Relevant bibliographies by topics / Hospital patients – Namibia – Attitudes

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
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Academic literature on the topic 'Hospital patients – Namibia – Attitudes'

Author: Grafiati
Published: 4 June 2021
Last updated: 3 February 2022

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Journal articles on the topic "Hospital patients – Namibia – Attitudes"

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Evans, A. C., and J. J. Joubert. "Intestinal helminths of hospital patients in Kavango territory, Namibia." Transactions of the Royal Society of Tropical Medicine and Hygiene 83, no. 5 (1989): 681–83. http://dx.doi.org/10.1016/0035-9203(89)90397-0.

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Farnham, Frank R., and David V. James. "Patients' attitudes to psychiatric hospital admission." Lancet 355, no. 9204 (2000): 594. http://dx.doi.org/10.1016/s0140-6736(00)00077-5.

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Marwa, Thelma, Kabwebwe Honore Mitonga, and Kathe Hofnie-//Hoebes. "Customers’ satisfaction of the occupational therapy services in Namibia." International Journal Of Community Medicine And Public Health 4, no. 10 (2017): 3542. http://dx.doi.org/10.18203/2394-6040.ijcmph20174217.

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Background: Patients’ satisfaction is important in healthcare services. It can be an indicator of quality of services in a hospital. The study aims to determine the customers’ satisfaction of the Occupational Therapy Services at Katutura State Hospital in Windhoek. Methods: The research design was a mixed approach - quantitative and qualitative. Questionnaires and interviews were used to collect data. The statistical package for the social sciences software version 23 was used to analyse data. Results: Results of the study showed that occupational therapy patients at Katutura State Hospital are satisfied with the quality of service. However, the service was not superior. Perceived quality mean of the service was 5.51 while the desired quality of service was 9.45. Out of the three dimensions; quality of care, physical environment and occupational therapy services, patients were mostly satisfied with quality of care with the adequacy mean of 1.02 and least satisfied with the physical environment which had an adequacy mean of 0.31. Patients were not satisfied with the cleanliness, ventilation, privacy, lighting, waiting time, consent before treatment and follow up of patients. Conclusions: The study shows that the occupational therapy patients at Katutura State Hospital are slightly satisfied with the services although there are some other factors they are dissatisfied with. The occupational therapy department is recommended to develop consent forms, improve on waiting time and keeping appointments. The physical environment also needs to be improved in order to increase the patients` satisfaction rate.
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Mcadam, Catherine, Alison Richardson Steff Lewis, Sheila Gore, and Ray Brettle. "Attitudes towards HIV testing of patients attending hospital." International Journal of STD & AIDS 8, no. 11 (1997): 729–30. http://dx.doi.org/10.1258/0956462971919002.

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Benson, K., L. Balducci, KM Milo, L. Heckel, and GH Lyman. "Patients' attitudes regarding out-of-hospital blood transfusion." Transfusion 36, no. 2 (1996): 140–43. http://dx.doi.org/10.1046/j.1537-2995.1996.36296181926.x.

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Gannon, Lucy E., James Eva, Zamurrud Bhatti, and Elizabeth F. Wilmot. "Patients' attitudes towards their involuntary detention in hospital." Psychiatric Bulletin 17, no. 6 (1993): 369–70. http://dx.doi.org/10.1192/pb.17.6.369-b.

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Banicek, Jasmina. "Attitudes of postoperative patients towards hospital nurse prescribing." Nurse Prescribing 10, no. 12 (2012): 612–18. http://dx.doi.org/10.12968/npre.2012.10.12.612.

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Brown, Phil. "State mental hospital staff attitudes toward patients' rights." International Journal of Law and Psychiatry 8, no. 4 (1986): 423–41. http://dx.doi.org/10.1016/0160-2527(86)90054-3.

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van Dillen, Jeroen, and Anouk van der Honing. "Primary amenorrhoea: three cases from a semi-rural Namibian hospital." Tropical Doctor 35, no. 3 (2005): 186–88. http://dx.doi.org/10.1258/0049475054620662.

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We discuss the diagnostic process of three patients presenting with primary amenorrhoea in Onandjokwe Lutheran Hospital in Northern Namibia. This semirural district hospital also serves as a referral hospital and has both ultrasound and laparoscopy possibilities.
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Lunza, Simasiku, and Emma Maano Nghitanwa. "Experiences of registered nurses on communication with Deaf patients at Katutura state hospital, Namibia." International Journal of Medicine 5, no. 1 (2017): 82. http://dx.doi.org/10.14419/ijm.v5i1.7301.

