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Shared Ethics Decision Making in Nursing Practice: A Systematic Review
Ahmad Farid Rivai,
Zaitun
Issue:
Volume 4, Issue 1, March 2023
Pages:
1-5
Received:
25 January 2023
Accepted:
16 February 2023
Published:
27 February 2023
Abstract: Background. Shared decision-making is a process by which healthcare professionals (HCPs’) and patients work together to make choices, taking into account the best clinical evidence and the patient's values. Currently, the level of shared decision-making (SDM) is still low. Some reasons were given such as time, knowlight, and skill but most of the reasons were not based on evidence and were often based on misconceptions. Most of the focus of decision-making is on the patient and physician, without involving the role of members. This study aims to analyze the act of involving shared ethical decision-making (SEDM) in nursing services. method. The database is systematically searched for the involvement of SEDM on data search engines, namely SCOPUS, PubMed, Mendeley, Scient Direct, and Google Scholar. Article reviews were by the inclusion criteria and extraction was carried out so that 25 articles were produced. Research studies use descriptive analysis that describes and explains research results that are explained in the literature. The risk of bias from the review results is identified to avoid cross-study bias. Results: Deep study approach SEDM in this systematic review, from 25 articles with qualitative study approaches (56%) and review studies (32%). Articles were written in America, Canada, Princess, the Netherlands, Norway, Sweden, Australia, and Korea. Respondents were family/parents with an average age of 37 years, HCPs respondents with an average age of 31 years with at least 5 years of work experience. The results of the study search were grouped based on two findings, namely the intervention of patient and family involvement and the involvement of health professionals in SEDM. Conclusions. Involving patients and families in SDM is very important, especially involvement in respecting the principle of patient autonomy. Patient autonomy is a benchmark in decision-making. Family or parents are sometimes more dominant in decisions. HCPs’ involvement as an informant in SEDM. The involvement of nurses in interprofessional discussions is very beneficial for patients. The nurse's observation of the patient's condition is important both in clinical and ethical considerations. Research recommendations in SEDM for nurses should dig up a lot of information about patients and discuss it with other health interprofessional. And the use of decision aids can increase the suitability of value treatments and reduce decision conflicts.
Abstract: Background. Shared decision-making is a process by which healthcare professionals (HCPs’) and patients work together to make choices, taking into account the best clinical evidence and the patient's values. Currently, the level of shared decision-making (SDM) is still low. Some reasons were given such as time, knowlight, and skill but most of the r...
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Short Communication: Medication Adherence: Most Important but Mostly Avoided
Issue:
Volume 4, Issue 1, March 2023
Pages:
6-11
Received:
16 November 2022
Accepted:
9 December 2022
Published:
3 March 2023
Abstract: The indices of patients’ health outcomes have historically included recurrence of symptoms, number of emergency visits, hospitalization and re-admission rates, morbidity, and mortality. Even patients from developed nations have trouble staying on top of their drug compliance. When it comes to improper medicine use, there is an odd parallel between underdeveloped, emerging nations and the so-called developed world in the West. The key factor influencing whether patients stick to their treatment plan is their understanding and perception of the disease. Medication adherence was already a difficult and complex health behavior prior to the COVID-19 pandemic and the disruptions it brought. The promptness of disease diagnosis and management, the cost of treatment, the availability of health insurance, and medication adherence are all factors that providers, who play a significant role in the healthcare system, can affect. Beyond the availability and accessibility of healthcare, the ability of patients to follow doctors' treatment advice greatly contributes to patient outcomes. Unfortunately, there has been a lot of medication non-adherence, which has led to worsened health conditions, higher healthcare costs, and higher healthcare spending. Care providers in clinic and pharmacy settings can set up routines to support adherence to medication and educate and encourage patients about services like distance-accessible technologies and online ordering of medications.
Abstract: The indices of patients’ health outcomes have historically included recurrence of symptoms, number of emergency visits, hospitalization and re-admission rates, morbidity, and mortality. Even patients from developed nations have trouble staying on top of their drug compliance. When it comes to improper medicine use, there is an odd parallel between ...
