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[PMID]:28462487
[Au] Autor:Manfro AG; Pan PM; Gadelha A; Fleck M; do Rosário MC; Cogo-Moreira H; Affonseca-Bressan R; Mari J; Miguel EC; Rohde LA; Salum GA
[Ad] Endereço:Section on Negative Affect and Social Processes, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2350, Clinical Research Center, 6th floor, Porto Alegre, 90035-903, Brazil. agmanfro@gmail.com.
[Ti] Título:Psychopathology and friendship in children and adolescents: disentangling the role of co-occurring symptom domains with serial mediation models.
[So] Source:Eur Child Adolesc Psychiatry;26(11):1377-1386, 2017 Nov.
[Is] ISSN:1435-165X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The consolidation of social friendship groups is a vital part of human development. The objective of this study is to understand the direct and indirect influences of three major symptomatic domains-emotional, hyperkinetic, and conduct-on friendship. Specifically, we aim to study if the associations of one domain with friendship may be mediated by co-occurring symptoms from another domain. A total of 2512 subjects aged 6-14 years participated in this study. Friendship was evaluated by the Development and Well-Being Assessment's friendship section. We evaluated two main constructs as outcomes: (1) social isolation and (2) friendship latent construct. Emotional, hyperkinetic, and conduct symptomatic domains were evaluated with the Strengths and Difficulties Questionnaire (SDQ). All SDQ domains were positively associated with social isolation and negatively associated with friendship latent construct in univariate analysis. However, serial mediation models showed that the association between conduct domains with social isolation was mediated by emotion and hyperkinetic domains. Moreover, the associations between emotional and hyperkinetic domains with friendship latent construct in non-isolated children were mediated by the conduct domain. Emotion and hyperkinetic domains were directly and indirectly associated with social isolation, whereas conduct was directly and indirectly associated with overall friendship in non-isolated children. Results suggest that interventions aimed to improve social life in childhood and adolescence may have stronger effects if directed towards the treatment of emotion and hyperkinetic symptoms in socially isolated children and directed towards the treatment of conduct symptoms in children with fragile social connections.
[Mh] Termos MeSH primário: Amigos/psicologia
Negociação/psicologia
Psicopatologia/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1007/s00787-017-0993-z


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[PMID]:29195529
[Au] Autor:Zealand R; Larkin D; Shron M
[Ad] Endereço:Education Department, School of Arts and Sciences, The College of New Rochelle, New Rochelle, New York, USA.
[Ti] Título:Building Relationship-Based Care Among Nurses: A Holistic, Exploratory Project.
[So] Source:Creat Nurs;22(3):185-195, 2016 Aug 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this exploratory project, efforts were made to strengthen a relationship-centered, caring milieu to improve communication among nursing staff and to help nurses identify and constructively resolve conflicts. Eighteen interactive workshops addressed communication patterns and helped participants identify causes of conflict, facilitate dialogue, improve collaboration, and resolve workplace conflict. The experiential workshops were analyzed with pre- and post-surveys. Participants perceived as individual and team members that it was less important to like one's colleagues and more important to be committed to the same purpose/goals. Individuals noted the value of respect for each other, regardless of title or position. They reported feeling more hopeful regarding work and that practicing tactics to address conflicts made it easier to confront others when the team goal was clear and shared. They indicated a desire to continue to build on conflict resolution, mediation, stress management, and mindfulness skills.
[Mh] Termos MeSH primário: Comunicação
Negociação/psicologia
Relações Enfermeiro-Paciente
Cuidados de Enfermagem/psicologia
Recursos Humanos de Enfermagem no Hospital/educação
Recursos Humanos de Enfermagem no Hospital/psicologia
Assistência Centrada no Paciente/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Conflito (Psicologia)
Comportamento Cooperativo
Currículo
Feminino
Enfermagem Holística/métodos
Seres Humanos
Satisfação no Emprego
Masculino
Meia-Idade
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.3.185