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The purpose of this study was to explore the experience of registered nurses on communication with Deaf patients. Data was collected using an interview guide. Random sampling technique was employed. Data was transcribed and keywords were identified representing the major categories. Data was analysed using a systematic process in order to deduce themes and sub-themes. During data analysis similar ideas or keywords were coded and similar topics were grouped together into categories. The study concluded that registered nurses lack sign language skills hence their communication with Deaf patients is also challenged. It is recommended that registered nurses needs to be provided with the training in sign language at educational institutions and provision of in-service training on sign language should made available for all health care workers. The study also recommends that Deaf people should be trained in sign languages for effective communication when seeking health care.
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Dissertations / Theses on the topic "Hospital patients – Namibia – Attitudes"

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Uusiku, Laura Ingashipwa. "Perceptions and current practices of Namibian midwives regarding the use of the cardio-tocograph as an informative labour monitoring tool for labouring women." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/21318.

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Labour is a vital period for the labouring mothers, as it should bring with it the fulfilment of an expectation of having the baby that has been awaited. The health of the foetus which is to be born and that of the labouring mother are inextricably linked with each other which is why the labouring mother needs to be assessed and monitored carefully. The cardio-tocograph, which is a globally accepted method of diagnosis and assessment of the foetal status during labour is preferred to be used in monitoring labouring mothers, especially high- risk patients. Despite the evidence and information regarding the effectiveness of the use of the cardio-tocograph, midwives are still found not to be using it correctly, the reasons given that the women not always co-operate; do not keep the electrode and belt in place or cite the discomfort they experience from contraction. The objectives of this study were to: explore and describe the perceptions and current practice of Namibian midwives regarding the use of the cardio-tocograph as an informative labour- monitoring tool. Explore and describe how midwives working in labour wards in Namibia perceive informing laboring women of the use of the cardio-tocograph as an informative labour- monitoring tool and based on the results, develop an instruction guide for midwives working in the labour ward in intermediate hospital in Namibia that would serve as a guide on how to teach labouring women about the use of the cardio-tocograph as a labour- monitoring tool and enhance positive labor and delivery outcomes The study was conducted between May and June 2016, using a qualitative, explorative, descriptive and contextual design, following the necessary university approval and approval from other relevant authorities. The research population was midwives who work in labour wards at a public hospital in Namibia. Semi-structured interviews were used to collect data from purposively sampled participants using set criteria. A voice recorder was used to capture the interview with the permission of the participants. Seventeen midwives were interviewed of whom two were used for the pilot study. Data saturation determined the sufficient sample size. The collected data was analyzed using Tesch’s spiral method of data analysis with the assistance of an independent coder From the research findings, it emerged that midwives had varying perceptions regarding the use of the CTG machine. Midwives still perceive CTG interpretation as a challenge as a labour -monitoring tool and expressed a need for updates. Furthermore, midwives expressed the fact that they had limited communication with labouring women regarding the use of CTG. Based on the research findings and guided by Health Belief Model principles, three main guidelines were developed for midwives working in the labour ward in a public hospital in Namibia. These guidelines will serve as a tool to assist midwives in their teaching of labouring women about the use of the cardio-tocograph as a labour- monitoring tool, and the role to be played by labouring women during that monitoring period. Furthermore, recommendations for clinical nursing practice, nursing education and nursing research were developed. The researcher used literature control to ensure validation and integrity of the study. Trustworthiness, which was used to ensure rigour of the study, was guided by the principles of truth-value, transferability, dependability and confirmability. Ethical considerations were guided by the Belmont report adopting the principles of beneficence, respect for human dignity, justice and non-maleficence.
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Mutenda, Nicholus Mbangu. "Adverse effects experienced by patients on first line antiretroviral drugs used at Keetmanshoop Hospital (Namibia)." University of the Western Cape, 2015. http://hdl.handle.net/11394/4549.

