scholarly journals Extended Reality for Initial Trauma Patient Care Simulation: A Pilot Study

2021 ◽  
Vol 233 (5) ◽  
pp. e205-e206
Author(s):  
Kaori Ito
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Trauma Patient

scholarly journals Description of the effect of patient flow, junior doctor supervision and pandemic preparation on the ability of emergency physicians to provide direct patient care

2020 ◽  
Vol 44 (5) ◽  
pp. 741
Author(s):  
Andy Lim ◽  
Namankit Gupta ◽  
Alvin Lim ◽  
Wei Hong ◽  
Katie Walker
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Patient Flow ◽  
High Volume ◽  
Direct Patient Care ◽  
Published Data ◽  
Emergency Physicians ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Process Factors

ObjectiveA pilot study to: (1) describe the ability of emergency physicians to provide primary consults at an Australian, major metropolitan, adult emergency department (ED) during the COVID-19 pandemic when compared with historical performance; and (2) to identify the effect of system and process factors on productivity. MethodsA retrospective cross-sectional description of shifts worked between 1 and 29 February 2020, while physicians were carrying out their usual supervision, flow and problem-solving duties, as well as undertaking additional COVID-19 preparation, was documented. Effect of supervisory load, years of Australian registration and departmental flow factors were evaluated. Descriptive statistical methods were used and regression analyses were performed. ResultsA total of 188 shifts were analysed. Productivity was 4.07 patients per 9.5-h shift (95% CI 3.56–4.58) or 0.43 patients per h, representing a 48.5% reduction from previously published data (P<0.0001). Working in a shift outside of the resuscitation area or working a day shift was associated with a reduction in individual patient load. There was a 2.2% (95% CI: 1.1–3.4, P<0.001) decrease in productivity with each year after obtaining Australian medical registration. There was a 10.6% (95% CI: 5.4–15.6, P<0.001) decrease in productivity for each junior physician supervised. Bed access had no statistically significant effect on productivity. ConclusionsEmergency physicians undertake multiple duties. Their ability to manage their own patients varies depending on multiple ED operational factors, particularly their supervisory load. COVID-19 preparations reduced their ability to see their own patients by half. What is known about the topic?An understanding of emergency physician productivity is essential in planning clinical operations. Medical productivity, however, is challenging to define, and is controversial to measure. Although baseline data exist, few studies examine the effect of patient flow and supervision requirements on the emergency physician’s ability to perform primary consults. No studies describe these metrics during COVID-19. What does this paper add?This pilot study provides a novel cross-sectional description of the effect of COVID-19 preparations on the ability of emergency physicians to provide direct patient care. It also examines the effect of selected system and process factors in a physician’s ability to complete primary consults. What are the implications for practitioners?When managing an emergency medical workforce, the contribution of emergency physicians to the number of patients requiring consults should take into account the high volume of alternative duties required. Increasing alternative duties can decrease primary provider tasks that can be completed. COVID-19 pandemic preparation has significantly reduced the ability of emergency physicians to manage their own patients.

scholarly journals Associations between trunk flexion and physical activity of patient care workers for a single shift: A pilot study

Work ◽  
2017 ◽  
Vol 56 (2) ◽  
pp. 247-255 ◽  
Author(s):  
Oscar E. Arias ◽  
Peter E. Umukoro ◽  
Sonja D. Stoffel ◽  
Karen Hopcia ◽  
Glorian Sorensen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Patient Care ◽  
Trunk Flexion ◽  
Care Workers

Psychological Distress and Cognitive Impairment in Neurological In-Patients: Its Prevalence and its Recognition by Residents

1995 ◽  
Vol 25 (2) ◽  
pp. 203-213 ◽  
Author(s):  
Stefan I. Zlot
Keyword(s):  
Cognitive Impairment ◽  
Psychological Distress ◽  
Pilot Study ◽  
Patient Care ◽  
Social Factors ◽  
Psychological Problems ◽  
Psychiatric Diagnoses ◽  
Psychological Disturbances ◽  
Work Up ◽  
Neurological Unit

Objective: This pilot study investigated the prevalence of psychological distress and cognitive impairment in neurological in-patients by means of three widely accepted questionnaires. We examined residents' recognition of corresponding disturbances. Method: We interviewed fifty-five consecutively admitted in-patients of a neurological unit with the MMSE, GHQ-28 and BDI. We asked the neurological residents whether they found cognitive impairment or psychological disturbances in their patients and to indicate the extent of those abnormalities. Results: Fifteen percent of patients showed cognitive impairment, but as many as one-third showed psychological problems warranting further work-up. Recognition of such by residents as well as specification of psychiatric diagnoses and important psychosocial factors in the final reports was poor. Conclusion: Psychological problems are common in neurologic in-patients. They are insufficiently recognized by residents and usually not taken into consideration in patient-care. We suggest the improvement of neurologic training to include appropriate interview techniques, providing the integration of biological, psychological and social factors in diagnosis and therapy.

scholarly journals Developing a low-resource approach to trauma patient care - findings from a nigerian trauma registry

2021 ◽  
Vol 27 (1) ◽  
pp. 9
Author(s):  
TimothyE Nottidge ◽  
BolanleA Nottidge ◽  
IfiokC Udomesiet ◽  
EnoetteE Uduehe
Keyword(s):  
Patient Care ◽  
Trauma Patient ◽  
Trauma Registry ◽  
Low Resource

scholarly journals The HDR CARE Scale, Inpatient Version: A validated survey instrument to measure environmental affordance for nursing tasks in inpatient healthcare settings

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258815
Author(s):  
Renae K. Rich ◽  
Francesqca E. Jimenez ◽  
Cheryl Bohacek ◽  
Alexandra Moore ◽  
Abigail J. Heithoff ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Pilot Study ◽  
Patient Care ◽  
Design Research ◽  
Survey Instrument ◽  
Test Theory ◽  
Response Distribution ◽  
Response Options ◽  
Healthcare Design ◽  
Study Results

Rigorous healthcare design research is critical to inform design decisions that improve human experience. Current limitations in the field include a lack of consistent and valid measures that provide feedback about the role of the built environment in producing desirable outcomes. Research findings about nurses’ efficiency, quality of care, and satisfaction related to inpatient unit designs have been mixed, and there was previously no validated instrument available to quantitatively measure nurses’ ability to work efficiently and effectively in their environment. The objective of this study was to develop, refine, and validate a survey instrument to measure affordance of the care environment to nurse practice, based on various aspects of their work in inpatient units. The HDR Clinical Activities Related to the Environment (CARE) Scale Inpatient Version was developed using item design, refinement, and reliability and validity testing. Psychometric methods from classical test theory and item response theory, along with statistical analyses involving correlations and factor analysis, and thematic summaries of qualitative data were conducted. The four-phase process included (1) an initial pilot study, (2) a content validation survey, (3) cognitive interviews, and (4) a final pilot study. Results from the first three phases of analysis were combined to inform survey scale revisions before the second pilot survey, such as a reduction in the number and rewording of response options, and refinement of scale items. The updated 9-item scale showed excellent internal consistency and improved response distribution and discrimination. The factor analysis revealed a unidimensional measure of nurse practice, as well as potential subscales related to integration, efficiency, and patient care. Within the healthcare design industry, this scale is much needed to generate quantitative and standardized data and will facilitate greater understanding about the aspects of an inpatient healthcare facility that best support nurses’ ability to provide quality patient care.

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