Florian Bruns

Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Bavaria, Germany

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Publications (6)0 Total impact

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    ABSTRACT: In recent years, the rights of patients have assumed a more pivotal role in international discussion. Stricter laws on the protection of patients place greater priority on the perspective and the status of patients. The purpose of this study is to emphasize ethical aspects in communication, the role of patient advocates as contacts for the concerns and suggestions of patients, and how many problems of ethics disappear when communication is highlighted. We reviewed 680 documented cases of consultation in a 10-year period of patient advocates' activity at a big German university hospital with 1,300 beds. On the basis of this extensive material, the article will focus on the intersection of the advocate's work with the problems of patients in hospitals. Deficits in the level of communication between health care professionals and patients were frequently uncovered. Patients primarily complain about the lack of dialogue and empathy. Middle-aged patients consulted the patients' advocate disproportionately more often. Measured against this baseline, the group of 65 and older complained less frequently. Besides complaints the advocate was asked in more than one-third of all cases for information about medical matters, hospital regulations or administrative problems. Patients obviously see the advocate as a well-connected and ideally unbiased contact person for uncertainties concerning their malady or a potential stay in hospital. Those seeking help often set hope in the information given by the voluntary patient representative. It should be highly recommended for every German hospital to establish the position of a patient advocate. Furthermore, patients can profit from regular exchange between the advocate and the Ethics Committee, also, to help ensure that their rights are taken into account and implemented in an ethically desirable context.
    HEC Forum 12/2013; 26(2). DOI:10.1007/s10730-013-9225-1
  • Florian Bruns ·
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    ABSTRACT: This article contributes to historical research on medical care in the GDR by using patients' written petitions to the Central Committee of the Socialist Party submitted in the 1980s. It investigates how patients experienced everyday medical care in the GDR beyond the ideals of official health policy. What were their experiences with doctors and nurses and what possibilities for managing conflicts did sick and needy people have? Starting with a critical consideration of sources and some remarks about the culture of petitioning in GDR society, the article provides insight into the lives of patients in the late GDR. An analysis of medical petitions reveals individual ways of coping with disease and indicates that patients made particular demands of the socialist state and its health system. Patients articulated their expectations quite critically, using characteristic patterns of argumentation and, at times, successfully exerting pressure on the regime to answer their demands.
    Medizinhistorisches Journal 01/2012; 47(4):335-67.
  • Florian Bruns ·

    Kinderkrankenschwester: Organ der Sektion Kinderkrankenpflege / Deutsche Gesellschaft fur Sozialpadiatrie und Deutsche Gesellschaft fur Kinderheilkunde 01/2012; 31(1):15-7.
  • Florian Bruns · Andreas Frewer ·
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    ABSTRACT: There is no doubt that emotions have an important effect on practices of moral reasoning such as clinical ethics consultation. Empathy is not only a basic human emotion but also an important and learnable skill for health care professionals. A basic amount of empathy is essential both in patient care and in clinical ethics consultation. This article debates the "adequate dose" of empathy in ethics consultations in clinical settings and tries to identify possible situations within the process of consultation in which this crucial feeling is at risk.
    HEC Forum 09/2011; 23(4):247-55. DOI:10.1007/s10730-011-9164-7
  • Bernd Friedrich · Florian Bruns · Kristina Raske · Andreas Frewer ·

    09/2011; 1(04):250-257. DOI:10.1055/s-0031-1286603
  • Florian Bruns · Inken Emrich · Leyla Fröhlich-Güzelsoy ·
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    ABSTRACT: Hoffnung auf Heilung richtet sich nicht nur an Ärzteschaft und Pflege – viele Personen im Gesundheitswesen sind gleichermaßen Ziel von Wünschen, Bitten oder Hoffnungsformen. Das Amt des Patientenfürsprechers ist dabei eine erstaunlich breite Projektionsfläche von ganz unterschiedlichen Erwartungen, die es gerechtfertigt erscheinen lassen, diese Person als „Hoffnungsträger“ hervorzuheben. Die im Folgenden wiedergegebenen Auszüge entstammen der Korrespondenz eines Patientenfürsprechers und illustrieren auf mehreren Ebenen das breite Spektrum an Hoffnungen und Erwartungen einerseits, sowie Enttäuschungen und Beschwerden andererseits, das sich in zahlreichen Anfragen an den Patientenfürsprecher widerspiegelt.
    Hoffnung und Verantwortung Herausforderung für die Medizin - JEK3, Edited by Andreas Frewer, Florian Bruns, Wolfgang Rascher, 01/2010: pages 221-234; Könighausen& Neumann., ISBN: 978-3-8260-4371-0