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>Magister Scientiae - MSc<br>Adverse effects are a significant factor that determine how long patients will tolerate a given antiretroviral drug regimen. They also influence treatment options, and play an important role in the much needed adherence to treatment by patients on Highly Active Antiretroviral Therapy (HAART). This study is aimed at understanding adverse effects experienced by patients on the first line antiretroviral therapy at Keetmanshoop Hospital in Namibia. Methods : A retrospective quantitative method was used to review records of patients on first line antiretroviral treatment who started treatment between November 1st 2007 and December 1st, 2008 and followed up until they reached 36 – 48 months on treatment. Records of 94 patients were found eligible to be included in the study. Data was analysed using Stata 12 data analysis software. Results : The most reported adverse effect was musculoskeletal disorders (25%) whereas headache (16%) was the least reported. Low haemoglobin (78%) was the most common recorded hematologic adverse effect whereas low red cell distribution width and low mean platelet volume were the least recorded adverse effects (0%). A Male patient was more likely to experience a low haemoglobin levels compared to a female patient (adjusted OR: 3.29, 95% CI: 1.3 – 8.3). A male patient was found to be 64% times less likely to experience a higher mean cell haemoglobin compared to a female patient (adjusted OR. 0.31, 95% CI: 0.11 – 0.87). A patient on nevirapine was more likely to experience an elevated creatinine level compared to a patient on efavirenz (adjusted OR; 36.0, 95%CI: 2.02 – 62.5). At baseline, a patient who had prior exposure to ART had an 81 times (adjusted OR: 81.4, 95%CI: 5.3 – 119, p-value=0.00) increased odds of experiencing a high mean cell volume (MCV) compared to a patient with no ART exposure. A patient with a higher CD4 count was also less likely to experience a low hemoglobin compared to a patient with low CD4 count (adjusted OR; 0.31, 95% CI: 0.12 – 0.77). The author recommends further studies with higher sample size to confirm whether higher creatinine levels are more prevalent in patients on nevirapine compared to patients on efavirenz; this will have clinical implications especially in patients with impaired renal system. Antiretroviral treatment increases chances of developing macrocytosis anaemia; clinical implication of this condition may need to be investigated.
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Bauleth, Maria Francineth. "Factors associated with poor adherence amongst patients receiving antiretroviral therapy at the intermediate hospital Oshakati in Namibia." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9016_1365754981.

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<p>Namibia is severely affected by the HIV/AIDS epidemic, with an estimated HIV prevalence of 17.8%. A comprehensive, public HIV/AIDS treatment and care programme was established in 2003 by the government of Namibia in association with its development partners. The introduction of antiretroviral therapy [ART] has dramatically decreased HIVrelated mortality and morbidity, improved quality of life, revitalized communities and transformed perceptions of HIV/AIDS from a plaque and death sentence to a manageable chronic condition. Intermediate Hospital Oshakati (IHO) in the Oshana region, is one of the six pilot hospitals where highly antiretroviral therapy (HAART) was initiated. Adherence to antiretroviral therapy (ART) is a key factor in ensuring optimal clinical outcomes and is associated with improved survival among HIV and AIDS patients. Sustained high levels of adherence (taking 95% or more of medication as prescribed) are essential for treatment success. Suboptimal adherence to treatment has been associated with virologic, immunologic and clinical failure, and may increase the risk of resistance to first-line ART drugs. Studies conducted in various parts of the country including the Oshakati district, report small proportions of patients defaulting on ART. Defaulting from treatment raises questions about adherence to ART as it can be assumed that poor adherence would precede defaulting from treatment. This study explored factors that influence poor adherence to ART among patients at Intermediate Hospital Oshakati.</p>
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Mukulu, Martin Ndakalako. "Understanding attitudes and perceptions of nurses and medical doctors on providing intimate partner violence screening at Katutura Hospital, Namibia." University of the Western Cape, 2017. http://hdl.handle.net/11394/5887.

