Elizabeth Mary Chiarella

Nurses’ liability in doctor-nurse relationships

Publisher: Informa UK Limited

Date: 04-1993

DOI: 10.5172/CONU.2.1.6

Abstract: An exploration of the concepts of professional liability and its application to nursing, with particular emphasis on civil liability. It defines the concept of vicarious liability and explains its origins and purpose. The issue of personal liability and when this is applicable to the nurse is also addressed. A significant part of the discussion confronts the issue of liability in doctor-nurse relationships in clinical practice.

Ethical dilemmas in curriculum planning

Publisher: Elsevier BV

Date: 04-1988

DOI: 10.1016/0260-6917(88)90006-8

Abstract: Altered regulation of the serotonin transporter (SLC6A4) is hypothesized to be a key event in many forms of neuropsychiatric illness, yet our understanding of the molecular mechanisms through which changes in gene function could lead to illness remains incomplete. In prior studies, we and others have demonstrated that methylation of CpG residues in the promoter associated CpG island alters SLC6A4 gene expression, that the extent of that DNA methylation in child abuse is genotype dependent, and that adverse childhood experiences such as child sex abuse are related to methylation. However, we have not examined whether these effects are splice variant specific, whether the association of methylation to gene expression varies as a function of genotype, and whether methylation in other SLC6A4 gene regions are more likely candidates for GxE effects. In the current investigation we measured methylation in lymphoblast DNA from 158 female subjects in the Iowa Adoption Studies at 16 CpG residues spread across the SLC6A4 locus, and analyzed their relationship to gene expression for two SLC6A4 splice variants. Methylation of two CpG residues in the shore of the CpG island (cg22584138 and cg05951817), a location immediately upstream from exon 1A, predicted gene expression for the splice variant containing Exon 1A + 1B. Methylation at two residues in the CpG island itself (cg 25769822 and cg05016953) was associated with total SLC6A4 expression. Examination of these four CpG residues indicated that methylation of cg22584138 was influenced by both genotype and sex abuse, whereas methylation of cg05016953 was influenced only by sex abuse history. Factors influencing methylation at other CpG dinucleotide pairs were not identified. We conclude that methylation effects on transcription may vary as a function of underlying gene motif and splice variant, and that the shore of CpG islands, upstream of TSS, may be of particular interest in examining environmental effects on methylation.

National Registration of Health Practitioners: A Comparative Study of the Complaints and Notification System Under the National System and in New South Wales – Decision Makers who Handle Complaints/No

Publisher: Wiley

Date: 31-10-2017

DOI: 10.1111/1467-8500.12285

Insights into insight: analysis of case files of nurse and midwife registrant performance complaints

Publisher: Elsevier BV

Date: 06-2019

DOI: 10.1016/J.COLEGN.2018.10.001

Corrigendum to: Approaches to management of complaints and notifications about health practitioners in Australia

Publisher: CSIRO Publishing

Date: 2016

DOI: 10.1071/AH15050_CO

Abstract: In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.

Assuring competence or ensuring performance

Publisher: Elsevier BV

Date: 06-2019

DOI: 10.1016/J.COLEGN.2018.10.004

Approaches to management of complaints and notifications about health practitioners in Australia

Publisher: CSIRO Publishing

Date: 2016

DOI: 10.1071/AH15050

Abstract: In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.

Health complaints and practitioner regulation: justice, protection or prevention?

Publisher: Informa UK Limited

Date: 02-01-2017

DOI: 10.1080/10383441.2017.1334532

University Of New South Wales

Location: Australia

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University Of Sydney

Location: Australia

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Linkage Projects - Grant ID: LP110200075

Start Date: 04-2012

End Date: 07-2017

Amount: $327,870.00

Funder: Australian Research Council