149. Surgery Resident Work-Hour Restrictions: Impact on Patient Care, Surgical Education and Resident Quality of Life

2009 ◽  
Vol 151 (2) ◽  
pp. 241-242
Author(s):  
S.D. Holubar ◽  
V.L. Tsikitis ◽  
K. Malireddy ◽  
R.R. Cima ◽  
D.W. Larson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Surgical Education ◽  
Resident Work ◽  
Work Hour ◽  
Surgery Resident

Three-Year Results of Mandated Work Hour Restrictions: Attending and Resident Perspectives and Effects in a Community Hospital

2008 ◽  
Vol 74 (6) ◽  
pp. 542-547 ◽  
Author(s):  
Danny M. Vaughn ◽  
Christopher L. Stout ◽  
Beth L. Mccampbell ◽  
Joshua R. Groves ◽  
Albert I. Richardson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Education ◽  
Beneficial Effect ◽  
Patient Care ◽  
Continuity Of Care ◽  
Resident Education ◽  
Community Hospital ◽  
Resident Work ◽  
Work Hour

In response to the Accreditation Council of Graduate Medical Education mandated resident work hour restrictions, our residency program used a night float system in 2003. We undertook a survey of attending staff and residents to assess its effects on patient care and resident education. An anonymous survey was administered to attending staff and residents 1 year and 3 years after work hour restrictions took effect. The areas of disagreement include: beneficial effect on education (residents vs faculty: in 2004, 87% vs 22%, respectively, P = 0.02; in 2006, 71% vs 22%, P = 0.03); beneficial effect on patient care (in 2004, 53% vs 10%, P = 0.03); and compromised continuity of care (in 2004, 27% vs 70%, P = 0.04; in 2006, 7% vs 89%, P = 0.0002). One area of agreement was that residents’ quality of life had improved. Both disagreed that more errors were being made and that work hour restrictions should be mandated on practicing surgeons. Attending staff and residents have deeply held opinions regarding the effects of work hour restrictions. This reflects a continuing dissatisfaction with providing patient care and educating residents under a set of requirements that solely addresses resident sleepiness and fatigue.

scholarly journals What Effects Have Resident Work-hour Changes Had on Education, Quality of Life, and Safety? A Systematic Review

2014 ◽  
Vol 473 (5) ◽  
pp. 1600-1608 ◽  
Author(s):  
Joshua D. Harris ◽  
Greg Staheli ◽  
Lance LeClere ◽  
Diana Andersone ◽  
Frank McCormick
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Education Quality ◽  
Resident Work ◽  
Work Hour

scholarly journals Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Tusa ◽  
Hannu Kautiainen ◽  
Pia Elfving ◽  
Sanna Sinikallio ◽  
Pekka Mäntyselkä
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Usual Care ◽  
Care Plan ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Disease Specific

Abstract Backround Chronic diseases and multimorbidity are common in the ageing population and affect the health related quality of life. Health care resources are limited and the continuity of care has to be assured. Therefore it is essential to find demonstrable tools for best treatment practices for patients with chronic diseases. Our aim was to study the influence of a participatory patient care plan on the health-related quality of life and disease specific outcomes related to diabetes, ischemic heart disease and hypertension. Methods The data of the present study were based on the Participatory Patient Care Planning in Primary Care. A total of 605 patients were recruited in the Siilinjärvi Health Center in the years 2017–2018 from those patients who were followed up due to the treatment of hypertension, ischemic heart disease or diabetes. Patients were randomized into usual care and intervention groups. The intervention consisted of a participatory patient care plan, which was formulated in collaboration with the patient and the nurse and the physician during the first health care visit. Health-related quality of life with the 15D instrument and the disease-specific outcomes of body mass index (BMI), low density lipoprotein cholesterol (LDL-C), hemoglobin A1c (HbA1C) and blood pressure were assessed at the baseline and after a one-year follow-up. Results A total of 587 patients with a mean age of 69 years were followed for 12 months. In the intervention group there were 289 patients (54% women) and in the usual care group there were 298 patients (50% women). During the follow-up there were no significant changes between the groups in health-related quality and disease-specific outcomes. Conclusions During the 12-month follow-up, no significant differences between the intervention and the usual care groups were detected, as the intervention and the usual care groups were already in good therapeutic equilibrium at the baseline. Trial registration ClinicalTrials.gov Identifier: NCT02992431. Registered 14/12/2016

Work hour restrictions and internal medicine residents’ health-related quality of life

2009 ◽  
Vol 31 (2) ◽  
pp. 186-186
Author(s):  
Anne Walling ◽  
Ron D. Hays ◽  
Jason Fish ◽  
Anish P. Mahajan ◽  
Sondra Vazirani ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Quality Of Life ◽  
Health Related Quality ◽  
Internal Medicine Residents ◽  
Related Quality ◽  
Health Related ◽  
Work Hour

scholarly journals Nurse-led care versus physician-led care in the management of rheumatoid arthritis and psoriatic arthritis (StaerkeR): study protocol for a multi-center randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Mai ◽  
Jürgen Braun ◽  
Jens-Peter Reese ◽  
Benjamin Westerhoff ◽  
Ulrike Trampisch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Psoriatic Arthritis ◽  
Patient Care ◽  
Functional Capacity ◽  
Standard Care ◽  
Controlled Trial ◽  
Treat To Target ◽  
Lower Saxony

Abstract Background In Germany, the care of patients with inflammatory arthritis could be improved. Although specialized rheumatology nurses could take over substantial aspects of patient care, this hardly occurs in Germany. Thus, the aim of the study is to examine structured nursing consultation in rheumatology practices. Methods/design In total, 800 patients with a stable course of rheumatoid arthritis or psoriatic arthritis in 20 centers in North Rhine–Westphalia and Lower Saxony will be randomized to either nurse-led care or standard care. Participating nurses will study for a special qualification in rheumatology and trial-specific issues. It is hypothesized that nurse-led care is non-inferior to standard care provided by rheumatologists with regard to a reduction of disease activity (DAS28) while it is hypothesized to be superior regarding changes in health-related quality of life (EQ-5D-5L) after 1 year. Secondary outcomes include functional capacity, patient satisfaction with treatment, and resource consumption. Discussion Since there is insufficient care of rheumatology patients in Germany, the study may be able to suggest improvements. Nurse-led care has the potential to provide more efficient and effective patient care. This includes a more stringent implementation of the treat-to-target concept, which may lead to a higher percentage of patients reaching their treatment targets, thereby improving patient-related outcomes, such as quality of life, functional capacity, and participation. Additionally, nurse-led care may be highly cost-effective. Finally, this project may form the basis for a sustainable implementation of nurse-led care in standard rheumatology care in Germany. Trial registration German Clinical Trials Register, DRKS00015526. Registered on 11 January 2019.

An audit of the care of 266 patients with schizophrenia in 16 general practices

1998 ◽  
Vol 15 (2) ◽  
pp. 61-63 ◽  
Author(s):  
John Holden
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Mental State ◽  
Family Care ◽  
Care Family ◽  
General Practices ◽  
Examination Quality ◽  
State Examination ◽  
Physical Care

AbstractSixteen general practices completed an audit of the care of their patients with schizophrenia. This resulted in improved levels of recording of six different aspects of patient care; family care, Mental State Examination, quality of life, preventive physical care, co-ordinated care and details of medication.

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