scholarly journals Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey

2017 ◽  
Vol 77 (08) ◽  
pp. 894-903 ◽  
Author(s):  
Johannes Neimann ◽  
Julia Knabl ◽  
Julian Puppe ◽  
Christian Bayer ◽  
Paul Gass ◽  
...  
Keyword(s):  
Professional Training ◽  
Online Survey ◽  
Night Shift ◽  
Obstetric Care ◽  
Working Hours ◽  
Legal Regulations ◽  
Levels Of Care ◽  
The Hours ◽  
Level I ◽  
Conditions Of Work

Abstract Background Compiling a daily hospital roster which complies with existing laws and tariff regulations and meets the requirements for ongoing professional training while also taking the legal regulations on the health of employees into account makes planning the duty roster a challenge. The aim of this study was to obtain a realistic picture of existing duty roster systems and of the current workloads of obstetricians in Germany. Method This online survey was sent to 2770 physicians training to become obstetricians or specializing in specific areas of obstetric care. The survey consisted of an anonymized 95-item questionnaire which collected data on different types of duty roster systems and the workload of obstetricians in Germany for the period from 17.02.2015 to 16.05.2015. Results Out of a total of 2770 physicians who were contacted, 437 (16%) completed the questionnaire. Across all forms of care, the care provided outside normal working hours usually (75%) consisted of a combination of regular working times and on-call duty or even consisted entirely of standby duty. Level I perinatal centers were most likely 20% (n = 88) to have a shift system in place. Working a shift system was significantly more common in care facilities which had previously carried out a job analysis. The number of physicians in hospitals who are present during the night shift was higher in facilities with higher numbers of births and in facilities which offered higher levels of care. In addition to regularly working overtime and the fact that often not all the hours worked were recorded, it was notable that the systems used to compile duty rosters often did not comply with legal regulations or with collectively agreed working hours nor were they compatible with the staff planning requirements. Outlook The results of this study show that the conditions of work, the working times, and the organization of working times in obstetric departments are in need of improvement. Recording the actual times worked together with an analysis of the activities performed during working times and while on standby would increase the level of transparency for employers and employees.

scholarly journals Integrating Sustainability and Lean: SLIM Method and Enterprise Game Proposed

2019 ◽  
Vol 11 (7) ◽  
pp. 2103 ◽  
Author(s):  
Ilie Tăucean ◽  
Matei Tămășilă ◽  
Larisa Ivascu ◽  
Șerban Miclea ◽  
Mircea Negruț
Keyword(s):  
Performance Indicators ◽  
Professional Training ◽  
Online Survey ◽  
Training Methods ◽  
Effective Solution ◽  
Survey Results ◽  
Education Activity ◽  
Industry And Education ◽  
The Unemployed

Sustainability and leanness are organizational approach concepts for more efficient activities and increased competitiveness. This paper presents a study and an application of the concepts of sustainability and lean, with the purpose to capitalize on the benefits of the two concepts’ tools when used together in an industry and education activity. A literature review was carried out to evaluate qualitatively and empirically the concepts of sustainability, lean, and enterprise games, and the possibility to integrate the first two concepts into a new tool applied into an enterprise game. An online survey was done to identify which tools are used within companies in the region, how and what training methods they used, and what the reported benefits are. The survey results were used to design a new tool integrated in a new enterprise game (SLIM) developed by the authors. The game was tested and validated in educational laboratory with students and actual employees from companies. The game follows the frame of an enterprise game, considering the simulation of enterprise classical functions. The game’s purpose is to improve the activity in successive rounds. A scorecard is used to fill in and compute the key performance indicators (KPIs), and a new indicator is proposed (SLIMx). Applications of the instrument/game include: students’ training in an educational laboratory; lifelong learning; professional training in companies; and professional perfection/reconversion of potential employees and the unemployed. The SLIM game was simulated in a team of 15 players over three rounds, with teachers playing the role of the supervisor. A number of possible improvements have been identified. The next step is testing it in enterprises with various fields of activity. SLIM has proven to be an effective solution to improve organizational efficiency and motivate players to gain new knowledge.

