Author: Marie-Christine CABIE, ANNIE LELEVRIER-VASSEUR, CHRISTIAN RYBAK
Dans leur métier, au quotidien, les soignants voient leurs responsabilités et leurs compétences très directement sollicitées. L'infirmière ou l'infirmier reçoit les patients et leurs proches en entretiens évaluatifs et thérapeutiques en se penchant tout autant sur les relations avec l'environnement que sur les seuls éléments pathologiques. L'entretien dialogué, ouvert sur le devenir individuel ou collectif, joue un rôle déterminant dans ces prises en charge et offre une alliance thérapeutique dans un projet soignant.
Author: Seymour Lipset
Today we face the painful reality of the prevalence of chronic, rather than acute, diseases. The technologies developed to manager long-term, incurable illnesses have radically and irrevocably altered the organizational structure of health care, presenting us with a frequently bewildering array of medical specialties. Social Organization of Medical Work offers essential insight into this new era of health care.Through richly documented, often gripping case studies, Anselm Strauss and his co-authors show us exactly how health workers are confronting the problems created by chronic disease and coping with today's highly technologized hospitals. They guide us through the various hospital work sites, describing in detail the kinds of tasks performed by medical personnel, the interactions of staff members with each other and with patients, and the overall resulting patient treatment and response.Focusing on the concept of illness trajectory, the authors vividly illustrate the complex, contingent nature of modern medical work. For example, open heart surgery keeps ill persons alive and may even improve them symptomatically, but those who do survive must face an uncertain future in terms of the physiological consequences of the surgery and the drugs required. They also have to adjust t altered lifestyles. In the new introduction, Anselm Strauss discusses the continuing importance of this work to sociologists, medical scholars, and medical professionals.
Author: Oliver Schmoll, World Health Organization
Publisher: World Health Organization
This publication provides a structured approach to analyzing hazards to groundwater quality, assessing the risk they may cause for a specific supply, setting priorities in addressing these, and developing management strategies for their control. This book summarizes which pathogens and chemicals are relevant to human health, how they are transported, reduced, removed or retarded; provides practical guidance on characterizing the drinking-water catchment area and assessing potential health hazards; provides guidance on prioritising both hazards and management responses; presents key information on potential management actions and explains their integration into a comprehensive Water Safety Plan from catchment to consumer; and describes policy, land-use planning and implementation of pollution prevention, groundwater, with overviews of specific management approaches applicable to agriculture, sanitation, industry, mining, military sites, waste disposal and traffic.--Publisher's description.
Author: Dirk Fornahl, Christian Zellner, David B. Audretsch
Publisher: Springer Science & Business Media
The purpose of this volume is to analyze the microfoundations of knowledge spillovers. The microeconomic analysis of spillovers leads to the insight that the spillover and flow of knowledge is not at all automatic. Instead, this volume suggests that a filter exists between knowledge and its economic application. The focus of this volume is on several key mechanisms that serve to reduce this filter and facilitate the flow of knowledge. In particular, the volume draws on an emerging literature identifying the role of knowledge spillovers to investigate significance of labor mobility and informal networks as mechanisms facilitating the flow of knowledge. No field in economics has dealt extensively with the microeconomics of knowledge spillovers. This volume brings together scholars from a broad spectrum of fields including labor economics, regional economics, the economics of innovation and technological change, and sociology to introduce new insights yielded from the microfoundations of knowledge spillovers.
Author: John M. Janzen, William Arkinstall
Publisher: Univ of California Press
In this book, Dr. John M. Janzen describes patterns of healing among the BaKongo of Lower Zaire in Africa, who, like many peoples elsewhere, utilize cosmopolitan medicine alongside traditional healing practices. What criteria, he asks, determine the choice of the alternative therapies? And what is their institutional interrelationship? In seeking answers, he analyzes case histories and cultural contexts to explore what social transactions, decisionmaking, illness and therapy classifications, and resource allocations are used in the choice of therapy by the ill, their kinfolk, friends, asociates, and specialized practitioners. From the Preface: This book presents an "on the ground" ethnographic account of how medical clients of one region of Lower Zaire diagnose illness, select therapies, and evaluate treatments, a process we call "therapy management." The book is intended to clarify a phenomenon of which central African clients have long been cognizant, namely, that medical systems are used in combination. Our study is aimed primarily at readers interested in the practical issues of medical decision-making in an African country, the cultural content of symptoms, and the dynamics of medical pluralism, that is, the existence in a single society of differently designed and conceived medical systems.
Author: Dubois, Carl-Ardy, Nolte, Ellen, McKee, Martin
Publisher: McGraw-Hill Education (UK)
This book analyses how the current regulatory processes and practices related to key aspects of the management of the health professions may facilitate or inhibit the development of effective responses to challenges facing health care systems in Europe. The authors document how health care systems in Europe are confronting existing challenges in relation to the health workforce and identify the strategies that are likely to be most effective in optimizing the management of health professionals in the future.
