最后一句话:对临床笔记中功率动态的分析,记录了违反医疗建议的排放情况
Matthew Kelly1, Judith B Vick2, Amanda McArthur1
1The Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA.
Social science & medicine (1982)
|August 14, 2024
概括
违反医疗建议 (AMA) 的出院创造了对抗性的患者-临床医生动态. 分析临床医生笔记揭示了权力不平衡如何导致所有参与者的权力丧失.
科学领域:
- 社会学 社会学 社会学
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 违反医疗建议 (AMA) 的出院给医疗保健带来了重大挑战,影响了患者与客户的关系,并导致了可以预防的伤害.
- 记录AMA出院的临床笔记提供了对权力动态和患者与提供者关系中崩的见解.
研究的目的:
- 分析临床医生如何在记录AMA放电时概念化和传播功率差异.
- 通过权力分析的社会学模型来解释音符动态.
主要方法:
- 185个临床医生笔记的定性主题分析记录了美国一个大型城市医疗中心的AMA出院情况.
- 使用马克斯·韦伯的分配模型,塔尔科特·帕森斯和汉娜·阿伦特的集体主义模型,以及米歇尔·福柯对权力的结构性解释来解释音符动态.
主要成果:
- 临床医生在记录AMA放电时,主要以分布式功率来框架患者关系.
- 这种分布式方法促进了对抗的动态,导致患者和临床医生相互失去权力.
结论:
- 承认权力的集体主义和结构性维度可以将患者和临床医生的关系崩转化为合作机会.
- 解决AMA排放文件中的权力不平衡对于改善医疗保健互动和结果至关重要.
相关概念视频
Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K
Standards of Care II
638
Nurses bear specific legal responsibilities under several federal statutes, including:
638
Ethical Issues
879
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:
Ethical Concerns in Healthcare:
879
Guidelines and Strategies for Safe Computer Charting
798
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
798


