Evaluating hazardous waste generation in for-profit outpatient haemodialysis centres

SUMMARYBackground “Green” haemodialysis management to reduce the environmental impact of haemodialysis is growing. Objectives Dealing with hazardous waste production could heighten healthcare professionals’ awareness of this problem, and improve their healthcare involvement in environmental sustainability and environmental-friendliness. Design and Measurements A list of for-profit outpatient haemodialysis centres in the Valencian Community (E Spain) was compiled. Data on their hazardous waste production from 2008 to 2012 through the annual waste reports issued by official organisations competent in environmental issues were collected. Results There are 22 for-profit dialysis centres, that m…

Towards Nursing leadership in environmental care

El riesgo y su comunicación a los pacientes para la toma de decisiones en salud

Informing the patients before starting diagnostic and therapeutic procedures is advisable in order to establish a trusting and caring relationship. In this article, we analyze factors that determine the risk perception by the patients, as well as elements which facilitate a good information process by health professionals.

Reconocimiento recíproco y toma de decisiones compartida con el paciente

Resumen El reconocimiento reciproco es un concepto, surgido del pensamiento filosofico, imprescindible para comprender las actitudes que fundamentan unas relaciones interpersonales pacificas. Cuando no se da, se establecen relaciones en las que personas o colectivos humanos luchan por ser reconocidos. Excluir a los pacientes de la toma de decisiones concernientes a su salud es no respetar su autonomia y puede hacer que estos se sientan tratados como objetos, con la consiguiente perdida de confianza en el profesional. El paciente informado, es decir, con criterio propio y deseos de participar en lo que le concierne, esta generando un colectivo de tendencia creciente. El reconocimiento recipr…