scholarly journals Breastfeeding in COVID-19: A Pragmatic Approach

2020 ◽  
Vol 37 (13) ◽  
pp. 1377-1384
Author(s):  
Yvonne Peng Mei Ng ◽  
Yi Fen Low ◽  
Xin Lei Goh ◽  
Doris Fok ◽  
Zubair Amin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Team ◽  
Care Staff ◽  
Future Research ◽  
Health Care Staff ◽  
Care Providers ◽  
Joint Decision ◽  
Skin Contact ◽  
Novel Coronavirus

The novel coronavirus disease 2019 (COVID-19) pandemic has resulted in changes to perinatal and neonatal care, concentrating on minimizing risks of transmission to the newborn and health care staff while ensuring medical care is not compromised for both mother and infant. Current recommendations on infant care and feeding when mother has COVID-19 ranges from mother–infant separation and avoidance of human milk feeding, to initiation of early skin-to-skin contact and direct breastfeeding. Health care providers fearing risks of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) maternal–infant transmission may veer toward restricted breastfeeding practices. We reviewed guidelines and published literature and propose three options for infant feeding depending on various scenarios. Option A involves direct breastfeeding with the infant being cared for by the mother or caregiver. In option B, the infant is cared for by another caregiver and receives mother's expressed milk. In the third option, the infant is not breastfed directly and does not receive mother's expressed milk. We recommend joint decision making by parents and the health care team. This decision is also flexible as situation changes. We also provide a framework for counseling mothers on these options using a visual aid and a corresponding structured training program for health care providers. Future research questions are also proposed. We conclude that evidence and knowledge about COVID-19 and breastfeeding are still evolving. Our options can provide a quick and flexible reference guide that can be adapted to local needs. Key Points

scholarly journals Letter to the Editor: Burnout Management among Health Care Workers in the Age of Coronavirus Disease-19

2021 ◽  
Vol 9 (E) ◽  
pp. 382-385
Author(s):  
Mohsen Khosravi ◽  
Alireza Ganjali
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Warning Signs ◽  
Burnout Syndrome ◽  
Care Staff ◽  
Current Evidence ◽  
Health Care Staff ◽  
Care Providers ◽  
Care Workers

AIM: We aimed to understand the early warning signs and symptoms of occupational burnout as red flags among health care workers during the COVID-19 pandemic. METHODS: Based on the suggestions of the International Federation of Red Cross and Red Crescent Societies [8], health-care providers need to be trained to increase three components of resilience across the three levels of individual, team, and organization so that they can optimally manage their psychological responses to catastrophes. RESULTS: It seems that both targeted individual and organizational strategies are critical for the overall wellness of health care workers during the COVID-19 pandemic. CONCLUSION: Health care workers experience high levels of burnout during the COVID-19, which warrants attention and support from health policy-makers and practitioners. Current evidence demonstrated that health-care staff could gain significant benefits from interventions to modify burnout syndrome, especially from organization-directed interventions.

Understanding communication among health care professionals regarding death and dying in pediatrics

2013 ◽  
Vol 12 (5) ◽  
pp. 387-392 ◽  
Author(s):  
Julianne Harrison ◽  
Elana Evan ◽  
Amy Hughes ◽  
Shahram Yazdani ◽  
Myke Federman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Death And Dying ◽  
Palliative Care Service ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Impending Death