scholarly journals Daytime perimeter environmental noise in the vicinity of four hospitals in the city of Lima, Peru

Noise Mapping ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 239-247
Author(s):  
Alberto E. García-Rivero ◽  
Ricardo Ángel Yuli-Posadas ◽  
Warren Reátegui Romero ◽  
Odón Sánchez-Ccoyllo ◽  
Wilfredo Bulege-Gutierrez ◽  
...  
Keyword(s):  
Working Hours ◽  
Environmental Noise ◽  
Integration Time ◽  
Environmental Standards ◽  
Mean Values ◽  
The Hours ◽  
Measurement Mode ◽  
Special Protection Areas ◽  
The City ◽  
National Environmental

AbstractThe present study is intended to get to know the levels of perimeter diurnal environmental noise of four hospitals in the city of Lima. The measurement mode used at each hospital was A-weighting, with an integration time of five minutes per recording. It was measured in the FAST mode with calibrations made at the beginning and end of the measurement day. Statistical analysis consisted of the mean comparison T test which was applied at all the hospitals considered in the study. At the four hospitals, at all the hours of measurement and both on working days and non-working days (Sunday), LAeq mean values are higher than 83 dBA. On working days, two periods of maximum noise from 08:00 to 10:00 in the morning and from 17:00 to 19:00 in the afternoon coincide with the start and end of working hours. The perimeter diurnal environmental noise levels determined at the vicinity of four hospitals show higher values in all cases to those established by the Peruvian National Environmental Standards for Noise for special protection areas both for working days and for non-working days. Noise that comes from the dense and disorganized traffic of Lima plays a fundamental role in this behaviour.

scholarly journals Training interns in nutrition and dietetics: a cross-sectional study of the barriers and motivators to being a Registered Dietitian Nutritionist preceptor

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea M. Hutchins ◽  
Donna M. Winham ◽  
Jinette P. Fellows ◽  
Michelle M. Heer
Keyword(s):  
Experiential Learning ◽  
Professional Training ◽  
Online Survey ◽  
Selection Process ◽  
National Level ◽  
Cross Sectional Study ◽  
Registered Dietitian ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Entry Level

Abstract Background As is common across the health professions, training of Registered Dietitian Nutritionists (RDNs) requires experiential learning for interns/students to gain skills and demonstrate entry-level competency. Preceptors are essential to the experiential learning component of health care professional training, providing supervision and mentoring as students and interns gain the skills required for entry-level practice competency. Over the past 27 years, 47–73% of applicants to dietetic internships have received a placement. Practitioners willing to volunteer as preceptors are needed to generate more internship or experiential learning opportunities for the profession to continue to meet workforce demands. Methods The objective of this national-level online cross-sectional survey was to identify perceptions and attitudes associated with the preceptor role and incentives that might encourage precepting by current RDNs. A random sample of RDN and Nutrition and Dietetic Technicians, Registered (NDTR) professionals from the Commission on Dietetic Registration credentialed practitioner database were eligible to participate in the online survey. The main outcome measures included perceptions, attitudes, and preferred incentives to precept compared by preceptor experience categories (current, former, never precepted). Comparisons of perceptions, attitudes, and preferred incentives were made between preceptor experience categories using Chi-square and ANOVA. Results Of 2464 invitations, 308 participants had complete variables for analysis. Top incentives were the opportunity to earn continuing education units (65.9%) and having expenses paid to attend a national conference (49.5%). Significantly more (P < 0.001) “former” and “never” preceptors reported the ability to choose when to take an intern, training on how to teach and communicate with interns, and access to an “on-call” specialist as incentives compared to “current” preceptors. Significantly more (P < 0.01) “never” preceptors reported training on internship expectations and the ability to provide input on intern selection process as incentives compared to “current” or “former” preceptors. Conclusions Incentives to serve as a preceptor differ based on “current”, “former”, or “never” precepted status. Promoting and strategizing solutions to the current imbalance between the greater number of dietetic internship applicants compared to preceptors should be targeted based on preceptor status to retain current preceptors, encourage former preceptors to return and recruit professionals who have never served.