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Magister Public Health - MPH (Public Health)<br>This qualitative, explorative study aimed to explore the attitudes and perceptions of nurses and medical doctors at frontline services units of the Katutura Intermediate Hospital in Windhoek, Namibia, in providing intimate partner violence (IPV) screening during routine care. Frontline services were selected because that is where most of the patients come into contact with nurses and medical doctors for the first time, making this the first point of care contact at this referral hospital. The researcher conducted in-depth interviews with purposively selected sample of 18 nurses and six medical doctors employed at frontline services units of the hospital. All the respondents concurred that IPV was prevalent in Namibia, as evidenced by the daily hospital records. Respondents admitted that the Casualty Section of the Katutura Hospital was the busiest section at the hospital, and that incident and cases of IPV were recorded there every hour, especially from Thursday through the weekend and on public holidays, as victims seek treatment for their resultant injuries. Most of the respondents expressed concern about their inability to screen for IPV during routine care due to a lack of time. Many respondents believed, however, that screening for IPV was the responsibility of social workers and not necessarily that of nurses and medical doctors. Others believed that a lack of skills among hospital staff to screen for IPV as well as staff shortages and work overload were some of the factors preventing staff from performing screening. The study found that IPV cases were prevalent at the Katutura Intermediate Hospital, and that there was ambivalence about IPV screening and reporting among the staff who participated in the study. Some of the nurses and medical doctors who participated in the study saw IPV as a nonclinical and social issue and believed that it was the responsibility of social workers, while others felt that they might be able to do something about it but were hampered by factors such as staff shortages, a lack of privacy and work overload. The researcher recommends further research on the attitudes and perceptions of senior management and patients towards IPV screening.
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Motlhake, Malefsane Priscilla. "Non-compliance amongst T.B. patients at Moreteletsi Hospital." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-01312006-112314.

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Nyatondo, Kapera T. J. "Factors associated with first line highly active antiretroviral therapy regimen modification in naïve adult patients at Gobabis District Hospital." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/5084.

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Magister Public Health - MPH<br>Background: First line regimens give patients the best chance of long-term treatment success. It is imperative that patients stay on their original first line regimens to ensure program viability. As the ART programme matures in Namibia the proportion of patients who have had their first line regimens modified continues to increase. It is estimated that 3.1% of adults in Namibia are on second line regimens. Second line or other modified regimens are generally reserved for clinical, immunological or virological failure and toxicity related complications. These modified regimens often involve a higher pill burden, more toxicities and are often more expensive. A more detailed understanding of the factors associated with first line regimen modification could allow healthcare providers in Namibia to target these factors for intervention to reduce regimen modification and improve treatment outcomes. Methodology: This quantitative descriptive retrospective cohort study sought to describe factors associated with first line HAART regimen modification in treatment naïve adult patients who started HAART at Gobabis State Hospital between 1st January 2007 and 31st December 2010. Utilizing data from an existing electronic patient management system, quantitative methods were used to assess the prevalence, reasons and factors associated with first line HAART regimen modification. Results: The prevalence of HAART regimen modification was 14.1%. Treatment toxicity was the major reason (35%) for HAART regimen modification and this was largely due to D4T containing regimens. This was followed by treatment modification due to concurrent TB disease (27.3%), new drug availability (19%), pregnancy (6.6%) and virological failure (2%). A death rate of 9% was recorded by the end of the study period in each of the two groups, of those who had their first line HAART regimen modified and those who remained on original regimens respectively. There were statistically significant associations between regimen modification and type of regimen, care entry point, duration from HIV diagnosis to entry into HIV care, sex and functional status. Regimen modifications resulted in more AZT and TDF based regimes while 88.7% of patients had D4T taken off their HAART regimens. Conclusions: HAART regimen modification at Gobabis State hospital is lower than in other settings was largely due to treatment toxicity. The death rate is high and warrants further exploration. Regimen modifications resulted in more AZT and TDF based regimes and more patients had D4T taken off their HAART regimens. Recommendations: Patients still on D4T need close monitoring for side effects associated with this drug and should be promptly changed if this is the case. This study raises the important programmatic issue of the need for good data collection practices. HIV positive patients who are pregnant and those with concurrent TB disease need close monitoring to ensure that HAART regimens are modified appropriately.
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Pendukeni, Monika. "The impact of HIV/AIDS on health care provision: Perceptions on nurses currently working in one regional hospital in Namibia." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Studies on the impact of HIV/AIDS on health workers conducted in the health sector in different countries in Southern Africa have shown that health workers are affected and infected by HIV/AIDS. This has affected the provision of care rendered by nurses negatively. The high workload emanating from increased numbers of patients contributed to the situation. As a result, a number of nurses suffer from stress related illnesses caused by many factors such as fear of contracting the HIV virus. Low staff morale has also been observed among nurses. The aim of this study was to study nurses perceptions, views and suggestions on the impacts of HIV/AIDS on the provision of health care in terms of increased workload, stress, low morale and fear of contracting HIV/AIDS in two medical wards and a TB ward in one regional hospital in Namibia.
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Ngodji, Terthu Kutupu. "Knowledge, attitudes and practices of male circumcision for HIV prevention among voluntary counseling and testing clients in Onandjokwe District Hospital, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6195_1307446077.

