To consider the thoughts and actions of healthcare personnel in situations when an adverse prenatal diagnosis must be communicated, including appropriate strategies and skills to respond to information needs and to manage the emotional responses of patients. Descriptive qualitative study using non-participant observation and semi-structured interviews to analyse the discourses of physicians, midwives, nurses and nursing assistants who provide healthcare to obstetric patients. There may be barriers to effective communication between healthcare personnel and patients, depending on the characteristics of the persons involved, the organisation of healthcare, biotechnological progress and cultural factors. The human quality of healthcare has deteriorated due to excessive workloads and to the growing role played by technology. In order to improve communication, more attention should be paid to human and spiritual dimensions, prioritising empathy, authenticity and non-judgmental listening. An appropriate model of clinical relationship should be based on shared decision making, clarifying the functions of the multidisciplinary team to alleviate a mother’s suffering when a pregnancy is interrupted. To do so, protocols should be implemented to ensure the provision of comprehensive care, not only addressing biological issues but also providing psychosocial attention. Finally, training should be provided to healthcare staff to enhance their social skills and cultural competence. This study identifies potential improvements in the interventions made by healthcare personnel and in the organisation of the institution, concerning the attention provided to pregnant women when an adverse prenatal diagnosis must be communicated.

The prevalence of dementia is rising rapidly across the European Union, necessitating comprehensive national and international responses. National Dementia Strategies serve as key policy instruments, outlining priorities for dementia care across European countries. While numerous organizations have proposed ethical principles to guide dementia policy, limited knowledge exists on ethical priorities in EU dementia policies. This study examines the ethical principles embedded in European national dementia atrategies, analyzing their definitions, contexts of application, and relative emphasis. Using framework analysis, this study systematically analyzed 17 European national dementia atrategies, identifying commonalities and variations in ethical priorities. Findings reveal a broad spectrum of ethical principles present across national dementia strategies throughout the EU. However, findings also suggest significant variations in how principles are interpreted.

Introduction: In the field of health effective communication helps to avoid poor results, especially when all patient care providers form a multidisciplinary team and have to coordinate their actions precisely during briefings. In the delivery area errors are not expected and are assumed to be preventable. The use of ICT to improve and innovate in security becomes a priority. Aims: Design and implement a telematics tool to record the data of each briefing. Identify security alerts. Material and Method: Double Design: Bibliographic Review and Descriptive Observational Study. Bibliographic peer review, from June to December 2018, in electronic databases: Medline/PubMed (MeSH descriptors), Embase, Scopus, CUIDEN and LILACS. Theoretical framework: safety culture. Inclusion criteria: studies published in Spanish or English in the last ten years and whose sample includes a multidisciplinary health team. Variables selected for the observational study: date of the briefing, professional category, personnel that need supervision, understanding and agreement of goals, feedback on goals for the day, transfers, communication problems, staff availability and available resources. Results: Eight articles were included in the review. It highlights the usefulness of briefing to introduce improvements in interprofessional communication and influence safety culture. Conclusions: Lack of previous studies probably due to the incipient use of QR codes in health.Telematic recording of briefing as a strategy to reduce adverse obstetric events can have a significant impact on patient safety. This registry allows real-time monitoring of safety alerts and prompt response to them.