Healthcare Professionalism (eBook)

Improving Practice through Reflections on Workplace Dilemmas

Lynn V. Monrouxe, Charlotte E. Rees (Autoren)

eBook Download: PDF

2017
John Wiley & Sons (Verlag)
978-1-119-04445-1 (ISBN)

Infos

Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas provides the tools and resources to help raise professional standards within the healthcare system. Taking an evidence and case-based approach to understanding professional dilemmas in healthcare, this book examines principles such as applying professional and ethical guidance in practice, as well as raising concerns and making decisions when faced with complex issues that often have no absolute right answer.

Key features include:

• Real-life dilemmas as narrated by hundreds of healthcare students globally
• A wide range of professionalism and inter-professionalism related topics
• Information based on the latest international evidence

Using personal incident narratives to illustrate these dilemmas, as well as regulatory body professionalism standards, Healthcare Professionalism is an invaluable resource for students, healthcare professionals and educators as they explore their own professional codes of behaviour.

About the authors

Lynn V. Monrouxe is Professor and Director of the Medical Education Research Centre at Chang Gung Memorial Hospital, Linkou, Taiwan.

Charlotte E. Rees is Professor and Director of Health Professions Education and Education Research (HealthPEER), and Director of Curriculum (MBBS), Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Australia.

Inhalt

Title Page 5
Copyright Page 6
Contents 9
Foreword 13
About the Authors 15
Acknowledgements 17
Author Contributions 19
Chapter 1 Introduction 21
References 24
Chapter 2 What is Healthcare Professionalism? 27
Introduction 28
Who is Responsible for Setting Professionalism Codes of Conduct? 28
What is the Ethical Basis of Healthcare Professionalism? 30
How is Professionalism Understood Across Regulatory Bodies’ Codes of Conduct? 32
How is Professionalism Linguistically Framed Across Healthcare Professionalism Codes of Conduct? 35
What are Stakeholders’ Understandings of Professionalism Across Different Country Cultures? 36
Medical Professionalism Case Study 39
What are Students’ Understandings of Professionalism Across Country Cultures? 39
Professionalism as Rules 41
Professionalism as Patient Centredness 41
Professionalism as Presentation 41
Professionalism as Attributes of the Individual 41
Professionalism as Competence 43
Final Thoughts 43
Professionalism: Embodied Identities? 43
Chapter Summary 45
References 46
Chapter 3 Teaching and Learning Healthcare Professionalism 51
Introduction 52
Why Teach and Learn Professionalism? 52
What is a Curriculum? 53
How is Professionalism Taught and Learnt? 55
How is Professionalism Taught Through Formal Curricula? 55
How is Professionalism Learnt through Informal Curricula? 57
How is Professionalism Learnt through Hidden Curricula? 59
What Curricula-related Professionalism Dilemmas do Healthcare Students Experience? 62
Chapter Summary 65
References 66
Chapter 4 Assessing Healthcare Professionalism 71
Introduction 72
Why Assess Professionalism? 72
How is Professionalism Assessed? 73
Professionalism Action: does 74
Professionalism Performance: shows how 75
Professionalism Competence: knows how 75
Professionalism Knowledge: knows 76
What are the Key Challenges Facing Professionalism Assessment? 76
What Assessment-related Professionalism Dilemmas are Learners Experiencing? 78
Receiving Unjust Professionalism Assessments 78
The Student’s Dilemma: Fear of being Failed 80
The Student’s Dilemma: Receiving Abusive Feedback in the Workplace 80
The Assessor’s Dilemma: Fear of Failing 83
Chapter Summary 85
References 87
Chapter 5 Identity-related Professionalism Dilemmas 91
Introduction 91
How do Professional Identities Relate to Learning? 92
Are Professional Identities Easily Developed? 93
What are the Consequences of Professional Identities? 94
What are Identity-related Professionalism Dilemmas? 95
What Identity-related Professionalism Dilemmas Occur Across the Pre-university to Year 1 Transition? 96
Identity Dilemmas Across Undergraduate Healthcare Education 98
Identity Dilemmas Across Transitions into Practice 101
Emotional impact and resistance 102
Chapter Summary 103
References 105
Chapter 6 Consent-related Professionalism Dilemmas 109
Introduction 110
What is Consent and Why Does it Matter? 110
What are the Ethical, Legal, Relational and Safety Bases of Consent? 111
What are the Common Myths about Patient consent for student involvement in their care? 113
Myth 1: Patients will Refuse Consent for Students to be Involved in their Care if Asked 113
Myth 2: Patients will not Consent to Students Performing a Procedure on them for the First Time 114
Myth 3: Consent for Student Involvement in Patient Care is Unnecessary in Certain Settings 116
