45 Easier Recognition and Better Communication of The Surgical Team Across the Hospital

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
P P Narayan
Keyword(s):  
Nursing Staff ◽  
Online Survey ◽  
Effective Communication ◽  
Surgical Patients ◽  
Surgical Team ◽  
Ward Rounds ◽  
Efficient Recognition

Abstract Introduction Recognition & communication of a surgical team is of paramount significance especially in catastrophic scenarios- like a crowded trauma call in ED, and ward rounds as surgical patients are dispersed across the hospital. Hence implementing posters across all key wards and special ID could play a key role. Method Aim was to improve the recognition & communication of the surgical team by means of posters of surgical members(Trainees/ Trust Grades/ Associates)including their name, designation & bleep; and color coded ID/Lanyard for the surgical team. An online survey was conducted for the surgical team(N = 25) and separately for the nursing staff(N = 40) across the hospital to understand how well the surgical team is recognised across the hospital and how changes would bring about a difference in communication and recognition of the surgical team. Results Surgical team was poorly recognised across the hospital(12.5%), and most of the surgical & nursing staff thought implementing the changes would play a key role. Conclusions It is vital to have posters of surgical team (trainees/ trust grades) across all key wards and in Emergency, along with unique ID for efficient recognition of Surgical team in urgent scenarios & to develop an effective communication with the nursing staff across the hospital.

Pathological verbal repetition by Chinese elders with Dementia of Alzheimer’s Type

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Lin Zhu ◽  
Lihe Huang
Keyword(s):  
Cognitive Impairment ◽  
Nursing Staff ◽  
Systemic Functional Linguistics ◽  
Effective Communication ◽  
Linguistic Markers ◽  
Word Repetition ◽  
Functional Aspects ◽  
Early Dementia ◽  
Dementia Of Alzheimer’S Type ◽  
Verbal Repetition

Verbal repetition has been acknowledged as one of the most common symptoms in early Dementia of Alzheimer's Type (DAT). Despite previous attempts, the applicability of verbal repetition as an essential linguistic marker indicating this disease remains unexplored for Chinese DAT patients. This study collects Chinese DAT patients' daily conversation data to investigate both structural and functional aspects of pathological verbal repetition. Three major types are set regarding the cases of pathological repetition, respectively ‘unconscious concept repetition', ‘perseveration', and ‘involuntary word repetition'. The analysis focuses on what features these repetitions have from the perspective of ‘ideational function', ‘interpersonal function', and ‘textual function' within the framework of Systemic Functional Linguistics. A better understanding of pathological verbal repetition by DAT elders as the linguistic markers of cognitive impairment promotes effective communication between patients, nursing staff, and family members.

scholarly journals Hospital Nursing Staff Perceptions of Resources Provided by Their Organizations During the COVID-19 Pandemic

2021 ◽  
pp. 216507992098754
Author(s):  
Hyeonmi Cho ◽  
Knar Sagherian ◽  
Linsey M. Steege
Keyword(s):  
Nursing Staff ◽  
Online Survey ◽  
Community Support ◽  
Well Being ◽  
The United States ◽  
Free Text ◽  
Staff Perceptions ◽  
Survey Question ◽  
Hospital Nursing ◽  
Hospital Resources

Background: The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted the health and psychological well-being of hospital nursing staff. While additional support is needed to better cope with increased job stressors, little is known about what types of hospital resources have been provided and how nursing staff perceive them. This study addressed this gap by describing nursing staff perceptions of resources provided by hospitals during the COVID-19 pandemic in the United States. Methods: Registered nurses and nursing assistants who were working in hospitals during the pandemic were recruited to an online survey via social media posts and emails between May and June 2020. A total of 360 free-text responses to an open-ended survey question were analyzed using content analysis. Results: Over half of participants reported being provided with hospital resources. “Basic needs” resources that included food on-site, groceries, and childcare support were the most frequently reported compared with four other types of resources (personal health and safe practice, financial support, managerial support, communication). Four themes emerged related to staff perceptions of support: community support, unequal benefits, decreasing resources, and insufficient personal protective equipment. Conclusion: Our findings can assist organizational leaders in the planning and allocation of different types of resources that are meaningful to nursing staff and thus ensure sustainability, optimal performance, and worker well-being during crises.

scholarly journals EP.WE.782Retrospective analysis of acute surgical admissions during COVID-19 pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shenbaga Rajamanikam ◽  
Suzzana Argyropoulos ◽  
Reza Arsalani Zadeh
Keyword(s):  
Length Of Stay ◽  
Hospital Stay ◽  
Surgical Procedures ◽  
Length Of Hospital Stay ◽  
Period Length ◽  
Surgical Patients ◽  
Surgical Team ◽  
Surgical Operations

Abstract Background COVID-19 pandemic has affected the number of surgical admissions and the number of emergency general surgical operations performed. COVID-19 pandemic has also led to changes in how some of the acute surgical patients were managed. Aim of the study was to compare acute surgical admissions and number of emergency general surgical procedures in this period. Material and Method We retrospectively analyzed acute surgical admissions during the pandemic from 20/3/20 to 19/4/20 and compared it with acute surgical admissions during pre-COVID-19 period from 1/11/2019 to 30/11/2019. Results During the COVID-19 pandemic 97 patients were assessed and admitted by the General surgical team, during the pre COVID-19 period 205 patients were assessed and admitted by the General surgical team. The number of acute surgical admissions during COVID-19 pandemic dropped by 53%. There were 46% less emergency surgeries performed during COVID 19 pandemic period. Length of stay during and before the COVID-19pandemic were 4.1 vs 4.4 days. Conclusion During the COVID-19 pandemic number of acute surgical admissions and the number of emergency surgeries were fewer than during pre COVID-19 pandemic. Length of hospital stay was less during COVID-19 pandemic.

