Objective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service. Methods. Qualitative narrative and thematic analysis. Results. Description of four practice paradigms (EOL transition...

New roles for librarians are emerging as a result of rapid changes in information technology. The literature is replete with controversy about nonprofessionals staffing the reference desk, yet such changes in staffing may provide the time librarians need to do other tasks. This paper describes a research project that examined reference desk staffing in academic medical school libraries and its ...

This research aimed at identifying the knowledge of nurses working in medical and surgical clinics and with burned patients as to psychiatric nursing consultation by means of a semi-structured interview. Care situations considered to be difficult were related to instrumental resources and provision of psychological support. Most of the nurses try to listen to patients' complaints, but they do n...

OBJECTIVES To critically discuss the need for pharmacists to underpin their consultations with appropriate 'clinical empathy' as part of effective medicines optimisation. METHODS Use of literature around empathy, consultation and pharmacy practice to develop a case for greater clinical empathy in pharmacy consultations. KEY FINDINGS Clinical empathy is defined from the literature and applie...

Background In Germany, the proportion of mental health diagnoses in early retirement is currently at 40%, constituting the largest diagnostic group. Due to demographic changes, shortage of qualified staff is an increasing challenge for social insurance funds and the labour market. Work-related stress is known to promote common mental disorders (CMD) like depression, anxiety, functional somatofo...

BACKGROUND With the increasing popularity of chiropractic care in the United States, inter-professional relationships between conventional trained physicians (MDs and DOs) and chiropractors (DCs) will have an expanding impact on patient care. The objectives of this study are to describe the intra-professional referral patterns amongst DCs, describe the inter-professional referral patterns betwe...

BACKGROUND In medical education, teaching methods offering intensive practice without high utilization of faculty resources are needed. We investigated whether simulated patients' (SPs') satisfaction with a consultation could predict professional observers' assessment of young doctors' communication skills. METHODS This was a comparative cross-sectional study of 62 videotaped consultations in...

INTRODUCTION This study examines the delivery of psychiatric consultation services using videoconferencing technology to health and mental health workers in the Nunavut territory of Canada. The research provides insights into the TeleLink Mental Health Program and the delivery of professional-to-professional program consultations and continuing education seminars. METHODS Participant observat...

BACKGROUND The increase in multimorbidity or co-occurring chronic illnesses is a leading healthcare concern. Patients with multimorbidity require ongoing care from many different professionals and agencies, and often report a lack of integrated care. OBJECTIVE To explore the daily help-seeking behaviours of patients with multimorbidity, including which health professionals they seek help from...