality of life of the patients and their families but also one aimed at the treatment of the physical, psychosocial, and spiritual problems of all the parties involved. This chapter discusses another philosophy of palliative care that focuses on the treatment of the emotional, psychosocial, and spiritual distress of the patients and their families. It examines the responsibility of the health-care professionals in addressing the psychosocial and spiritual problems of the patients and their families. The chapter also explores alternative means to address such needs in the event that treatment of such needs is not possible or desirable.
Kelley DeVane Hart and Bonnie A. Spear
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199572915
- eISBN:
- 9780191595110
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199572915.003.0023
- Subject:
- Public Health and Epidemiology, Public Health
The past decade has witnessed a phenomenal increase in the awareness and concerns over childhood obesity prevention and intervention. Many view the health care provider as ‘jumping onboard’ too ...
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The past decade has witnessed a phenomenal increase in the awareness and concerns over childhood obesity prevention and intervention. Many view the health care provider as ‘jumping onboard’ too little and too late, especially in the area of prevention. Numerous population-level studies have demonstrated the link between early life events and the occurrence of many common chronic diseases. For example, malnutrition in early gestation or rapid weight gain in a low birth weight infant increases the odds of childhood obesity. This chapter discusses the Life Course Perspective which focuses on health being a developmental process occurring throughout the lifespan and life stage (developmental periods). There are critical periods that appear to have greater impact than others. The early part of the life span is when health programming is more intense and prevention has the greatest potential impact. The chapter also discusses how health professionals can be aware of early risk factors that increase the risk for childhood obesity and provide early intervention. Because health care professionals see patients over numerous visits, they possess the knowledge, skills, and tools needed to advise patients about appropriate weight.Less
The past decade has witnessed a phenomenal increase in the awareness and concerns over childhood obesity prevention and intervention. Many view the health care provider as ‘jumping onboard’ too little and too late, especially in the area of prevention. Numerous population-level studies have demonstrated the link between early life events and the occurrence of many common chronic diseases. For example, malnutrition in early gestation or rapid weight gain in a low birth weight infant increases the odds of childhood obesity. This chapter discusses the Life Course Perspective which focuses on health being a developmental process occurring throughout the lifespan and life stage (developmental periods). There are critical periods that appear to have greater impact than others. The early part of the life span is when health programming is more intense and prevention has the greatest potential impact. The chapter also discusses how health professionals can be aware of early risk factors that increase the risk for childhood obesity and provide early intervention. Because health care professionals see patients over numerous visits, they possess the knowledge, skills, and tools needed to advise patients about appropriate weight.
Robert A. Levine, Sarah E. Levine, Beatrice Schnell-Anzola, Meredith L. Rowe, and Emily Dexter
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195309829
- eISBN:
- 9780199932733
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195309829.003.0046
- Subject:
- Psychology, Developmental Psychology
In this chapter the literacy-mediation hypothesis – that the acquisition of academic literacy influences health literacy and health navigation skills – is tested in the four-country data and the ...
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In this chapter the literacy-mediation hypothesis – that the acquisition of academic literacy influences health literacy and health navigation skills – is tested in the four-country data and the UNICEF Nepal survey. The hypothesis is supported by multivariate analyses, not only in regard to the comprehension of printed health messages but also in the comprehension of radio messages and in producing an intelligible illness narrative – though both of the latter are oral communication tasks. These findings suggest that literacy instruction in school promotes a woman’s health literacy and navigation skills beyond those that involve reading and writing, and point to a more general ability to communicate in bureaucratic settings like schools and clinics and to a tendency to accept the authority of health professionals. The UNICEF Nepal survey shows health knowledge and media exposure to be involved in the causal sequence.Less
In this chapter the literacy-mediation hypothesis – that the acquisition of academic literacy influences health literacy and health navigation skills – is tested in the four-country data and the UNICEF Nepal survey. The hypothesis is supported by multivariate analyses, not only in regard to the comprehension of printed health messages but also in the comprehension of radio messages and in producing an intelligible illness narrative – though both of the latter are oral communication tasks. These findings suggest that literacy instruction in school promotes a woman’s health literacy and navigation skills beyond those that involve reading and writing, and point to a more general ability to communicate in bureaucratic settings like schools and clinics and to a tendency to accept the authority of health professionals. The UNICEF Nepal survey shows health knowledge and media exposure to be involved in the causal sequence.
Jorma Rantanen
- Published in print:
- 2011
- Published Online:
- May 2011
- ISBN:
- 9780195380002
- eISBN:
- 9780199893881
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195380002.003.0031
- Subject:
- Public Health and Epidemiology, Public Health
The early pioneers of public health and occupational health believed that all they had to do was to implement preventive actions and they would no longer be needed. We now understand that new ...