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<p>This study assessed the knowledge, attitudes and practices about MC as an HIV prevention intervention among adult males presenting for HIV Voluntary Counselling and Testing (VCT) services at Onandjokwe District Hospital in northern Namibia. A high level of knowledge of MC, particularly its potential to reduce the risk of HIV infection, STIs and enhance penile hygiene exists among VCT attendees in Onandjokwe District Hospital. MC will most likely to be accepted in this study area, especially when it is implemented to reduce the risk of HIV infection. The study recommends a comprehensive education and information program targeting males and their partners and a training for traditional and medical circumcisers to ensure a high quality of MC services.</p>
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Mtombeni, Sifelani. "Community perceptions, attitudes and knowledge regarding mother to child transmission of HIV: a baseline evaluation before the implementation of the Prevention of Mother to Child Transmission of HIV Program using a short course of Nevirapine at Onandjokwe Hospital, Namibia." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Each year approximately 600 000 infants, most of them in Sub-Saharan Africa are born with HIV infection as a result of mother to child transmission of HIV. Whereas significant progress has been made in reduction of mother to child transmission of HIV in developed countries, the situation remains desperate in developing countries. Progress has been hampered by shortage of staff, facilities, limited access to voluntary counselling and testing and lack of support for women by their partners and communities. The challenge is to increase voluntary counselling and testing uptake during antenatal care. Onandjokwe district in Northern Namibia is currently introducing the Prevention of Mother to Child Transmission Program (PMTCT). It has been found the previous PMTCT programs have failed because they adopted a top down approach where there was no community consultation. This study was conducted to explore the community perceptions, knowledge and attitudes regarding mother to child transmission of HIV through focus group discussions and in-depth interviews of key community members.
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Thobias, Anna. "Exploration of factors associated with poor adherence among patients receiving antiretroviral therapy at Katutura State Hospital Communicable Disease Clinic in Khomas region, Namibia /." Online access, 2008. http://etd.uwc.ac.za/usrfiles/modules/etd/docs/etd_gen8Srv25Nme4_2455_1273775841.pdf.

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Books on the topic "Hospital patients – Namibia – Attitudes"

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Möller, Bianca. Untersuchung zur Optimierung der Patientenzufriedenheit: Exemplarisch dargestellt am IFA-Kinder-Rehabilitationszentrum auf Usedom. Transfer, 2002.

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Michèle, Guillaume-Hofnung, ed. Hôpital & médiation: Colloque. L'Harmattan, 2001.

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Mahapatra, Prasanta. APVVP--patient satisfaction survey, June 2001. 2nd ed. Institute of Health Systems, 2002.

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Mahapatra, Prasanta. APVVP--patient satisfaction survey, December 2001. Institute of Health Systems, 2002.

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Harvey, Jon. Report: The Witney Healthy Back Survey : a survey of staff attitudes towards lifting patients and objects and the cause ofback pain at Witney Community Hospital. Centre for Health Promotion and Education, Oxfordshire Health Unit, 1985.

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Manktelow, Roger. Does the community care?: A study of the views and attitudes of people in contact with former long-stay patients discharged from a Northern Ireland hospital. Health and Health Care Research Unit, Queen's University of Belfast, 1992.

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Harrington, Carolyn Amanda. A survey of the dental experiences, attitudes and beliefs of psychiatric dental patients following the closure of in-patient dental services at long stay psychiatric hospital. University of Birmingham, 1997.

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Trudel, Gilles. Étude sur les réactions du personnel face à la sexualité des personnes présentant une déficience intellectuelle ou un trouble psychiatrique séjournant en institution, et sur les besoins des bénéficiaires en matière de sexualité: Rapport de recherche présenté au Conseil québécois de la recherche sociale. G. Trudel, 2000.

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Vanderwilde, Patricia Wilhelmina. A comparison of attitudes and knowledge of myocardial infarction clients. 1985.

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Rosen, Sharon Hillary Gootman. NURSES' ATTITUDES TOWARD THE TRANSFER OF NURSING HOME PATIENTS TO THE HOSPITAL. 1989.