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[PMID]:29251848
[Au] Autor:Richards D
[Ti] Título:TESTED TO THE LIMITS.
[So] Source:Aust Nurs Midwifery J;24(6):17, 2016 12.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:For nurses and midwives, every new round of collective bargaining for the next enterprise agreement involves another series of tough negotiations and, more often than not, members take some form of industrial action in support of their claims to achieve a fair and reasonable outcome.
[Mh] Termos MeSH primário: Negociação Coletiva
Recursos Humanos de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
Negociação
Sociedades de Enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:28455429
[Au] Autor:Torjesen I
[Ad] Endereço:London.
[Ti] Título:MPs raise concern that health department is not prepared for Brexit negotiations.
[So] Source:BMJ;357:j2094, 2017 04 28.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: União Europeia
Política
Medicina Estatal
[Mh] Termos MeSH secundário: Assistência à Saúde
Seres Humanos
Negociação
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2094


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[PMID]:29280372
[Ti] Título:The International Health Regulations (IHR) ­ 10 years of global public health security.
[Ti] Título:Le Règlement sanitaire international (RSI) ­ 10 ans de sécurité sanitaire mondiale..
[So] Source:Wkly Epidemiol Rec;92(51-52):781-3, 2017 Dec 22.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Saúde Global
Cooperação Internacional/legislação & jurisprudência
Direito Internacional
Organização Mundial da Saúde
[Mh] Termos MeSH secundário: Apoio Financeiro
Negociação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


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[PMID]:29065028
[Au] Autor:Bochatay N; Bajwa NM; Cullati S; Muller-Juge V; Blondon KS; Junod Perron N; Maître F; Chopard P; Vu NV; Kim S; Savoldelli GL; Hudelson P; Nendaz MR
[Ad] Endereço:N. Bochatay is a research assistant, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, and PhD candidate, Institute of Sociological Research, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-6098-4262. N.M. Bajwa is residency program director, Department of General Pediatrics, Children's Hospital, University Hospitals of Geneva, and faculty member, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-1445-4594. S. Cullati is a medical sociologist, Quality of Care Unit, Medical Directorate, University Hospitals of Geneva, and Institute of Sociological Research, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-3881-446X. V. Muller-Juge is a scientific collaborator, Unit of Primary Care (UIGP), Faculty of Medicine, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-2346-8904. K.S. Blondon is junior faculty, Medical Directorate, University Hospitals of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-9407-8516. N. Junod Perron is coordinator, Institute of Primary Care, University Hospitals of Geneva, and faculty member, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-9124-8663. F. Maître is quality officer, Division of General Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland. P. Chopard is director, Quality of Care Unit, Medical Directorate, University Hospitals of Geneva, Geneva, Switzerland. N.V. Vu is emeritus professor, Faculty of Medicine, University of Geneva, Geneva, Switzerland. S. Kim is research professor, Department of Surgery, School of Medicine, University of Washington, Seattle, Washington. G.L. Savoldelli is associate professor and attending physician, Division of Anesthesiology, University Hospitals of Geneva, and Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-8968-6920. P. Hudelson is a medical anthropologist, Department of Community Medicine, Primary Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland. M.R. Nendaz is full professor and director, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, and attending physician, Division of General Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0003-3795-3254.
[Ti] Título:A Multilevel Analysis of Professional Conflicts in Health Care Teams: Insight for Future Training.
[So] Source:Acad Med;92(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 56th Annual Research in Medical Education Sessions):S84-S92, 2017 Nov.
[Is] ISSN:1938-808X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Without a proper understanding of conflict between health care professionals, designing effective conflict management training programs for trainees that reflect the complexity of the clinical working environment is difficult. To better inform the development of conflict management training, this study sought to explore health care professionals' experiences of conflicts and their characteristics. METHOD: Between 2014 and early 2016, 82 semistructured interviews were conducted with health care professionals directly involved in first-line patient care in four departments of the University Hospitals of Geneva. These professionals included residents, fellows, certified nursing assistants, nurses, and nurse supervisors. All interviews were transcribed verbatim, and conventional content analysis was used to derive conflict characteristics. RESULTS: Six conflict sources were identified. Among these sources, disagreements on patient care tended to be the primary trigger of conflict, whereas sources related to communication contributed to conflict escalation without directly triggering conflict. A framework of workplace conflict that integrates its multidimensional and cyclical nature was subsequently developed. This framework suggests that conflict consequences and responses are interrelated, and might generate further tensions that could affect health care professionals, teams, and organizations, as well as patient care. Findings also indicated that supervisors' responses to contentious situations often failed to meet health care professionals' expectations. CONCLUSIONS: Understanding conflicts between health care professionals involves several interrelated dimensions, such as sources, consequences, and responses to conflict. There is a need to strengthen health care professionals' ability to identify and respond to conflict and to further develop conflict management programs for clinical supervisors.
[Mh] Termos MeSH primário: Comunicação
Dissidências e Disputas
Relações Interprofissionais
Corpo Clínico Hospitalar
Negociação
Enfermeiras e Enfermeiros
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Análise Multinível
Enfermeiras Administradoras
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE
[do] DOI:10.1097/ACM.0000000000001912


