P-OGC76 A patient engagement event to assess feasibility of preoperative enhanced recovery groups in patients with oesophagogastric cancer undergoing surgery

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Emma Jarvis ◽  
Orla Evans ◽  
Georgia Mundle ◽  
Zainab Noor
Keyword(s):  
Peer Support ◽  
Patient Engagement ◽  
Health Informatics ◽  
Enhanced Recovery ◽  
Psychological Impact ◽  
Healthcare Services ◽  
Information Delivery ◽  
Virtual Groups ◽  
Virtual Group ◽  
Group Sessions

Abstract Background Enhanced recovery (ER) includes pre-operative counselling during individual patient consultations with multidisciplinary team (MDT) members. Patients can experience lengthy appointments seeing multiple professionals. This negatively impacts on their ability to retain and process information, and results in long, overrunning clinics. Separate, virtual ER group sessions have been proposed to deliver aspects of the pre-operative appointment which are common to all patients undergoing oesophagogastric (OG) cancer surgery.  The aim is to improve patient engagement and experience, and improve efficiency of clinics. A patient engagement event was undertaken to gain feedback from patients about the existing service and the proposed virtual group.    Methods A semi-structured telephone interview was developed with the support of a Patient & Public Engagement Team. The 30 minute interview covered aspects such as patient experience of ER information delivery, the quality of the information they received and their thoughts on attending virtual group sessions. Seventy patients, who had undergone surgery for OG cancer in the previous 14 months were invited to take part.  A Health Informatics Team screened the patient list prior to invitation letters being sent. The telephone interviews took place in November 2020.  Results Twenty-seven patients responded (37%). Of these, 89% felt they received all information required for surgery preparation. Over 50% reported receiving adequate information to support with common post-operative issues (dietary - 81%; physical activity - 55%) but would like more on others (psychological impact - 26%). Patients highlighted that the MDT clinic took many hours and information delivery was overwhelming. The internet was accessible to 85% and 56% thought the information provided prior to surgery could have been delivered in a virtual group. Patient perceived advantages to virtual groups included: peer support; reduced travel; and avoidance of information repetition and overload.  Conclusions Patient preference, perspective and needs are paramount when designing healthcare services. Results from this patient engagement event suggest that the delivery of preoperative information and counselling as part of ER could be improved through the implementation of virtual ER groups. They also suggest that most patients perceive benefits to such a model, including the addition of peer support. The next steps in the proof of concept are to develop the virtual groups MDT content and pilot in a cohort of patients, evaluating patient related outcome measures and impact on service efficiency.

scholarly journals Trainees4trainees: an innovative peer support project for junior doctors across specialties

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S126
Author(s):  
Sophie Behrman ◽  
Aisling Higham ◽  
Haido Vlachos ◽  
Gerti Stegen
Keyword(s):  
Peer Support ◽  
Support Groups ◽  
Psychological Impact ◽  
Working Hours ◽  
Well Being ◽  
Training Programme ◽  
Mental Wellbeing ◽  
Junior Doctors ◽  
Training Programmes ◽  
The Impact

AimsThe BMA's survey results (Caring for the Mental Health of the Medical Workforce, 2019) and HEE's NHS Staff and Learners’ Mental Wellbeing Commission report (2019) highlighted declining staff wellbeing. The COVID-19 pandemic has sharpened focus on this and the effects of moral injury on healthcare professionals. Shielding, social distancing and redeployment led to many medical trainees being increasingly isolated at a time of heightened anxiety and adversity. Psychiatry trainees tend to have good access to reflective groups, but this is not customary in other training programmes.MethodIntervention“Trainees4trainees” was set up by trainees across specialties as a HEE-TV well-being project, led by the Deanery Trainee Improvement Fellow. Peer support groups are run on Zoom, facilitated by 2 trainees with special training in peer support. Psychiatry trainees have been involved in designing and facilitating groups and training facilitators from other specialties; facilitators have regular supervision from a consultant psychiatrist in medical psychotherapy. Trainees are supported to discuss challenging experiences and think about their emotional responses in a supportive and validating group.ResultFeedbackWe are in the process of formal data collection to assess the impact of the intervention. Informal feedback suggests the groups are a powerful support to individuals who otherwise have no avenue to think about the psychological impact of their experiences. The groups have supported trainees to feel less isolated and bolstered their resilience.ConclusionFuture plansWe have faced challenges in the practicalities of establishing and maintaining groups. We are working with Training Programme Directors to move towards running the groups in protected time within working hours and advocate that reflective groups, such as our peer support groups, are a key part of future medical and surgical Training Programmes.

