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PubMed2004

[Therapeutic negotiation in psoriasis].

The patient based medicine joins together all the medical techniques making possible to adapt to a particular individual the scientific knowledge obtained through the study of broad populations. It rests on four successive phases: questions, explanations, negotiation and prescription. The purpose of these successive phases in the relation doctor-patient is to identify and take into account in the therapeutic decision, all the facets of the personality of the patient, the pathologies and treatments associated, the therapeutic experiments already carried out by this patient and his personal evaluation of his quality of life and of the impact of the treatments and the disease on this quality of life. These techniques are essential to efficiently treat chronic diseases. Their progressive development represents a therapeutic revolution resounding on the teaching of medicine, the development of new drugs and on the rights of the patients.

Decision Making↗
PubMed2004

The psychologist's role in hostage negotiations.

The purpose of this article is to examine the proper role of the psychologist who serves as a consultant to a hostage negotiation team. Mental health consultants can be beneficial to law enforcement during these times of crisis if they are aware of the appropriate role they play. This article discusses preferred characteristics of a mental health professional serving in this capacity and focuses on the various tasks required of a psychologist on the scene of a barricade.

Crisis Intervention↗
PubMed2004

Nurses as caregivers of elderly relatives: negotiating personal and professional boundaries.

Recent changes in patterns of care provision for the elderly have led to an increasing reliance on family care. Although caring has been found to be a central and common feature of the personal and professional lives of many women, this paper discusses the challenges faced by women who provide care in both their work and their family lives ("double-duty caregivers"). The author argues that the separation of paid caregiving and unpaid family caregiving in the conceptualization of elder care is problematic, particularly for health-care professionals. Findings from a qualitative study with registered nurses providing care to elderly relatives revealed that these women are located at the juncture of public and private domains of caregiving, where they must constantly negotiate the boundaries between their professional and personal caregiving roles. The findings highlight the need to explore the interface between women's family and work lives and the need for policies that promote the health of double-duty caregivers.

Adaptation, Psychological↗
PubMed2004

Clinton Foundation negotiates $140/Year HIV treatment, but U.S. won't buy.

The Clinton Foundation, World Bank, UNICEF, and the Global Fund to Fight AIDS, Tuberculosis, and Malaria announced that they could negotiate prices as low as $140 per year for triple-combination antiretroviral therapy. But the Bush Administration is refusing to buy generic medicines for its major HIV treatment program.

Anti-HIV Agents↗
PubMed2006

The negotiation and development of a clinical trial agreement.

A carefully negotiated clinical trial agreement will protect a biotechnology and medical device company in critical areas, including the management and control of data and confidential information, defining publication rights and the ownership of intellectual property. Properly constructed, the agreement can increase a company's value. This article will review the major provisions of a standard industry sponsored clinical trial agreement; the principle areas where there is likely to be differing views that need to be reconciled and interrelated ethical concerns. A form of clinical trial agreement designed for a single site therapeutic trial in the United States follows the article.

Biomedical Research↗
PubMed1995

Negotiating the nurse research coordinator role.

Ophthalmic nurses may be asked to be part of a research team. This article suggests ways the nurse can prepare for the research coordinator role and negotiate added compensation. Without preparation, the nurse's workload may not be adjusted to accommodate additional tasks and there may be a lack of remuneration. At worst, the nurse may fail to meet the expectations of the investigator and sponsor. Nurse research coordinators can learn new marketable skills, increase income, create opportunities for publications and speaking engagements, and widen their professional network. Sources of additional information about the research coordinator role are provided.

Humans↗
PubMedDate not supplied

Negotiating capitated rates for nurse-managed clinics.

Successful negotiation of capitated rates will dictate whether nurse-managed clinics will survive the financial restructuring of the health care industry. It requires a clear understanding of what the clinic is contracted to do and an ability to teach a managed-care company what the services are worth.

Ambulatory Care Facilities↗
PubMed1995

Negotiating a successful return to work program.

