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Query: UMLS:C0085632 (apathy)
 4,089 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This qualitative study looked at the value of appraisal for nurses. It was conducted with clinical staff in one health district at a time when the NHS was in the middle of the drives towards efficiency and effectiveness. Although participants in the study identified ways in which appraisal could help them in their work, they also highlighted a culture of suspicion and indifference that limited their effectiveness. The findings of the research emphasise the value of, and need for, appraisal for nurses, and offer suggestions for methods of ensuring success in the enterprise.
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PMID:Reflections on performance. 923 59

The authors have combined experience of over forty years working within the NHS and private hospitals as registered operating department practitioners. It is widely accepted that obesity is a growing problem in the populations of all developed and, increasingly, developing countries. It is also agreed that this sector of the population present specific challenges when required to undergo general anaesthesia. What is not so evident is a universal approach to assessing, predicting and overcoming these challenges. Furthermore, where there is the presentation of a clearly high risk patient, there can be limitations in optimizing the environment for reasons such as saving time, a lack of resources or sheer apathy. This article reviews the challenges, assessment and solutions available to the clinician faced with a high BMI patient with particular reference to the technique of ramping.
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PMID:The obese patient. Anaesthetic issues: airway and positioning. 2086 Jan 90

The Ombudsman's (2011) report is a chastening reminder that the NHS does not always succeed in upholding the values of care and compassion in its delivery of care. The ten case studies lay bare the poor attitudes and indifference of both individual practitioners and organizations towards older people when they are at their most vulnerable; a time when they need a supportive environment and high-quality health care that respects their individuality. Of course, no amount of protocols and dictats alone can guarantee high-quality medical treatment, good communication with shared decision-making, and 'treasuring' of individuals regardless of age. Individual practitioners need to champion the core values of their profession, and shame those who do not demonstrate them in their everyday practice. Sadly, nine of the ten case studies relate to care at the end of a patient's life, leaving an enduring legacy of regret with their families.
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PMID:Location of end-of-life care. 2137 59

Speaking of the public response to the deaths of children at the Bristol Royal Infirmary before 2001, the BMJ commented that the NHS would be 'all changed, changed utterly'. Today, two inquiries into the Mid Staffordshire Foundation Trust suggest nothing changed at all. Many patients died as a result of their care and the stories of indifference and neglect there are harrowing. Yet Bristol and Mid Staffordshire are not isolated reports. In 2011, the Health Services Ombudsman reported on the care of elderly and frail patients in the NHS and found a failure to recognise their humanity and individuality and to respond to them with sensitivity, compassion and professionalism. Likewise, the Care Quality Commission and Healthcare Commission received complaints from patients and relatives about the quality of nursing care. These included patients not being fed, patients left in soiled bedding, poor hygiene practices, and general disregard for privacy and dignity. Why is there such tolerance of poor clinical standards? We need a better understanding of the circumstances that can lead to these outcomes and how best to respond to them. We discuss the findings of these and other reports and consider whether attention should be devoted to managing individual behaviour, or focus on the systemic influences which predispose hospital staff to behave in this way. Lastly, we consider whether we should look further afield to cognitive psychology to better understand how clinicians and managers make decisions?
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PMID:Culture, compassion and clinical neglect: probity in the NHS after Mid Staffordshire. 2439 38

A new report from the Kings Fund raises questions over the ability of nurses to take on leadership positions. Nursing, it says, needs people who can 'inspire, move, energise and enthuse others'. They're wonderful words, enough in themselves to exorcise the lethargy and apathy that has taken hold of nurse managers. It's a sort of 'get up and go' report, full of glorious adjectives that one could only wish applied to NHS leaders - not just nurses.
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PMID:Verve, vision and vitality. 2765 95

The second group of NHS trusts was set to gain foundation status this month amid claims that the initiative is beleaguered by apathy.
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PMID:Apathy over foundation status 'infects' staff. 2771 50