Stress in an Irish inner city emergency department revisited (2000-2006)

2010 ◽  
Vol 27 (3) ◽  
pp. 135-137
Author(s):  
Tomás Breslin ◽  
John McInerney ◽  
John Sheehan ◽  
Dominick Natin ◽  
Mary Codd

AbstractObjectives:Stress levels among staff in the Mater Misericordiae University Hospital Emergency Department were studied by questionnaire in 2000, which demonstrated a high level of self reported stress. The aim of this study was to ascertain if stress levels had reduced following changes in the department.Method:The study was repeated using the same questionnaire in 2006, after changes had occurred.Results:There was a significant reduction in the percentage of staff that reported they were under severe or unbearable stress, from 37% in 2000 to 10% in 2006 (p = 0.002). A total of 60% felt the social environment of their work was satisfactory in 2006 compared to 40% in 2000 (p = 0.03). Compared to 2000, a significantly lower proportion reported they had a low degree of control over their job, and a significantly higher proportion reported a medium level of control over their job in 2006 (p = 0.03).Conclusions:Compared with the results of the previous study, reported stress levels have reduced overall, which coincided with a significant increase in staffing levels in the department.

2007 ◽  
Vol 22 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Adi Leiba ◽  
Nir Drayman ◽  
Yoram Amsalem ◽  
Adi Aran ◽  
Gali Weiss ◽  
...  

AbstractIntroduction:Medical systems worldwide are facing the new threat of morbidity associated with the deliberate dispersal of microbiological agents by terrorists. Rapid diagnosis and containment of this type of unannounced attack is based on the knowledge and capabilities of medical staff. In 2004, the knowledge of emergency department physicians of anthrax was tested. The average test score was 58%. Consequently, a national project on bioterrorism preparedness was developed. The aim of this article is to present the project in which medical knowledge was enhanced regarding a variety of bioterrorist threats, including cutaneous and pulmonary anthrax, botulinum, and smallpox.Methods:In 2005, military physicians and experts on bioterrorism conducted special seminars and lectures for the staff of the hospital emergency department and internal medicine wards.Later, emergency department senior physicians were drilled using one of the scenarios.Results:Twenty-nine lectures and 29 drills were performed in 2005.The average drill score was 81.7%.The average score of physicians who attended the lecture was 86%, while those who did not attend the lectures averaged 78.3% (NS).Conclusions:Emergency department physicians were found to be highly knowledgeable in nearly all medical and logistical aspects of the response to different bioterrorist threats. Intensive and versatile preparedness modalities, such as lectures, drills, and posters, given to a carefully selected group of clinicians, can increase their knowledge, and hopefully improve their response to a bioterrorist attack.


2006 ◽  
Vol 63 (24) ◽  
pp. 2500-2503 ◽  
Author(s):  
Melinda K. Carter ◽  
Dennis M. Allin ◽  
Leigh Anne Scott ◽  
Dennis Grauer

2020 ◽  
Author(s):  
Marina Repusic ◽  
Matea Kolacevic Zeljkovic ◽  
Alen Babacanli ◽  
Vida Olujic ◽  
Sandra Radovanic ◽  
...  

Abstract Background There are limited data which show how Emergency Department (ED)-specific knowledge and skills are acquired throughout the internal medicine fellowship, especially during 24-hour shifts. The aim of the study was to assess the differences in medical practice between fellows among different fellowship-years in ED settings. Methods We conducted a cross-sectional, retrospective study at a large university hospital using data on every ED examination done during 2016. All data were taken from the hospital information system. We compared 1st-year fellows with all older fellows, as well as 5th-year fellows with all younger fellows. Results In 2016, 55 fellows had ≥ 15 24-hour shifts with 3 attending fellows during one shift. A total of 19’916 patients were examined by attending fellows in the ED. When compared to 2nd-year fellows, 1st-year fellows examined more patients brought to ED by out-of-hospital emergency medical team and had significantly higher share of examined patients per 24-hour shift with lower length of stay. When compared to 5th-year fellows, 1st-year fellows examined older patients, but had lower share of examined patients during one 24-hour shift and participated in fewer CPR cases. When compared to younger fellows, 5th-year fellows participated in more CPR cases and had higher proportion of patients admitted to hospital. Conclusion To our knowledge, this is the first report on the ED medical practice differences among fellows of different fellowship-year. When compared to other fellows, 1st-year fellows participated less in CPR cases, but were faster in providing medical care in ED. 5th-year fellows had the highest proportion of patients admitted to hospital and more CPR cases.