scholarly journals Access to and Quality of Healthcare for Pregnant and Postpartum Women During the COVID-19 Pandemic

2021 ◽  
Vol 2 ◽  
Author(s):  
Áine Brislane ◽  
Fionnuala Larkin ◽  
Helen Jones ◽  
Margie H. Davenport
Keyword(s):  
Online Survey ◽  
Obstetric Care ◽  
Quality Of Healthcare ◽  
Postpartum Women ◽  
Breastfeeding Support ◽  
Negatively Associated ◽  
Quality Of Obstetric Care ◽  
Obstetric Services ◽  
Inadequate Breastfeeding

Introduction: During the COVID-19 pandemic, obstetric care has adopted new precautions to ensure services can be maintained for pregnant women. The aim of this study was to describe access to and quality of obstetric care for pregnant and postpartum women during the COVID-19 pandemic and to identify factors that predict quality of care at this time.Methods: Between May 3 and June 28, 2020, we recruited women who were pregnant or within the first 6 months after delivery to participate in an online survey. This included questions on access to obstetric healthcare (type and place of health care provider, changes to obstetric appointments/services, appointment preferences) and the Quality of Prenatal Care Questionnaire (QPCQ).Results: Of the 917 eligible women, 612 (67%) were pregnant and 305 (33%) were in the first 6 months after delivery. Sixty-two percent (n = 571) reported that COVID-19 had affected their healthcare; appointments were rearranged, canceled or occurred via virtual means for 29% (n = 166), 29% (n = 167), and 31% (n = 175) of women, respectively. The majority preferred to physically attend appointments (74%; n = 676) and perceived the accompaniment of birth partners as important (77%; n = 471). Sixty-two percent (n = 380) were permitted a birth partner at delivery, 18% (n = 111) were unsure of the rules while 4% (n = 26) were not permitted accompaniment. During pregnancy, QPCQ was negatively associated with disruption to obstetric services including exclusion or uncertainty regarding birth partner permissions [F(7, 433) = 11.5, p &lt; 0.001, R2 = 0.16] while QPCQ was negatively associated with inadequate breastfeeding support postpartum [F(1, 147) = 12.05, p = 0.001, R2 = 0.08].Conclusion: Pregnant and postpartum have experienced disruption in their access to obstetric healthcare. Perceived quality of obstetric care was negatively influenced by cancellation of appointment(s), suspension of services and exclusion of birth partners at delivery. During this time, continuity of care can be fulfilled via virtual and/or phone appointments and women should receive clear guidance on changes to services including birth partner permissions to attend delivery.

scholarly journals Validating the technology-assisted supplemental work scale (TASW)

2015 ◽  
Vol 12 (2) ◽  
pp. 475-481
Author(s):  
Kajal Kotecha ◽  
Wilfred Isioma Ukpere ◽  
Madelyn Geldenhuys
Keyword(s):  
Higher Education ◽  
Quantitative Research ◽  
Online Survey ◽  
Negative Impact ◽  
Working Hours ◽  
Communication Technologies ◽  
Research Approach ◽  
Information Communication Technologies ◽  
Information Communication ◽  
The Impact

The traditional advantage of using Information Communication Technologies (ICTs) to enhance work flexibility also has a drawback of enabling academics to continue working even after regular working hours. This phenomenon has been referred to as technology-assisted supplemental work (TASW). Although TASW enhances academics’ work productively, they also have a negative impact on their family-life. The impact TASW has on academics and on higher education institutions can be understood by measuring the phenomenon properly by using a reliable and valid scale. The aim of this study is too validate a newly developed TASW scale by Fenner and Renn (2010). This study adopted a quantitative research approach and used an online survey to gather data. The sample included academic from a higher education in South Africa (n = 216). The results indicate that the TASW is a valid and reliable measure of technology among the sample of South African academics.