AbstractObjective:Effective communication regarding death and dying in pediatrics is a vital component of any quality palliative care service. The goal of the current study is to understand communication among health care professionals regarding death and dying in children. The three hypotheses tested were: (1) hospital staff (physicians of all disciplines, nurses, and psychosocial clinicians) that utilize consultation services are more comfortable communicating about death and dying than those who do not use such services, (2) different disciplines of health care providers demonstrate varying levels of comfort communicating about a range of areas pertaining to death and dying, and (3) health care staff that have had some type of formal training in death and dying are more comfortable communicating about these issues.Methods:A primary analysis of a survey conducted in a tertiary care teaching children's hospital.Results:Health care professionals who felt comfortable discussing options for end of life care with colleagues also felt more comfortable: initiating a discussion regarding a child's impending death with his/her family (r = 0.42), discussing options for terminal care with a family (r = 0.58), discussing death with families from a variety of ethnic/cultural backgrounds (r = 0.51), guiding parents in developmentally age-appropriate discussions of death with their children (r = 0.43), identifying and seeking advice from a professional role model regarding management concerns (r = 0.40), or interacting with a family following the death of a child (r = 0.51). Among all three disciplines, physicians were more likely to initiate discussions with regards to a child's impending death (F = 13.07; p = 0.007). Health care professionals that received formal grief and bereavement training were more comfortable discussing death.Significance of the results:The results demonstrated that consultation practices are associated with a higher level of comfort in discussing death and dying in pediatrics.

scholarly journals “We are taking every precaution to do our part…”: a comparative analysis of nursing, palliative and hospice care facilities’ websites during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabahat Ölcer ◽  
Mohamed Idris¹ ◽  
Yüce Yilmaz-Aslan ◽  
Patrick Brzoska
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Qualitative Content Analysis ◽  
Health Care Facilities ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Potential Health ◽  
Care Facilities

Abstract Background The COVID-19 pandemic has a significant impact on health care processes. Precautions such as restrictions imposed on visitors and social distancing have led to multiple challenges, particularly in terms of communication. Using the case of nursing, palliative and hospice care facilities in Germany and drawing on agenda-setting theory, the present study aims to shed light on how health care facilities use their websites to inform (potential) health care users about changes in regulations, new protective measures implemented and about recommendations in the context of the COVID-19 pandemic. Methods The websites of nursing, palliative and hospice care facilities in Germany were examined using qualitative document analysis and qualitative content analysis. A total of 138 websites was analysed in the study. The data gathered includes all information about COVID-19 on these websites published from the beginning of March until August 15, 2020. Results Facilities show similarities in adhering to the measures taken by the authorities to restrict the spread of SARS-CoV-2 and to protect vulnerable patients and employees. All facilities urged the public to avoid paying visits to patients in facilities unless there was an emergency; however, visiting procedures in practice varied by types of facilities. For optimal communication, telephone and especially video calls were the options preferred by health care providers and health care users. Facilities made great efforts to prevent emotional stress and to strengthen resilience among all stakeholders. Transparency was adopted by many facilities in order to build the public’s trust. Conclusions The agenda of health care facilities has been seriously affected by the COVID-19 pandemic. The study sheds light on the strategies developed by facilities, their efforts to increase emotional resilience among health care staff and health care users, the ethical guidelines they have adopted regarding privacy policies as well as how these themes are communicated via the facilities’ websites. The results can inform other health care facilities about how websites can be used as essential communication tools in times of public health crises.

scholarly journals Assessing and Enhancing Health Care Providers’ Response to Domestic Violence

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Tuija Leppäkoski ◽  
Aune Flinck ◽  
Eija Paavilainen
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Care Providers ◽  
Administrative Support ◽  
Statistical Significance ◽  
Training Programme ◽  
Care Staff ◽  
Baseline Survey ◽  
Health Care Staff ◽  
Care Providers

This study aimed to examine possible changes from 2008 to 2012 in the skills of health care staff in identifying and intervening in domestic violence (DV). A longitudinal descriptive study design with volunteer samples (baseline;n=68, follow-up;n=100) was used to acquire information regarding the present state and needs of the staff in practices related to DV. The results of the baseline survey were used as a basis for planning two interventions: staff training and drafting practical guidelines. Information was collected by questionnaires from nurses, physicians, and social workers and supplemented by responses from the interviews. The data were analysed using both quantitative and qualitative methods. A chi-square test was used to test the statistical significance of the data sets. In addition, participants’ quotes are used to describe specific phenomena or issues. The comparison showed that overall a small positive change had taken place between the study periods. However, the participants were aware of their own shortcomings in identifying and intervening in DV. Changes happen slowly, and administrative support is needed to sustain such changes. Therefore, this paper offers recommendations to improve health care providers’ response to DV. Moreover, there is a great need for evaluating the training programme used.