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[PMID]:29052704
[Au] Autor:Moore J; Bismark M; Mello MM
[Ad] Endereço:Faculty of Law, University of New South Wales, Sydney, Australia.
[Ti] Título:Patients' Experiences With Communication-and-Resolution Programs After Medical Injury.
[So] Source:JAMA Intern Med;177(11):1595-1603, 2017 Nov 01.
[Is] ISSN:2168-6114
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Dissatisfaction with medical malpractice litigation has stimulated interest by health care organizations in developing alternatives to meet patients' needs after medical injury. In communication-and-resolution programs (CRPs), hospitals and liability insurers communicate with patients about adverse events, use investigation findings to improve patient safety, and offer compensation when substandard care caused harm. Despite increasing interest in this approach, little is known about patients' and family members' experiences with CRPs. Objective: To explore the experiences of patients and family members with medical injuries and CRPs to understand different aspects of institutional responses to injury that promoted and impeded reconciliation. Design, Setting, and Participants: From January 6 through June 30, 2016, semistructured interviews were conducted with patients (n = 27), family members (n = 3), and staff (n = 10) at 3 US hospitals that operate CRPs. Patients and families were eligible for participation if they experienced a CRP, spoke English, and could no longer file a malpractice claim because they had accepted a settlement or the statute of limitations had expired. The CRP administrators identified hospital and insurer staff who had been involved in a CRP event and had a close relationship with the injured patient and/or family. They identified patients and families by applying the inclusion criteria to their CRP databases. Of 66 possible participants, 40 interviews (61%) were completed, including 30 of 50 invited patients and families (60%) and 10 of 16 invited staff (63%). Main Outcomes and Measures: Patients' reported satisfaction with disclosure and reconciliation efforts made by hospitals. Results: A total of 40 participants completed interviews (15 men and 25 women; mean [range] age, 46 [18-67] years). Among the 30 patients and family members interviewed, 27 patients experienced injuries attributed to error and received compensation. The CRP experience was positive overall for 18 of the 30 patients and family members, and 18 patients continued to receive care at the hospital. Satisfaction was highest when communications were empathetic and nonadversarial, including compensation negotiations. Patients and families expressed a strong need to be heard and expected the attending physician to listen without interrupting during conversations about the event. Thirty-five of the 40 respondents believed that including plaintiffs' attorneys in these discussions was helpful. Sixteen of the 30 patients and family members deemed their compensation to be adequate but 17 reported that the offer was not sufficiently proactive. Patients and families strongly desired to know what the hospital did to prevent recurrences of the event, but 24 of 30 reported receiving no information about safety improvement efforts. Conclusions and Relevance: As hospitals strive to provide more patient-centered care, opportunities exist to improve institutional responses to injuries and promote reconciliation.
[Mh] Termos MeSH primário: Comunicação
Família/psicologia
Hospitais
Doença Iatrogênica
Segurança do Paciente
Assistência Centrada no Paciente/organização & administração
Pacientes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Compensação e Reparação
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Negociação
Avaliação de Processos e Resultados (Cuidados de Saúde)
Gestão de Riscos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171021
[St] Status:MEDLINE
[do] DOI:10.1001/jamainternmed.2017.4002