This article has examined selected reasons why companies resist implementation of return to work programs. The reasons include many fears that companies can readily justify. Nearly all the fears can be eliminated when the occupational health nurse applies both nursing and management principles. As a specialized line manager in the company, with a specialty in people and systems management, the occupational health nurse is the most likely person to plan and implement a successful program. To design, implement, and manage the plan to a successful end, the occupational health nurse must enhance skills in language, salesmanship, and quantifying results. Success must be measured in both people and dollar terms to have relevance to the company, its bottom line, and its employees. People results, the harder of the two to measure, have value in helping to establish positive attitudes of program participants toward the company. People results also help prevent the development of disability syndrome by ill or injured employees by keeping them connected to work and productivity. People results also can be measured by the change in culture the return to work program is likely to produce among managers and employees. The resulting culture will reflect a sense of caring by the company about employees, and expectation that manipulation of the company by opportunists will be reduced, as scarce company resources will be conserved. The early return to work program is managed within employee capabilities in a therapeutic environment during the recovery process. In the long term, financial success of the return to work program can be measured by reduced costs per claim annually. Using the nursing, management, financial, and marketing principles discussed in this article, the occupational health nurse can improve chances of negotiating implementation of a successful early return to work program.

Commerce↗
PubMed1995

How schoolchildren propose to negotiate: the role of social withdrawal, social anxiety, and locus of control.

The role of social anxiety, social withdrawal, and locus of control in the developmental level of interpersonal negotiation strategies (INS) when resolving hypothetical conflicts was examined in a short-term longitudinal study (fall and spring). Applying a balanced design, 96 children aged 8 and 11 from 8 classes participated in the study. At both assessments, results indicated that sociable children were more likely to exhibit greater competence in INS than socially withdrawn children. However, both concurrent and longitudinal analyses indicated that degree of social anxiety tended to influence this relation. Among less socially anxious children, the sociable children did exhibit greater INS competence than those more socially withdrawn, but this relation was not revealed among the more socially anxious children. Finally, on the whole, children who showed internal locus of control were more competent at INS than children with external locus of control.

Anxiety↗
PubMedDate not supplied

Basic tools for the orthopaedic staff nurse--Part II: conflict management and negotiation.

Organizational restructuring and expanded settings of health care delivery provide opportunities for the orthopaedic staff nurse to review basic communication tools that are useful with clients and families, managers, and other health care providers. It is critical for the staff nurse to build a repertoire of skills that support leadership and enlightened followers. The second of this two-part article builds on "Part I: Assertiveness" and addresses conflict management and negotiation skills that are basic to providing professional care with confidence and competence in a changing health care environment.

Clinical Competence↗
PubMed1996

Protecting nursing's interests: negotiating with vendors.

When making technology system selections or upgrades, nurse executives are expected to negotiate with vendors as well as the CIO and department directors. Guidelines to use at the bargaining table are given.

Hospital Information Systems↗
PubMed1996

Negotiating outcomes with patients and families.

Negotiating outcomes is a complex skill that is crucial to attaining quality care, particularly in an environment characterized by an accelerated speed of care and regimented options for care. In this environment, patients and their families need a realistic view of achievable outcomes. Caregivers must be able to reformulate and renegotiate outcomes quickly with patients and their families. Caregivers act as a catalyst in the outcome-achievement process and, to be successful, seek new and creative strategies to accomplish this. Being a catalyst also involves determining the patients' personal feelings about their illnesses and the proposed interventions, assisting patients in planning how to translate their new knowledge into behaviors, and to build in feedback mechanisms.

Critical Pathways↗
PubMedDate not supplied

Implementing a smoking ban: an analysis of nurses' attempts to negotiate change.

This case study describes the events that followed the introduction of a smoking ban in a psychiatric ward of a metropolitan teaching hospital. The decision aroused a strong reaction from the ward's nurses who were offended by the manner in which the ban was implemented and the lack of planning that created nursing problems. Analysis with reference to the literature revealed that nurses felt powerless and lacked confidence in their ability to negotiate their role as change agents. It is argued that nurses in situations like the one described here need not passively accept external control. If nurses develop assertiveness skills and take risks they will be able to change their profession and gain recognition of the centrality of their role in health care.