Staff attitudes to a daily otolaryngology ward round

2004 ◽  
Vol 118 (12) ◽  
pp. 963-971 ◽  
Author(s):  
M.-L. Montague ◽  
M.S.W. Lee ◽  
S.S.M. Hussain
Keyword(s):  
Nursing Staff ◽  
Medical Staff ◽  
Learning Experience ◽  
Ward Round ◽  
Educational Opportunities ◽  
Ward Rounds ◽  
Sensitive Issues ◽  
Adequate Communication ◽  
Private Setting ◽  
Structured Questionnaire

This survey investigates the attitudes of medical and nursing staff towards the daily otolaryngology ward rounds in a teaching hospital.Initial, open-ended questionnaires generated themes from which a structured questionnaire was constructed. Respondents indicated on a Likert scale the extent to which they agreed or disagreed with statements concerning their attitudes towards the ward round.Thirty-five members of staff were surveyed. The overall response rate was 74.3 per cent (n = 26). The majority of staff agreed that the ward round was a constructive use of their time and served to promote team spirit. It allowed for adequate communication between medical and nursing staff but there was uncertainty about the provision of adequate patient communication. The nursing staff agreed that the ward round provided a valuable learning experience. There was uncertainty about this among the medical staff. There was agreement in both groups that patients find the ward round to be reassuring. A significant majority of staff expressed concerns over maintenance of patient confidentiality.These findings could be used to inform changes in the departmental ward round structure. Specific attention should be directed to discussing sensitive issues in a more private setting and maximizing educational opportunities for junior medical staff.

scholarly journals Traits of leadership for efficacious communication of Project Management in Software Industry of Pakistan

2018 ◽  
Vol 21 (1) ◽  
pp. 5-22
Author(s):  
Muhammad Ibrahim Abdullah ◽  
Muddassar Sarfraz ◽  
Syed Murtaza HussainKazmi
Keyword(s):  
Project Management ◽  
Online Survey ◽  
Software Industry ◽  
Effective Communication ◽  
Integrated Model ◽  
Project Manager ◽  
Correct Information ◽  
The Right

This study aims at exploring the essential personas a project manager as a leader must possess for an effective communication. This study has been conducted in the context of Pakistani Software industry and the data was collected by running a self administrated online survey distributed to the employees: managers and subordinates. Latest studies are focusing on Trustworthiness and old studies have presented Transformation and Transaction Leaders‟ traits. Communication is vital, and its importance cannot be denied. Communication must possess Trustworthiness, Fairness and Candidness factors which this study highlights and stresses to be as the most important traits of a PM. Pakistani Software industry lacks communication which results in failures of projects which can be overcome by applying an integrated model presented in this study. In conclusion, a project manager must evaluate and gather all the information according to the situation and after that apply proper skills to cope with that. Employees do much better if the right and correct information are transferred to them and the project manager/manager is trustworthy.

scholarly journals 305 Using Urology Specific Ward Round Sheets to Improve Clinical Documentation

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D Evans
Keyword(s):  
Nursing Staff ◽  
Clinical Information ◽  
Ward Round ◽  
Clinical Documentation ◽  
Cross Sectional ◽  
Time News ◽  
Surgical Ward ◽  
Optimal Patient Care ◽  
Ward Rounds ◽  
Sectional Analysis

Abstract Aim To improve the documentation of vital clinical information on the urology ward round. To prompt clinical staff to review antibiotics, venous thromboprophylaxis, patient observations, and formulate a plan in a structured format. Method A retrospective, cross-sectional analysis was performed on the urology ward to assess whether the following parameters were documented/accounted for during ward-round: date, time, NEWS score, antibiotics, venous thromboprophylaxis, and whether the entry was easily found in the medical notes. Following this, a urology-specific ward-round sheet was synthesised between the medical and nursing staff. This standardised sheet was easily identifiable in the notes and ensured all the above parameters were accounted for by prompting the note-taker to record them. Two months following introduction of this standardised ward-round sheet the same parameters were analysed on all the urology inpatients in the same retrospective, cross-sectional manner. Results Documentation of the NEWS score improved from 30% to 93% with the introduction of the ward-round sheet. Similarly, documentation of whether antibiotics were reviewed improved from 30% to 60%, and documentation of venous thromboprophylaxis improved from 20% to 53%. It was also noted that the ward-round entry was easier to find with the ward-round sheet. Conclusions Documentation of key clinical information is vital to ensure optimal patient care. Surgical ward-rounds can be quick paced and important considerations such as antibiotics and venous thromboprophylaxis may be missed. This simple intervention improved the documentation of the intended parameters. The next step is to alter and improve the ward-round sheet before re-auditing.