scholarly journals The Rapid Implementation of a Psychological Support Model for Frontline Healthcare Workers During the COVID-19 Pandemic: A Case Study and Process Evaluation

2021 ◽  
Vol 12 ◽  
Author(s):  
Sophia Appelbom ◽  
Aleksandra Bujacz ◽  
Anna Finnes ◽  
Karsten Ahlbeck ◽  
Filip Bromberg ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Peer Support ◽  
Healthcare Workers ◽  
Psychological Support ◽  
Successful Implementation ◽  
Current Case ◽  
Group Sessions ◽  
Frontline Healthcare Workers ◽  
Support Model

The COVID-19 pandemic highlighted the need for psychological support initiatives directed toward frontline healthcare workers, which can be rapidly and sustainably implemented during an infectious disease outbreak. The current case study presents a comprehensive model of psychological support that was implemented at an intensive care unit (ICU) during the first wave of the COVID-19 pandemic. The psychological support model aimed at promoting a resilient stress reaction among frontline staff by protecting physical, social, and psychological resources. The initiatives, targeting different groups of workers, included education and training, peer support, psychologist-supervised and unsupervised group sessions, on-boarding for transferred staff, manager support, and individual sessions for workers experiencing strong stress reactions. The results of the process evaluation of this rapid implementation suggest that peer support initiatives as well as daily group sessions were the most appreciated forms of psychological support. Psychologists involved in organizing and providing the support highlighted several aspects of a successful implementation of the support model: offering support during work hours (preferably after shift), positive attitude of line managers that framed support initiatives as a team effort, and involvement of experienced psychologists able to quickly adjust the content of the support according to the current needs. The study also identified two main problems of the current implementation: the lack of efficient planning due to the use of volunteer work and the need for more structural resources on the organizational level to ensure long-term sustainability of the support model and its implementation among all groups of healthcare staff. The current case study highlights the importance of establishing permanent structural resources and routines for psychological support integrated in clinical practice by healthcare organizations to improve both rapid and sustainable response to future crises.

scholarly journals Understanding the mechanisms generating outcomes in a Danish peer support intervention for socially vulnerable people with type 2-diabetes: a realist evaluation

2021 ◽  
Author(s):  
Stine Dandanell Garn ◽  
Charlotte Glümer ◽  
Sarah Fredsted Villadsen ◽  
Gritt Marie Hviid Malling ◽  
Ulla Christensen
Keyword(s):  
Type 2 Diabetes ◽  
Peer Support ◽  
Contextual Factors ◽  
Healthcare Services ◽  
Realist Evaluation ◽  
Self Management ◽  
Support Intervention ◽  
Vulnerable People ◽  
Peer Support Intervention