Attitude of Health Personnel↗
PubMed1990

Negotiating criteria and setting limits: the case of AIDS.

The classification of clinical problems, such as AIDS, requires choices. Choices are made on epistemic (i.e., knowledge-based) and non-epistemic (i.e., action-based) grounds. That is, the ways in which we classify clinical problems, such as AIDS, involve a balancing of different understandings of clinical reality and of clinical values among participants of the clinical community. On this view, the interplay between epistemic and non-epistemic interests occurs within the embrace of particular clinical contexts. The ways in which we classify AIDS is the topic of this paper. We consider the extent to which we construct clinical reality; we examine a suggested classification of AIDS; and we conclude suggesting that the choice regarding how to classify AIDS is the result of negotiation among participants in the clinical community.

Acquired Immunodeficiency Syndrome↗
PubMed1976

Negotiating educational programs for children with developmental disorders: assessment, interpretation, demonstration, support (AIDS).

An approach to negotiating educational programs for children with multiple developmental problems is presented using two case examples from an interdisciplianry setting, the University Affiliated Cincinnati Center for Developmental Disorders. The use of the AIDS (Assessment, Intervention, Demonstration, Support) approach offers the schools evidence that the professional educator and psychologist are working in good faith and will not abandon them prematurely. Proper school placement through mediation also allows the school personnel to receive credit from the family for making the necessary changes, therefore not losing face with the parents. This approach seems particularly applicable to children with multiple and chronic problems who do not fit single special educational/diagnostic categories or labels.

Child Psychiatry↗
PubMed2005

Negotiating risk: knowledge and use of HIV prevention by persons with serious mental illness living in supportive housing.

As a population, persons with serious mental illness (SMI) have an elevated risk for HIV infection. However, relatively little is known about how the risk of HIV has affected their lives, how persons with SMI evaluate their HIV risk, and what preventive measures they undertake. Furthermore, relatively little is known about community-based HIV prevention for persons with SMI as most interventions have been restricted to clinical settings. This report presents findings on the HIV-related experiences of persons with SMI living in supportive housing programs, one possible setting for implementing community-based HIV prevention with this population. The qualitative investigation interviewed 41 men and women living in five supportive housing programs. In-depth, qualitative interviews elicited discussion of research participants' (a) experiences with HIV, (b) knowledge about HIV and HIV prevention, (c) assessments of their own risk, (d) descriptions of how they apply their prevention knowledge, and (e) reports of barriers for HIV prevention. Research participants describe social networks that have substantial contact with persons affected by HIV. However, contrary to some expectations of persons with SMI, research participants report using HIV prevention knowledge in negotiating their risk of contracting HIV. The implications of these findings are discussed in terms of their relevance for implementing community-based HIV prevention for persons with SMI.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Curve negotiation performance in a driving simulator as a function of curve geometry.

A study was conducted to investigate driver performance on curves. The between-trial factors were Blood Alcohol Content (BAC) level (0.00, 0.7, 0.12 %) and type of driving scenario (eventful versus uneventful). The within-session factors were edgeline width, type of curve-warning sign, and curve type. Twelve male drivers drove continuously for two hours on each of three nights. Each subject negotiated 150 curves during each two-hour drive. Curve radii ranged from 57.3 to 94.2 m (188 to 309.2 ft). Advisory speeds presented on curve-warning signs ranged from 32.2 to 72.4 km/h (20 to 45 mile/h). The driving simulator was a completely instrumented cab resting on a fixed base. The results showed that curve-entry speed increased as radius of curvature increased. Lateral position error was greater on the curve with the smallest radius and least on the curve with the shortest length. Heading error first increased then decreased as curve radius increased. Neither the amount of road used nor the mean computed lateral acceleration were related to curve radius, heading change or length. These results are attributed to the absence of lateral-acceleration cues in the driving simulator.

Journal Article↗