Adverse effects of shift work in healthcare professionals

It is generally accepted that empathy should be the basis of patient care. However, this ideal may be unrealistic if healthcare professionals suffer adverse effects when engaging in empathy. The aim of this study is to explore the effect of inferring mental states and different components of empathy (perspective-taking; empathic concern; personal distress) in burnout dimensions (emotional exhaustion; depersonalization; personal accomplishment). A total of 184 healthcare professionals participated in the study (23% male, Mage = 44.60; SD = 10.46). We measured participants’ empathy, the inference of mental states of patients, and burnout. Correlation analyses showed that inferring mental states was positively associated with perspective-taking and with empathic concern, but uncorrelated with personal distress. Furthermore, emotional exhaustion was related to greater levels of personal distress and greater levels of inferences of mental states. Depersonalization was associated with greater levels of personal distress and lower levels of empathic concern. Personal accomplishment was associated with the inference of mental states in patients, lower levels of personal distress, and perspective-taking. These results provide a better understanding of how different components of empathy and mental state inferences may preserve or promote healthcare professionals’ burnout.

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Adverse Effects of Personal Protective Equipment Among Intensive Care Unit Healthcare Professionals During the COVID-19 Pandemic: A Scoping Review

SAGE Open Nursing ◽

10.1177/23779608211026164 ◽

2021 ◽

Vol 7 ◽

pp. 237796082110261

Author(s):

Takeshi Unoki ◽

Hideaki Sakuramoto ◽

Ryuhei Sato ◽

Akira Ouchi ◽

Tomoki Kuribara ◽

...

Keyword(s):

Intensive Care ◽

Adverse Effects ◽

Scoping Review ◽

Personal Protective Equipment ◽

Healthcare Professionals ◽

World Health ◽

Protective Equipment ◽

Medical Database ◽

Publication Type ◽

Skin Injuries

Introduction To avoid exposure to SARS-COV-2, healthcare professionals use personal protective equipment (PPE) while treating COVID-19 patients. Prior studies have revealed the adverse effects (AEs) of PPE on healthcare workers (HCWs); however, no review has focused on the AEs of PPE on HCWs in intensive care units (ICUs). This review aimed to identify the AEs of PPE on HCWs working in ICUs during the COVID-19 pandemic. Methods A scoping review was conducted. MEDLINE, CINAHL, the World Health Organization (WHO) global literature on COVID-19, and Igaku-chuo-zasshi (a Japanese medical database), Google Scholar, medRxiv, and Health Research Board (HRB) open research were searched from January 25–28, 2021. The extracted data included author(s) name, year of publication, country, language, article title, journal name, publication type, study methodology, population, outcome, and key findings. Results The initial search identified 691 articles and abstracts. Twenty-five articles were included in the analysis. The analysis comprised four key topics: studies focusing on PPE-related headache, voice disorders, skin manifestations, and miscellaneous AEs of PPE. The majority of AEs for HCWs in ICUs were induced by prolonged use of masks. Conclusion The AEs of PPE among HCWs in ICUs included heat, headaches, skin injuries, chest discomfort, and dyspnea. Studies with a focus on specific diseases were on skin injuries. Moreover, many AEs were induced by prolonged use of masks.

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Post marketing surveillance of suspected adverse drug reactions through spontaneous reporting: current status, challenges and the future

Therapeutic Advances in Drug Safety ◽

10.1177/2042098620938595 ◽

2020 ◽

Vol 11 ◽

pp. 204209862093859 ◽

Cited By ~ 2

Author(s):

Muaed Alomar ◽

Ali M Tawfiq ◽

Nageeb Hassan ◽

Subish Palaian

Keyword(s):