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[PMID]:28899277
[Au] Autor:Kritek PB
[Ad] Endereço:1 Consultant and Trainer, Conflict Engagement; Professor and Archbishop Joseph Fiorenza Chair in Nursing, University of St. Thomas Carol and Odis Peavy School of Nursing.
[Ti] Título:Reflections on Moral Courage.
[So] Source:Nurs Sci Q;30(3):218-222, 2017 Jul.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The author presents her reflections on the concept of moral courage that have evolved from her life's work in the area of conflict and conflict resolution. Her profound analysis uncovers issues behind nursing's collective silence when action may be needed.
[Mh] Termos MeSH primário: Coragem
Ética em Enfermagem
Princípios Morais
[Mh] Termos MeSH secundário: Seres Humanos
Negociação
Papel do Profissional de Enfermagem/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417708420


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[PMID]:28786988
[Au] Autor:Halko ML; Miettinen T
[Ad] Endereço:Department of Political and Economic Studies, University of Helsinki, Helsinki, Finland.
[Ti] Título:From ideals to deals-The effect of impartiality experience on stakeholder behavior.
[So] Source:PLoS One;12(8):e0182263, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this paper, we study a two-party pie-sharing problem in the presence of asymmetries in the stakeholders' private endowments. Both the two stakeholders and third-party arbitrators may influence the outcome. We consider Nash-demand negotiations, where the two stakeholders place demands and share the pie accordingly if demands are compatible, and elicit dictatorial allocations from the stakeholders and the arbitrators. The Nash demands by stakeholders are strategic; the dictatorial allocations by stakeholders and arbitrators are non-strategic. We are interested in the influence of the past arbitrator experience on stakeholder allocations and demands and the past stakeholder experience on third-party arbitration allocations. We find that the ex-arbitrators' stakeholder allocations differ more from the impartial ideal than the stakeholder allocations by those without arbitration experience. In contrast with previous findings, the arbitration outcomes do not depend on the asymmetries in the previous stakeholder roles.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Negociação
[Mh] Termos MeSH secundário: Conflito (Psicologia)
Jogos Experimentais
Seres Humanos
Julgamento
Modelos Psicológicos
Distribuição Aleatória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182263


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[PMID]:28632597
[Au] Autor:Clohisy DR; Yaszemski MJ; Lipman J
[Ad] Endereço:1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota 2Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 3Gannett Co., Inc., McLean, Virginia.
[Ti] Título:Leadership, Communication, and Negotiation Across a Diverse Workforce*: An AOA Critical Issues Symposium.
[So] Source:J Bone Joint Surg Am;99(12):e60, 2017 Jun 21.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The current workforce in the United States is rapidly changing and is increasingly inclusive of individuals from a broad range of ages, ethnicities, and cultural backgrounds. Engaging and leading a diverse workforce creates great opportunities for innovation and adaptation in our evolving medical economic and clinical care delivery environment. For optimal engagement of employees and partners, orthopaedic surgeons must develop the necessary skills for executing change inside complex organizations and across teams composed of a variety of providers and skilled workers. Important skills include leadership, effective communication, and negotiation within an ever-changing employee milieu. Understanding generalizable differences between age-based generations can increase the effectiveness of one's strategies to execute change and increase organizational performance. One of the greatest impediments to effective communication and negotiations that all leaders face is unconscious bias. For leaders, even the tiniest unconscious biases have an outsized impact. Common domains that harbor unconscious bias include sex, race, and ethnicity. Addressing unconscious bias begins with developing awareness and then deploying various tactics that might include equity in compensation, promotion, and "being heard." Effective negotiation skills also are essential to lead a diverse workforce and develop a successful organization. The most basic goal in any negotiation should be to establish a relationship (or deepen an existing relationship) while seeking an agreement that provides win-win opportunities for all parties. To effectively achieve a win-win scenario, leaders must recognize and address their tendency to interpret others' behaviors, values, and beliefs through the lens of their own beliefs and experiences. Finally, and fortunately, there is a set of leader attributes that transcends the generational differences and diversity that is encountered in the workplace. These attributes include integrity, credibility, effective listening, having a vision of your destination, fairness, humility, and caring.
[Mh] Termos MeSH primário: Emprego/estatística & dados numéricos
Liderança
Ortopedia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Atitude do Pessoal de Saúde
Comunicação
Congressos como Assunto
Feminino
Recursos Humanos em Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Negociação
Ortopedia/tendências
Estados Unidos
Local de Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.00792



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