Nonwillingness to Return to the Emergency Department and Nonattendance of Follow-Up Care Arrangements Following an Initial Suicide-Related Presentation

Crisis ◽  
2021 ◽  
Author(s):  
Hannah Y. Rosebrock ◽  
Philip J. Batterham ◽  
Nicola A. Chen ◽  
Lauren McGillivray ◽  
Demee Rheinberger ◽  
...  
Keyword(s):  
Emergency Department ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Self Report ◽  
Local Health ◽  
Cross Sectional ◽  
South Wales ◽  
Patients Experience ◽  
Suicidal Crisis

Abstract. Background: For people experiencing a suicidal crisis the emergency department (ED) is often the only option to find help. Aims: The aims of this study were (a) to identify predictors of patients' nonwillingness to return to the ED for help with a future suicidal crisis, and (b) whether nonwillingness to return was associated with follow-up appointment nonattendance. Method: This study utilized baseline data from the RESTORE online survey, and included 911 participants who had presented to an ED for suicidal crisis in the past 18 months, across participating local health districts in the Australian Capital Territory and New South Wales. Results: Patients who reported a more negative ED experience and longer triage wait times were less willing to return. Those who were less willing to return were also less likely to attend their follow-up appointment. Limitations: Due to the cross-sectional study design, causal inferences are not possible. Additionally, the self-report measures used are susceptible to recall bias. Conclusion: Patients' experience of service at EDs is a key indicator to drive improvement of patient outcomes for individuals experiencing a suicidal crisis.

Does Dispositional Mindfulness Predict the Development of Grit?

2018 ◽  
Vol 39 (2) ◽  
pp. 76-87 ◽  
Author(s):  
Buaphrao Raphiphatthana ◽  
Paul Jose ◽  
Karen Salmon
Keyword(s):  
Undergraduate Students ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Self Report ◽  
Dispositional Mindfulness ◽  
Cross Sectional ◽  
Report Data ◽  
Self Report Data ◽  
Acting With Awareness ◽  
Mindfulness Facets

Abstract. Grit, that is, perseverance and passion for long-term goals, is a novel construct that has gained attention in recent years ( Duckworth, Peterson, Matthews, & Kelly, 2007 ). To date, little research has been performed with the goal of identifying the antecedents of grit. Thus, in order to fill this gap in the literature, self-report data were collected to examine whether mindfulness, a mindset of being-in-the-present in a nonjudgmental way, plays a role in fostering grittiness. Three hundred and forty-three undergraduate students completed an online survey once in a cross-sectional study, and of these, 74 students completed the survey again 4.5 months later. Although the cross-sectional analyses identified a number of positive associations between mindfulness and grit, the longitudinal analysis revealed that the mindfulness facets of acting with awareness and non-judging were the most important positive predictors of grit 4.5 months later. This set of findings offers implications for future grit interventions.

scholarly journals Comparing Patient and Endoscopist Perceptions of the Colonoscopy Indication

2010 ◽  
Vol 24 (11) ◽  
pp. 656-660 ◽  
Author(s):  
Maida J Sewitch ◽  
Dara Stein ◽  
Lawrence Joseph ◽  
Alain Bitton ◽  
Robert J Hilsden ◽  
...  
Keyword(s):  
Kappa Statistic ◽  
Cross Sectional Study ◽  
Routine Screening ◽  
Self Report ◽  
Administrative Databases ◽  
Screening Colonoscopy ◽  
Cross Sectional ◽  
Simple Method ◽  
Patient Questionnaires

BACKGROUND: Determining whether a colonoscopy is performed for screening or nonscreening purposes can facilitate clinical practice and research. However, there is no simple method to determine the colonoscopy indication using patient medical files or health administrative databases.OBJECTIVE: To determine patient-endoscopist agreement on the colonoscopy indication.METHODS: A cross-sectional study was conducted among staff endoscopists and their patients at seven university-affiliated hospitals in Montreal, Quebec. The study participants were 50 to 75 years of age, they were able to understand English or French, and were about to undergo colonoscopy. Self- (endoscopist) and interviewer-administered (patient) questionnaires ascertained information that permitted classification of the colonoscopy indication. Patient colonoscopy indication was defined as the following: perceived screening (routine screening, family history, age); perceived nonscreening (follow-up); medical history that implied nonscreening; and a combination of the three preceding indications. Agreement between patient and endoscopist indications was measured using concordance and Kappa statistic.RESULTS: In total, 702 patients and 38 endoscopists participated. The three most common reasons for undergoing colonoscopy were routine screening/regular check-up (33.8%), follow-up to a previous problem (30.2%) and other problem (24.6%). Concordance (range 0.79 to 0.85) and Kappa (range 0.58 to 0.70) were highest for perceived nonscreening colonoscopy. Recent large bowel symptoms accounted for 120 occurrences of disagreement in which the patient perceived a nonscreening colonoscopy while the endoscopist perceived a screening colonoscopy.CONCLUSIONS: Patient self-report may be an acceptable means for rapidly assessing whether a colonoscopy is performed for screening or nonscreening purposes. Delivery of patient-centred care may help patients and endoscopists reach a shared understanding of the reason for colonoscopy.

