scholarly journals A one touch clamp and rack smart pump reduces mobilisation time and perceived burden of clinical staff members in charge of acute phase rehabilitation

2021 ◽  
pp. 1-8
Author(s):  
Yukio Mikami ◽  
Yasunori Umemoto ◽  
Sven P. Hoekstra ◽  
Shinnosuke Hori ◽  
Takaya Iwahashi ◽  
...  
Keyword(s):  
Acute Phase ◽  
Clinical Staff ◽  
Staff Members ◽  
Perceived Burden ◽  
Smart Pump

scholarly journals Knowledge, attitude, and practice of medical staff regarding problem based learning: experience of a Saudi Arabian university

2018 ◽  
Vol 6 (11) ◽  
pp. 3582
Author(s):  
Salah Mohamed Mustafa ◽  
Abdelrahman Mohamed Abukanna ◽  
Kamal Mahmoud Elnaeem
Keyword(s):  
Learning Experience ◽  
Problem Based Learning ◽  
Cross Sectional Study ◽  
Clinical Staff ◽  
Hard Copy ◽  
Study Group ◽  
Cross Sectional ◽  
Staff Members ◽  
Northern Border ◽  
Hybrid Curriculum

Background: Problem-based learning is an instructional approach that emphasizes inquiry. Problem-based learning was developed in the late 1960s and has been the most influential innovation in medical education during the past 50 years. Implementation of problem-based learning requires fundamental changes in the way educators conceive, design, deliver, and assess the curriculum. We designed this cross-sectional study to determine whether the staff members in the clinical years in the faculty of medicine in Northern Border University (NBU) has a previous experience with problem-based learning methods of teaching and to know their attitude towards it.Methods: Data were collected from 46 staff members in the clinical years of the faculty of medicine using hard copy questionnaire and analyzed using statistical package for social sciences software program.Results: The results showed that eighty percent of the clinical staff were graduated from colleges using the classical curriculum. Around 30% of them worked as PBL tutors before joining the faculty of medicine but all of them worked as PBL tutors after joining. Only one-third of the clinical staff know the steps of PBL when joining the faculty of medicine. Around 80% of study group think that hybrid curriculum is the best curriculum for faculties of medicine.Conclusions: The study group had the knowledge, practice, and experience of PBL method of teaching, they attended PBL workshops and like to attend more PBL workshops, in addition, the majority of faculty members think that the hybrid curriculum is the best for implementation in faculties of medicine.

scholarly journals Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

2019 ◽  
Author(s):  
Randi Hessellund Knudsen ◽  
Janus Laust Thomsen ◽  
Camilla Aakjaer Andersen ◽  
Tamana Afzali ◽  
Allan Riis
Keyword(s):  
General Practice ◽  
Low Back Pain ◽  
Back Pain ◽  
Patient Education ◽  
Clinical Staff ◽  
Barriers And Facilitators ◽  
Self Management ◽  
Low Back ◽  
Staff Members ◽  
Member Involvement

Abstract Background Low back pain (LBP) is the leading cause of disability worldwide. Patient education and self-management have the potential to improve the care of patients. However, high workload and little available time for consultations are argued to challenge the delivery of optimal care in general practice. Involving clinical staff members in the management of diabetes and of patients with hypertension has shown to be feasible. Consequently, involving clinical staff members in providing education and information to patients may improve the delivery of patient information and education. However, this require a shift in the division of tasks and general practitioners’ (GPs’) barriers and facilitators for this is currently unknown. The aim is to explore GPs’ barriers and facilitators to involve clinical staff members in the treatment of LBP in general practice. Methods This is a qualitative, semi-structured interview study. We used the phenomenological approach to study experiences and attitudes towards changing the management of patients with LBP from the GPs’ perspectives. Analysis was conducted using inductive descriptive methods. Results We conducted five 60-minute interviews with Danish GPs. All GPs had experience with task delegation, but it varied which tasks the GPs delegated and to which types of clinical staff members. The following barriers towards clinical staff member involvement were identified: Patients with LBP is a heterogeneous group with a variety of treatment needs, the examination and treatment can be considered as one coherent process, and it would require external support.
Involving clinical staff members can release GP time. Another facilitator was the possibility for improving the uptake of clinical guidelines and involvement of practice nurses was considered to improve the provision of patient education and lead to greater patient self-management. Conclusion While some GPs currently consider delegation to clinical staff members a good idea in the treatment of LBP, others prefer the existing treatment strategy without clinical staff member involvement. Consequently, healthcare providers need to address existing barriers and facilitators for involving clinical staff members when advocating for a future multi professional treatment strategy of LBP in general practice.