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The early pioneers of public health and occupational health believed that all they had to do was to implement preventive actions and they would no longer be needed. We now understand that new problems are being created all the time and old problems reappear in new industries as the economy and technology change. These realities mean that occupational health practice must be flexible. Occupational health professionals will have to influence decision making and all must learn to communicate effectively and persuasively. What an occupational health professional does not know must be gained from a partnership with other professionals and by forming teams. Research is essential to understand complex problems and will have to deal with additional dimensions, such as psychological factors, that have sometimes been neglected in the past. Occupational health will need to keep pace with globalization and new information. The occupational health professional must be dedicated to continuing education and growth. Even so, some things will not change. These include ethics, to which occupational health professionals must always be committed, and the basic principles of worker protection, which will always apply.Less
The early pioneers of public health and occupational health believed that all they had to do was to implement preventive actions and they would no longer be needed. We now understand that new problems are being created all the time and old problems reappear in new industries as the economy and technology change. These realities mean that occupational health practice must be flexible. Occupational health professionals will have to influence decision making and all must learn to communicate effectively and persuasively. What an occupational health professional does not know must be gained from a partnership with other professionals and by forming teams. Research is essential to understand complex problems and will have to deal with additional dimensions, such as psychological factors, that have sometimes been neglected in the past. Occupational health will need to keep pace with globalization and new information. The occupational health professional must be dedicated to continuing education and growth. Even so, some things will not change. These include ethics, to which occupational health professionals must always be committed, and the basic principles of worker protection, which will always apply.
Heather Wipfli, Douglas W. Bettcher, Chitra Subramaniam, and Allyn L. Taylor
- Published in print:
- 2001
- Published Online:
- September 2009
- ISBN:
- 9780192631985
- eISBN:
- 9780191723582
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192631985.003.0008
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter traces the development of the World Health Organization's Framework Convention on Tobacco Control (FCTC) and its impact on the development of tobacco governance. It examines the major ...
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This chapter traces the development of the World Health Organization's Framework Convention on Tobacco Control (FCTC) and its impact on the development of tobacco governance. It examines the major trends in the international tobacco environment that demand coordinated global action to combat the growing epidemic. It then examines how the concept of global governance offers a framework in which health concerns can be addressed. It explores the various governing mechanisms used throughout the FCTC process. The chapter concludes by exploring the broader role of negotiating processes in strengthening global health governance and improving health worldwide. It emphasizes the importance of involving health professionals and the public health community in advancing a global public health movement for tobacco control.Less
This chapter traces the development of the World Health Organization's Framework Convention on Tobacco Control (FCTC) and its impact on the development of tobacco governance. It examines the major trends in the international tobacco environment that demand coordinated global action to combat the growing epidemic. It then examines how the concept of global governance offers a framework in which health concerns can be addressed. It explores the various governing mechanisms used throughout the FCTC process. The chapter concludes by exploring the broader role of negotiating processes in strengthening global health governance and improving health worldwide. It emphasizes the importance of involving health professionals and the public health community in advancing a global public health movement for tobacco control.
Rosalie Hudson
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780199216901
- eISBN:
- 9780191730252
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216901.003.0003
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter explores some of the literature on family carers in the palliative care sector and raises questions about language, attitudes, standards, historical changes and contemporary perceptions ...
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This chapter explores some of the literature on family carers in the palliative care sector and raises questions about language, attitudes, standards, historical changes and contemporary perceptions regarding spiritual needs. The analysis reveals that the terms spiritual, religious and existential are sometimes used interchangeably in the literature, and that while they can overlap, there are important differences. The result also indicates that spiritual care has implications for patient, family, the palliative care team and the broader community, and that interventions should match family carers' needs as articulated by the family carers themselves, rather than being imposed by the health professional.Less
This chapter explores some of the literature on family carers in the palliative care sector and raises questions about language, attitudes, standards, historical changes and contemporary perceptions regarding spiritual needs. The analysis reveals that the terms spiritual, religious and existential are sometimes used interchangeably in the literature, and that while they can overlap, there are important differences. The result also indicates that spiritual care has implications for patient, family, the palliative care team and the broader community, and that interventions should match family carers' needs as articulated by the family carers themselves, rather than being imposed by the health professional.
Fiona Randall and R. S. Downie
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199547333
- eISBN:
- 9780191730405
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199547333.003.0002
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter focuses on the stages in clinical decision-making in end of life care. In end of life care, outcomes are multifactorial and unpredictable and health care professionals are accountable ...