Author: Ian Hacking
Publisher: Harvard University Press
Often lost in the debate over the validity of social construction is the question of what is being constructed. Particularly troublesome in this area is the status of the natural sciences, where there is conflict between biological and social approaches to mental illness, and in other areas. Ian Hacking looks at the issue of child abuse, and examines the ways in which advanced research on new weapons influences not the content but the form of science. In conclusion, Hacking comments on the "culture wars" in anthropology, in particular the spat between leading enthnographers over Hawaii and Captain Cook.
Author: Graham Thornicroft
Publisher: OUP Oxford
People with mental illness commonly describe the stigma and discrimination they face as being worse than their main condition. Discrimination can pervade every part of their daily life - their personal life, working life, sense of citizenship, their ability to maintain even a basic standard of living. Though things have certainly improved in the past 50 years, discrimination against the mentally ill is still a major problem throughout the world. It can manifest itself in subtle ways, suchas the terminology used to describe the person or their illness, or in more obvious ways - by the way the mentally ill might be treated and deprived of basic human rights. Should we just accept such discrimination as deeply rooted and resistant to change, or is this something that we can collectively change if we understand and commit ourselves to tackling the problem? Shunned presents clearly for a wide readership information about the nature and severity of discrimination against people with mental illness and what can be done to reduce this. The book features many quotations from people with mental illness showing how this has affected their home, personal, social, and working life. After showing, both from personal accounts and from a thorough review of the literature, the nature of discrimination, the book sets out a clear manifesto for change. Written by a leading figure in mental health in a lively and accessible manner, the book presents a fascinating and humane portrayal of the problem of stigma and discrimination, and shows how we can work to reduce it.
Author: Eric Topol
Publisher: Basic Books
"[Topol is] one of medicine's most innovative thinkers about the digital future.... [A] valuable contribution to a fascinating subject."--New York Times Book Review A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Author: Catherine A. Niven
Psychological Care for Families: Before, During and After Birth presents the significance of psychological care and the positive effect on outcomes when it is done well. This book provides an understanding of the emotional needs of families. Organized into six chapters, this book begins with an overview of the improvements in outcomes that result from increased input by midwives and health visitors. This text then examines the individual and interrelated needs of the fetus/baby, the mother/primary caretaker, and the father/primary supporter. Other chapters consider the provision of health care during pregnancy, birth, and postnatal period, which involve the giving of psychological care to all the members of the family units. This book discusses as well the interaction that develops between a newborn baby and the mother or the primary caretaker. The final chapter deals with the serious problems that the mother, father, siblings, and baby may experience through their mutual interactions. This book is a valuable resource for midwives, nurses, and health care professionals.
Author: Christopher P. Nemeth
Publisher: CRC Press
In the resilience engineering approach to safety, failures and successes are seen as two different outcomes of the same underlying process, namely how people and organizations cope with complex, underspecified and therefore partly unpredictable work environments. Therefore safety can no longer be ensured by constraining performance and eliminating risks. Instead, it is necessary to actively manage how people and organizations adjust what they do to meet the current conditions of the workplace, by trading off efficiency and thoroughness and by making sacrificing decisions. The Ashgate Studies in Resilience Engineering series promulgates new methods, principles and experiences that can complement established safety management approaches, providing invaluable insights and guidance for practitioners and researchers alike in all safety-critical domains. While the Studies pertain to all complex systems they are of particular interest to high hazard sectors such as aviation, ground transportation, the military, energy production and distribution, and healthcare. Published periodically within this series will be edited volumes titled Resilience Engineering Perspectives. The first volume, Remaining Sensitive to the Possibility of Failure, presents a collection of 20 chapters from international experts. This collection deals with important issues such as measurements and models, the use of procedures to ensure safety, the relation between resilience and robustness, safety management, and the use of risk analysis. The final six chapters utilise the report from a serious medical accident to illustrate more concretely how resilience engineering can make a difference, both to the understanding of how accidents happen and to what an organisation can do to become more resilient.
Author: Michel Guillemin
Publisher: Editions L'Harmattan
Il faut dénoncer cette pollution qui ronge le travail - poutant pilier de notre société - que sont les dérives actuelles : déni des réalités (cancers, dépression, suicide) qui va de pair avec le mépris de la personne, de ses besoins, de ses attentes. Il faut aussi réaliser que les "bourreaux" (managers, décideurs..) sont eux-mêmes prisonniers des impératifs de l'économie, eux-mêmes "victimes" tant ils sont eux aussi soumis à des rythmes effrénés. Voici un état des lieux.