scholarly journals Challenges to Addressing Patient-Perpetrated Sexual Harassment in Veterans Affairs Healthcare Settings

2021 ◽  
Author(s):  
Karissa M. Fenwick ◽  
Tana M. Luger ◽  
Karen E. Dyer ◽  
Joya G. Chrystal ◽  
Alison B. Hamilton ◽  
...  
Keyword(s):  
Sexual Harassment ◽  
Veterans Affairs ◽  
Healthcare Settings

scholarly journals Comparison of National and Local Approaches to Detecting Suicides in Healthcare Settings

2019 ◽  
Vol 184 (9-10) ◽  
pp. e555-e560
Author(s):  
Natalie B Riblet ◽  
Brian Shiner ◽  
Bradley V Watts ◽  
Peter Britton
Keyword(s):  
Healthcare Providers ◽  
Healthcare Setting ◽  
Veterans Affairs ◽  
Accidental Poisoning ◽  
Cause Analysis ◽  
Root Cause ◽  
Healthcare Settings ◽  
Suicide Case ◽  
Mental Health Unit

Abstract Introduction In order to address the problem of suicide, healthcare providers and researchers must be able to accurately identify suicide deaths. Common approaches to detecting suicide in the healthcare setting include the National Death Index (NDI) and Root-Cause Analysis (RCA) methodology. No study has directly compared these two methods. Materials and Methods Suicide reporting was evaluated within the Veterans Affairs (VA) healthcare system. All suicides were included that occurred within 7 days of discharge from an inpatient mental health unit and were reported to the VA through the NDI record linkage and/or RCA database between 2002 and 2014. The proportion of suicide deaths that were identified by NDI and found in the RCA database were calculated. Potential misclassification by the NDI was evaluated, whereby the RCA database identified a suicide case, but the NDI classified the death as a non-suicide. Results In the study period, the NDI identified 222 patients who died by suicide within 7 days of discharge, while the RCA database only detected 95 reports of suicide. A comparison of cases across the two methods indicated that the RCA database identified only 35% (N = 78) of NDI detected suicides (N = 222). Conversely, the RCA database detected 13 suicide cases that the NDI had coded as deaths due to accidental poisoning or other causes. Importantly, RCA accounted for 13% (N = 7) of overdose suicides identified in all databases (N = 52). Conclusions Combining national and local approaches to detect suicide may help to improve the classification of suicide deaths in the healthcare setting.

Post-discharge mortality in patients hospitalized with MRSA infection and/or colonization

2012 ◽  
Vol 141 (6) ◽  
pp. 1187-1198 ◽  
Author(s):  
A. SHARMA ◽  
C. ROGERS ◽  
D. RIMLAND ◽  
C. STAFFORD ◽  
S. SATOLA ◽  
...  
Keyword(s):  
Medical Center ◽  
Veterans Affairs ◽  
Post Discharge ◽  
Healthcare Settings ◽  
Crude Mortality Rate ◽  
Crude Mortality ◽  
Mrsa Infection ◽  
Independent Risk Factors ◽  
Long Term Mortality

SUMMARYMethicillin-resistantStaphylococcus aureus(MRSA) infection is known to increase in-hospital mortality, but little is known about its association with long-term health. Two hundred and thirty-seven deaths occurred among 707 patients with MRSA infection at the time of hospitalization and/or nasal colonization followed for almost 4 years after discharge from the Atlanta Veterans Affairs Medical Center, USA. The crude mortality rate in patients with an infection and colonization (23·57/100 person-years) was significantly higher than the rate in patients with only colonization (15·67/100 person-years,P = 0·037). MRSA infection, hospitalization within past 6 months, and histories of cancer or haemodialysis were independent risk factors. Adjusted mortality rates in patients with infection were almost twice as high compared to patients who were only colonized: patients infected and colonized [hazard ratio (HR) 1·93, 95% confidence interval (CI) 1·31–2·84]; patients infected but not colonized (HR 1·96, 95% CI 1·22–3·17). Surviving MRSA infection adversely affects long-term mortality, underscoring the importance of infection control in healthcare settings.

