scholarly journals 245 Multidisciplinary Learning in the Elective Orthopaedic Setting: Can Junior Doctors and Nursing Staff Learn Together?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Gnap ◽  
E Carew ◽  
M Wijeratna
Keyword(s):  
Nursing Staff ◽  
Group Learning ◽  
Educational Programme ◽  
Junior Doctors ◽  
Educational Value ◽  
Teaching Programme ◽  
Interdisciplinary Learning ◽  
Multidisciplinary Education ◽  
The Relationship ◽  
Doctors And Nurses

Abstract Introduction Feedback from junior doctors highlighted dissatisfaction with the educational value of their orthopaedic job. Surveys showed that none had had a formal departmental induction, only 33% felt their confidence had improved during the placement and only 50% reported having adequate opportunities to complete workplace-based assessments. Nurses, overall, were dissatisfied with the relationship with ward-based doctors. Method We developed an educational programme for doctors and nurses which sought to cover induction to the specialty and common orthopaedic and allied specialty topics. The biweekly teaching programme utilised a variety of teaching methods including group learning, simulation, and seminars to facilitate interdisciplinary learning and team bonding with the emphasis on mirroring the way care is delivered. Doctors and nurses were re-surveyed at the end of the placement. Results 75% of doctors had now received an induction and confidence in managing orthopaedic conditions improved from 33% to 75%. Adequate opportunities to complete assessments improved from 50% to 75%. 100% of nurses agreed that multidisciplinary learning was both possible and beneficial compared to only 54% beforehand. Conclusions Multidisciplinary education can improve confidence and teamwork among doctors and nursing staff. A service that boasts a robust teaching programme makes orthopaedics a more attractive speciality for nurses and doctors alike.

102 Peer Teaching in Hip Fracture: Responding to the Medical Needs of Surgical Patients and Educational Needs of Junior Doctors

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Jones ◽  
J Francis ◽  
R Parikh ◽  
M Shaath
Keyword(s):  
Metastatic Cancer ◽  
Vascular Complications ◽  
Educational Programme ◽  
Junior Doctors ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Teaching Programme ◽  
Medical Needs ◽  
Strongly Agree ◽  
Case Based

Abstract Introduction Fractured Neck of Femur (FNOF) patients are complex. A mortality project identified topics for a peer-led teaching programme. Method Eight bite-sized case-based sessions were devised, to provide a framework to approach the following topics: Anaemia, delirium/dementia, ECG abnormalities, metastatic cancer, osteoporosis, renal disease, respiratory disease, and vascular complications. Attendees were asked to complete pre- and post- teaching programme questionnaires using a Likert Scale to indicate agreement with statements relating to the topic areas chosen (1=strongly disagree and 5=strongly agree). Result Pre-programme questionnaire: respondents were neutral (average 3.04) when asked whether topic areas were currently “well managed”. Attendees lacked confidence, indicating preparedness as neutral (average 3.35). Trainees agreed that they would benefit from teaching (average 4.56). Post-programme questionnaire: increased confidence was reported when considering preparedness (average 4.3). Attendees felt the teaching programme was “accessible” and the “topics well-chosen”. 100% of attendees regarded the teaching as ‘excellent’ or ‘very-good’. Conclusions Matching patient needs to an educational programme is important. The “bite-sized” nature of the programme paired with case-based learning increased confidence. A peer-led teaching programme is a positive response to themes emerging from morbidity and mortality reviews.

Teaching practicum and the development of professional and pedagogical knowledge

2020 ◽  
Vol 15 (1) ◽  
pp. 67-90
Author(s):  
Minerva Rosas ◽  
Verónica Ormeño ◽  
Cristian Ruiz-Aguilar
Keyword(s):  
Student Teachers ◽  
Qualitative Data ◽  
Thinking Skills ◽  
Pedagogical Knowledge ◽  
Critical Thinking Skills ◽  
Initial Teacher Education ◽  
Teaching Programme ◽  
Teaching Practicum ◽  
The University ◽  
The Relationship