scholarly journals Perceptions of a Surgical Team About the Ethical and Legal Responsibilities of Forgetting Foreign Bodies in Patient Bodies and Other Errors

2021 ◽  
Author(s):  
Díaz-Pérez Anderson ◽  
Zilena Ardila González ◽  
Moraima Del Toro ◽  
Elkin Navarro Quiroz
Keyword(s):  
Content Analysis ◽  
Medical Errors ◽  
Foreign Bodies ◽  
Surgical Patients ◽  
Surgical Team ◽  
Human Errors ◽  
Legal Problems ◽  
Patients At Risk ◽  
Qualitative Descriptive ◽  
Legal Responsibilities

Abstract Background: Retained surgical items (RSIs) represent a real and ongoing problem, but it is preventable. Its real incidence is unknown because of underreporting resulting from the fear of lawsuits for medical errors. This study aimed to describe the perception of the members of a surgical team about their ethical and legal responsibilities related to medical errors, specifically concerning the presence of RSIs. Methods: This qualitative, descriptive, and interpretative study focused on the perceptions of the members of a surgical team on the ethical and legal problems they may face because of the presence of RSIs. Continuous saturation sampling was performed by interviewing 17 professional members of the surgical team. Atlas Ti 8.0® program was used for analyzing the data obtained. It traced the categories by means of content analysis of the perceptions and practices during possible ethical and legal responsibilities because of medical errors. Results: The interviewees were conflicted between complicity and justice, as it is a duty to report events or actions that put the lives of surgical patients at risk.Conclusions: The lack of awareness about the rules and believing that human errors are inevitable lead to normalizing errors, which does not allow professionals to face the risk and, therefore, to avoid it.

PP148 A Stakeholder-Informed Strategy For Effective Communication

2019 ◽  
Vol 35 (S1) ◽  
pp. 65-66
Author(s):  
Lauren Elston ◽  
Ruth Louise Poole ◽  
Barbara Fraser ◽  
Ian Coldwell ◽  
Susan Myles
Keyword(s):  
Public Relations ◽  
Online Survey ◽  
Effective Communication ◽  
Health Technology ◽  
Successful Implementation ◽  
Traditional Media ◽  
Telephone Interviews ◽  
Strategic Approach ◽  
Research Sector ◽  
E Mail

IntroductionEffective communication is vital for engaging stakeholders in health technology assessment (HTA), as well as the successful dissemination and adoption of HTA research and guidance. As a relatively new organization, Health Technology Wales (HTW) has an ideal opportunity to take an effective, strategic approach to communication and stakeholder engagement from the outset.MethodsHTW commissioned Pagoda Public Relations to develop an informed communications strategy and delivery framework. The strategy used OASIS methodology for public relations planning: Objectives, Audience insight, Strategy, Implementation, and Scoring (evaluation). Initial objectives were developed with input from the HTW team and members of the HTW Assessment Group and Appraisal Panel. Stakeholder insights were collected through an online survey and telephone interviews. These insights were used to inform the communications strategy and framework, outlining key audiences, key messages, communication objectives, methods, tactics, and evaluations.ResultsSeven key objectives were identified, each of which were supported by recommended actions. These were underpinned by the key aims and messages reflecting how we will achieve these objectives. National Health Service boards, government, clinicians, the technology and research sector, patients, and the general public were identified as priority audiences. Various different communication channels and activities were identified, aimed at various audiences. These included the website, social media, traditional media, and exhibitions or workshops, as well as targeted e-mail dissemination of guidance. Evaluation of HTW communications will be aligned with the wider HTW evaluation strategy, and evidence will be recorded through OutNav software (Matter of Focus Ltd).ConclusionsHTW is committed to a strategic, effective approach to communication and engagement. We now have an audience-informed communications strategy and plan that outlines our key objectives, and how to achieve and evaluate these objectives. Successful implementation will raise awareness of and value in profile and outputs of HTW, both in Wales and internationally.

scholarly journals Incorporating point-of-care ultrasound into daily intensive care unit rounds: Another source of interruptions?

2018 ◽  
Vol 21 (1) ◽  
pp. 18-21
Author(s):  
O Olusanya ◽  
AVK Wong ◽  
J Kirk-Bayley ◽  
P Parulekar
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Online Survey ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Clinical Decisions ◽  
Bedside Ultrasonography ◽  
Ward Rounds ◽  
And Training

Point-of-care ultrasound (POCUS) is the use of bedside ultrasonography by the treating clinician, incorporating those images into direct clinical decisions. While there are a number of different techniques and training pathways in this relatively new modality, there has been little discussion around the logistics of integrating POCUS into the standard critical care “business day” of ward rounds, procedures and meetings. This article explores some of these aspects and presents data from an online survey of POCUS practitioners.

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