the professional behavior mam ibnouf, frcsed. rationale: with development communities tend to have:...
TRANSCRIPT
The professional behavior
MAM Ibnouf, FRCSEd
Rationale: With development communities tend to
have:1- changes in the Free Market policies, 2- socioeconomic, 3- ethnical, 4- gender and 5- religion diversities. 6- increased interference of the public
press, 7- more awareness of cost effective and
safe services
These have led to great stress and demand for developing new trends toward medical care.
What do you need to know before you join
the hospital staff?
OUTLINES
1- The importance of respect2- How we put this respect into
actions:3- Special emphasis on a- Collaboration b- Honesty c-Evidence for group-work
1- Respect of others
1- You need to know the hospital procedures
2- You need to know what your rights are?3- You need to know what should you
expect?4- You need step by step help. 5-You need a member of hospital staff to
answer your questions and 7- you need to appropriately to answer
your patients’ questions. So, You need to respect all hospital
staff.
2- Patient rights
1- Right to be treated2- “ ”” “” “” in privacy3- “ ”” “” “” to consider their
dignity 4- “ ”” “” “” to consider their
respect5- To be protected against abuse 7- “” “” “” “” harm8- To accept and/or refuse their treatment9- Not to disclose their secrets
10- Rights of the procedures: e.g. The right drug in the right dose in the right site at the right time
Observing these rights will minimize litigations
3- Respect of doctors image
5- You need a guide.6- You need to know about safety: a- your personal safety b- your patient safety, c- the safety of the environment
So,1- So, You need to respect all hospital
staff.2- Wash your hand to protect yourself,
your patient and the environment to be well
respected
4- Health advocacy
7- As a junior, you need to have an advocate for you
and you yourself through your deeds should be an advocate for your patient as well. 8- You need to have some beside you for
support and explaining things. The hospital is a busy place.
So, you need to 3- work in a group. The medical practice is not a single person
show.
5- Professional behaviorself-regulation & lifelong learning1- Dress tidily, talk kindly (avoid nagging
and harsh statements) to be your own advocate to be well respected
2- Be honest, polite and show kindness to others
particularly your patients
3- Show empathy for your patients
3- Dedicate yourself to your a- patients b- professional future
6- Professional behavior
Show due respect to your colleagues, senior doctors, nurses and other workers in the health profession you are going to work in.
Professional behavior Improve your personal image
Unprofessional attitudes:
• 1-Arrogant• 2-greed• 3-misperception• 4-lack of conscience• 5- Impairment• 6- Conflict of interest
7- Professional behavior: teamwork • Be an active and effective
member of your group• The team work reduces
morbidity and mortality• The team members work in an
integrated maner
The effective team
1- Clear purpose2- Good communication3- Mechanisms for resolving conflicts4- Has the patient at the centre of its
focus 5- Has trust on each other faithful
engagement 6- the team coordinate and collaborate
to improve patient care enhance patient safety and reduce staff burnout
The effective team
The professional collaboration of the integrated work of the teams in the hospital and the primary care system, the consultants, junior doctors, sisters. Physiotherapists, etc leads to:
1- Patient satisfaction when morbidities are
reduced2- Public satisfaction3- Members satisfaction 4- improves the inter-professional collaboration5- Better retention of the jobs 6- Justified use of financial resources 7- Fulfillment of the social contract
The evidence
So far there is no enough evidence to support that once you have done something to improve the team work the out come improves because of:
1- The complexity of the inter-professional communication and collaboration2- One of the big challenges is between the
professionals who like to work in integrated inter-disciplinary groups and the policy makers who would like to reduce costs of management and money spent in training
Patient safety
• An emergency case may have a wrong procedure or wrong drug.
• For this patient patients are encouraged to become part of the health care team
Tips to the patients SPEAK UP
1- Speak up with questions and concerns2- Pay attention to the care you are
receiving 3- Educate yourself 4- Ask a friend or a family member to be
your advocate5- Know what medications you take and why6- Use a medical facility committed to safety and quality7- Participate in any and all decisions about
your treatment
The SPEAK UP campaign
Every one has a role in improving the patient condition and safety but the patient involvement in in the health care team according to the centres of Medicare and Medicaid
Apologizing effectively
• If something went wrong:
• The patient and his guardian may feel worried
• What do patients and his guardian want? Patients want to know what is going on
What is the right thing to do?
The right thing is to:1- be honest and tell him and/or
his guardian what happened 2- Explain why it happened3- Apologize for that 4- Tell them what is the next step
to be done
Avoid
1- blaming the others (doctors or nurses)
2- Tell the truth and 3- Tell him you will find out why it
happened and you will feed him back 4- tell him what is the next step
to be done
What is the consequence of apologizing
1- most likely the patient will respect your honesty and will withstand for the next step of management
2- even if he complain the compensation will be much less than when you dismiss your responsibility
3- this is because it is known that medical errors are un-intentional and also it is believed that people who go to medical schools are:
a- intelligent, b- hard working , and c- the community needs their service d- they are just helpers in healing
Honesty Honesty of professions:Annual Gall Pull updates Americans views:Nurses 83%Grade school teachers 74% Pharmacists 71%Military officers 65%Medical doctors 64%Layers 15%Congressmen 9%Car salesmen 5%Lobbyist 5%
USA Today /Gall Poll Nov-Dec 2007
In conclusion
Professionalism: Aspiration towards altruism,
accountability, excellence, duty, service, honour, Integrity (honesty), compassion, self-effacement (self-judgment) and self-sacrifice.
Bioethics
The 4 principles of bioethics: Nonmaeficence
Autonomy: individuals make
their own decisions
Nonmaleficence: Avoid causing
harmJustice:
Benefits and risks should be
fairly distributed
Beneficence: take actions to help others
Do and don’t do
1- Be professionally compassionate and keep a distance for the patient to understand that you are this kind doctor
Avoid to become a friend, he may give you something to influence your decision
2- Do pleasant with parents first then with kids.
Avoid giving children incentives. This may act as the wrong massage.
Do and don’t do
Usually medical staff sustain a lot of stress, and may easily triggered to become angry.
Develop a habit to speak politely Never act in a rude, offence
unprofessional manner
Management of disruptive behaviour
Such incidence may not be passes as isolated incidence
Should be managed as follows: 1- Systematically 2- Collegially 3- Effectively the result you will be saving
a good doctor for a bright future
Management
• Provide periodic feed back• Measure performance against
expectations • Set measures for communication
and performance and expectations
• Appoint excellent physicians