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Consent evolved from judge‐made law in Great Britain in 1767. The term informed consent entered the judicial lexicon in 1957. The first court case to articulate a reasonable person standard adopted by the high courts in Canada and Australia was heard in the U.S. in 1972. Today, informed consent continues to develop in four areas: (i) the court‐based doctrines of consent and informed consent in clinical care in judge‐made law; (ii) federal regulations related to research on human study participants; (iii) shared decision making adopted by care organizations and medical societies in the US, Canada, and Europe; and (iv) areas including decision analysis, discourse analysis, ethics, linguistic analysis, patient–physician communication, risk and evidence communication, and social theory. In this paper, we will focus on consent and informed consent in the first part of the twenty‐first century. We will examine a range of information and decision making frameworks from the oldest court‐established frameworks of consent and informed consent to recent conceptions of information and decision making in evidence‐based decision making and shared decision making in the patient–physician relationship. This paper is divided into three parts: I. What informed consent is, II. What informed consent isn't, and III. Future challenges in informed consent and shared decision making. 相似文献
122.
Psychotherapy is a value-laden process because the very notions of therapeutic', 'cure', and 'health' involve patients and therapists in making value choices. Two hierarchies of health values as they apply to therapy are reviewed. The first guides the therapist in setting limits on pathological behavior and constitutes the so-called 6 D's of pathology: destructiveness, dysphoria, disorganization, deviancy, dependency, and disillusionment. The second illuminates the therapist's role-modeling or ideal-setting function and takes the form of a developmental sequence of positive health values, as derived from Kohlberg's work on moral judgment. These health values, from the lowest to the highest forms, are fit-survival, pleasure-seeking, social-belonging, structural duty, adaptive flexibility, and universal commitment. this hierarchy has important implications for understanding the nature of therapeutic changeand the appropriate matching of therapist and patients 相似文献
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This paper attempts to outline the forced migration and consequent flee and displacement of the Rohingya Muslims in Northwestern Arakan State of Myanmar after several violent clashes and insurgencies between the Rohingya Muslims, the Buddhists and government security forces. More than 400,000 Rohingya Muslims have fled from Myanmar in August 2017 violence which has been described as “a textbook example of ethnic cleansing” by United Nations High Commissioner for Human Rights (UNHCHR). Being only visible as “refugee problem” of this mass expatriation, the continuous forced migration and displacement of the Rohingya have been rendered invisible. In this context, this paper attempts a demographic assessment of Rohingya people through historical process of their exclusions and the magnitude of the forced migration to the neighboring countries as illegal, economic burden, stateless migrants. This paper analyses the historical origin of the underlying situation, identity politics, ethnic crisis, and statelessness for better understanding the demographic decline of the Rohingya in this geographic region. Finally, it highlights the international community's responses to this undergoing humanitarian crisis of the Rohingya. 相似文献
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Dina M. Carbonell Ph.D. Helen Z. Reinherz Sc.D. William R. Beardslee MD 《Child and Adolescent Social Work Journal》2005,22(5-6):395-416
Emerging adulthood is a time of great possibility and of considerable risk. This qualitative study explored the adaptation and coping strategies used over time by twenty-five emerging adults. Respondents were selected from a longitudinal community study cohort of 26-year-olds and had experienced adversity in early life. Participants mentioned using a variety of strategies, such as active evasion, seeking support, and “letting go,” in order to cope with difficulties. These strategies varied by context and according to respondents’ developmental level at the time of the adversity. Flexibility in understanding life circumstances and in choosing coping strategies to deal with specific adversities was noted as beneficial through childhood, adolescence, and emerging adulthood. 相似文献
126.
Abstract More than 130 million women are subjected to genital mutilation. Despite increasing efforts to reduce the practice, there are many obstacles to eliminating this 2,000-year-old practice, which is based on strong cultural traditions. As college health clinicians provide care to more international students from countries where female genital mutilation is performed, increased awareness and knowledge of the procedure will enable clinicians to understand and manage its complications. We report a case of obstructive uropathy resulting in hydronephrosis secondary to female genital mutilation and review the medical literature regarding this and other complications of genital mutilation “surgery.” 相似文献
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Connie Crihfield MSN RN CS Ted W. Grace MD MPH 《Journal of American college health : J of ACH》2013,61(6):470-476
Abstract Almost from the beginning of formal college health programs in the second half of the 19th century, college health nurses were there to care for students in college and university settings. By the end of the 20th century, the role of college health nurses had evolved with the nursing field in general, but with enough unique features for the American Nurses’ Credentialing Center to recognize college health nursing as a professional subspecialty and administer the first College Health Nurse Certification examinations. In addition, new nurse practitioner programs provided practicing nurses with more independence, and their duties continued to expand beyond care of the sick to include health promotion, administrative, and teaching activities. As a result of these changes, college health nurses now play a larger role in the life of students and promoting a healthy campus community than ever before in the history of college health. 相似文献
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David P. Kraft MD 《Journal of American college health : J of ACH》2013,61(4):186-187
Abstract Gerald Amada. Coping With the Disruptive College Student: A Practical Model. Asheville, NC: College Administration Publications. 1994. 110 pps. $14.95. 相似文献
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The author sought to identify differences in kinship social support, self-esteem, and coping responses between African American college students who identify themselves as adult children of alcoholics (ACOAs) and adult children of nonalcoholics (non-ACOAs) at 2 separate universities. The results indicate that there were no differences in levels of self-esteem, kinship social support, and coping responses among ACOAs and non-ACOAs. The author addresses implications for practice, policy, and research. 相似文献
130.