scholarly journals A cross-sectional study of the self-report of stress among emergency department patients

2009 ◽  
Vol 2 (3) ◽  
pp. 155
Author(s):  
TedD Nirenberg ◽  
Janette Baird ◽  
Magdalena Harrington ◽  
MichaelJ Mello ◽  
Robert Woolard ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cross Sectional Study ◽  
The Self ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Department Patients

scholarly journals IMPACT OF COVID-19 PANDEMIC ON MENTAL HEALTH AMONG BANGLADESHI SENIOR CITIZENS: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Mohammad Shahadat Hossen ◽  
Abu Hayat Md Rafiqul Rezvi
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Health Workers ◽  
Senior Citizens ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Mental Condition ◽  
Cross Sectional ◽  
Novel Coronavirus

Novel Coronavirus (COVID-19) is a dangerous virus that was first emerged in China at December 2019. It has already infected more than 128 million people and killed more than 2.8 million people. The main purpose of this paper is to find out the present mental condition of Bangladeshi Senior Citizens in Dhaka city to overcome their loneliness or boringness. A systematic cross-sectional online survey regarding COVID-19 has been conducted from June 15 to June 25, 2020. After developing questionnaires utilizing Google form, it has been sent out to the participants using an online platform and the responses of the participants have been recorded. A total of 280 participants (100 female and 180 male) completed the survey. The average age of them is about 60 years. It has been observed that maximum male participants (58.3%) felt financial stress and maximum female participants (56%) felt horrified due to COVID-19. Additionally, it has been found that maximum male and female participants were utilized more time in social media then the normal time. Since COVID-19 has already become a major issue all over the world, it is necessary to identify the mental health conditions and activities of people during this pandemic situation so that appropriate measures can be taken. More research should be conducted regarding mental health impact and possible solutions. Hopefully, it will ease to provide fruitful information especially for the community health workers with a view to helping them tackle these psychological fitness-related issues in response to other similar societal disasters. After the pandemic, follow-up should be made in order to improve mental health.

scholarly journals Evaluation of the Accuracy of Implementation of Obstetric Referral Cases to the Emergency in the JKN Era

2019 ◽  
pp. 159-165
Author(s):  
Omo Abdul Madjid ◽  
Arietta R.D. Pusponegoro ◽  
Immanuel S Margatan
Keyword(s):  
Emergency Department ◽  
Monitoring And Evaluation ◽  
Cross Sectional Study ◽  
Referral System ◽  
Local Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Obstetric Emergencies ◽  
Obstetric Referral

Abstract Objective: To investigate the circumstances of the obstetric referral case at the emergency department of the Dr.Cipto Mangunkusumo Hospital as well as the accuracy of the referral implementation. Method: We used cross-sectional study. Medical records of obstetric patients at Emergency department in RSCM in January 2013-July 2014 were obtained, then information about patients and their characteristic were collected. The accuracy of referral cases is based on emergency obstetric criteria by BPJS rules. Results: Primary Health Care became the leading referrer. Inappropriate diagnostic referral cases amounted to 21.2%when JKN first began to be implemented in 2014. Cases with improper diagnoses were more referred when JKN was implemented which amounted to 16.8% and non-emergency referral cases of 6.9% in 2014. Conclusion: Referral implementation has not been efficient and effective, the number of obstetric referral cases to emergency department of RSCM that can actually be handled in the secondary advanced health services after the application of JKN is still high. Monitoring and evaluation is needed by the Local Health Office to improve the quality of the referral system that applied in the newly JKN era.   Keywords:accuracy of referrals,BPJS, JKN, obstetric emergencies, referral system.   Abstrak Tujuan: Mengetahui gambaran kasus rujukan obstetri di IGD RSCM dan ketepatan pelaksanaan rujukan.  Metode: Deskriptif desain studi potong lintang. Data diambil dari rekam medis pasien obstetri di IGD RSCMpada bulan Januari 2013 hingga Desember 2014, kemudian informasi mengenai data dan karakteristik pasien dikumpulkan. Ketepatan pelaksanaan rujukan kasus gaat daraurat obstetri berdasarkan Krietria gawatdarurat bagian kebidanan menurut ketentuan BPJS Kesehatan. Hasil: Perujuk terbanyak adalah Puskesmas (FKTP). Kasus rujukan dengan ketidaksesuaian diagnosa lebih banyakjumlahnya pada saat JKN mulai diterapkan pada tahun 2014 sebesar 21.2%. Kasus dengan diagnosa yang tidak tepat rujuk lebih banyak pada saat JKN di laksanakan yaitu sebesar 16.8% dan kasus rujukan yang bukan gawatdarurat sebesar 6.9% pada tahun 2014. Kesimpulan: Pelaksanaan rujukan belum efisien dan efektif, jumlah rujukan obstetri ke IGD RSCM yangsebenarnya dapat ditangani di fasilitas kesehatan tingkat lanjutan sekunder setelah penerapan JKN masih tinggi. Dibutuhkan monitoring dan evaluasi oleh Dinas Kesehatan setempat untuk meningkatkan kualitas sistem rujukan yang berlaku di era JKN yang baru diterapkan. Kata kunci :  BPJS, gawat darurat obstetri, JKN, ketepatan rujukan, sistem rujukan.