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This chapter focuses on the stages in clinical decision-making in end of life care. In end of life care, outcomes are multifactorial and unpredictable and health care professionals are accountable for the outcome only to the extent that their decision did influence the outcome. Treatment cannot be imposed on the patient with capacity who refuses it, nor can health care professionals be forced to give treatment which they conscientiously judge is contrary to the patient's best interests.Less
This chapter focuses on the stages in clinical decision-making in end of life care. In end of life care, outcomes are multifactorial and unpredictable and health care professionals are accountable for the outcome only to the extent that their decision did influence the outcome. Treatment cannot be imposed on the patient with capacity who refuses it, nor can health care professionals be forced to give treatment which they conscientiously judge is contrary to the patient's best interests.
Richard D. Smith and Kara Hanson
- Published in print:
- 2011
- Published Online:
- January 2012
- ISBN:
- 9780199566761
- eISBN:
- 9780191731181
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199566761.003.0093
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter reviews the future of the health system strengthening movement. It draws from the previous chapters in the book, taking the framework from Chapter 1 as the starting point, and summarizes ...
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This chapter reviews the future of the health system strengthening movement. It draws from the previous chapters in the book, taking the framework from Chapter 1 as the starting point, and summarizes the major points from these by specifying the key risks and opportunities that currently face health systems which will be of import in the coming decades. It argues that the broad nature of the linkages between sectors and countries which constitutes a contemporary, 21st century, ‘health system’ requires collective action by people from different regions and across different fields of expertise. Critically, it requires health professionals to be involved in various degrees and levels of governance, negotiation, and diplomacy. The policy implications of this include the need for local, national, regional, and global authorities and health agencies to engage in a broader approach to improve health.Less
This chapter reviews the future of the health system strengthening movement. It draws from the previous chapters in the book, taking the framework from Chapter 1 as the starting point, and summarizes the major points from these by specifying the key risks and opportunities that currently face health systems which will be of import in the coming decades. It argues that the broad nature of the linkages between sectors and countries which constitutes a contemporary, 21st century, ‘health system’ requires collective action by people from different regions and across different fields of expertise. Critically, it requires health professionals to be involved in various degrees and levels of governance, negotiation, and diplomacy. The policy implications of this include the need for local, national, regional, and global authorities and health agencies to engage in a broader approach to improve health.
Joana Sousa Ribeiro
- Published in print:
- 2008
- Published Online:
- March 2012
- ISBN:
- 9781861349569
- eISBN:
- 9781447303251
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861349569.003.0014
- Subject:
- Public Health and Epidemiology, Public Health
This chapter provides some interesting insights into foreign health professionals in Portugal from the viewpoint of migration and occupational integration. It focuses on the existence of both formal ...
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This chapter provides some interesting insights into foreign health professionals in Portugal from the viewpoint of migration and occupational integration. It focuses on the existence of both formal and informal barriers to the professional mobility of doctors and nurses, taking different factors into account: the formal recognition of professional status, the process of socialisation and the negotiation of a professional identity in a culturally different workplace. The empirical material is taken from an ongoing qualitative research project with foreign nurses and doctors — from Spain and from outside the European Union (EU). The discussion argues that the healthcare sector creates a number of specific barriers to mobility and integration.Less
This chapter provides some interesting insights into foreign health professionals in Portugal from the viewpoint of migration and occupational integration. It focuses on the existence of both formal and informal barriers to the professional mobility of doctors and nurses, taking different factors into account: the formal recognition of professional status, the process of socialisation and the negotiation of a professional identity in a culturally different workplace. The empirical material is taken from an ongoing qualitative research project with foreign nurses and doctors — from Spain and from outside the European Union (EU). The discussion argues that the healthcare sector creates a number of specific barriers to mobility and integration.
Judith Allsop and Kathryn Jones
- Published in print:
- 2008
- Published Online:
- March 2012
- ISBN:
- 9781861349569
- eISBN:
- 9781447303251
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861349569.003.0002
- Subject:
- Public Health and Epidemiology, Public Health
This chapter focuses on the comparative international arrangements for professional governance in medicine to protect patients, highlighting a general trend towards partnership governance. It ...
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This chapter focuses on the comparative international arrangements for professional governance in medicine to protect patients, highlighting a general trend towards partnership governance. It considers theories of self-regulation and background factors that have led to a challenge to professional governance prior to examining the similarities and differences in reform strategies. The conclusion comments on the implications of change for medical and, by extension, health professionals.Less
This chapter focuses on the comparative international arrangements for professional governance in medicine to protect patients, highlighting a general trend towards partnership governance. It considers theories of self-regulation and background factors that have led to a challenge to professional governance prior to examining the similarities and differences in reform strategies. The conclusion comments on the implications of change for medical and, by extension, health professionals.
