scholarly journals Moral Structuring Of Children During The Process Of Obtaining Informed Consent In Clinical And Research Settings

2020 ◽  
Author(s):  
Anderson Díaz-Pérez ◽  
Elkin Navarro Quiroz ◽  
DILIA APARICIO MARENCO
Keyword(s):  
Data Analysis ◽  
Informed Consent ◽  
Educational Process ◽  
Moral Awareness ◽  
Patient Relationship ◽  
Structured Interviews ◽  
Different Types ◽  
Moral Structure ◽  
Patient Relationships ◽  
Extreme Care

Abstract Background. Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond which it is perceived by clinicians and/or researchers. Methods. This is a transversal, qualitative study via a subjectivist approach and a interpretivist approach. The study was performed by conducting semi-structured interviews of 21 people by clinicians and researchers. Data analysis was performed with the SPSS 21® and Atlas Ti 7.0® programmes. Results. Influential practices in the doctor–patient relationship were approach and paternalistic. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child, since he or she is considered to be a subject of extreme care. Conclusions. The differentiated objectification [educational] process recognises the internal and external elements of the child. Informed consent proved to be the appropriate means for strengthening moral and structuring the child.

scholarly journals Moral structuring of children during the process of obtaining informed consent

2020 ◽  
Author(s):  
Anderson Díaz-Pérez ◽  
Elkin Navarro Quiroz ◽  
DILIA APARICIO MARENCO
Keyword(s):  
Data Analysis ◽  
Informed Consent ◽  
Educational Process ◽  
Moral Awareness ◽  
Patient Relationship ◽  
Structured Interviews ◽  
Different Types ◽  
Moral Structure ◽  
Patient Relationships ◽  
Extreme Care

Abstract Background. Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond which it is perceived by clinicians and/or researchers. Methods. This is a transversal, qualitative study via a subjectivist approach and a interpretivist approach. The study was performed by conducting semi-structured interviews of 21 people by clinicians and researchers. Data analysis was performed with the SPSS 21® and Atlas Ti 7.0® programmes. Results. Influential practices in the doctor–patient relationship were approach and paternalistic. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child, since he or she is considered to be a subject of extreme care. Conclusions. The differentiated objectification [educational] process recognises the internal and external elements of the child. Informed consent proved to be the appropriate means for strengthening moral and structuring the child.

scholarly journals Moral structuring of children during the process of obtaining informed consent in clinical and research settings

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Anderson Díaz-Pérez ◽  
Elkin Navarro Quiroz ◽  
Dilia Esther Aparicio Marenco
Keyword(s):  
Informed Consent ◽  
Educational Process ◽  
Moral Awareness ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Moral Structure ◽  
Patient Relationships ◽  
Physician Patient ◽  
Extreme Care

Abstract Background Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond what doctors and researchers perceive. To describe the influential practices that exist among clinicians and researchers toward children with chronic diseases during the process of obtaining informed consent. Methods This was a cross-sectional, qualitative study via a subjective and interpretivist approach. The study was performed by conducting semi-structured interviews of 21 clinicians and researchers. Data analysis was performed using the SPSS version 21® and Atlas Ti version 7.0® programs. Results The deliberative and paternalistic models were influential practices in the physician–patient relationship. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child because he or she is considered to be a subject of extreme care. Conclusions The differentiated objectification [educational] process recognizes the internal and external elements of the child. Informed consent proved to be an appropriate means for strengthening moral and structuring the child.

scholarly journals Informed Consent: A Legal Formality or a Mandate

2017 ◽  
Vol 1 (1) ◽  
pp. 50-52
Author(s):  
Navpreet Kaur
Keyword(s):  
Informed Consent ◽  
Consumer Protection ◽  
Treatment Modality ◽  
Considerable Change ◽  
Treatment Modalities ◽  
Easy Access ◽  
Patient Relationship ◽  
Consumer Protection Act ◽  
Litigation Process ◽  
Different Types

ABSTRACT Doctor patient relationship which in olden days was a highly revered one has undergone considerable change due to the greater awareness among patients regarding their rights and easy access to litigation process. The profession which was considered the most humble one has transformed into a service and falls under the purview of Consumer Protection act. Informed consent is a concept which gives the person right to pick and choose from the different types of treatment modalities, right to voluntarily suffer any harm which may occur during treatment thereby also decreasing the burden of responsibility which falls upon the doctor's shoulders to pick the best treatment modality for his patient and to bear the brunt of patient and his relatives if something goes wrong. Thus informed consent is not just a legal formality but a mandate which guarantees not only the best treatment for the patient as per his choice but also safeguards a doctor against unnecessary litigations. How to cite this article Kaur N. Informed Consent: A Legal Formality or a Mandate. Curr Trends Diagn Treat 2017;1(1):50-52.

