Related Experiment Video
Updated: Nov 22, 2025
11:17
Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
13.2K
Discourse, Dissonance, and Dualities: How Drug Shortages Are Understood and Communicated Among Health Care
Narrative Inquiry in Bioethics
|January 8, 2021
Summary
Healthcare professionals face significant challenges due to persistent drug shortages, leading to moral distress and impacting patient safety. However, resilience and teamwork often overcome these obstacles.
Area of Science:
- Healthcare Management
- Clinical Pharmacy
- Medical Sociology
Background:
- Persistent drug shortages pose significant challenges to healthcare systems and clinicians.
- The unpredictability and impact on patient safety create ethical dilemmas and distress.
Purpose of the Study:
- To explore the perspectives, discourse, and experiences of pharmacy directors and bedside clinicians confronting drug shortages.
- To understand the psychological and operational impact of drug shortages on healthcare professionals.
Main Methods:
- Exploratory qualitative study utilizing semi-structured interviews.
- Data analyzed using focused coding, reflexive review, and thematic analyses.
- Constructionist grounded theory informed the analytical framework.
Main Results:
- Participants reported a 'siege mentality' due to unpredictability and moral distress from patient safety concerns.
- Clinicians often lacked preparedness for explicit drug allocation decisions or patient discussions on substitutions.
- Resilience and inter-professional teamwork were observed, transcending role constraints and hierarchy.
Conclusions:
- Drug shortages significantly impact healthcare professionals, leading to distress and unpreparedness for critical decisions.
- Despite challenges, resilience and teamwork are crucial coping mechanisms in managing drug shortages.
- Further research is needed to address systemic issues and support clinicians.
Related Concept Videos
01:21Barriers to Effective Communication II
4.3K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.3K
01:15Drug Abuse and Addiction: Pharmacological Phenomena
928
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
928
01:25Pharmacokinetics: Drug–Drug Interactions
131
Drug interactions occur when the pharmacological effect of one drug is altered by another substance, either enhancing or diminishing its activity. The drug whose activity is altered is known as the object drug, and the substance causing the alteration is called the agent drug or the precipitant. The net effects of these interactions are mostly undesirable, leading to decreased effectiveness or increased adverse effects. In rare cases, interactions can be beneficial, such as the enhanced...
131
01:15Drug Dosing: Geriatric Patients
107
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
107
01:28Drug Therapy
155
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
155
01:21Pharmacodynamics: Overview and Principles
2.5K
Pharmacodynamics is a scientific field that delves into drugs' intricate biochemical, cellular, and physiological effects on the human body. The study of pharmacodynamics helps us understand how drugs interact with the body and elicit various responses.
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
2.5K