Abstract Background: Despite increasing use and positive effects of peer support interventions, little is known about how they produce outcomes. Thus, it is essential not only to measure outcomes, but also to identify the mechanisms by which they are generated. Using a realist evaluation approach, we aimed to identify the mechanisms generating outcomes in a Danish peer support intervention for socially vulnerable people with type 2-diabetes (peers). By investigating how the peers interacted in the intervention, we further examined how peers’ individual contextual factors facilitated or hindered the mechanisms in operation. Methods: We used a multi-method case-study design (n=9). Data included semi-structured interviews with four key groups of informants (peer, peer supporter, project manager and a diabetes nurse) for each case (n=25). Furthermore, we collected survey data from peers both before and after participation (n=9). The interview data were analysed using a systematic text condensation, and the Intervention-context-actor-mechanism-outcome framework was used to structure the analysis. Results: We identified two groups of mechanisms that improved diabetes self-management and the use of healthcare services (outcomes): ‘perceived needs and readiness’ and ‘encouragement and energy’. However, the mechanisms only generated the intended outcomes among peers with a stable occupation and financial situation, a relatively good health condition, and sufficient energy (all defined as contextual factors). Independent of these contextual factors, ‘experience of social and emotional support’ was identified as a mechanism within all peers that increased self-care awareness (defined as output). Dependent on whether the contextual factors facilitated or hindered the mechanisms to generate outcomes, we categorised the peers into those who achieved outcomes and those who did not. Conclusions: We identified two groups of mechanisms that improved the peers’ diabetes self-management and use of healthcare services. The mechanisms only generated the intended outcomes if peers’ individual contextual factors facilitated an active interaction with the elements of the intervention. However, independent of these contextual factors, a third group of mechanisms increased self-care awareness among all peers. We highlight the importance of contextual awareness of the target groups in the design and evaluation of peer support interventions for socially vulnerable people with type 2-diabetes. Trial registration : ClinicalTrials.gov, Retrospective Registration (01/20/2021), registration number NCT04722289, https://clinicaltrials.gov/ct2/show/NCT04722289?term=The+Together+on+Diabetes+Intervention+-+a+Realist+Evaluation%2C&draw=2&rank=1 Keywords: Complex Intervention, Realist evaluation, Mechanisms, Context, Peer support, Diabetes self-management, Healthcare services, Inequality

scholarly journals Psychological impact of COVID-19 on doctors and medical undergraduate students in a government medical college in Uttar Pradesh, India

2020 ◽  
Vol 7 (12) ◽  
pp. 4781
Author(s):  
Kunwar Vaibhav ◽  
Adity Priya ◽  
Pratibha Gupta
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Large Scale ◽  
Online Survey ◽  
Psychological Impact ◽  
Well Being ◽  
Healthcare Services ◽  
Health Impact ◽  
Physical And Mental Health ◽  
Medical Undergraduate

Background: COVID-19 wrath has influenced the socio economic, physical and mental health well-being of all the citizens. Doctors being at the frontline has been affected substantially by it. The paucity of literature on mental health impact of medical health professionals directed the present study to explore the Psychological Impact of COVID-19 on doctors and medical undergraduates.Methods: A cross section online survey was used for data collection. Socio demographic, COVID 19 related preventive practice, Oslo social support scale-3 (OSSS-3) for social support and impact of events scale-revised (IES-R) scale for assessment of psychological Impact was used. Data was analyzed using SPSS 23.Results: Overall 56 (36.36%) of the participants reported having psychological Impact of whom 25 (43.86%) doctors and 31 (31.96%) students were affected. The predictor variables as derived by the regression model were presence of comorbidity, poor social support and postings in isolation wards.Conclusions: Large scale longitudinal multicentric studies can provide a better picture of the actual magnitude of the mental health impact. The predictive factors should be taken into account for policy making decisions. Coping skills and mental health preparedness for the frontline warriors can be lifesaving and will uplift their morale for better delivery of healthcare services in a resource constrained setting.

scholarly journals Medical Informatics in Indonesia: Importance, Development, and Future Directions

TEM Journal ◽  
2021 ◽  
pp. 78-81
Author(s):  
Seng Hansun
Keyword(s):  
Information Technology ◽  
Medical Informatics ◽  
Health Informatics ◽  
Academic Discipline ◽  
Healthcare Services ◽  
Vital Role ◽  
Health Science ◽  
Future Directions ◽  
Multidisciplinary Study ◽  
Academic Fields

Medical Informatics (MI) is an emerging multidisciplinary study in academic fields. Also known as ‘Health Informatics,’ this study combines three different well-known fields; Information Systems (IS), Computer Science (CS), and Health Science (HS). MI is crucial because it could help in bridging the gap that is commonly found in conventional Healthcare services with the usage of Information Technology (IT). However, despite its vital role, the development of MI in Indonesia is still not satisfactory. Therefore, in this paper, the importance of MI as an academic discipline will be briefly discussed, followed by the description of MI development in Indonesia, and some suggestions for its future development.