Adverse Effects ◽

Health Professionals ◽

Healthcare Professionals ◽

Spontaneous Reporting ◽

Future Prospects ◽

Innovative Strategies ◽

Post Marketing Surveillance ◽

The Future ◽

Post Marketing ◽

Reporting Programs

Background: To highlight the importance of spontaneous reporting programs in post marketing surveillance of medicines. Authors also aimed at providing various dimensions of spontaneous programs, including the strengths and weakness, and providing an insight on the future prospects of pharmacovigilance systems. Methods: Various literature related to post marketing surveillance and spontaneous reporting programs were reviewed and the relevant ones highlighting the strengths and weaknesses are summarized. A balance of information on strengths and weaknesses is listed. The health professionals’ awareness regarding existing spontaneous reporting programs is highlighted. Future prospects of pharmacovigilance are discussed. Results: Though beneficial, spontaneous reporting programs encounter several limitations and difficulties in diagnosing adverse drug reaction. Under-reporting and bias are major challenges. Online signal detection tools and innovative methods are needed to strengthen the spontaneous reporting programs. We provide the various issues to be considered while depending on spontaneous reporting programs as a method of post marketing surveillance. Conclusion: To strengthen the spontaneous reporting programs as an effective post marketing surveillance method, more awareness among health professionals and innovative strategies is needed. Integrating pharmacogenetic data can be a potential aspect of future pharmacovigilance. Plain language summary Monitoring adverse effects of marketed medicines through reporting by healthcare professionals and its challenges and way forward Introduction: This article highlights the importance of safety monitoring of medicines after they are launched in the market, mainly through reporting by healthcare professionals. We also highlight the strengths and weaknesses, and provide an insight on the future prospects of pharmacovigilance systems. Methods: Various literature related to the topic were reviewed and the relevant ones highlighting the strengths and weaknesses are summarized. A balance of information on strengths and weaknesses is listed. Health professionals’ awareness regarding existing programs on reporting safety of medicines is highlighted. Results: Though beneficial, reporting of adverse effects by healthcare professionals who deal with patient lacks clarity in diagnosing the adverse effects. Under-reporting and bias are the major challenges. Online software is needed to strengthen reporting by healthcare professionals. We list the various issues to be considered while depending on healthcare professionals’ reporting of adverse effects as a method of post marketing surveillance. Conclusion: To strengthen medicine safety monitoring and reporting by healthcare professionals, more awareness among health professionals and innovative strategies are needed. Integrating the genetic data of patients can be beneficial in predicting adverse effects, therefore avoiding them and enhancing safe prescribing and dispensing by healthcare professionals.

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P042 Evaluation of ‘let’s talk medicines’ helpline

Archives of Disease in Childhood ◽

10.1136/archdischild-2019-nppc.52 ◽

2019 ◽

Vol 104 (7) ◽

pp. e2.48-e2

Author(s):

Sarit Shah

Keyword(s):

Adverse Effects ◽

Ad Hoc ◽

Healthcare Professionals ◽

Disease Process ◽

Daily Basis ◽

Subsequent Treatment ◽

Evidence Based ◽

Pharmacy Staff ◽

Monthly Basis ◽

Email Address

IntroductionStudies and research have shown that providing patient education through knowledge and counselling of the disease process and subsequent treatment empower patients and carers to improve patient’s health. Through understanding rationale for treatment, implications of non- compliance, non-adherence, disease progression and adverse effects of therapy, pharmacy staff are perfectly placed to empower patients and carers with evidence based knowledge and information to make their own educated decisions regarding therapy. The ‘Let’s Talk Medicines’ telephone service was set up in 2015 for exactly this purpose. It is a dedicated medicines information (MI) service aimed at patients, parents and carers, giving the opportunity to ask questions and obtain advice from specialist paediatric pharmacists about their child’s medicines once leaving the hospital. The services have vastly expanded over the last 2 and half years with the addition of an email address as an alternative means for contact. The helpline number and email address are heavily publicised to parents and carers through posters throughout the hospital, details published on all paediatric discharge summaries and printed information cards given to all outpatients during counselling.AimTo evaluate the service progression by analysing the sheer volume and types of queries over the last 3 years to identify how beneficial the novel service has proven to be.MethodsTo retrospectively analyse data from 3 monthly reports over the last 2.5 years of the service to identify number of calls, emails, types of queries received and users of the service.ResultsThe current service relies on all members of the pharmacy team answering calls on a dedicated patient line on an ad-hoc basis with several specialist pharmacists reviewing queries on a daily basis. Average call durations were between 5 to 8 minutes with more complex queries requiring in depth data search taking up to 30 minutes. All queries are logged on paper and then reviewed on a monthly basis as they are entered onto a database. Since the introduction of the service, the volume of calls received has increased by more than 50% with average of 35 per month in 2015 and 54 in 2017. Originally, the service was designed primarily for patients, parents and carers. Due to the increased recognition, the service has now been expanded to a variety of internal and external healthcare professionals, community practitioners and pharmacies, drug companies, commissioning staff, researchers and students. The types of queries range from supply issues, procurement of unlicensed medicines, to adverse effects, administration advice and complex pharmaceutical queries.ConclusionThe service has grown and developed with focus based around improving patient care, medication adherence and minimising medicines related risks. Through providing accurate, up-to-date and evidence based information its appeal has reached a wider audience including healthcare professionals. Combined with an increase in the number of calls and technological advances, a new email service has been rolled out in 2017, as an alternate means to contact the service. Direct comments from users of the service has shown positive feedback and trust.