scholarly journals Are midwives in the Netherlands satisfied with their jobs? A systematic examination of satisfaction levels among hospital and primary-care midwives in the Netherlands

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Doug Cronie ◽  
Hilde Perdok ◽  
Corine Verhoeven ◽  
Suze Jans ◽  
Marieke Hermus ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
The Netherlands ◽  
Online Survey ◽  
Working Hours ◽  
Models Of Care ◽  
Private Life ◽  
Workplace Relations ◽  
Support At Work

Abstract Background Job satisfaction is generally considered to be an important element of work quality and workplace relations. Little is known about levels of job satisfaction among hospital and primary-care midwives in the Netherlands. Proposed changes to the maternity care system in the Netherlands should consider how the working conditions of midwives affect their job satisfaction. Aim We aimed to measure and compare job satisfaction among hospital and primary-care midwives in the Netherlands. Methods Online survey of all practising midwives in the Netherlands using a validated measure of job satisfaction (the Leiden Quality of Work Questionnaire) to analyze the attitudes of hospital and primary-care midwives about their work. Descriptive and inferential statistics were used to assess differences between the two groups. Results Approximately one in six of all practising midwives in the Netherlands responded to our survey (hospital midwives n = 103, primary-care midwives n = 405). All midwives in our survey were satisfied with their work (n = 508). However, significant differences emerged between hospital and primary-care midwives in terms of what was most important to them in relation to their job satisfaction. For hospital midwives, the most significant domains were: working hours per week, workplace agreements, and total years of experience. For primary-care midwives, social support at work, work demands, job autonomy, and the influence of work on their private life were most significant. Conclusion Although midwives were generally satisfied, differences emerged in the key predictors of job satisfaction between hospital and primary-care midwives. These differences could be of importance when planning workforce needs and should be taken into consideration by policymakers in the Netherlands and elsewhere when planning new models of care.

scholarly journals COVID-19 responsive teaching of undergraduate architecture programs in India: learnings for post-pandemic education

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anurag Varma ◽  
Mohammad Shoeb Jafri
Keyword(s):  
Blended Learning ◽  
Online Teaching ◽  
Professional Training ◽  
Online Survey ◽  
Transition Process ◽  
Primary Data ◽  
Architecture Education ◽  
Content Type ◽  
Education In India ◽  
Teaching Learning

PurposeThe purpose of this paper is to have an overview of how Indian institutions offering undergraduate architecture programs have responded to the pandemic situation. It seeks to appraise the alternative approaches adopted for teaching-learning, communication, assignment and evaluation and assess their effectiveness for progressive improvisations or integration with pedagogy. The paper articulates a view on the suitability of online teaching for architecture education in India, on basis of educators' experiences of teaching during the pandemic.Design/methodology/approachAn online survey was conducted for obtaining primary data from the educators given the paucity of information. The questions elicited structured information on aspects of the transition process, IT/online platform and tools, the efficacy of online teaching-learning and trajectory of blended learning.FindingsAll institutions managed the transition to online teaching without much difficulty. However, the paper raises the need for professional training and feedback from students. One-third of the respondents express satisfaction with online teaching, despite low satisfaction about the effectiveness of online teaching of a design studio. The results convey the need for more engagement with digital tools and representational software on integrated platforms. The study finds consensus on the future potential of blended learning and advocates developing an integrated framework and curriculum for architecture education in India.Originality/valueThe paper synthesizes viewpoints on online teaching-learning of architecture program in wake of the pandemic from an educators' perspective. The emergent perspectives are viewed dialogically in context of global voices to articulate a future trajectory of blended learning in the domain of architecture education.