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Caring for the Sick Person Through a Gift: A Socio-Anthropological Analysis
Issue:
Volume 4, Issue 1, March 2023
Pages:
12-18
Received:
5 January 2023
Accepted:
13 February 2023
Published:
9 March 2023
Abstract: The issue of donation makes sense in a world where the capitalist logic is growing. The challenges of giving to people in need during the day dedicated to the sick was an opportunity for us to make an anthropological reading of caring for the sick through giving. Indeed, the sick person is vulnerable and requires a particular look. Their needs are biological, psychological, social and spiritual. Caring for them through gifts in kind and the gift of oneself (accompaniment, touching, listening, education and care) are dimensions of caring. However, this approach to the gift is not always shared by all, as it does not necessarily follow the logic of Marcel Mauss' theoretical model. The concept of donation, distorted by the individualist paradigm, is part of a system of giving-receiving-giving back or the theory of reciprocity oriented towards the understanding of social obligations, which has allowed us to understand the practices of donation in our modern societies and particularly in the outbursts of solidarity of donations to the sick organised by the School of Health Sciences each year. This article is an echo for health professionals to understand that making a donation to a sick person is taking care of the other (giving), in a situation of fragility, it is giving oneself to the other.
Abstract: The issue of donation makes sense in a world where the capitalist logic is growing. The challenges of giving to people in need during the day dedicated to the sick was an opportunity for us to make an anthropological reading of caring for the sick through giving. Indeed, the sick person is vulnerable and requires a particular look. Their needs are ...
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The Quality of Medical Records and Health Information in Primary Health Care Units in Hadiya Zone, Ethiopia
Martha Gebreyohannis Selamu,
Liranso Selamu
Issue:
Volume 4, Issue 1, March 2023
Pages:
19-23
Received:
24 December 2022
Accepted:
30 January 2023
Published:
15 March 2023
Abstract: Health information is an essential factor of public health performance depends on the effectiveness of documentation use for routine and evidence based decisions. Medical record is the chronological, organized and comprehensive documentation of services delivered by service providers to the patients or clients. On the other hand, the quality of medical records (MRs) is rarely evaluated and quality dimensions of medical record are not well assessed particularly in the study area as well as in Ethiopia. The study was assessed the quality of medical record in public health care units of Soro district, Hadiya Zone, Southern Ethiopia. Facility based cross- sectional study design supplemented with qualitative inquiry was conducted among randomly selected four public health care units (PHCU) in Soro district, Hadiya zone. Data on the quality of medical records were collected by reviewing document using checklist, while qualitative data for triangulation were obtained by interviewing key informants from the health center and to describe possible reasons for poor medical record quality. The data were entered in to Epi-data version 3.1, exported, and analyzed by SPSS version 22.0. A total of 384 medical records were reviewed from one-year medical records of four public health care units with 98% retrieval rate. Among the dimensions of MRs quality, none of health centers had enough facility for medical record quality and no auditing of medical record document as of the standard. Majority of medical records had incomplete administrative, clinical and legal components as of health centers standard of the country. The studied PHCUs are not fulfilled the national medical record management requirements to run medical record system of health centers since the Ethiopian PHCUs standard set the medical record personnel to be a health information technician and a minimum of three in numbers. Thus, medical record service providers should be trained and necessary supplies should be equipped in all health center.
Abstract: Health information is an essential factor of public health performance depends on the effectiveness of documentation use for routine and evidence based decisions. Medical record is the chronological, organized and comprehensive documentation of services delivered by service providers to the patients or clients. On the other hand, the quality of med...
