Active Shooter: What Would Health Care Students Do While Caring for Their Patients? Run? Hide? Or Fight?

2019 ◽  
Vol 14 (2) ◽  
pp. 173-177
Author(s):  
Nicole McKenzie ◽  
Carolina Wishner ◽  
Martha Sexton ◽  
Danielle Saevig ◽  
Brian Fink ◽  
...  

ABSTRACTObjective:The aim of this study was to explore the clinical decisions that health care students would make if faced with an active shooter event while providing patient care.Methods:A cross-sectional study design was used to survey 245 students from 6 different professional programs. Participants read 4 case-based scenarios, selected 1 of 4 actions in a multiple-choice format, and responded to an open-ended question. Demographic questions asked whether participants had been a victim of violence and whether they have taken a certified active shooter course. Statistical analysis included descriptive statistics and chi-square testing.Results:For each case, most students chose “patient-centric” versus “provider-centric” actions (range: 66%–94% and 4%–17%, respectively). The gender of the patient made no difference in actions. Those who attended a certified active shooter course tended to act with more “provider-centric” concerns than those who did not take such a course.Conclusion:A significant majority of interprofessional health care students, when presented with specific case-scenarios, declared they would act to protect themselves and their patients during an active shooter event. This “patient-centric” attitude transcends the oversimplified “Run-Hide-Fight” axiom and must be addressed by all health care educational institutions.

2021 ◽  
Vol 10 (8) ◽  
pp. e45310817540
Author(s):  
Ana Carolina Zuca Pedreira de Freitas ◽  
Saiane Menezes Moreira ◽  
Lisandra Maria Lago ◽  
Laís Nery Pinheiro ◽  
Danielle Stefane Pinto da Silva ◽  
...  

Methylphenidate is the drug most frequently used in the treatment of attention deficit hyperactivity disorder. However, due to its psychostimulant properties, this substance has been used to stimulate productivity and increase intellectual capacity in several areas of study. In this work, the characteristics of the use of methylphenidate among pharmacy, nursing, and medical students of a university in the capital of Bahia were analyzed. In this cross-sectional study, 338 students from different semesters of the aforementioned courses were interviewed. The instrument used for data collection was a standardized self-completed questionnaire applied by the researchers. Altogether, 76% of respondents were female and the average age was 22 years old. The frequency of students who used or who had already used methylphenidate at some point in their academic life was higher among medical students (12%). The main justification for the use of this substance was the higher concentration to study (59%). Also, 92% of respondents claimed to use Methylphenidate without medical supervision and 80% indicated the time of the tests as the time of greatest use of this drug. These results show high non-prescribed use of methylphenidate among health care students.


Author(s):  
Vijayakumar M. ◽  
Jeshtin M.

Background: Construction sector is a thriving industry which comprises most of the unorganized workers and providing widespread opportunities for employment of most of the poorest and marginalized sections of society in India. The workers are more susceptible to various occupational hazards due to working conditions in dusty environment. This study is proposed to identify the morbidity pattern, availability and usage of safety measures, health care seeking behaviour and health care facilities at the quarry site.Methods: A cross sectional study was conducted among the stone quarry workers of Maduranthakam area in Kancheepuram district from February 2018 to May 2018. The sample size was calculated as 94 and five quarries were selected randomly. The study tool was interview based semi structured questionnaire and clinical examination. Appropriate descriptive and inferential statistics like Chi square test, Fischer’s exact test was done to determine significant association (p<0.05).Results: The common morbidities among the participants were abdominal conditions (54%), injuries (34%) and musculoskeletal disorders (27%). One in five individuals had respiratory problems and those with breathing difficulty had decreased peak expiratory flow rate. Usage of personal protective equipments is low and about 63.8% of them were using government health care facilities.Conclusions: Increasing demand for stone and aggregates has led to extensive stone quarrying operations. Awareness and enforcement of personal protective equipment, vaccination against diseases like tetanus, periodic health check- ups should be enforced for people working in quarries.


Author(s):  
Ryuichi Ohta ◽  
Mikiya Sato ◽  
Jun Kitayuguchi ◽  
Tetsuhiro Maeno ◽  
Chiaki Sano

Help-seeking behaviors (HSB) for mild symptoms vary because of differences in health care resources and patients’ backgrounds. Potential HSBs for lay and professional care use are related to patients’ health conditions. However, there is a lack of evidence of the relation between them. This study examined the relation between patients’ potential HSBs and self-rated health (SRH). The cross-sectional study involved 169 patients, aged above 65 years, who visited a Japanese rural clinic. A validated checklist was used to assess potential patients’ HSBs. A chi-square test and logistic regression were performed to examine the relation between patients’ self-rated health and HSB regarding lay and professional care use. Participants were 77.5 years old, on average (SD = 8.3). Results reveal that having regular exercise habits (OR = 2.42, p = 0.04), adequate sleep (OR = 4.35, p = 0.006), work (OR = 2.59, p = 0.03), high socioeconomic status (OR = 6.67, p = 0.001), and using both lay and professional care (OR = 2.39, p = 0.046) were significantly correlated with high self-rated health. Living alone was negatively correlated with higher SRH (OR = 0.23, p = 0.015). To improve rural patients’ health care, in addition to improving their health management skills, potential HSB for mild symptoms should be investigated and interventions that consider patients’ socioeconomic factors and living conditions should be implemented.


2016 ◽  
Vol 8 (4) ◽  
pp. 242
Author(s):  
RaviKiran Jella ◽  
K. V. N. R. Pratap ◽  
TMadhavi Padma ◽  
VSiva Kalyan ◽  
P Vineela ◽  
...  

2021 ◽  
Author(s):  
Hamdia Mirkhan Ahmed

Abstract Background: Having a positive childbirth experience is highlighted as being important by the World Health Organization (WHO). One way of achieving this goal is to fulfill the expectations of women. This study aimed to find out women’s expectations in the delivery room and to determine the association between their overall level of expectation and sociodemographic and obstetrical characteristics. Methods: A cross-sectional study was conducted with 1196 women who agreed to participate and who met the inclusion criteria through convenient sampling. Data were collected through direct interviews after receiving informed consent. Sociodemographic and obstetric data, along with expectations items, were summarized by frequency and percentage. A chi-square test was used to find the association between overall expectation and sociodemographic and obstetric variables, general satisfaction with birth care, and communication of health care providers. Results: A majority of the study sample expected the following from health care providers in the delivery room: presence (78.6%), positive and calming verbal (76.3%) and nonverbal expressions (72.3%), environmental control (74.6%), encouragement of different positions and mobilization (75.9%), hygiene (77.5%), promotion of urinary elimination (75.8%), and instruction on breathing and relaxation (71.9%). The overall expectation level was divided into “high expectations” (68.6), “slight expectation” (29.9), and “no expectation” (1.4). Conclusion: Knowing the women’s expectations in the delivery room and how to effectuate them helps to inform plans of care and may also increase women’s satisfaction level, providing them with a more positive birth experience.


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