2009 ◽  
Vol 4 (1) ◽  
pp. 430
Author(s):  
Hércules Rigoni Bossato ◽  
Eliane Ramos Pereira ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Silvia Helena Oliveira da Cunha

ABSTRACTObjectives: to characterize the embracement of relatives of clients in attendance in the Trauma Room in the Emergency Department from report of experience, and make contributions to the family embracement in this sector in line with the National Policy of Humanization. Methods: a descriptive study of the type of experience reporting on the family embracement with relatives in attendance at the Trauma Room in the Emergency Department of a university hospital. Results: important aspects of family embracement in the emergency department were appointed, allowing a building of proposals for: the family embracement from the reception, the friendly relationship through listening, inclusive perspective of the visit opened and the transdisciplinarity of embracement and the priorities for the family embracement routine of clients in Trauma Room as contribution of the study. Conclusion: the embracement as a comprehensive approach to family is paramount to the humanization in this context. As a strategy for enabling family access participatory in client attendance, the embracement becomes essential in the production of relationships which are bonds that reinforce support in the hospital environment and minimize anxiety. Descriptors: hospital emergency service; user embracement; humanization of assistance. RESUMOObjetivos: caracterizar aspectos do acolhimento dos familiares de clientes em atendimento na Sala de Trauma do Serviço de Emergência a partir do relato de experiência; e, apresentar contribuições para o acolhimento familiar nesse setor em consonância com a Política Nacional de Humanização. Métodos: estudo descritivo tipo relato de experiência acerca do acolhimento de familiares com parentes em atendimento na Sala de Trauma no Serviço de Emergência de um hospital universitário. Resultados: importantes aspectos do acolhimento familiar no Serviço de Emergência foram destacados, possibilitando uma construção de propostas referentes: ao acolhimento da família desde a recepção, a relação acolhedora por meio da escuta interativa, a perspectiva inclusiva da visita aberta, a transdisciplinaridade do acolhimento e enfim, prioridades para rotina de acolhimento familiar de clientes em Sala de Trauma como contribuição do estudo. Conclusão: o acolhimento como abordagem compreensiva aos familiares é primordial para a humanização nesse âmbito. Como estratégia para a viabilização de acesso participativo do familiar no atendimento do cliente, o acolhimento torna-se fundamental na produção de relações que constituem vínculos de apoio que se reforçam no ambiente hospitalar e minimizam ansiedades. Descritores: serviço hospitalar de emergência; acolhimento; humanização da assistência. RESUMENObjetivos: caracterizar aspectos de lo acogimiento de los familiares de clientes en tratamiento en la sala de trauma en el Servicio de Emergencia sobre la base de relato de experiencia, y presentar contribuciones a lo acogimiento de la familia en este sector en consonancia con la Política Nacional de Humanización. Métodos: estudio descriptivo, del tipo relato de experiencia sobre el acogimiento de familiares de clientes en la asistencia en sala de trauma del servicio de emergencia de un hospital universitario. Resultados: los aspectos importantes del acogimiento de los familiares en el servicio de emergencia fueron descritos, lo que permitió una construcción sobre: lo acogimiento de la familia desde la recepción, la relación de amistad a través de la escucha, la perspectiva de la inclusión de la visita libre, la transdisciplinariedad del acogimiento, y las prioridades para la rutina del acogimiento de la familia de los clientes en la sala de trauma como una contribución del estudio. Conclusión: el acogimiento como un enfoque de comprensión a la familia es primordial para la humanización en este servicio. Como una estrategia para permitir la inclusión de la familia en el contexto de la asistencia del cliente, lo acogimiento es esencial en la producción de relaciones que son enlaces de apoyo que se refuerzan en el ambiente hospitalario y minimizan la ansiedad. Descriptores: servicio de urgencia en hospital; acogimiento; humanización de la atención. 


1998 ◽  
Vol 91 (Supplement) ◽  
pp. S30
Author(s):  
Benjamin A. Youdelman ◽  
Ezekiel Fink ◽  
Alison L. Taich ◽  
Chris B. Brooks

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