Suchergebnisse

Record keeping is an essential part of a nurse's role and can have both ethical and legal implications; however, common errors and omissions persist. This article is part four in a series on professionalism and, as well as exploring good record keeping, it discusses patient consent and capacity. Consent can be informed, implied, verbal or written, depending on the situation, and must be documented in the patient's notes. Capacity legislation must be followed to ensure a patient is able to make their own informed decisions.

AbstractIn rural UK, businesses are often isolated and have much to gain from healthy networks, yet studies show that many rural business owners fail to network effectively. Information communications technologies offer new ways to network that might benefit rural businesses by expanding their reach. This study looked at online and face‐to‐face networking behaviour among rural micro‐enterprises in Scotland in relation to the development of bonding and bridging social capital. Given the challenges of remoteness faced by many rural businesses, online networking is particularly useful in developing bridging capital, but is an unsuitable context for building the trust needed to gain tangible benefits. The article therefore highlights the importance of face‐to‐face interactions in developing trust and bonding social capital. Rural business owners face distinctive challenges with respect to online communications, which are explored in this article.

The objective of this paper is to clarify the role that socio-economic factors played in shaping the development of XML-based clinical data standards in the National Health Service in Scotland from 2000 to 2004. The paper discusses the NHS Scotland approach to clinical data standardisation, emphasising the actors involved, their choices during the standard development process and the factors that have shaped these choices. The case suggests that the NHS Scotland approach to clinical data standardisation is shaped by strong political pressures for fast development of an integrated electronic patient care system, economic pressures for high efficiency and cost reductions, and organisational requirements for strong clinical support. Such economic, political and organisational pressures explain the informal approach to standard development, the emphasis on fast system development and strong clinical involvement. At the same time, market factors explain the low commitment of the IT vendors, which might have otherwise put significant pressure onNHSScotland to pursue a more formalised standardisation approach within an internationally recognised standard-setting body.