What are Common Consent-related Professionalism Dilemmas? 117
Students Witnessing Qualified Colleagues not Eliciting Valid Patient Consent for Interventions 118
Students’ Involvement in Patient Care Activities Without Valid Consent 118
Students’ Involvement in Learning Activities on Patients Without Valid Consent for them to do so as Students 118
What is the Impact of Consent-related Professionalism Dilemmas? 120
How do Students Act in the Face of Consent-related Professionalism Dilemmas? 122
Chapter summary 123
References 125
Chapter 7 Patient Safety-related Professionalism Dilemmas 129
Introduction 130
How Have Patient Safety and Associated Terms been Defined? 130
What are the Factors that can Influence Patient Safety in the Workplace? 131
What Types of Patient Safety-related Dilemmas Occur Across Different Healthcare Professions? 133
Dilemmas Around Patient Safety Errors 133
How can Healthcare Learners’ Actions and Roles Develop a Positive Workplace Culture of Patient Safety? 139
Chapter Summary 142
References 143
Chapter 8 Patient Dignity-related Professionalism Dilemmas 147
Introduction 148
What is Patient Dignity? 148
Why Does Patient Dignity Matter? 149
What are Dignity Violations and How do they Arise? 150
What Patient Dignity-related Professionalism Dilemmas do Healthcare Learners Witness or Participate in? 153
Communication Violations 153
Physical Violations 157
Privacy Violations 157
What is the Impact of Patient Dignity?related Professionalism Dilemmas? 159
How do Learners Act in the Face of Patient Dignity-related Professionalism Dilemmas? 160
Chapter Summary 162
References 163
Chapter 9 Abuse-related Professionalism Dilemmas 165
Introduction 166
What are Equality, Diversity and Dignity at Work and Why Do They Matter? 166
What is Workplace Abuse and its Relationship with Power? 169
What are the Causes of Workplace Abuse? 171
What are the Consequences of Workplace Abuse? 172
What Abuse-related Professionalism Dilemmas do Healthcare Learners Experience? 172
How can Workplace Abuse be Prevented and Managed? 178
Chapter Summary 180
References 181
Chapter 10 E-professionalism-related Dilemmas 187
Introduction 188
What are the Benefits of OSNs for Professionalism? 188
What are the Challenges of OSNs for Professionalism? 189
What is E-professionalism and Why is it Important? 190
What E-professionalism Lapses do Healthcare Learners Commit? 192
Maintaining Confidentiality, Privacy and Dignity 192
Boundary-crossing 192
Lack of Respect 195
Honesty and Transparency 196
What are the Repercussions for E-professionalism?related Lapses? 196
What are the Psychological, Social and Technological Factors Associated with Social Media Use? 197
What are the Regulatory Recommendations for the Prevention and Management of E-professionalism Lapses? 200
Maintaining Patient Confidentiality, Privacy and Dignity 200
Boundary-crossing 200
Honesty and Transparency 200
Raising Concerns 200
Chapter Summary 201
References 202
Chapter 11 Professionalism Dilemmas Across National Cultures 207
Introduction 208
What is Culture? 208
What Different Cultural Dimensions are there? 209
What are Eastern and Western Cultural Spaces? 211
Individualism vs. Collectivism 212
How can we Develop Cultural and Intercultural Capability? 215
Responses to Cultural Difference 216
Negotiating ‘Reality’ 217
What are the Professionalism Dilemmas Across Different Cultural Spaces? 218
Culturally-interpreted and Constrained Dilemmas: Same Event, Different Dilemma 218
Culturally-specific Dilemmas 220
Socio-economic Dilemmas 221
How are Situations Culturally Interpreted? Intercultural Dilemmas on Medical Electives by Western Students 222
Chapter Summary 224
References 225
Chapter 12 Professionalism Dilemmas Across Professional Cultures 227
Introduction 228
What are the Roles of Different Healthcare Professionals? 229
How do Professionalism Dilemmas Compare Across Healthcare Students? 231
Medical Students and Patient Consent 231
Nursing Students and Physical Dignity (Patient and Self) 231
Dental Students and Patient Safety 233
Pharmacy Students and Identities 233
Physiotherapy Students and Emotion 233
Interprofessional Dilemmas: Hierarchies, Roles and Conflict 234
Interprofessional Hierarchies 234
Interprofessional Roles 235
Interprofessional Conflict 237
How do Dilemmas Around Role Boundaries Come About? 238
What are Students’ Reactions and Actions in the Face of Interprofessional Dilemmas? 239
How can Interprofessional Conflict be Managed? 240
Preventing Interprofessional Conflict? 240
Managing Interprofessional Conflict 241
Chapter Summary 242
References 244
Chapter 13 Conclusions 247
Power, Hierarchy, Conformity and Resistance 247
Negative Emotions, Empathy and Moral Distress 248
Looking Forward: Education, Training and Practice 249
Looking Forward: Research 251
Looking Back: Researcher Reflexivity 252
Coda 253
References 254
Afterword: Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas 257
References 259
Index 261
EULA 273

