Precision medicine is the approach to patient care that is focused on finding the most appropriate medication based on the interplay between genetic, environmental, and lifestyle factors to improve patient outcomes. With sufficient knowledge and experience, all nurses will become more confident in applying pharmacogenetic results within the clinical context.
Interventions to improve patient safety, including the integration of technology in clinical practice, require healthcare professionals to change their behavior. This study reports a validated theoretically informed approach to identify challenges to changing nurses' behaviour in order to integrate electronic medication management systems in clinical practice.
Professional cultural norms such as Power Distance Index (PDI) can affect the professional environment, safety culture, and team members wellbeing. To optimize a positive environment we should determine methods to decrease PDI and recognize the value of all healthcare providers and empower all members of the healthcare team.
If health professionals (HPs) can initiate advance care planning (ACP) with patients and assist them in signing advance directives (AD), patients may avoid facing medical futility. However, the overall rate of AD completion in Taiwan is relatively low. Therefore, the barriers in ACP with patients (CKD) are worth exploring.
The greatest obstacle to Advance Care Planning (ACP) is initiating the difficult conversation about death and planning for the end that is culturally sensitive and patient-centered. Poor end-of-life communication skills, lack of relationship building skills, and time constraints were the highest rated barriers to ACP. Improving outcomes will be discussed.