GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Facilitating and motivating factors for reporting reprehensible conduct in care: A study among nurse practitioners and physician assistants in the Netherlands
    Wiley ; 2021
    In:  Journal of Evaluation in Clinical Practice Vol. 27, No. 4 ( 2021-08), p. 776-784
    Details
    In: Journal of Evaluation in Clinical Practice, Wiley, Vol. 27, No. 4 ( 2021-08), p. 776-784
    Abstract: The aims of this study are as follows: (a) to establish whether a relationship exists between the importance that healthcare professionals attach to ethics in care and their likelihood to report reprehensible conduct committed by colleagues, and (b) to assess whether this relationship is moderated by behavioural control targeted at preventing harm. Method In this cross‐sectional study, which was based on a convenience sample (n = 155) of nurse practitioners (NPs) and physician assistants (PAs) in the Netherlands, we measured ethics advocacy (EA) as a motivating factor (reflecting the importance that healthcare professionals attach to ethics and care) and “behavioral control targeted at preventing harm” (BCPH) as a facilitating factor. “Reporting reprehensible conduct” (RRC) was measured as a context‐specific indicator of whistleblowing intentions, consisting of two vignettes describing morally questionable behaviour committed by colleagues. Results The propensity to report reprehensible conduct was a function of the interaction between EA and BCPH. The only group for which EA predicted RRC consisted of individuals with above‐average levels of perceived BCPH. Conclusion The results suggest that the importance that healthcare professionals attach to ethical aspects in care is not sufficient to ensure that they will report reprehensible conduct. Such importance does not induce reporting behaviour unless the professionals also perceive themselves as having a high level of BCPH. We suggest that these insights could be helpful in training healthcare providers to cope with ethical dilemmas that they are likely to encounter in their work.
    Type of Medium: Online Resource
    ISSN: 1356-1294 , 1365-2753
    URL: Issue
    URL: Article
    DOI: 10.1111/jep.v27.4
    DOI: 10.1111/jep.13462
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2006772-0
    detail.hit.zdb_id: 1327355-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Patient satisfaction with PAs in the Netherlands
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  JAAPA Vol. 30, No. 5 ( 2017-05), p. 1-6
    Details
    In: JAAPA, Ovid Technologies (Wolters Kluwer Health), Vol. 30, No. 5 ( 2017-05), p. 1-6
    Abstract: Physician assistants (PAs) were introduced in the Netherlands in 2002 and are now widely deployed. However, little is known about patient satisfaction with Dutch PAs. A comparative study of patient satisfaction was undertaken in the primary care setting. Patients seen by general practitioners (GPs) and PAs were surveyed using the Consumer Quality Index, a European quality survey instrument. Quality of performance indicators included patient satisfaction, effectiveness of treatment, and safety of treatment. The results found that few differences emerged, and Dutch patients appear to be as satisfied with the care received by PAs as with GPs.
    Type of Medium: Online Resource
    ISSN: 1547-1896
    URL: Article
    DOI: 10.1097/01.JAA.0000515551.99355.c8
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2415226-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    The predictive values of a deliberative and a paternalistic attitude towards two situations of moral conflict: A study among Dutch nurse practitioners and physician assistants
    Wiley ; 2022
    In:  Scandinavian Journal of Caring Sciences Vol. 36, No. 3 ( 2022-09), p. 863-873
    Details
    In: Scandinavian Journal of Caring Sciences, Wiley, Vol. 36, No. 3 ( 2022-09), p. 863-873
    Abstract: In this study, we examined the predictive values of a moral deliberate and paternalistic attitude on the propensity of yielding to pressure. In these hypothesised positive and negative relationships, we further sought to ascertain whether moral disengagement plays a pivotal role when individuals deviate from ethical standards, rules and regulations when yielding to pressure. Aim(s) This study's primary aim was to assess the predictive value of a moral deliberative and paternalistic attitude for yielding to pressure when physician assistants (PAs) and nurse practitioners (NPs) face moral conflicts. Method This validation study was cross‐sectional and based on a convenience sample of Dutch PAs and NPs. The MSQ‐DELIB and MSQ‐PATER scales indicate a moral deliberate or paternalistic attitude. These scales were assumed to have a predictive value towards the degree of yielding to pressure by PAs and NPs. Yielding to pressure was measured by two vignettes in which respondents faced a moral conflict (vignette 1: prescribing unindicated antibiotics and vignette 2: discharging a difficult patient from the hospital). Results Only moral deliberation was a significant predictor of yielding to pressure. That is, we found a positive effect in vignette 1 (in which the pressure came from the patient). In contrast, we found a negative relationship in vignette 2 (in which pressure went from the working environment). Paternalism did not affect yielding to pressure in either vignette. Conclusion This study suggests that PAs and NPs having a moral deliberative attitude makes them receptive to pressure exerted by patients to break moral standards. On the other hand, they are more resilient against doing so when this pressure comes from different sources than the patient. Further research is needed to find more conclusive evidence for this differential effect.