Rezensionen

'...excellent layout and presentation, especially the way the text is broken up into boxes to highlight common themes throughout each chapter, such as learning outcomes for reflective sessions and case study narratives. Each chapter is also rounded off with a summary, discussion points, learning activities and recommended reading, which helps the reader to draw conclusions at each stage to consolidate learning...there is much learning to be gained from the insightful reflections of a wider, multidisciplinary body of students' - Nursing Standard

'This book explores important professionalism dilemmas, including patient safety errors, consent and confidentiality ... The chapters include thought-provoking narratives on personal incidents and case studies that clearly link theory with practice. Detailed referencing provides an evidence-based, robust approach to tackling professionalism dilemmas.' - Surgeons' News, The Royal College of Surgeons of Edinburgh

"This book presents a valuable and realistic structure for teaching and learning how to become and develop as professional in any healthcare discipline. The usefulness of this book lies in the approach to guiding and developing the student's professional identify and the educator's teaching strategies to promote corrective actions based on reflections shaped by professional dilemmas founded on failures of professionals in various healthcare disciplines" Linda S. Hansen, MSN, RN, Michigan State University College of Nursing on behalf of Doody's Aug 17

'The key strength of this book is that it continually links the theory of professionalism to the reality of day-to-day practice ... the authors do an excellent job of exposing the commonalities and differences in the perspectives of the various health care professions.' Anesthesia and Analgesia

Produkt-Details

• Erscheint lt. Verlag: 21.2.2017
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Themenwelt: Medizin / Pharmazie ► Studium
• Schlagworte: Case-Based • Decision • Dilemma • ethics • evidence-based • Healthcare • Health care students • Junior Doctor • medical education • medical law • Medical Law & Ethics • Medical Professional Development • Medical Science • Medizin • Medizinrecht u. Ethik • Medizinstudium • patient safety • Perspektiven in medizinischen Berufen • Practice • Professionalism • Standard
• ISBN-10: 1-119-04445-6 / 1119044456
• ISBN-13: 978-1-119-04445-1 / 9781119044451