scholarly journals 104 Management of sports-related concussion in UK emergency departments: a multi-centre study

2020 ◽  
Vol 37 (12) ◽  
pp. 822.2-822
Author(s):  
Haroon Rashid ◽  
Nick Dobbin ◽  
Smarak Mishra
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Return To Play ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
North West ◽  
The North ◽  
Consensus Statements

Aims/Objectives/BackgroundIt is necessary for those working in emergency departments to have adequate knowledge and delivery of current sport-related concussion (SRC) management protocols including identifying patients with concussion, managing their symptoms, giving appropriate advice with regards to return to play and referring those at risk of further injuries to an appropriate service.This study aimed to establish the current practice, knowledge base and views towards SRC management of emergency department clinicians who have trained or are currently training in emergency medicine in the North West of England.Methods/DesignThis study was a multi centre, cross sectional study of 111 emergency department clinicians (EDCs) working across 15 centres in the North West of England A 21 item online survey was issued. The key questions focused on the advice given to patients on discharge, the importance of cognitive and physical rest, and knowledge of GRTP.Results/ConclusionsApproximately, 37% of the population responded to the invitation, with 111 responses included in this study. Only 27% of total respondents were aware of the Consensus Statements of Concussion in Sport guidelines, whilst 45% were unaware of any SRC guidelines. 57% of respondents had heard of a graded return to play (GRTP) protocol. Physical rest following an SRC was advised by 95% of respondents with 61% advising concomitant cognitive rest and 42% of respondents providing specific written advice. 90% of clinicians had not received any SRC training.There is a lack of knowledge amongst EDCs in the North West of England in managing and providing discharge advice according to recommendations for patients with SRC. This is likely a consequence of the limited training that these clinicians have received in managing SRC and suggests further work needs to be undertaken to educate EDCs on current SRC management guidance to ensure appropriate care and discharge advice is given to patients.

scholarly journals The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments

CJEM ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 103-110
Author(s):  
Richard Fleet ◽  
Sandrine Hegg-Deloye ◽  
Julie Maltais-Giguère ◽  
France Légaré ◽  
Mathieu Ouimet ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Professional Services ◽  
Perceived Usefulness ◽  
Cross Sectional ◽  
Nursing Services ◽  
Emergency Department Management ◽  
Department Directors

AbstractObjectivesThe Quebec Emergency Department Management Guide (QEDMG) is a unique document with 78 recommendations designed to improve the organization of emergency departments (EDs) in the province of Quebec. However, no study has examined how this guide is perceived or used by rural health care management.MethodsWe invited all directors of professional services (DPS), directors of nursing services (DNS), head nurses (HN), and emergency department directors (EDD) working in Quebec’s rural hospitals to complete an online survey (144 questions). Simple frequency analyses (percentage [%] and 95% confidence interval) were conducted to establish general familiarity and use of the QEDMG, as well as perceived usefulness and implementation of its recommendations.ResultsSeventy-three percent (19/26) of Quebec’s rural EDs participated in the study. A total of 82% (62/76) of the targeted stakeholders participated. Sixty-one percent of respondents reported being “moderately or a lot” familiar with the QEDMG, whereas 77% reported “almost never or sometimes” refer to this guide. Physician management (DPS, EDD) were more likely than nursing management (DNS and especially HN) to report “not at all” or “little” familiarity on use of the guide. Finally, 98% of the QEDMG recommendations were considered useful.ConclusionsAlthough the QEDMG is considered a useful guide for rural EDs, it is not optimally known or used in rural EDs, especially by physician management. Stakeholders should consider these findings before implementing the revised versions of the QEDMG.

scholarly journals Parental experiences and preferences as participants in pediatric research conducted in the emergency department

