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Articles 1 - 10 of 10
Full-Text Articles in Medicine and Health Sciences
Drug Firms, The Codification Of Diagnostic Categories, And Bias In Clinical Guidelines, Lisa Cosgrove, Emily E. Wheeler
Drug Firms, The Codification Of Diagnostic Categories, And Bias In Clinical Guidelines, Lisa Cosgrove, Emily E. Wheeler
Counseling and School Psychology Faculty Publication Series
The profession of medicine is predicated upon an ethical mandate: first do no harm. However, critics charge that the medical profession’s culture and its public health mission are being undermined by the pharmaceutical industry’s wide-ranging influence. In this article, we analyze how drug firms influence psychiatric taxonomy and treatment guidelines such that these resources may serve commercial rather than public health interests. Moving beyond a conflict-of-interest model, we use the conceptual and normative framework of institutional corruption to examine how organized psychiatry’s dependence on drug firms has distorted science. We suggest that academic-industry relationships have led to the corruption of …
Building A Learning Community For Dental Hygiene Faculty, Nancy Baccari
Building A Learning Community For Dental Hygiene Faculty, Nancy Baccari
Critical and Creative Thinking Capstones Collection
Have you ever felt isolated in your work environment that left you feeling perplexed and stuck only to find out that colleagues felt the same way you did but had no idea to work around it? Through this practioner’s narrative, I journey through my struggle of teacher isolation to my action plan to make it better. Finding a way to identify my feelings, strengths and weaknesses and move towards change to improve my own work environment describes my experience in the Critical and Creative Thinking (CCT) graduate program. This new awareness changed the way I see myself as a leader …
The Implementation Of Conflict Management Training Into The Post Anesthesia Care Setting For Staff Nurses During Yearly Competency Day, Ann Leary
Critical and Creative Thinking Capstones Collection
I am a Nurse in Charge of the Post Anesthesia Care Unit (PACU) at Brigham and Women’s Hospital in Boston and believe conflict can be managed better by using critical and creative thinking skills. Conflicts in the healthcare workplace are common and can take on a variety of forms: nurse to physician, nurse to nurse, and nurse to patient/family. Both my research and experience suggests that nurses commonly avoid conflict, rather than engaging in collaborative problem solving about conflict, which would often lead to better solutions. The Critical and Creative Thinking Program has given me the confidence and provided the …
Identifying Methods Nurse Managers Can Implement To Foster A Supportive Environment For Staff Where Disruptive Behavior Exists, Kathleen Leavitt
Identifying Methods Nurse Managers Can Implement To Foster A Supportive Environment For Staff Where Disruptive Behavior Exists, Kathleen Leavitt
Critical and Creative Thinking Capstones Collection
We can all imagine the ideal work environment, where you are respected, empowered, and provided with the resources to perform to the best of your ability everyday. Your skills would be acknowledged and the challenging work that is accomplished each day would be appreciated by peers, team members, and managers. However, in my work environment, an operating room, a phenomenon called "disruptive behavior" often interrupts the ability of achieving this desired state. Initially I was focused on this behavior being displayed by physicians but was awakened to the fact that they are not the only offenders and that many caregivers …
Illness Stories: From Recognizing The Significance In Care To Planning My Own Storied Practice, Jane Lachance
Illness Stories: From Recognizing The Significance In Care To Planning My Own Storied Practice, Jane Lachance
Critical and Creative Thinking Capstones Collection
In this paper, stories of illness are identified as belonging to a specific genre of story that represents an ill person's interpretation of experience and hence the meaning(s) of illness. The ill person is recognized as member of a family embedded in a social setting with cultural mores that contribute to experience and meanings. The meaning of illness is significant because it affects the care of illness. This paper focuses on chronic illness, an illness without cure that is managed over a lifetime and is characterized by remission and exacerbation of symptoms. Our current bio-medical health care system reframes the …
Editor's Note, Padraig O'Malley
Editor's Note, Padraig O'Malley
New England Journal of Public Policy
This issue of the journal can be summed up in one word: provocative. At least two articles break new ground. Anthony Robbins and Phyllis Freeman explore the ways in which environmentally oriented public health is uniquely suited to help organized medical care in providing health and in restraining expenditures. Janet Farrell Smith challenges policymakers to look at what will soon become a hot issue — the medical use of genetic information. The genetic testing of children, now becoming prevalent in the foster care and pre-adoptive stage in order to facilitate placement and satisfy prospective parents’ “need to know,” is already …
Genetic Testing: A Cautionary Tale Of Foster And Pre-Adoptive Children, Janet Farrell Smith
Genetic Testing: A Cautionary Tale Of Foster And Pre-Adoptive Children, Janet Farrell Smith
New England Journal of Public Policy
Genetic testing of children in the foster care and pre-adoptive stage may be thought to facilitate child placement and satisfy prospective parents’ need to know. But, the policy analysis in this paper recommends great caution, especially given eugenic attitudes in the history of adoption and the risk of creating a second tier of un-adoptable children. Testing should be done only when two conditions are satisfied: test information is medically useful for childhood onset diseases; test information supports and does not diminish the child’s access to present and future healthcare (or the child’s future insurability). Public policy needs to make a …
How Hollywood Films Portray Illness, Robert A. Clark
How Hollywood Films Portray Illness, Robert A. Clark
New England Journal of Public Policy
The author speaks about Hollywood's depiction of medicine and illness if often wrong and breaks down his analysis in this article.
Euthanasia: Understanding Ethical Issues Through Role-Play, Setsuko Inoue
Euthanasia: Understanding Ethical Issues Through Role-Play, Setsuko Inoue
Critical and Creative Thinking Capstones Collection
Having transformed traditional ethics, people have empowered themselves and put ethics under their control. An individual's value has become the center of all decision making. where has ethics gone? Why has ethics been fossilized? when an individual desperately needs a litmus test to check his stance, why cannot he re-visit ethics and apply its insights to solving his problems? I wish to believe that there might be a legacy of conventional ethics in the form of universal rules, regardless of time, culture, and context, to be passed on to the next generation. Has God given us life, death, and choice …
Critical Thinking And Client Centered Nursing Care, Bernadette Q. Lavoie
Critical Thinking And Client Centered Nursing Care, Bernadette Q. Lavoie
Critical and Creative Thinking Capstones Collection
Critical and creative thinking skills are necessary for the new graduate and experienced nurses alike, if they are to respond to the rapidly changing health care system and deliver professional nursing care. Knowledge, generally speaking, is a resource not a constraint, but it becomes a constraint if it is not in the acceptable form. Consequently, knowledge alone is insufficient if the nurse clinician is unable to select the relevant information and defend its integration into client care. Skillful and perceptive nursing practice includes the ability to set and revise priorities for client care, manage actual and potential risks to individuals, …