Employee Management
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Nurses Appreciate Training on End-of-Life Care
It is difficult for nurses to remain hopeful and honest when caring for someone at the end of life. Still, families need physical, psychological, and spiritual care that nurses must be adept in providing.
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Many Nurses Hesitate to Ask for Ethics Consult
Some nurses mistakenly believe only the attending physician can request ethics consults. Others do not even know their institution offers an active ethics consultation service. Still others worry about retaliation.
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Inconsistent Ethics Training in Undergraduate Radiologic Technology Programs
Few programs are using case-based studies and group discussions. Such instruction gives students the opportunity to recognize, analyze, and understand ethical dilemmas. This would allow educators to evaluate how students apply their learning in the professional setting.
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Quality Improvement Project Reveals Reasons for Long IRB Approval Process
Researchers analyzed minutes of IRB meetings for 33 protocols that were approved in 2019. All 33 protocols required at least two full board reviews before approval. They also evaluated 244 protocols that were reviewed faster. Most delays were attributed to protocols that did not adequately describe the research. Some consent documents are incomprehensible to people without medical backgrounds. Safety risks, duration, and allocation of cost sometimes are unclear. All this requires feedback from the IRB, to which researchers must respond.
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Minority Residents’ Palliative Care Training Quality Trails Other Medical Education
The 91 residents surveyed reported receiving less training on palliative care than they did on sepsis management. Half the residents reported receiving negative messages about palliative care. Two-thirds said they considered care for dying patients to be depressing.
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Ethical Concerns on Conscience Clauses in Genetic Counseling
Of 274 genetic counselors surveyed, 90% were not even aware the conscience clauses existed. On the issue of whether genetic counselors had the right to use a conscience clause, responses were mixed: 24% said yes, 31% said no, and 45% were unsure. Ninety percent of respondents agreed counselors were ethically obligated to refer a patient to another provider if using a conscience clause.
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To Eliminate Race-Based Disparities, Start by Asking Questions
"If not the bioethicist, who else in the hospital system is going to be responsible for checking to make sure that systemic racism isn’t occurring within the hospital?"
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Pediatricians Urge FDA to Approve Shots for Kids
The American Academy of Pediatrics is urging the FDA to work aggressively to authorize a safe and effective COVID-19 vaccine for children younger than age 12 years as soon as possible. -
Before the COVID-19 Vaccine, Most HCWs Infected in Community
Researchers found during the pre-vaccine pandemic in 2020 that 11.5% of healthcare workers who acquired COVID-19 in their hospital were occupationally infected. Thus, as has often been observed by employee health professionals, the lion’s share of exposures and SARS-CoV-2 infections in hospital staff have occurred in the community. -
Inadequate Staffing Caused Nurse Burnout Before Pandemic
Nurses already experienced high levels of burnout before the pandemic, primarily because of chronic understaffing. A regression to the mean in the coronavirus aftermath would greatly hurt the profession and the patients they protect.