scholarly journals Perceived Barriers to Pediatric Clinical Trials Implementation: A Survey of Health Care Staff

2021 ◽  
Author(s):  
Timothy Ryan Smith ◽  
Russell McCulloh ◽  
Minh-Thuy Bui ◽  
Natalie Sollo ◽  
Carolyn R. Ahlers-Schmidt ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trials ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Clinic Staff

Abstract BackgroundClinical trials are the gold standard for assessing the effectiveness and safety of treatments. The objective of the current study was to assess provider opinions regarding implementing pediatric clinical trials in various practice settings across Kansas. MethodsThe study was completed within the Sunflower Pediatric Clinical Trials Research Extension (SPeCTRE), an affiliate of the IDeA States Pediatric Clinical Trials Network (ISPCTN). A cross-sectional, 36-item survey was administered to a state-wide convenience sample targeting health care providers and clinic staff. ResultsA total of 119 health care providers and clinic staff completed surveys; 31% were physicians. Physicians were more likely than other clinic staff to have experience with clinical trials (correlation coefficient [CC]=0.270, p=0.004). When compared to urban respondents, rural providers were less supportive of recruitment for clinical trials in their practices (CC=-0.251, p=0.008) and more likely to feel comfortable referring patients for clinical trials involving treatments that their insurance did not cover (CC=0.302, p=0.001).ConclusionA range of rural and urban health care professionals support the performance of pediatric clinical trials but identify several barriers as well. These results will support future pediatric clinical trials across the country including Kansas.TRIAL REGISTRATION: NA

Practical Resources for Nurses and Other Health Care Providers Involved in the Care of Children at Risk for Respiratory Syncytial Virus Infection

2012 ◽  
Vol 31 (6) ◽  
pp. 387-400 ◽  
Author(s):  
Marianne Bracht ◽  
Debbie Basevitz ◽  
Marilyn Cranis ◽  
Rose Paulley ◽  
Bosco Paes
Keyword(s):  
Health Care ◽  
At Risk ◽  
Respiratory Syncytial Virus ◽  
Young Children ◽  
Health Care Providers ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Children At Risk ◽  
Syncytial Virus

Health care staff and families with young children are often unware of the ease of respiratory syncytial virus (RSV) spread and potential clinical consequences of serious respiratory illness. Successful Canadian RSV prophylaxis (RSVP) programs (a) provide practical educational resources on RSV and respiratory disease that consider language and cultural barriers; (b) develop policies to identify all children eligible for RSVP with palivizumab; (c) emphasize compliance with RSVP, particularly during patient transfer between hospitals, community clinics, and remote outpost centers; and (d) establish collaborative networks to help ensure optimum RSVP compliance for all high-risk children. Herein, we share practical resources and key educational references for counseling of caregivers with infants or young children at risk for RSV infection, and health care providers participating in RSVP program development.

scholarly journals Understanding the health-care experiences of people with sickle cell disorder transitioning from paediatric to adult services: This Sickle Cell Life, a longitudinal qualitative study

2020 ◽  
Vol 8 (44) ◽  
pp. 1-94
Author(s):  
Alicia Renedo ◽  
Sam Miles ◽  
Subarna Chakravorty ◽  
Andrea Leigh ◽  
John O Warner ◽  
...  
Keyword(s):  
Health Care ◽  
Young People ◽  
Sickle Cell ◽  
Health Care Providers ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Specialist Services ◽  
Specialist Health Care ◽  
Cell Disorder