Women Veterans' Perspectives on How to Make Veterans Affairs Healthcare Settings More Welcoming to Women

2020 ◽  
Vol 30 (4) ◽  
pp. 299-305
Author(s):  
Jessica L. Moreau ◽  
Karen E. Dyer ◽  
Alison B. Hamilton ◽  
Rachel E. Golden ◽  
Ann S. Combs ◽  
...  
Keyword(s):  
Women Veterans ◽  
Veterans Affairs ◽  
Healthcare Settings

Sexual Harassment in Healthcare: A Psychological Perspective

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Dana Kabat-Farr ◽  
Ellen Crumley
Keyword(s):  
Sexual Harassment ◽  
Social Science ◽  
Gold Standard ◽  
Social Science Research ◽  
Science Research ◽  
Future Research ◽  
Psychological Perspective ◽  
Healthcare Settings ◽  
Coping Process ◽  
Standard Response

Social science research shows that sexual harassment is still occurring in the modern workplace, including in healthcare settings. This article discusses sexual harassment in healthcare from a psychological perspective, identifying unique contextual factors in nursing that may influence harassment experiences, such as sexual harassment to protect status, the healthcare hierarchy, and the challenges of reporting. We highlight the faults of using official reporting of harassment as the “gold standard” response and explain the range of responses victims may take as part of their coping process. Also included are recommendations for improving organizational cultures to address sexual harassment, and implications for future research.

scholarly journals Sexual Harassment by Patients, Clients, and Residents: Investigating Its Prevalence, Frequency and Associations with Impaired Well-Being among Social and Healthcare Workers in Germany

2021 ◽  
Vol 18 (10) ◽  
pp. 5198
Author(s):  
Mareike Adler ◽  
Sylvie Vincent-Höper ◽  
Claudia Vaupel ◽  
Sabine Gregersen ◽  
Anja Schablon ◽  
...  
Keyword(s):  
Sexual Harassment ◽  
Organizational Support ◽  
Healthcare Workers ◽  
Well Being ◽  
Future Research ◽  
Persons With Disabilities ◽  
Healthcare Settings ◽  
Healthcare Work ◽  
Inpatient And Outpatient Care ◽  
Sexual Harassment Prevention

Social and healthcare workers are at high risk of experiencing sexual harassment in the workplace. Although sexual harassment is detrimental to people’s well-being, only a few studies have systematically investigated social and healthcare workers’ experiences of different forms of sexually harassing behaviors by patients, clients, and residents in Germany. This study aimed to address this gap by determining the prevalence rates and frequency of nonverbal, verbal, and physical sexual harassment by patients, clients, and residents against social and healthcare workers. In addition, we examined the associations of sexual harassment with workers’ well-being and described employees’ awareness of offers of organizational support for sexual harassment prevention and aftercare. Data were collected from N = 901 employees working in a total of 61 facilities, including inpatient and outpatient care, psychiatric facilities, hospitals, and facilities for persons with disabilities. While the prevalence, frequency, and predominant forms of sexual harassment differed across sectors, the results indicated that nonverbal, verbal and physical sexual harassment were highly prevalent in social and healthcare work, with both men and women being affected. Furthermore, we found that sexual harassment was positively related to impaired well-being (e.g., depressiveness and psychosomatic complaints). In terms of support offers for sexual harassment prevention and aftercare, we found that approximately one-third of social and healthcare workers were not aware of any offers at their facilities. In addition to highlighting the problem of sexual harassment by patients, clients, and residents in social and healthcare settings, this study provides recommendations for the development of interventions and suggests several avenues for future research.

Outcomes: Promoting Reflective Practice Using Performance Indicator Questionnaires

2010 ◽  
Vol 20 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Mary Pat McCarthy
Keyword(s):  
Clinical Education ◽  
Performance Indicator ◽  
Clinical Skills ◽  
Self Assessment ◽  
Clinical Practicum ◽  
Self Reflection ◽  
Healthcare Settings ◽  
Language Pathology ◽  
Traditional Performance ◽  
The University

This article details the process of self-reflection applied to the use of traditional performance indicator questionnaires. The study followed eight speech-language pathology graduate students enrolled in clinical practicum in the university, school, and healthcare settings over a period of two semesters. Results indicated when reflection was focused on students' own clinical skills, modifications to practice were implemented. Results further concluded self-assessment using performance indicators paired with written reflections can be a viable form of instruction in clinical education.

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