Market of Insurance in Russia: Major Tendencies and Problems of Development

2006 ◽  
pp. 115-127
Author(s):  
T Natkhov
Keyword(s):  
Data Analysis ◽  
Statistical Data ◽  
Statistical Data Analysis ◽  
Medium Term ◽  
Insurance Sector ◽  
Different Types ◽  
Basic Characteristics

The article considers recent tendencies in the development of the market of insurance in Russia. On the basis of statistical data analysis the most urgent problems of the insurance sector are formulated. Basic characteristics of different types of insurance are revealed, and measures on perfection of the insurance institution in the medium term are proposed.

Informed consent: Towards improved lay-friendliness of patient information sheets

2014 ◽  
Vol 10 (3) ◽  
pp. 201-211
Author(s):  
Morten Pilegaard ◽  
Hanne Berg Ravn
Keyword(s):  
Informed Consent ◽  
Information Structure ◽  
Language Use ◽  
Ethical Standards ◽  
Structured Interviews ◽  
Explorative Study ◽  
Microsoft Word ◽  
Text Production ◽  
Linguistic Intervention ◽  
Set Up

Regional research ethics committee (REC) members have voiced a need for the linguistic improvement of informed consent documents to ensure duly informed consent and to ease committee deliberation. We have little knowledge of what elements of language use hamper comprehension, or of the extent of medical researchers’ appreciation of this problem and their willingness to accept intervention. This qualitative, explorative study proposes an intervention design and tests its feasibility and acceptability. Semi-structured interviews with potential REC applicants informed a linguistic intervention benchmarked against existing guidelines, mandated locally and nationally, and then evaluated quantitatively in a semi-controlled set-up and qualitatively via questionnaires. Potential applicants professed the psychological acceptability of linguistic intervention. The intervention comprised a downloadable Microsoft Word template outlining information structure, a detailed guideline offering advice for each move and self-selected linguistic screening. It was used by 14 applicants and had a measurable effect on REC deliberation time and approval rates. The intervention instruments overall made it easier for applicants to produce informed consent documents meeting prescribed ethical standards concerning lay-friendliness. In conclusion, it was found that linguistic intervention is relevant, feasible and psychologically acceptable to REC applicants; it aids their text production process and seems to enhance the lay-friendliness of these texts.

Expert survey and analysis of the results

2019 ◽  
Vol 85 (7) ◽  
pp. 73-82
Author(s):  
Vladimir O. Tolcheev
Keyword(s):  
Data Analysis ◽  
Research University ◽  
Statistical Processing ◽  
Educational Process ◽  
Expert Survey ◽  
Educational Modules ◽  
Training Modules ◽  
Engineering Institute ◽  
Good Agreement ◽  
Statistical Criteria

The issues of organizing an expert survey and carrying out statistical processing and analysis of the results are considered. The experts are the fifth-year students undergoing training at the Department of Management and Informatics «Moscow Power Engineering Institute» of the National Research University. The goal of the survey is revealing the disciplines that are most useful for employment in their specialty. We discuss the special features of the survey and a concept of «work in the specialty», with due regard for statistical reliability of the results. Data of written questionnaire gained in 2018 were processed and analyzed using cluster analysis (construction of dendrograms and application of the K-means method) and non-parametric statistical criteria (Friedman and Mann – Whitney – Wilcoxon). Data processing is implemented in the program STATISTICA. The analysis is carried out to reveal significant differences between the educational courses and assess the degree of consistency of the respondents to divide them into clusters that unite the students with similar judgments. Data analysis revealed that experts’ estimates in 2018 are in fairly good agreement with the estimates of previous studies; among the respondents there are three coalitions corresponding to the training modules «Software», «Management Theory», «Data Analysis»; the overall consistency of students in the two groups is very low (and, on the contrary, high in the identified clusters); grades are homogeneous and do not depend on training groups (and employment – unemployment of the respondents). The obtained results allow us to address a number of important questions regarding the ways of improving the educational process, e.g., to optimize yearly course hours for different educational modules.

Automated Emission Data Registration and Segmentation for IC Analysis

2016 ◽  
Author(s):  
Franco Stellari ◽  
Peilin Song
Keyword(s):  
Data Analysis ◽  
Registration Accuracy ◽  
Emission Data ◽  
Data Registration ◽  
Different Types ◽  
Test Chips

Abstract In this paper, the development of advanced emission data analysis methodologies for IC debugging and characterization is discussed. Techniques for automated layout to emission registration and data segmentations are proposed and demonstrated using both 22 nm and 14 nm SOI test chips. In particular, gate level registration accuracy is leveraged to compare the emission of different types of gates and quickly create variability maps automatically.

scholarly journals The Doctor as Parent, Partner, Provider… or Comrade? Distribution of Power in Past and Present Models of the Doctor–Patient Relationship