To assess the progressive teaching practicums included in an English Teaching Programme at a Chilean university, 60 former student-teachers answered a questionnaire with both Likert-scale and open-ended questions. The issues assessed included the relationship between the progressive teaching practicums and the curriculum’s modules and sequence, and the skills developed while implementing innovation projects during the student-teachers’ two final practicums. Quantitative and qualitative data analyses allowed us to identify both strengths and weaknesses. The participants highlighted strengths in the areas of teaching strategies, critical thinking skills and professional and pedagogical knowledge. Among the weaknesses, they identified limited supervision and feedback, and diverging views on teaching education between the university and the schools as the most difficult to deal with. These findings may be useful for introducing improvements in Initial Teacher Education aimed at reducing problems and discrepancies and devising suitable induction processes.

scholarly journals 187 Improving Awareness of Managing Post-Operative Haemorrhage in Patients Undergoing Thyroid and Parathyroid Surgery: The SCOOP Protocol

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Bhattacharya ◽  
J Jegadeeson ◽  
J Ramsingh ◽  
P Truran
Keyword(s):  
Nursing Staff ◽  
Simulation Training ◽  
Clinical Signs ◽  
Skin Wound ◽  
Junior Doctors ◽  
Parathyroid Surgery ◽  
Surgical Department ◽  
Life Threatening ◽  
Clinical Questions ◽  
Life Threatening Complication

Abstract Introduction Post-operative haemorrhage is a rare but potentially life-threatening complication of thyroid surgery and occurs in 1 in 100 patients. Our aim was to assess current levels of awareness of post-operative haemorrhage in the surgical department and to improve confidence in managing this. Method Questionnaires with a combination of clinical questions were distributed amongst nurses, foundation doctors, senior house officers and registrars in the surgical department. Results There was a clear gap in awareness in all grades. The British Association of Endocrine and Thyroid surgeons (BAETS) have guidance on the management of these patients and in particular the acronym SCOOP (Steristrips removed, Cut subcuticular sutures, Open skin wound, Open strap muscles, Pack wound). 18/24 of participants had not heard of the SCOOP protocol. Most nurses (6/12) all junior doctors (8/8) showed lack of confidence in managing patients with suspected bleeding. Conclusions An informative poster was created for relevant clinical areas as per the BAETS recommendation. These posters outlined the steps in the SCOOP acronymas well as the main clinical signs of haemorrhage. BAETS recommend that all first responders, including nursing staff, junior doctors and the crash team should be aware of the SCOOP protocol. Simulation training sessions are in progress for these members of staff.

OP48 Nursing Requirements In Long-Term Care: A Health Technology Assessment

2019 ◽  
Vol 35 (S1) ◽  
pp. 11-12
Author(s):  
Paula Corabian ◽  
Charles Yan ◽  
Susan Armijo-Olivo ◽  
Bing Guo
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Real World ◽  
Research Evidence ◽  
Long Term Care ◽  
Staff Time ◽  
Term Care ◽  
Policy Makers ◽  
The Relationship

IntroductionThe objectives of this study were to systematically review published research on the relationship between nursing staff coverage, care hours, and quality of care (QoC) in long-term care (LTC) facilities; and to conduct a real world evidence (RWE) analysis using Alberta real world data (RWD) to inform policy makers on whether any amendments could be made to current regulations.MethodsA systematic review (SR) of research evidence published between January 2000 and May 2018 on the relationship between nursing staff coverage, care hours, and QoC in LTC facilities was conducted. Panel data regressions using available RWD from Alberta, Canada, were performed to assess associations between nursing care hours and LTC outcomes. Outcomes of interest included quality indicators related to resident outcomes, hospital admissions, emergency room visits and family satisfaction. Nursing care hours considered in SR and RWE analysis included those provided by registered nurses (RNs) and licensed practical nurses (LPNs).ResultsThe SR found inconsistent and poor quality evidence relevant to the questions of interest, indicating a great uncertainty about the association between nursing staff time and type of coverage and QoC. Although some positive indications were suggested, major weaknesses of reviewed studies limited interpretation of SR results. RWE analysis found that impact of care hours on LTC outcomes was heterogeneous, dependent on outcome measurements. There was evidence that total staff, RN, and LPN hours had positive effects on some resident outcomes and magnitude of effect differed for different nursing staff.ConclusionsNo definitive conclusion could be drawn on whether changing nursing staff time or nursing staff coverage models would affect residents’ outcomes based on the research evidence gathered in the SR. RWE analysis helped to fill a gap in the available published literature and allowed policy makers to better understand the impact of revising current regulations based on actual outcomes.

