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      Counteracting Throwaway Culture in Daily Clinical Practice

      1 , 2
      The Linacre Quarterly
      SAGE Publications

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          Abstract

          Since his election in March 2013, Pope Francis has brought significant attention to the concept of “throwaway culture.” This moral paradigm—which has been defined by Francis in various speeches and the encyclical Laudato si’—characterizes a present-day culture in which food, disposable objects, and even human beings themselves are “discarded as ‘unnecessary.’” As Catholic physicians, it is our duty to ensure that we are working to counteract throwaway culture in our daily clinical practice by embracing and exhibiting a culture of encounter. When throwaway culture is discussed within the context of medical practice, it is easy to think of major life and systemic issues including abortion, assistive reproductive technology, physician assisted suicide, and so on. However, rejection of throwaway culture has much broader implications for Catholic physicians. We are called to resist this perverse culture whenever we experience a situation that requires special attention to the respect of human dignity. In this article, we present two common situations encountered in clinical practice in which it is essential to counteract throwaway culture and embrace a culture of encounter: in working with patients who are isolation settings and those who require translation services. Various studies are cited which demonstrate a lack of respect for human dignity that can be seen when working with these patient populations, and recommendations are provided which illustrate how to embrace a culture of encounter in each scenario. The authors conclude that through adoption of a culture of encounter, Catholic physicians as a community can be role models for coworkers, trainees, and students, promoting a culture in which we validate human dignity and ensure the quality and just care of even our most vulnerable patients.

          Summary:

          Pope Francis had defined a “throwaway culture” in which “Human life, the person, are no longer seen as a primary value to be respected and safeguarded.” In this article we present two common situations encountered in clinical practice in which it is essential to counteract throwaway culture and embrace a culture of encounter: in working with patients who are isolation settings and those who require translation services. We conclude that, as Catholic physicians, it is our duty to ensure that we are working to counteract throwaway culture in our daily clinical practice by embracing and exhibiting a culture of encounter.

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          Most cited references12

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          Getting by: underuse of interpreters by resident physicians.

          Language barriers complicate physician-patient communication and adversely affect healthcare quality. Research suggests that physicians underuse interpreters despite evidence of benefits and even when services are readily available. The reasons underlying the underuse of interpreters are poorly understood. To understand the decision-making process of resident physicians when communicating with patients with limited English proficiency (LEP). Qualitative study using in-depth interviews. Internal medicine resident physicians (n = 20) from two urban teaching hospitals with excellent interpreter services. An interview guide was used to explore decision making about interpreter use. Four recurrent themes emerged: 1) Resident physicians recognized that they underused professional interpreters, and described this phenomenon as "getting by;" 2) Resident physicians made decisions about interpreter use by weighing the perceived value of communication in clinical decision making against their own time constraints; 3) The decision to call an interpreter could be preempted by the convenience of using family members or the resident physician's use of his/her own second language skills; 4) Resident physicians normalized the underuse of professional interpreters, despite recognition that patients with LEP are not receiving equal care. Although previous research has identified time constraints and lack of availability of interpreters as reasons for their underuse, our data suggest that the reasons are far more complex. Residents at the study institutions with interpreters readily available found it easier to "get by" without an interpreter, despite misgivings about negative implications for quality of care. Findings suggest that increasing interpreter use will require interventions targeted at both individual physicians and the practice environment.
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            Hospital epidemiology and infection control in acute-care settings.

            Health care-associated infections (HAIs) have become more common as medical care has grown more complex and patients have become more complicated. HAIs are associated with significant morbidity, mortality, and cost. Growing rates of HAIs alongside evidence suggesting that active surveillance and infection control practices can prevent HAIs led to the development of hospital epidemiology and infection control programs. The role for infection control programs has grown and continues to grow as rates of antimicrobial resistance rise and HAIs lead to increasing risks to patients and expanding health care costs. In this review, we summarize the history of the development of hospital epidemiology and infection control, common HAIs and the pathogens causing them, and the structure and role of a hospital epidemiology and infection control program.
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              Adverse effects of contact isolation.

              Health-care workers are half as likely to enter the rooms of patients in contact isolation, but are more likely to wash their hands after caring for them than after caring for patients not in isolation.
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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                The Linacre Quarterly
                Linacre Q
                SAGE Publications
                0024-3639
                2050-8549
                February 2021
                June 30 2020
                February 2021
                : 88
                : 1
                : 65-70
                Affiliations
                [1 ]Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
                [2 ]University of Colorado School of Medicine, Aurora, CO, USA
                Article
                10.1177/0024363920936080
                d731862a-95fa-4c43-9b36-1eb81c6e20a2
                © 2021

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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