Helsevesenet detaljstyres utenfra
Etter at pasientsikkerhetsprogrammer ble innført, bruker sykepleierne mye tid på å registrere, dokumentere og evaluere der de før kunne bruke skjønn.
Etter at pasientsikkerhetsprogrammer ble innført, bruker sykepleierne mye tid på å registrere, dokumentere og evaluere der de før kunne bruke skjønn.
Lettlest og omfattende med respektfull formidling av diagnosen, menneskers egne erfaringer og hvordan det oppleves å leve med en bipolar lidelse.
They observe eye contact, comforting and other behaviours based on experience rather than by making use of recognised instruments. Their assessments are influenced by professional development opportunities, a heavy workload and interdisciplinary collaboration.
Guidelines that were not regarded as professionally sound, logical and relevant or in keeping with one’s own clinical experiences or feelings were more difficult to follow.
The organisational form results in RNs working in greater isolation, and this may mean that their professional competence stagnates. The parents become the experts on the child – not the RNs.
Diabetes specialist nurses have a strong feeling of responsibility for the patient and find it challenging to keep up to date with all the functions of some of the insulin pumps.
Helath personnel can learn from the pain team when they have pharmacology-related questions and are drawing up treatment plans, and when they are establishing open and trusting relations with the patient.
Ensuring a good patient trajectory is difficult. In order to be successful, it is essential that all healthcare professionals involved have a close, trust-based cooperation, also with patients and their families.
Many registered nurses were unaware that generic substitution can only take place using an approved substitution list, or were uncertain how to use the Norwegian Pharmaceutical Compendium correctly.
While the illness is potentially life-threatening, it is invisible and not well known. Consequently, patients may be mistrusted and ignored, and they may feel inferior, vulnerable and insecure.