2021 ◽  
Author(s):  
Mani Shutzberg
Keyword(s):  
Patient Relationship ◽  
Sickness Certification ◽  
Doctor Patient Relationship ◽  
Partnership Model ◽  
Distribution Of Power ◽  
Consumer Model ◽  
Patient Relationships ◽  
Point Of Departure

AbstractThe commonly occurring metaphors and models of the doctor–patient relationship can be divided into three clusters, depending on what distribution of power they represent: in the paternalist cluster, power resides with the physician; in the consumer model, power resides with the patient; in the partnership model, power is distributed equally between doctor and patient. Often, this tripartite division is accepted as an exhaustive typology of doctor–patient relationships. The main objective of this paper is to challenge this idea by introducing a fourth possibility and distribution of power, namely, the distribution in which power resides with neither doctor nor patient. This equality in powerlessness—the hallmark of “the age of bureaucratic parsimony”—is the point of departure for a qualitatively new doctor–patient relationship, which is best described in terms of solidarity between comrades. This paper specifies the characteristics of this specific type of solidarity and illustrates it with a case study of how Swedish doctors and patients interrelate in the sickness certification practice.

scholarly journals Health workers’ perspectives on informed consent for caesarean section in Southern Malawi

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wouter Bakker ◽  
Siem Zethof ◽  
Felix Nansongole ◽  
Kelvin Kilowe ◽  
Jos van Roosmalen ◽  
...  
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Health Workers ◽  
Group Discussion ◽  
Legal Protection ◽  
Analytical Framework ◽  
Structured Interviews ◽  
Middle Income ◽  
Partial Disclosure ◽  
Labour Pains

Abstract Objective Informed consent is a prerequisite for caesarean section, the commonest surgical procedure in low- and middle-income settings, but not always acquired to an appropriate extent. Exploring perceptions of health care workers may aid in improving clinical practice around informed consent. We aim to explore health workers’ beliefs and experiences related to principles and practice of informed consent. Methods Qualitative study conducted between January and June 2018 in a rural 150-bed mission hospital in Southern Malawi. Clinical observations, semi-structured interviews and a focus group discussion were used to collect data. Participants were 22 clinical officers, nurse-midwives and midwifery students involved in maternity care. Data were analysed to identify themes and construct an analytical framework. Results Definition and purpose of informed consent revolved around providing information, respecting women’s autonomy and achieving legal protection. Due to fear of blame and litigation, health workers preferred written consent. Written consent requires active participation by the consenting individual and was perceived to transfer liability to that person. A woman’s refusal to provide written informed consent may pose a dilemma for the health worker between doing good and respecting autonomy. To prevent such refusal, health workers said to only partially disclose surgical risks in order to minimize women's anxiety. Commonly perceived barriers to obtain a fully informed consent were labour pains, language barriers, women’s lack of education and their dependency on others to make decisions. Conclusions Health workers are familiar with the principles around informed consent and aware of its advantages, but fear of blame and litigation, partial disclosure of risks and barriers to communication hamper the process of obtaining informed consent. Findings can be used to develop interventions to improve the informed consent process.

scholarly journals Towards Implementation of Big Data Concepts in a Pharmaceutical Company

2020 ◽  
Vol 10 (1) ◽  
pp. 343-356
Author(s):  
Snezana Savoska ◽  
Blagoj Ristevski
Keyword(s):  
Information Technology ◽  
Big Data ◽  
Data Analysis ◽  
Pharmaceutical Company ◽  
Big Data Analytics ◽  
Structured Interviews ◽  
Holistic View ◽  
Analysis Methodology ◽  
Decision Making Processes ◽  
Research Demands

AbstractNowadays, big data is a widely utilized concept that has been spreading quickly in almost every domain. For pharmaceutical companies, using this concept is a challenging task because of the permanent pressure and business demands created through the legal requirements, research demands and standardization that have to be adopted. These legal and standards’ demands are associated with human healthcare safety and drug control that demands continuous and deep data analysis. Companies update their procedures to the particular laws, standards, market demands and regulations all the time by using contemporary information technology. This paper highlights some important aspects of the experience and change methodology used in one Macedonian pharmaceutical company, which has employed information technology solutions that successfully tackle legal and business pressures when dealing with a large amount of data. We used a holistic view and deliverables analysis methodology to gain top-down insights into the possibilities of big data analytics. Also, structured interviews with the company’s managers were used for information collection and proactive methodology with workshops was used in data integration toward the implementation of big data concepts. The paper emphasizes the information and knowledge used in this domain to improve awareness for the needs of big data analysis to achieve a competitive advantage. The main results are focused on systematizing the whole company’s data, information and knowledge and propose a solution that integrates big data to support managers’ decision-making processes.

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