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Medical Masks’ and Respirators’ pattern of use, adverse effects and errors among Portuguese healthcare professionals during the COVID-19 pandemic: a cross-sectional study

American Journal of Infection Control ◽

10.1016/j.ajic.2021.10.002 ◽

2021 ◽

Author(s):

David Peres ◽

Jorge Monteiro ◽

José Pedro Boléo-Tomé

Keyword(s):

Adverse Effects ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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DBS Safety

10.1093/med/9780190259600.003.0005 ◽

2016 ◽

Author(s):

Erwin B. Montgomery

Keyword(s):

Neural Networks ◽

Adverse Effects ◽

Human Activities ◽

Healthcare Professionals ◽

Electrical Current ◽

Time Limit ◽

Ecological System ◽

Medical Complications ◽

Psychosocial Consequences ◽

The Brain

DBS is not just about passing electrical current charges into the brain, but rather DBS is integrated into a complex ecological system that involves not only electricity, but medications, biologics, rehabilitation, and a range of human issues including ethics, psychology, sociology, indeed, the full gamut of human activities. Furthermore, these human activities of concern include not only the patient and the patient’s family members, caregivers, and friends, but also physicians and healthcare professionals. Space and time limit the excursion here into these issues. The focus necessarily falls on issues directly related to DBS: the range of safety concerns, injury secondary to electricity, medical complications, adverse effects related to the activation of neural networks, and the potential psychosocial consequences of DBS.

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Exploration of the adverse effects of shift work in a multicultural environment

Work ◽

10.3233/wor-192934 ◽

2019 ◽

Vol 63 (3) ◽

pp. 457-467

Author(s):

Marek Bures ◽

Vera Cadkova ◽

Ali Altunpinar

Keyword(s):

Adverse Effects ◽

Shift Work ◽

Multicultural Environment

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Role of Nutraceuticals in Cancer

Complementary and Alternative Medicine ◽

10.4018/978-1-5225-7039-4.ch017 ◽

2019 ◽

pp. 388-406

Author(s):

Kiran Dahiya ◽

Rakesh Dhankhar

Keyword(s):

Side Effects ◽

Adverse Effects ◽

Mechanism Of Action ◽

Healthcare Professionals ◽

Standard Treatment ◽

Treatment Modalities ◽

Active Components ◽

Prevention And Treatment ◽

Prevention Of Cancer

Nutraceuticals are increasingly becoming popular for prevention and treatment of cancer. Association of adverse effects with standard treatment modalities of cancer has led to consideration of safer approaches. Nutraceuticals may help in prevention of cancer as well as in treatment and avoidance of side effects associated with chemo-radiation. The active components of nutraceuticals are known as phytochemicals. Many mechanisms have been put forward for the actions of these phytochemicals but an exact mechanism for a well defined role of a particular phytochemical in a specific type of cancer is yet to be elucidated. Thus, nutraceutical industry has emerged as a research oriented sector. It is important for the healthcare professionals to understand the categories, research developments, mechanism of action and areas of concern in the field of nutraceuticals.

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Willingness and concerns of transfusion-dependent hematological patients toward the option of home transfusion therapy

Palliative Medicine ◽

10.1177/02692163211000634 ◽

2021 ◽

pp. 026921632110006

Author(s):

Liza Barki-Harrington ◽

Orna Baron-Epel ◽

Adir Shaulov ◽

Luiza Akria ◽

Yossef Barshay ◽

...

Keyword(s):

Adverse Effects ◽

Healthcare Professionals ◽

Successful Implementation ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Transfusion Therapy ◽

Home Based ◽

Negative Effect ◽

Self Administered Questionnaire

Background: One of the main obstacles of providing home-based palliative care to transfusion-dependent hematology patients is the lack of home transfusions services. While healthcare professionals are concerned with safety and cost of home transfusions, the attitude of the patients toward home transfusions are mostly unknown. Aim: To obtain quantitative data regarding the willingness and concerns of transfusion-dependent patients with hematological diseases toward the option of home transfusions. Design: A cross sectional survey including a self-administered questionnaire in one of the three main spoken languages in Israel was administered to patients in 17 hospital hematology outpatient clinics between May 2019 and March 2020. Results: About 52% of 385 patients that participated in the survey preferred home transfusions to hospital transfusions. Gender, age, education, or type of disease were not associated with preference for home transfusions, nor were hospital location or its size. The likelihood to prefer home transfusions was significantly higher among the Hebrew-speakers and those who had not experienced adverse effects previously. The most significant factor associated with preference of home transfusions was a perceived negative effect of hospital-based transfusion on quality of life. The main reason to reject home transfusions was fear of possible adverse effects and concerns over losing contact with the medical staff at the treating hospital. Conclusion: These data suggest that a significant portion of transfusion-dependent patients in Israel view home transfusions as a preferred treatment option and that its successful implementation requires maintaining ongoing contact with the treating hospital.

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