CJEM ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 409-419 ◽  
Author(s):  
Antonia S. Stang ◽  
Stephen B. Freedman ◽  
Angelo Mikrogianakis ◽  
Graham C. Thompson ◽  
Janie Williamson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Pediatric Research ◽  
Waiting Room ◽  
Cross Sectional ◽  
Web Based ◽  
Parental Experiences ◽  
Separate Area

ABSTRACTObjectiveTo determine parental experiences and preferences regarding the conduct of pediatric research in an emergency department (ED) setting.MethodsWe conducted a cross-sectional study of parents of children ages 0 – 14 years who visited the ED of a tertiary care children’s hospital. Parents completed a Web-based survey designed to assess perceptions regarding: 1) background/training of research personnel, 2) location and timing of research discussions, and 3) factors influencing their consent/refusal decision.ResultsParents totalling 339 were approached, and 227 (67%) surveys were completed. Overall, 87% (197/227; 95% confidence interval [CI] 83, 92) reported they would be comfortable being approached by a university student to discuss research. This proportion did not change when stratified by the child’s gender, illness severity, or season of visit. Whereas only 37% (84/227; 95% CI 31, 43) of respondents would be comfortable being approached in the waiting room, 68% (154/227; 95% CI 62, 75) would be comfortable if approached in a separate area of the main waiting room. The majority reported comfort with follow-up via email (83%; 188/227; 95% CI 78, 88) or telephone (80%; 182/227; 95% CI 75, 85); only 51% (116/227; 95% CI 44, 57) would be comfortable with a scheduled follow-up visit in the hospital. Participants identified potential complications or side effects as the most common reason for declining consent (69%; 157/227; 95% CI 63, 75).ConclusionsThe majority of parents are comfortable being approached by trained university students, preferably in a separate area of an ED waiting room, and email and telephone follow-ups are preferred over a scheduled re-visit.

scholarly journals Social Support and Appearance Satisfaction Can Predict Changes in the Psychopathology Levels of Patients with Acne, Psoriasis and Eczema, before Dermatological Treatment and in a Six-Month Follow-up Phase

Psych ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 259-268
Author(s):  
Charalambos Costeris ◽  
Maria Petridou ◽  
Yianna Ioannou
Keyword(s):  
Social Support ◽  
Skin Condition ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Appearance Satisfaction ◽  
Group A ◽  
Group B ◽  
Body Self

This was a cross-sectional study which assessed the factors that predicted changes in the levels of psychopathological symptomatology of patients with acne, psoriasis and eczema both before dermatological treatment and in a six-month follow-up phase. One hundred and eight dermatological patients (18–35 years) participated in the study; 54 with visible facial cystic acne (Group A), and 54 with non-visible psoriasis/eczema (Group B). A battery of self-report questionnaires were administered to all patients before their dermatological treatment and in a six-month follow-up phase and included: the Symptom Checklist-90 Revised (SCL-90-R), the Interpersonal Support Evaluation List (ISEL-40), the Multidimensional Body–Self Relations Questionnaire (MBSRQ–AS) and the Rosenberg Self-Esteem Scale. Multiple regression analyses revealed that patients’ overall perceived social support and overall appearance satisfaction appeared to be strong predictors of the maintenance of patients’ psychopathology levels, even six months after they began their dermatological treatment. Psychosocial factors such as patients’ social support and appearance satisfaction could influence their psychopathology levels and the way they experienced their skin condition, before treatment and after a six-month period of time. The psychological assessment of the aforementioned factors could detect patients who would benefit from psychotherapeutic interventions in order to help them adapt to the extra burden which accompanies dermatological disorders.

scholarly journals Knowledge, Attitudes, and Practices of Health Personnel in Responding to the COVID-19 Outbreak in Indonesia

2021 ◽  
Vol 16 (4) ◽  
Author(s):  
Dyah Suryani ◽  
Suyitno Suyitno ◽  
Maretalinia Maretalinia ◽  
Elvi Juliansyah ◽  
Vernonia Yora Saki ◽  
...  
Keyword(s):  
Public Health ◽  
Health Personnel ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

The COVID-19 outbreak, which originated in China, has spread to all countries worldwide, including Indonesia. Until July 2021, the growth rate has been gradually increasing, and cases have been found in all 34 provinces of Indonesia. This cross-sectional study aimed to investigate the knowledge, attitudes, and practices (KAP) of health personnel in public health centers towards the COVID-19 outbreak in Indonesia using online self-report questionnaires. A total of 440 respondents contributed to this online survey. The level of average KAP were 7.7 out of 10.0, 14.3 out of 15.0, and 31.9 out of 36.0, respectively. There was no significant association between respondents’ characteristics (sex, marital status, and age) and their KAP, which showed p > 0.05 for all variables. It can be concluded that the level of KAP was good even though the respondents’ characteristics had no association with KAP. 

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