The Effects of Communicative Genres on Intra-Group Conflict in Virtual Student Teams

2011 ◽  
pp. 245-260
Author(s):  
Jung-Lung Hsu ◽  
Huey-Wen Chou
Keyword(s):  
Social Network ◽  
Network Analysis ◽  
Virtual Teams ◽  
Network Structure ◽  
Group Conflict ◽  
Collaborative Groups ◽  
Virtual Groups ◽  
Virtual Group ◽  
Student Teams ◽  
E Mail

With increasing convenience and prevalence, the distant communication application has become a promising way for individuals who are eager to cooperate and interact virtually. This study explored the question of whether the collaborative interaction of the virtual teams has any effect on the conflict and network structure of virtual groups. A total of 150 participants were invited and randomly assigned to thirty groups with each group of five subjects. To function like real virtual groups, they were asked to communicate with their members through e-mail. Through genre analysis and social network analysis, nine communicative genres most frequently used in the collaborative groups were identified. Results of correlation analysis suggested that it was the communicative genres, not the network structure, that were associated with intra-group conflict of virtual group. Accordingly, whether the network structure of the virtual group is centralized or decentralized may not be instructors’ or developers’ major concern. Instead, they may wish to focus on a well-designed interface providing needed supports of communicative procedure for coordinating with distant members.

Applying Personal Health Informatics to Create Effective Patient-Centered E-Health

2011 ◽  
pp. 344-359
Author(s):  
E. Vance Wilson
Keyword(s):  
Health Informatics ◽  
Healthcare Services ◽  
Personal Health Records ◽  
Consumer Health Informatics ◽  
Personal Health ◽  
Consumer Health ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Alternative Approach ◽  
Health Applications

E-health use is increasing worldwide, but no current e-health paradigm fulfills the complete range of users’ needs for Web-enabled healthcare services. Moreover, a number of obstacles exist that could make it difficult for e-health to meet users’ expectations, especially in the case where the users are patients. These dilemmas cloud the future of e-health, as promoters of e-commerce, personal health records, and consumer health informatics paradigms vie to create e-health applications while being hampered by the implicit constraints of each perspective. This chapter presents an alternative approach for designing and developing e-health titled personal health informatics (PHI). PHI was developed to overcome the limitations of preceding paradigms while incorporating their best features. The chapter goes on to describe how PHI can be applied to create effective patient-centered e-health for delivery by healthcare organizations to their own patients.

Scope of E-Healthcare Services in Uttar Pradesh with Special Reference to Varanasi

2018 ◽  
Vol 5 (2) ◽  
pp. 15
Author(s):  
Shivesh .
Keyword(s):  
Health Informatics ◽  
Urban Areas ◽  
Health Management ◽  
Uttar Pradesh ◽  
Healthcare Services ◽  
Related Information ◽  
The People ◽  
Health Initiatives ◽  
Health Related ◽  
Physician Order Entry

<p>Innovation in the field of Healthcare will create new landmarks in this field. The Health related information in any country is confidential and is available in large amount. Effective Management of Health Data is important. E-Health exists in various forms. Mostly, the People living in Urban Areas having each sort of facility like Mobile Phone and good Internet Connectivity but then also they do not know about the free services provided by the Hospitals. There is less awareness about E-Health services in India.  In  this  paper  we  had discussed  about  the  E-Health  Initiatives  in  Uttar  Pradesh,  the  E-Health Models, its Architecture and its scope in urban areas of Varanasi, in detail and how it is essential for the atomisation of Health Management System (H.M.S.). There are different forms of E-Health discussed in this paper like Automated Physician Order Entry, E- Prescribing, Decision Support System, M-Health and Health Informatics.</p>

scholarly journals Biomedical and Health Informatics Education and Research at the Information Technology Institute in Egypt