Impact of a contemplative end-of-life training program: Being with dying

2009 ◽  
Vol 7 (4) ◽  
pp. 405-414 ◽  
Author(s):  
Cynda Hylton Rushton ◽  
Deborah E. Sellers ◽  
Karen S. Heller ◽  
Beverly Spring ◽  
Barbara M. Dossey ◽  
...  
Keyword(s):  
Training Program ◽  
End Of Life ◽  
Health Care Professionals ◽  
Professional Training ◽  
Online Survey ◽  
Moral Distress ◽  
Dying Patients ◽  
The Stability ◽  
Task Oriented ◽  
The Impact

AbstractObjective:Health care professionals report a lack of skills in the psychosocial and spiritual aspects of caring for dying people and high levels of moral distress, grief, and burnout. To address these concerns, the “Being with Dying: Professional Training Program in Contemplative End-of-Life Care” (BWD) was created. The premise of BWD, which is based on the development of mindfulness and receptive attention through contemplative practice, is that cultivating stability of mind and emotions enables clinicians to respond to others and themselves with compassion. This article describes the impact of BWD on the participants.Methods:Ninety-five BWD participants completed an anonymous online survey; 40 completed a confidential open-ended telephone interview.Results:Four main themes—the power of presence, cultivating balanced compassion, recognizing grief, and the importance of self-care—emerged in the interviews and were supported in the survey data. The interviewees considered BWD's contemplative and reflective practices meaningful, useful, and valuable and reported that BWD provided skills, attitudes, behaviors, and tools to change how they worked with the dying and bereaved.Significance of results:The quality of presence has the potential to transform the care of dying people and the caregivers themselves. Cultivating this quality within themselves and others allows clinicians to explore alternatives to exclusively intellectual, procedural, and task-oriented approaches when caring for dying people. BWD provides a rare opportunity to engage in practices and methods that cultivate the stability of mind and emotions that may facilitate compassionate care of dying patients, families, and caregivers.

scholarly journals Accuracy of Ultrasound Estimation of Fetal Weight at Three Teaching Hospitals in Addis Ababa

2020 ◽  
Author(s):  
Alexander Mohamed Ibrahim ◽  
Eskinder Kebede Weldetensaye
Keyword(s):  
Birth Weight ◽  
Addis Ababa ◽  
Obstetric Care ◽  
Working Hours ◽  
Fetal Weight ◽  
Teaching Hospitals ◽  
Weight Estimation ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Fetal Survival

Abstract BackgroundUltrasound examination and measurement of fetal weight have become an integral part of modern obstetric care. Knowing the accuracy of the ultrasound estimation of fetal weight (EFW) and what factors affect it helps make a more informed decision. Fetal weight estimation is thought to help predict fetal survival and make management decisions in the low birth weight group and in managing the delivery of the large baby, where complications may occur.ObjectiveTo assess the accuracy of ultrasound estimation of fetal weight.MethodsThe study design was a facility-based prospective cross-sectional study comparing sonographic EFW with actual birth weight, involving 384 women admitted to the study hospitals. And assessed 12 factors that might affect accuracy (place of delivery/scan, level of the operator, time of scan (working vs. non-working hours), fetal presentation, liquor volume, placental location, days passed between scan and delivery, time of the scan to labor (antepartum vs. intrapartum), fetal sex, maternal BMI, gestational age, and fetal weight. Data were collected using structured questionnaires, developed based on study variables and available literature, and analyzed using SPSS software.ResultThe EFW that is within 10% of the actual birth weight is 62.4%. The overall mean error of EFW was 9.1%, with an SD of ± 7.1%. Of the 12 factors assessed, it was found that the place of delivery/scan (p = 0.017) and the level of resident experience (p = 0.47) significantly affected the accuracy. When R4 was compared to R1’s OR = 4.656(95%CI, [1.111–19.506], p = 0.035) and R2’s OR = 2.112(95%CI,[1.062–4.201],p = 0.033) but not significant when compared to R3’s OR = 1.227(95%CI,[0.563–1.191],p = 0.607). A paired sample t-test was applied (P = 0.14).Conclusion and recommendationThe EFW of R4’s was significantly different from that of R1’s and R2’s, but not R3’s we recommend that all ultrasound scans whose weight estimation can affect the management plan of the patient to be done by the senior residents rather than the junior residents i.e. the R3’s and R4’s.

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