Threats to patient safety in the primary care office: concerns of physicians and nurses

Little is known about primary care professionals' concerns about risks to patient safety.

[Nursing unit: nurses co-ordinating hospital care--an answer to new challenges in acute medicine]

Some patients at university hospital no longer need frequent medical treatment but complex professional nursing care. At University Hospital (Inselspital) Bern a Nursing Unit with six beds was run as a pilot project based on experiences in British Nursing Development Units. The care concept was specifically developed and based on a definition of professional nursing, an evidence-based practice approach, resource oriented self management, and caring. Primary nursing was used, and the primary nurse was responsible for the coordination and steering of patient care. The project was evaluated prospectively. During the pilot phase, 37 patients were cared for on the NU. On average, 85% of the beds were occupied, patients were hospitalized for 21.5 days and had a mean age of 68.9 years. They were older than the University Hospital's average patient, and cases were more complex than the University Hospital's average case. The nurses' experiences were mainly positive. Their enhanced responsibility and the structured care process were seen as a challenge allowing them to enlarge their abilities. With this project, the University Hospital built up innovative services for patients with complex nursing problems. The project showed that well trained nurses can take on more responsibility for this patient group than in the context of conventional care models.

Motivation und Emotion. Allgemeine Psychologie für Bachelor

Ziellos und gefühllos – so wäre unser Leben ohne Motivation und Emotion! Ziele geben unserem Leben Sinn und Struktur, sie treiben uns zu großen Anstrengungen und erstaunlichen Leistungen an. Sie richten unser Verhalten auf die Dinge aus, die uns wichtig sind. – Und was uns wichtig ist, wofür sich die ganze Anstrengung lohnt, das sagen uns unsere Emotionen. Die „Module“ Motivation und Emotion gehören somit zu den spannendsten Fächern der Psychologie und stellen wichtige Grundlageninformationen für die psychologischen Anwendungsfächer zur Verfügung. Dieses Lehrbuch beantwortet die wichtigsten Fragen der Motivations- und Emotionspsychologie kompakt und verständlich.