    Type of Medium: Online Resource
    ISSN: 0283-9318 , 1471-6712
    URL: Issue
    URL: Article
    DOI: 10.1111/scs.v36.3
    DOI: 10.1111/scs.13029
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 639217-9
    detail.hit.zdb_id: 2031090-0
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Re‐assessing the validity of the Moral Sensitivity Questionnaire (MSQ): Two new scales for moral deliberation and paternalism
    Wiley ; 2020
    In:  Journal of Evaluation in Clinical Practice Vol. 26, No. 2 ( 2020-04), p. 659-669
    Details
    In: Journal of Evaluation in Clinical Practice, Wiley, Vol. 26, No. 2 ( 2020-04), p. 659-669
    Abstract: The current study and previous research have called the six‐component model of Lützen's 30‐item Moral Sensitivity Questionnaire (MSQ) into question. For this reason, we re‐examined the construct validity of this instrument. Methods In this cross‐sectional study, which was based on a convenience sample of Dutch nurse practitioners (NPs) and physician assistants (PAs), we tested the validity of MSQ items using exploratory and confirmatory factor analyses (EFA and CFA, respectively). Results The EFA revealed a two‐component model, which was then tested as a target model with CFA and was found to have good model fit. Some items were correlated with two uncorrelated latent constructs, which we labelled as “paternalistic” and “deliberate” attitudes towards patients. Conclusions As in previous studies, the analyses in the current study, which was conducted among PAs and NPs, did not reveal six dimensions for the 30 items. Two new latent dimensions of moral sensitivity were psychometrically tested and confirmed. These two components relate to studies investigating ethical behaviour, and they can be used to describe the moral climate in healthcare organizations. The scales are indicators of the extent to which health professionals behave in a deliberate (sensitive) or paternalistic (insensitive) manner towards the opinions of patients within the context of medical decision‐making.
    Type of Medium: Online Resource
    ISSN: 1356-1294 , 1365-2753
    URL: Issue
    URL: Article
    DOI: 10.1111/jep.v26.2
    DOI: 10.1111/jep.13353
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2006772-0
    detail.hit.zdb_id: 1327355-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    The Fate of Entrustable Professional Activities After Graduation: A Survey Study Among Graduated Physician Assistants
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Journal of Continuing Education in the Health Professions Vol. 43, No. 1 ( 2023), p. 28-33
    Details
    In: Journal of Continuing Education in the Health Professions, Ovid Technologies (Wolters Kluwer Health), Vol. 43, No. 1 ( 2023), p. 28-33
    Abstract: Entrustable professional activities (EPAs) are used during training but may also have significance after graduation. This domain has not yet been much explored. We investigated the use of EPAs among alumni of Master Physician Assistant programs in the Netherlands, where EPAs have been used since 2010. We aim to describe if and how EPAs have a role after graduation. Are EPAs used for continuous entrustment decisions or when shifting work settings? Methods: In September 2020, all registered Dutch physician assistants (PAs) ( n = 1441) were invited to participate in a voluntary, anonymous survey focusing on the use of EPAs after graduation. Survey items included questions regarding the use and usefulness of EPAs, views on continuous entrustment decisions, and how PAs document their competence. Results: A total of 421 PAs (response rate 29%) yielded information about the significance of EPAs after training. Among the respondents, 60% ( n = 252) reported adding new competencies and skills after graduation. One-third ( n = 120) of the respondents were trained in EPA-based programs. Almost all EPA-trained PAs (96%; n = 103) considered the EPA structure suitable to maintain and renew entrustment. Furthermore, PAs reported continued use of the EPA framework to seek formal qualifications through entrustment decisions. Conclusion: This study shows that EPAs can play an ongoing role for PAs after graduation. EPA-trained PAs overwhelmingly support the continuous use of the EPA framework for entrustment decisions from graduation until retirement.