System Upgrade and Integration at a Medium-Sized Dental Clinic

2014 ◽  
Vol 2 (1) ◽  
pp. 51-64
Author(s):  
Eun G. Park ◽  
Benjamin Paris
Keyword(s):  
Electronic Health Records ◽  
Clinical Staff ◽  
Database Integration ◽  
Administrative Staff ◽  
Dental Clinic ◽  
Health Records ◽  
Managerial Efficiency ◽  
Staff Members ◽  
Business Operations ◽  
Electronic Health

The implementation of electronic health records systems (EHRS) has a major impact on both clinical staff and physicians. However, it is difficult for small and medium sized clinics to adopt EHRS. Without proper mechanisms and methodologies in place, the transition is often slowed down for several reasons. In order to identify what issues and challenges are involved in transitions, this study was conducted to 1) investigate the current issues and perspectives of employees regarding a system upgrade, database integration and managerial efficiency in order to streamline daily business operations at a medium-sized dental clinic, and 2) suggest the best strategy to solve the identified problems and challenges. Interviews were conducted with administrative staff members, a dentist, a dental resident and the director of the clinic. Interviews were transcribed and grouped into two major categories: managerial efficiency and employees' responses toward system upgrade and integration.

System Upgrade and Integration at a Medium-Sized Dental Clinic

2016 ◽  
pp. 1645-1657
Author(s):  
Eun G. Park ◽  
Benjamin Paris
Keyword(s):  
Electronic Health Records ◽  
Clinical Staff ◽  
Database Integration ◽  
Administrative Staff ◽  
Dental Clinic ◽  
Health Records ◽  
Managerial Efficiency ◽  
Staff Members ◽  
Business Operations ◽  
Electronic Health

The implementation of electronic health records systems (EHRS) has a major impact on both clinical staff and physicians. However, it is difficult for small and medium sized clinics to adopt EHRS. Without proper mechanisms and methodologies in place, the transition is often slowed down for several reasons. In order to identify what issues and challenges are involved in transitions, this study was conducted to 1) investigate the current issues and perspectives of employees regarding a system upgrade, database integration and managerial efficiency in order to streamline daily business operations at a medium-sized dental clinic, and 2) suggest the best strategy to solve the identified problems and challenges. Interviews were conducted with administrative staff members, a dentist, a dental resident and the director of the clinic. Interviews were transcribed and grouped into two major categories: managerial efficiency and employees' responses toward system upgrade and integration.

scholarly journals Discrepancies between Self- and Clinical Staff Members’ Perception of Cognitive Functioning among Patients with Schizophrenia Undergoing Long-Term Hospitalization

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Fumiko Kaneko ◽  
Hitoshi Okamura
Keyword(s):  
Rating Scale ◽  
Discharge Planning ◽  
Japanese Version ◽  
Patient Characteristics ◽  
Clinical Staff ◽  
Subjective Ratings ◽  
Self Assessment ◽  
Staff Members ◽  
Self Perceptions

In Japan, long-term hospitalization of patients with schizophrenia is still prevalent, even though the focus of psychiatric care is shifting from hospitals to the community. Difficulties in discharge planning often arise because clinical staff members’ functional assessment differs from that of patients’ self-assessment. Therefore, we attempted to identify characteristics related to these perceptual differences to promote the development of more effective approaches toward the discharge and societal reintegration of patients with schizophrenia undergoing prolonged hospitalization. Forty-eight long-term inpatients (23 men and 25 women with a mean age of 60.72 years) with schizophrenia were examined using the Schizophrenia Cognition Rating Scale Japanese version (SCoRS-J), Life Skills Profile (LSP), and Profile of Mood States- (POMS-) Brief Form. Differences between patients’ self-ratings and clinical staff members’ ratings on the SCoRS-J were used to divide patients into overestimators, underestimators, and accurate raters. These groups were then comparatively analyzed. Accordingly, overestimators displayed significantly severe cognitive dysfunction on the SCoRS-J objective ratings (p=.001) and significantly less difficulty on the SCoRS-J subjective ratings (p=.002) as compared to underestimators. Overestimators also scored significantly lower on the communication (p=.012) and responsibility (p=.021) LSP subscales compared to underestimators, and the total LSP score for overestimators was significantly lower compared to accurate raters (p=.036) and underestimators (p=.009). However, underestimators displayed significantly higher confusion on the titular POMS subscale than did overestimators (p=.021). These findings indicate that, among the three groups, overestimators scored lowest for objectively rated functioning. In contrast, underestimators attained the highest functioning; however, they were also confused. Clinical staff should examine how patients’ self-perceptions deviate from the perceptions of staff and implement an appropriate approach considering the patient characteristics revealed from the results of this study.