scholarly journals Effect of Workplace Violence on Turnover Intention: The Mediating Roles of Job Control, Psychological Demands, and Social Support

2020 ◽  
Vol 57 ◽  
pp. 004695802096931
Author(s):  
Te-Feng Yeh ◽  
Yu-Chia Chang ◽  
Wei-Hsin Feng ◽  
Multiple sclerosis ◽  
Cheng-Chia Yang
Keyword(s):  
Social Support ◽  
Nursing Staff ◽  
Workplace Violence ◽  
Turnover Intention ◽  
Psychological Needs ◽  
Job Control ◽  
Mediating Effect ◽  
Staff Turnover ◽  
The Relationship ◽  
Psychological Demands

Exposing nursing staff to workplace violence workplace violence (WV) affects their psychological, emotional, and physical health; engenders increased workload; affects the medical reciprocity between nurses and patients; and ultimately leads to staff turnover intention. To preventing WV, development of intervention strategies and WV prevention measures are crucial. This study discusses the mediating effect of job control, psychological needs, and social support on WV and turnover intention. Through this discussion, this study aims to aid medical institutions in reducing their nursing staff turnover rate and to provide a reference for hospital management and decision making. A cross-sectional research method was adopted and conducted quantitative research to prove the complexity of the relationship between WV and turnover intention. Participants comprised clinical nurses working in 2 regional teaching hospital in central Taiwan. A total of 268 questionnaires were distributed, and 213 completed questionnaires were returned. Of the returned questionnaires, 198 contained valid responses, yielding a response rate of 73.9%. Our results demonstrated the mechanisms through which psychological demands and social support mediate the relationship between WV and turnover intention. This study determined the mediating effects of psychological demands and social support. The results expand the findings of previous research and demonstrate the complexity of the relationship between WV and turnover intention. Hospitals should formulate effective mechanisms for preventing and addressing incidents of WV, improve their ability to address and regulate violent incidents in clinics, reduce the psychological pressure exerted on employees, and establish communication channels for social support.

scholarly journals An educational programme for error awareness in acute trauma for junior doctors

2014 ◽  
Vol 6 (2) ◽  
pp. 161
Author(s):  
Colleen Michelle Aldous ◽  
Ruth Searle ◽  
Damian Luiz Clarke
Keyword(s):  
Educational Programme ◽  
Junior Doctors ◽  
Acute Trauma ◽  
Error Awareness

‘Playing’ Doctors and Nurses? Competing Discourses of Gender, Power and Identity in the British National Health Service

2003 ◽  
Vol 51 (2) ◽  
pp. 218-237 ◽  
Author(s):  
Pauline Leonard
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Organizational Sociology ◽  
Personal Qualities ◽  
And Performance ◽  
Feminist Poststructuralist ◽  
The Relationship ◽  
British National Health ◽  
Doctors And Nurses

This paper adopts a feminist poststructuralist approach to demonstrate the ambiguities and complexities which exist in the relationship between work and subject. Recent studies in organizational sociology have argued that the discourses of work, and changing working cultures, have had a powerful effect on the production of subjectivities. New forms of working behaviour have been constructed as desirable, which often draw on personal qualities such as gender. This paper draws on research conducted with doctors and nurses in the British National Health Service to reveal the ambiguities which exist in the ways in which individuals position themselves in relation to these discourses. The discourses of work and organization are constantly mediated through, and destabilised by, the intertextuality that exists with competing discourses such as those of professionalism, gender, home and performance. Although organizational discourses are clearly powerful in the construction and performance of subjectivities, the interplay between discourses means that these are constantly destabilised and undermined.

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