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Research Article
Sexuality Education for Adolescents, Between the Forbidden and the Permitted: The Case of the Ndogpassi II Neighbourhood in Douala
Cynthia Ismaëlle Nguissie Tetchouadom,
Myriam Sylvie Ambomo
Issue:
Volume 4, Issue 1, March 2023
Pages:
24-30
Received:
5 January 2023
Accepted:
13 February 2023
Published:
15 March 2023
DOI:
10.11648/j.ajnhs.20230401.15
Downloads:
Views:
Abstract: Sexuality is an integral part of human life and is constructed throughout the life of a human being. In adolescents, sexuality education is crucial, as sexuality is a new field of knowledge influencing their sexual behaviour and orientation, but delicate because of the disruptions related to their age and the paradigm of digitised sexuality. Many young people adopt risky behaviours leading to unwanted pregnancies and sexually transmitted diseases. Adolescents and families, faced with an emancipating social environment and a more or less static cultural field, are caught in a vice of the forbidden (cultural values) and the permitted (social values), making sexuality education difficult. Hence the research question: How do householders and adolescents integrate the forbidden and the permitted in the sexuality education of adolescents? To answer this question, a descriptive qualitative study was carried out over a period of 4 months (September 2020 - January 2021) among heads of households and adolescents in the NDOGPASSI II neighbourhood in the city of Douala, Cameroon. A non-probabilistic data collection technique by reasoned choice was adopted, and the size was based on the saturation principle. Using a semi-structured interview guide, the parents responsible for the families and the adolescents concerned were interviewed. The data obtained was subjected to a content analysis. Two theories underpinned the interpretation of the data, namely social representation theory and structural-functional theory. The results of this study show that both heads of households and adolescents articulate constraints (structural and functional) to adolescent sexuality education and strategies for integrating the permitted and the prohibited. Regarding structural constraints, families and adolescents absorb information on sexuality from social institutions, as well as from social networks that provide spaces for virtual and informal exchanges. Regarding functional constraints, social representations of sexuality and data are culturally embedded. With regard to strategies for integrating the permitted and the forbidden, we noted the debate of convenience, sexuality as a space reserved for insiders and the absence of communication techniques. All this leads both adolescents and parents to avoid discussing it; a silence develops, a stress of the forbidden/permissible. This favours strategies of freedom of operation for adolescents, of openness to ICT, thus disrupting family responsibilities in relation to the sexuality education of their adolescents. Adolescents have a tendency toexplain and contextualise everything.
Abstract: Sexuality is an integral part of human life and is constructed throughout the life of a human being. In adolescents, sexuality education is crucial, as sexuality is a new field of knowledge influencing their sexual behaviour and orientation, but delicate because of the disruptions related to their age and the paradigm of digitised sexuality. Many y...
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Logics of Actors in the Resilience Trajectory of People Living with HIV/Type 2 Diabetes Comorbidity
Sylvie Myriam Ambomo,
Gertrude Mete Ngono,
Luc Onambele,
Marie Thérèse Mengue
Issue:
Volume 4, Issue 1, March 2023
Pages:
31-34
Received:
5 January 2023
Accepted:
13 February 2023
Published:
15 March 2023
Abstract: The person living with HIV/diabetes a type 2 comorbidity (PLHIV/DT2) faces adversities from the moment the diagnosis is announced, such as uncertainty about the course of the pathology, chronicity and the management of complex recommendations. Different professional and social actors intervene in his different environments to support him. In spite of this, PLWHIV/AIDS oscillate between improvement and relapse, acceptance and denial, stability and instability, autonomy and dependence. This reflects a fluctuating trajectory of resilience. The aim of this article is to analyse the logics of the actors in the trajectory of resilience of PLWHA/DT2. In order to answer this question, we have opted for a phenomenological qualitative research. The biographical writings of 05 PLWHA/DT2, who attend the National Obesity Centre and the Cameroonian Association of Diabetics, and in-depth interviews with 20 social and professional actors were carried out and were the subject of a content analysis. The results showed that the characteristics of the actors are diversified and their action strategies are complex. The logics of positioning (power games, confrontation of scientific and secular knowledge), standardisation (respect for deontology, ethics and institutional culture) and complementarities (négociations, intégration, interactions) were identified. Interdisciplinarity is suggested.
Abstract: The person living with HIV/diabetes a type 2 comorbidity (PLHIV/DT2) faces adversities from the moment the diagnosis is announced, such as uncertainty about the course of the pathology, chronicity and the management of complex recommendations. Different professional and social actors intervene in his different environments to support him. In spite ...
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