Inoculation of culture plates: straightforward or is it?

1997 ◽  
Vol 8 (4) ◽  
pp. 278-279
Author(s):  
E M Carlin ◽  
J-A Hammond ◽  
F C Boag
Keyword(s):  
Staff Training ◽  
Clinical Staff ◽  
Visual Examination ◽  
New Members ◽  
Staff Members ◽  
Culture Plate ◽  
Service Training ◽  
Genitourinary Medicine ◽  
And Control

Summary: In view of the recent vogue in some genitourinary medicine (GUM) units towards selective microscopy we aimed to assess the adequacy of culture plate inoculation in our own GUM clinic by the visual examination of 350 consecutively inoculated plates. Seventy-five (21%) plates were inoculated so lightly that no indentation in the agar could be seen whilst in 20 (60%) the agar was shredded. Eighty-five per cent of inadequately plated samples were inoculated by the same staff members who were either relatively inexperienced, or well-distanced from their last in-service training. This has many important implications not only in the identification and control of infection but also with respect to staff training. We have now introduced practical plating instruction for all new members of clinical staff and additional in-service training. We plan to repeat the audit in 6 months' time to assess the effect of these changes.

scholarly journals Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

2019 ◽  
Author(s):  
Randi Hessellund Knudsen ◽  
Janus Laust Thomsen ◽  
Camilla Aakjaer Andersen ◽  
Tamana Afzali ◽  
Allan Riis
Keyword(s):  
General Practice ◽  
Low Back Pain ◽  
Back Pain ◽  
Patient Education ◽  
Treatment Strategy ◽  
Clinical Staff ◽  
Self Management ◽  
Low Back ◽  
Staff Members ◽  
Member Involvement

Abstract Background Low back pain (LBP) is the leading cause of disability worldwide. Patient education and self-management have the potential to improve the care of patients. However, little available time for consultations challenge the delivery of optimal care in general practice. Involving clinical staff members in the management of diabetes and of patients with hypertension has shown to be feasible. Consequently, involving clinical staff members in providing education and information to patients may improve the delivery of patient information and education. However, this require a shift in the division of tasks and general practitioners’ (GPs’) barriers and facilitators for this is currently unknown. The aim is to explore GPs’ experiences of including clinical staff members in the management of LBP. Methods This is a qualitative, semi-structured interview study. We used a phenomenological approach to guide the data collection and the analysis in order to gain insight into the subjective experiences of the GPs and to understand the phenomenon ‘delegating tasks to practice staff’ from the GPs’ lifeworld. Analysis was conducted using inductive descriptive methods. Results We conducted five 60-minute interviews with Danish GPs. All GPs had experience with task delegation, but it varied which tasks the GPs delegated and to which types of clinical staff members. The following barriers towards clinical staff member involvement were identified: Patients with LBP is a heterogeneous group with a variety of treatment needs, the examination and treatment can be considered as one coherent process, and it would require external support. Involving clinical staff members can release GP time. Another facilitator was the possibility for improving the uptake of clinical guidelines and involvement of practice nurses was considered to improve the provision of patient education and lead to greater patient self-management. Conclusion While some GPs currently consider delegation to clinical staff members a good idea in the treatment of LBP, others prefer the existing treatment strategy without clinical staff member involvement. Consequently, healthcare providers need to address existing barriers and facilitators for involving clinical staff members when advocating for a future multi professional treatment strategy of LBP in general practice. Trial registration Not applicable.

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