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Book chapters on the topic "Hospital patients – Namibia – Attitudes"

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Fullwiley, Duana. "Attitudes of Care." In The Enculturated Gene. Princeton University Press, 2011. http://dx.doi.org/10.23943/princeton/9780691123165.003.0004.

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This chapter examines how Senegalese French-trained research-physicians in Dakar have adopted similar low-tech strategies and health interventions within the biomedical realm. It focuses on how doctors rationalize economically triaged care, while chronicling their methods for doing so in Dakar's principal sickle cell clinics. These are the pediatric care site at Albert Royer Children's Hospital and the Centre nationale de transfusion sanguine (CNTS), or the National Blood Transfusion Center, where most adult patients are followed. Although physicians often take cues from the social realities that define their patients' lived experiences with this disease, their own clinical limits and technological constraints also inform the alternative assemblages of care they construct.
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Theodosopoulou, Maria, Frank J. M. F. Dor, Daniel Casanova, Georgios Baskozos, and Vassilios Papalois. "Health Literacy." In Optimizing Health Literacy for Improved Clinical Practices. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-4074-8.ch015.

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Organ shortage is a worldwide persisting problem, as patients on waiting lists increase while actual donors cannot meet the demand for organs. Cultural and religious concerns, gaps of information, lack of medical procedure awareness and of understanding transplant-related terminology are some reasons why people refuse to donate organs. The medical, ethical, social, cultural, religious aspects of deceased organ donation (DOD) bring out the need for a systematic agenda of lifelong learning public awareness raising and health literacy on this issue. This chapter presents findings of a comparative research project in three European countries about how people learn about DOD and their suggestions for systematically promoting health literacy. A total sample of 1309 medical students, renal patients, and hospital administrative staff participated in a survey regarding attitudes, knowledge, sources of information, and communication about DOD. In addition, 51 participants took part in focus groups elaborating on their experiences and suggestions regarding health literacy about DOD.
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Medhekar, Anita, and Farooq Haq. "Halal Branding for Medical Tourism." In Emerging Research on Islamic Marketing and Tourism in the Global Economy. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6272-8.ch008.

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This chapter explores the emergence and development of Halal branded hospitals and medical facilities as a product of Medical Tourism for Muslim patients around the world and in India. Halal tourism is a sub-category of spiritual tourism, where one has to abide by the Sharia law to satisfy Muslim customers. The main objective of the chapter is to focus on a niche category of halal medical tourism, where Sharia rules are followed to attract the medical tourist mainly from Islamic countries. This chapter also proposes a typology of Muslim medical tourist's cultural sensitivities and recommends branding and certifying Halal Medical Tourism hospitals, healthcare facilities, pharmaceuticals, products, and services to attract Muslim patients, and provides challenges and opportunities with future research directions. The case studied in this chapter is of the Global Health City, the first Halal Certified Medical Hospital facility in Chennai, India. It presents a model for halal branding of Indian Medical Tourism based on the halal decision-making paradigm for Muslim customers designed by Wilson and Liu (2010). The model presented here indicates attitudes of being rational or emotional and elements reflecting affective and cognitive feelings for Muslim patients seeking halal treatment in halal hospitals.
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Kopp, Vincent J. "The pre-anaesthetic visit." In Handbook of Communication in Anaesthesia & Critical Care. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780199577286.003.0013.

