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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

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Related Experiment Video

Updated: Jun 3, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Softer perspectives on enhancing the patient experience using IS/IT.

Udechukwu Ojiako1, Stuart Maguire, Lenny Koh

  • 1School of Management, University of Southampton, Southampton, UK. udechukwu_ojiako@yahoo.co.uk

International Journal of Health Care Quality Assurance
|March 11, 2011
PubMed
Summary

The Choose and Book system in the UK healthcare sector failed due to overlooking complex social and organizational factors. Greater attention to the human side of IT implementation is needed for better patient experiences.

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Area of Science:

  • Health Informatics
  • Information Systems Management
  • Organizational Behavior

Background:

  • The National Health Service (NHS) implemented the Choose and Book system to streamline patient referrals.
  • Previous NHS initiatives have often focused on technical aspects, neglecting broader implications.
  • Complex organizations like the NHS have diverse stakeholders with varying needs and perspectives.

Purpose of the Study:

  • To analyze the failure of the Choose and Book system implementation.
  • To highlight the critical role of 'softer' implications in IT project success within healthcare.
  • To argue that a lack of understanding of these implications by project sponsors led to failure.

Main Methods:

  • Practice-oriented research was employed to identify key parameters.
  • These parameters were compared against conventional thinking in specific areas.
  • Analysis focused on the cultural, social, and organizational dimensions of the system.

Main Results:

  • Despite cultural, social, and organizational implications, program managers prioritized technical domains.
  • Emphasis on Information Systems/Information Technology (IS/IT) adoption overlooked crucial non-technical factors.
  • Patient experience in the UK healthcare sector remains suboptimal.

Conclusions:

  • The Choose and Book system's implementation faced challenges due to insufficient attention to softer aspects.
  • There is a need for increased focus on the human elements of IS/IT delivery, implementation, and adoption.
  • Addressing these softer factors is crucial for improving patient experience and IT project success in healthcare.