74 research outputs found
Exploring the concept of patient centred communication for the pharmacy practice
Background Patient centred communication can improve pharmaceutical care, but is not well described for pharmacists. Aim of the review To provide a comprehensive and accessible overview of the concept of patient centred communication for the pharmacy practice. Method A scoping review and thematic analysis was undertaken to synthesize the extracted data and present it in a model. Results Literature search and selection resulted in eighteen articles. Thematic analysis of the extracted data led to five categories regarding patient centred communication. Two categories refer to phases of a pharmaceutical consultation: (1) shared problem defining and (2) shared decision making; three refer to underlying concepts and assumptions about patient centredness regarding (3) the patient, (4) the pharmacist and (5) the therapeutic relation. The categories were modelled in the so called Utrecht’s Model for Patient centred communication in the Pharmacy. Conclusion Although there might be barriers to implement patient centred communication in the pharmacy, the concept of patient centred communication as described in the literature is relevant for the pharmacy practice
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Determining the future for irradiated graphite disposal
In recent years, proposals have been made for the longterm treatment of radioactive graphite waste which have ranged from sea dumping through incineration to land-based disposal, sometimes preceded by a variable period of 'safe storage' within the original reactor containment. Nuclear regulators are challenging the proposed length of 'safe storage' on the basis that essential knowledge may be lost. More recently, political constraints have further complicated the issue by eliminating disposal at sea and imposing a 'near-zero release' philosophy, while public opinion is opposed to land-based disposal and has induced a continual drive towards minimizing radioactivity release to the environment from disposal. This paper proposes that, despite various international agreements, it is time to review technically all options for disposal of irradiated graphite waste as a framework for the eventual decisionmaking process. It is recognized that the socio-economic and political pressures are high and therefore, given that all currently identified options satisfy the present safety limits, the need to minimize the objective risk is shown to be a minor need in comparison to the public's want of demonstrable control, responsiveness and ability to reverse/change the disposal options in the future. Further, it is shown that the eventual decision-making process for a post-dismantling option for graphite waste must optimize the beneficial attributes of subjective risk experienced by the general public. In addition, in advocating and preferred option to the general public, it is recommended that the industry should communicate at a level commensurate with the public understanding and initiate a process of facilitation which enables the public to arrive at their own solution and constituting a social exchange. Otherwise it is concluded that if the indecision over disposal options is allowed to continue then, by default, graphite will remain in long-term supervised storage
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