    Type of Medium: Online Resource
    ISSN: 0894-1912 , 1554-558X
    URL: Article
    DOI: 10.1097/CEH.0000000000000467
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 639445-0
    detail.hit.zdb_id: 2069156-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    Commentaries on health services research
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  JAAPA Vol. 30, No. 12 ( 2017-12), p. 52-54
    Details
    In: JAAPA, Ovid Technologies (Wolters Kluwer Health), Vol. 30, No. 12 ( 2017-12), p. 52-54
    Type of Medium: Online Resource
    ISSN: 1547-1896
    URL: Article
    DOI: 10.1097/01.JAA.0000526788.49895.c8
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2415226-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Commentaries on health services research
    Ovid Technologies (Wolters Kluwer Health) ; 2014
    In:  Journal of the American Academy of Physician Assistants Vol. 27, No. 9 ( 2014-09), p. 1-2
    Details
    In: Journal of the American Academy of Physician Assistants, Ovid Technologies (Wolters Kluwer Health), Vol. 27, No. 9 ( 2014-09), p. 1-2
    Type of Medium: Online Resource
    ISSN: 1547-1896
    URL: Article
    DOI: 10.1097/01.JAA.0000453248.53463.72
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2014
    detail.hit.zdb_id: 2415226-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    Letters to the Editor
    Ovid Technologies (Wolters Kluwer Health) ; 2016
    In:  JAAPA Vol. 29, No. 10 ( 2016-10), p. 1-2
    Details
    In: JAAPA, Ovid Technologies (Wolters Kluwer Health), Vol. 29, No. 10 ( 2016-10), p. 1-2
    Type of Medium: Online Resource
    ISSN: 1547-1896
    URL: Article
    DOI: 10.1097/01.JAA.0000496971.39290.07
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2016
    detail.hit.zdb_id: 2415226-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    Commentaries on health services research
    Ovid Technologies (Wolters Kluwer Health) ; 2014
    In:  Journal of the American Academy of Physician Assistants Vol. 27, No. 1 ( 2014-01), p. 53-54
    Details
    In: Journal of the American Academy of Physician Assistants, Ovid Technologies (Wolters Kluwer Health), Vol. 27, No. 1 ( 2014-01), p. 53-54
    Type of Medium: Online Resource
    ISSN: 1547-1896
    URL: Article
    DOI: 10.1097/01.JAA.0000437817.30785.70
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2014
    detail.hit.zdb_id: 2415226-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 10
    Online Resource
    Online Resource
    Physician Assistant Education in Germany
    Ovid Technologies (Wolters Kluwer Health) ; 2013
    In:  The Journal of Physician Assistant Education Vol. 24, No. 2 ( 2013), p. 38-41
    Details
    In: The Journal of Physician Assistant Education, Ovid Technologies (Wolters Kluwer Health), Vol. 24, No. 2 ( 2013), p. 38-41
    Type of Medium: Online Resource
    ISSN: 1941-9430
    URL: Article
    DOI: 10.1097/01367895-201324020-00009
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2013
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...