2011 ◽  
Vol 20 (01) ◽  
pp. 161-168 ◽  
Author(s):  
A. Khalifa ◽  
R. Hussein
Keyword(s):  
Information Technology ◽  
Health Informatics ◽  
Professional Training ◽  
Healthcare Services ◽  
Lifelong Learners ◽  
Wide Range ◽  
Information And Communication ◽  
It Revolution ◽  
Technology Institute ◽  
Consultation Services

SummaryDuring the last decade, Egypt has experienced a revolution in the field of Information and Communication Technology (ICT) that has had a corresponding impact on the field of healthcare.Since 1993, the Information Technology Institute (ITI) has been leading the development of the Information Technology (IT) professional training and education in Egypt to produce top quality IT professionals who are considered now the backbone of the IT revolution in Egypt. For the past five years, ITI has been adopting the objective of building high caliber health professionals who can effectively serve the ever-growing information society.Academic links have been established with internationally renowned universities, e.g., Oregon Health and Science University (OHSU) in US, University of Leipzig in Germany, in addition those with the Egyptian Fellowship Board in order to enrich ITI Medical Informatics Education and Research.The ITI Biomedical and Health Informatics (BMHI) education and training programs target fresh graduates as well as lifelong learners. Therefore, the program’s learning objectives are framed within the context of the four specialization tracks: Healthcare Man- agement (HCM), Biomedical Informatics Research (BMIR), Bioinformatics Professional (BIP), and Healthcare Professional (HCP). The ITI BMHI research projects tackle a wide-range of current chal- lenges in this field, such as knowledge management in healthcare, providing tele-consultation services for diagnosis and treatment of infectious diseases for underserved regions in Egypt, and exploring the cultural and educational aspects of Nanoinformatics.Since 2006, ITI has been positively contributing to de- velop the discipline of BMHI in Egypt in order to support improved healthcare services .

scholarly journals Mental Health of the General Population during the 2019 Coronavirus Disease (COVID-19) Pandemic: A Tale of Two Developing Countries

2021 ◽  
Vol 2 (1) ◽  
pp. 71-84
Author(s):  
Cuiyan Wang ◽  
Mohammad A. Fardin ◽  
Mahmoud Shirazi ◽  
Riyu Pan ◽  
Xiaoyang Wan ◽  
...  
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Health Information ◽  
Psychological Impact ◽  
Healthcare Services ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Impact

Background: This study aimed to compare the severity of psychological impact, anxiety and depression between people from two developing countries, Iran and China, and to correlate mental health parameters with variables relating to the COVID-19 pandemic. Although China and Iran are developing countries based on the World Bank’s criteria, these two countries are different in access to resources and health care systems. We hypothesized that Iranians would show higher levels of depression, anxiety and stress as compared to Chinese. Methods: This study collected information related to the COVID-19 pandemic including physical health, precautionary measures and knowledge about the pandemic. We also used validated questionnaires such as the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) to assess the mental health status. Results: There were a total of 1411 respondents (550 from Iran; 861 from China). The mean IES-R scores of respondents from both countries were above the cut-off for post-traumatic stress disorder (PTSD) symptoms. Iranians had significantly higher levels of anxiety and depression (p < 0.01). Significantly more Iranians believed COVID-19 was transmitted via contact, practised hand hygiene, were unsatisfied with health information and expressed less confidence in their doctors, but were less likely to wear a facemask (p < 0.001). Significantly more Iranians received health information related to COVID-19 via television while Chinese preferred the Internet (p < 0.001). Conclusions: This cross-country study found that Iranians had significantly higher levels of anxiety and depression as compared to Chinese. The difference in reported measures between respondents from Iran and China were due to differences in access to healthcare services and governments’ responses to the pandemic.

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