Background Transitions from paediatric to adult health-care services cause problems worldwide, particularly for young people with long-term conditions. Sickle cell disorder brings particular challenges needing urgent action. Objectives Understand health-care transitions of young people with sickle cell disorder and how these interact with broader transitions to adulthood to improve services and support. Methods We used a longitudinal design in two English cities. Data collection included 80 qualitative interviews with young people (aged 13–21 years) with sickle cell disorder. We conducted 27 one-off interviews and 53 repeat interviews (i.e. interviews conducted two or three times over 18 months) with 48 participants (30 females and 18 males). We additionally interviewed 10 sickle cell disease specialist health-care providers. We used an inductive approach to analysis and co-produced the study with patients and carers. Results Key challenges relate to young people’s voices being ignored. Participants reported that their knowledge of sickle cell disorder and their own needs are disregarded in hospital settings, in school and by peers. Outside specialist services, health-care staff refuse to recognise patient expertise, reducing patients’ say in decisions about their own care, particularly during unplanned care in accident and emergency departments and on general hospital wards. Participants told us that in transitioning to adult care they came to realise that sickle cell disorder is poorly understood by non-specialist health-care providers. As a result, participants said that they lack trust in staff’s ability to treat them correctly and that they try to avoid hospital. Participants reported that they try to manage painful episodes at home, knowing that this is risky. Participants described engaging in social silencing (i.e. reluctance to talk about and disclose their condition for fear that others will not listen or will not understand) outside hospital; for instance, they would avoid mentioning cell sickle disorder to explain fatigue. Their self-management tactics include internalising their illness experiences, for instance by concealing pain to protect others from worrying. Participants find that working to stay healthy is difficult to reconcile with developing identities to meet adult life goals. Participants have to engage in relentless self-disciplining when trying to achieve educational goals, yet working hard is incompatible with being a ‘good adult patient’ because it can be risky for health. Participants reported that they struggle to reconcile these conflicting demands. Limitations Our findings are derived from interviews with a group of young people in England and reflect what they told us (influenced by how they perceived us). We do not claim to represent all young people with sickle cell disorder. Conclusions Our findings reveal poor care for young people with sickle cell disorder outside specialist services. To improve this, it is vital to engage with young people as experts in their own condition, recognise the legitimacy of their voices and train non-specialist hospital staff in sickle cell disorder care. Young people must be supported both in and outside health-care settings to develop identities that can help them to achieve life goals. Future work Future work should include research into the understanding and perceptions of sickle cell disease among non-specialist health-care staff to inform future training. Whole-school interventions should be developed and evaluated to increase sickle cell disorder awareness. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 44. See the NIHR Journals Library website for further project information.

scholarly journals Challenges in a Newly Established Cancer Centre in Tanzania: Staff’s Perspectives

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 221s-221s
Author(s):  
O. Henke ◽  
Z. Alwash
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cancer Care ◽  
Qualitative Content Analysis ◽  
Professional Staff ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Training And Education ◽  
Patient Side

Background: Cancer is a growing public health issue in low and middle income countries (LMIC). From estimated 14 million new cases each year, 8 million are diagnosed in LMIC. Case fatality rate is 75% in comparison with 46% in high income countries. Causes are low literacy levels, lack of awareness and knowledge about cancer among the population as well as limited education of health care providers leading also to late detection and diagnosis. In Tanzania, one of the poorest economies in the world, cancer incidences will double in the year 2030. To address the needs of cancer patients, the tertiary hospital of northern Tanzania established a new chemotherapy center in December 2016. However, there is limited knowledge about perceptions of professional staff toward chemotherapy treatment and cancer care in general in East Africa. This study aims to understand attitudes and perspectives of health care professionals and treatment related spectrum of challenges in the newly established center to assist future efforts in this field. Aim: This study aims to understand and analyze the attitudes and perspectives of the health care staff at the newly established Cancer Care Centre toward chemotherapy and the challenges they face on daily basis at their workplace. This understanding will assist future efforts to further apprehend the possible cancer treatment related spectrum of challenges that occur in low resource settings. Methods: As the research field is widely unknown, qualitative methods using in-depth interviews were chosen for inductive conceptualization of the topic. Analysis of data was performed according to qualitative content analysis. Results: 11 interviews were conducted with 3 males and 8 females with an average working experience was 7 years. 6 main categories were found: training and education of staff, interaction with the patients, availability of financial support, challenges in management, interests in future development and job satisfaction. Subcategories elaborated further within the main categories. Conclusion: Limitations in staffing, in training and education about chemotherapy were a major concern among the interviewees. The importance of sustainable funding and the needed cooperation of the government with international aid were mentioned as a key to avoid shortage of medication and equipment. Beside these concerns, the health care workers expressed their satisfaction with the new possibilities of treating cancer and the rewarding feedback of the patients. Misconceptions and poor knowledge on the patient side were mentioned as a reason for delayed health seeking behavior. Screening and awareness programs were mentioned as possible useful interventions.