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This chapter addresses deficiencies in pre-anaesthesia communication. Here, the use of medical narrative illustrates communication-enhancing techniques and attitudes that may help anaesthetists anticipate and respond to the biopsychosocial content, extant in the pre-anaesthesia assessment setting. By any measure, the pre-anaesthesia evaluation sets anaesthesia care in motion. Until now, little has been written about the development of a learnable framework for effective communication, in this or any other anaesthesia care setting. With respect to pre-anaesthesia communication, the need for heuristics or ‘rules of thumb’ is ever acute to improve rapport, elicit and respond to questions, manage ambiguity, as well as to obtain valid consent. Furthermore, anaesthetists have to communicate effectively with patients about conflicting advice, prior negative anaesthetic experiences and fears about awareness and intraoperative death. A 56-year-old man scheduled for an elective left inguinal herniorrhaphy meets his anaesthetist minutes before surgery is to begin. Three days before, the patient presented to hospital with his hernia incarcerated. It was easily reduced. A follow-up office visit with his surgeon preceded the surgery. The patient’s sole co-morbidity is benign prostatic hypertrophy. On the morning of surgery this otherwise healthy-appearing man, accompanied by his wife, meets the anaesthetist for the first time. After record review the patient is told three anaesthetic options exist—local anaesthesia with intravenous sedation, general anaesthesia and spinal anaesthesia — and that ‘spinal is the way to go’. Unquestioningly, the patient agrees to spinal anaesthesia. The spinal block is easy to place. The surgery is uneventful. Post-operatively, the patient cannot urinate. His discharge from the day-surgery unit is delayed by hours. He is told it is because of ‘the spinal’. Bladder catheterization ensues. The rest of his recuperation is uneventful, except for lingering feelings of betrayal, distrust and disappointment. He wonders why he was not told spinal anaesthesia might cause urinary retention. He becomes angry. He resolves never to use that anaesthetist’s or hospital’s services again. His wife even urges him to sue them both for pain and suffering. What could have been done to effect a more positive outcome for the patient, the anaesthetist and the hospital? The answer lies, at least in part, in improved communication.
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Bonner, Thomas Neville. "The Clinical Impulse and the National Response, 1780-1830." In Becoming a Physician. Oxford University Press, 1996. http://dx.doi.org/10.1093/oso/9780195062984.003.0008.

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As the previous chapters have suggested, striking changes in medical education had occurred by 1800 in nearly every Western country. In particular, the movement toward practical training in medical teaching had gathered momentum toward the end of the eighteenth century. Not only in Vienna, Paris, Edinburgh, and Leyden but also in scores of universities, hospitals, military schools, dispensaries, lying-in clinics, and private courses spread across Europe and North America, students were finding new opportunities to practice dissection; see patients at the bedside; take case histories; practice surgical, obstetrical, and other procedures; and even diagnose and treat patients under a teacher’s supervision. It is this sea change in attitudes toward practical training that we explore in this chapter. Spurred by Enlightenment concerns for public health and utilitarian concepts of practical training, new clinical experiences were becoming available in many places. Although in some countries, notably France and Germany, the state played a decisive role in fostering the new development, in others, especially Britain and America, students were left largely on their own to gather practical experience, choosing from a variety of lecture-demonstration courses, hospital training, apprenticeship opportunities, experience in outpatient dispensaries, and private classes. National differences in social and political development channeled the strong pressures for utilitarian education into new forms of clinical training. Differing concepts of what constituted a “teaching clinic” came to exist side by side, especially in Europe. In unsettled France, the clinical impulse, which had early centered on surgical practice in urban hospitals and was now promoted by an all-powerful revolutionary government, found its primary outlet in large hospitals. In the German states, on the other hand, politically divided and lacking large hospitals in most university towns, clinics developed largely as small appendages to university programs in medicine. British clinical training, as described in earlier chapters, was centered haphazardly in the London hospitals away from the nation’s universities and was growing also in provincial hospitals and dispensaries. In North America, the search for clinical experience was spread over a great variety of small infirmaries, dispensaries, and private courses, and apprenticeship training remained the dominant mode of getting hands-on practice.
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Conference papers on the topic "Hospital patients – Namibia – Attitudes"

1

Jerram, Kathryn L., and Carol Davis. "67 What are the attitudes of patients receiving palliative care towards assisted dying?" In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.87.

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Serhane, Hind, Khadija Aitnasser, Fatiha Bounoua, and Houda Moubachir. "Knowledge, attitudes and practices of accompanions of tuberculosis patients followed in the respiratory departement of the Hassan II university hospital." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.1442.

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Shah, Fatima, Fiona Dakin, Christine Hirsch, John Speakman, and Jon Tomas. "84 A qualitative study of nursing attitudes towards administering anticipatory medication for symptom control to dying patients in a hospital setting." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.104.

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Palipane, Natasha. "33 The knowledge, concerns and attitudes of palliative health care practitioners in treating patients with substance use disorder." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.54.

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Shehadeh, AJ, G. Bull, A. Crouch, S. Hambrook, A. Samejeu, and D. Zeitlin. "G475(P) Nhs staff attitudes and opinions towards the use of social media by patients, family and friends in relation to their hospital experience." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.463.

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Thomas, AN, K. Goring, and J. Kwagyan. "The Knowledge and Attitudes of Patients with Chronic Obstructive Pulmonary Disease (COPD) toward Advanced Medical Directives in Relation to Quality of Life, Disease Progression in an Inner City Teaching Hospital." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a5236.

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