Journal of evaluation in clinical practice
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Perform sound decisions making while operating is crucial to the success of surgical procedures. The bewildering to choose the preferred mode of decision-making during a surgical procedure is regularly observed. This study was aimed to assess the mode of decision-making approach in surgical procedures among women who have undergone obstetrics and gynaecologic surgeries, Jimma, Ethiopia 2020. ⋯ In the study, the shared decision-making was inadequate and not in line with recent recommendation guidelines. The paternalism mode of decision-making was still practice. Build patient-health care providers' relationship is vital for promoting and advance the patients' autonomy on the decision-making approach. The healthcare providers should be motive for collaborative decision-making with the patient.
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Optimizing the monitoring of peripheral venous catheters is essential. We developed a nursing record system at bedside (Patient Smart Reader) to track peripheral venous catheter acts. ⋯ Binding communication provides an effective method for changing nurses' behaviours in terms of safe care. The determinants of engagement (individual vs collective) can be indicators for defining future communication and training strategies in care centers for all health care workers.
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This paper addresses an ontological question about the nature of health and challenges some underpinning assumptions in western healthcare. In its analysis, health in its various statuses, is framed as a naturally occurring complex adaptive system made up of dynamically interacting subsystems that include the physiological, psychological, and social realms. Furthermore, openness in complex systems such as health, is necessary for the exchange of energy, information, and resources. ⋯ This paper draws on the complexity sciences and Levinasian philosophy to explicate the essential role of system openness in individual, population, and systemic viability. It highlights holism to be "not whole-ism", and system openness to be, not just a reality, but a critical feature of viability. Hence requisite openness is advocated as essential to efficacious and ethical healthcare practice and strategy, and vital for health.