scholarly journals HIV Positive Patients' Experience of Receiving Health Care Services: A Phenomenology Study in Iran

2018 ◽  
Vol 12 (1) ◽  
pp. 150-161 ◽  
Author(s):  
Heshmatollah Asadi ◽  
Mohammad-Hasan Imani-Nasab ◽  
Ali Garavand ◽  
Mojtaba Hasoumi ◽  
Abdollah Almasian Kia ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Care Services ◽  
Care Staff ◽  
Hiv Positive ◽  
Health Care Staff ◽  
Care Providers ◽  
Hiv Patients ◽  
Care Services

Introduction:Most of the studies on HIV/AIDS health care status are usually conducted in big cities while small towns and rural areas are faced with specific challenges. This study aimed to identify the barriers and problems encountered by HIV-positive patients when receiving health services in the small cities and rural areas of Iran.Methodology:This is a qualitative study that was conducted using an interpretive phenomenology method in 2016. This study was conducted through a semi-structured interview for which a purposeful sampling method was used. In the present study, data saturation was observed after 15 interviews, but more than 17 interviews were conducted to ensure the reliability of the interview. Data were analyzed by Colaizzi's method using MAXQDA10 software.Findings:Barriers and problems encountered by patients when receiving health care services consisted of 10 categories, 32 main themes and 67 sub-themes. The categories were as follows: fear of revealing the disease, fear of confronting providers, seeking support, not visiting health care providers, inappropriate behavior of health care staff, concealing the disease, hardship endurance, financial concerns, psychological stress and pressure, and disclosure of patient information.Conclusion:Recognizing the problems of HIV-positive patients in using health care services and resolving them can help to reassure the patients about the health system. Introduction of supporting policies and regulations, appropriate public education, training health sector personnel, and provision of medical equipment and facilities would positively affect the process of solving the problems of HIV-Patients (treating HIV patients).

scholarly journals Exploring the Social Networks’ Use in the Health-Care Industry: A Multi-Level Analysis

2021 ◽  
Vol 18 (14) ◽  
pp. 7295
Author(s):  
Tommasina Pianese ◽  
Patrizia Belfiore
Keyword(s):  
Health Care ◽  
Social Networks ◽  
Health Care Providers ◽  
Health Care Industry ◽  
Future Research ◽  
Great Level ◽  
Care Providers ◽  
Care Industry ◽  
Multi Level ◽  
Video And Audio

The application of social networks in the health domain has become increasingly prevalent. They are web-based technologies which bring together a group of people and health-care providers having in common health-related interests, who share text, image, video and audio contents and interact with each other. This explains the increasing amount of attention paid to this topic by researchers who have investigated a variety of issues dealing with the specific applications in the health-care industry. The aim of this study is to systematize this fragmented body of literature, and provide a comprehensive and multi-level overview of the studies that has been carried out to date on social network uses in healthcare, taking into account the great level of diversity that characterizes this industry. To this end, we conduct a scoping review enabling to identify the major research streams, whose aggregate knowledge are discussed according to three levels of analysis that reflect the viewpoints of the major actors using social networks for health-care purposes, i.e., governments, health-care providers (including health-care organizations and professionals) and social networks’ users (including ill patients and general public). We conclude by proposing directions for future research.

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