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Related Concept Videos

Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Cognitive Learning01:21

Cognitive Learning

Cognitive learning is based on purposive behavior, incidental learning, and insight learning.
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Dosage Regimens: Designs and Approaches01:28

Dosage Regimens: Designs and Approaches

Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

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Related Experiment Videos

When does the 'learning curve' of innovative interventions become questionable practice?

P Healey1, J Samanta

  • 1The Department of Law, De Montfort University, Leicester, UK. phealey@dmu.ac.uk

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|July 1, 2008
PubMed
Summary

New surgical techniques require ethical oversight due to surgeon learning curves and lack of regulation. Patient safety and informed consent are paramount when adopting innovative surgical procedures.

Related Experiment Videos

Area of Science:

  • Medical Ethics
  • Surgical Innovation
  • Patient Safety

Background:

  • Increasing demand for minimally invasive surgery pressures surgeons to adopt new techniques prematurely.
  • Unlike pharmaceuticals, novel surgical procedures often lack regulatory oversight before clinical use.
  • The 'Bristol Report' highlighted the need for ethical review of unproven surgical therapies.

Purpose of the Study:

  • To examine the ethical and legal dilemmas arising from surgical learning curves.
  • To discuss surgeon candour, clinical equipoise, and the standard of care in surgical negligence.
  • To explore risk disclosure and informed consent for innovative surgical procedures.

Main Methods:

  • Literature review of ethical and legal frameworks in surgery.
  • Analysis of the implications of the surgical learning curve on patient outcomes.
  • Examination of case studies and recommendations from reports like the 'Bristol Report'.

Main Results:

  • Surgical learning curves, while expected, pose ethical challenges regarding patient safety and surgeon experience.
  • Lack of regulatory oversight for surgical innovations creates significant ethical and legal risks.
  • Informed consent processes must adequately address the uncertainties associated with novel surgical techniques.

Conclusions:

  • A patient-centered approach is crucial for evaluating new surgical therapies.
  • Ensuring good medical practice requires robust ethical oversight and clear communication.
  • Addressing these issues can help prevent litigation related to negligence and human rights.