scholarly journals Surgical gloves' perforation rate and its associated factors in three Tunisian surgical departments

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
H Sridi ◽  
M Akouri ◽  
W Aouicha ◽  
A Belgacem ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
Surgical Team ◽  
Perforation Rate ◽  
Chi Square ◽  
Cross Sectional ◽  
Team Members ◽  
Significance Threshold ◽  
Post Surgery ◽  
Surgical Teams

Abstract Background Surgical teams rely on gloves as a barrier that can prevent transmission of microorganisms from the practitioners to the patient and from patient to surgical team. However, holes and micro-perforations may occur in gloving material exposing both patients and surgical team members to several complications. This study aimed to investigate the gloves' perforation rate and the factors associated with glove defect. Methods It is descriptive cross-sectional study. It was spread over a period of 3 months (January-March 2017) and was conducted at the University Hospital of Sahloul-Sousse (Tunisia) in three different surgical departments (urology, maxillofacial and general and digestive surgery). A data collection sheet was used by the researchers to collect data about the intervention and the surgical teams such the type and the duration of the intervention and the type of gloves used by the surgical teams. The post-surgery gloves were collected and tested to detect perforations using the water-leak test as described in the European Norm “NF EN 455-1”. For percentage comparison, the chi-square test was used with a significance threshold of 5%. Results A total of 284 gloves were collected from 36 procedures. Of these, 47 were found to be perforated with a perforation rate of 16.5%. All perforations were unnoticed by the surgical team members. The majority of perforated gloves (61.7%) were collected after urology procedures (p = 0.00005), 77% of perforated gloves were detected when the duration of the procedure exceeded 90 minutes (p = 0.001), and 96% of gloves were from brand A, which were the thicker gloves (p = 0.015) Conclusions This study highlighted an important problem neglected by the surgical teams, despite the risks that it can generate and its potentially severe consequences. In light of this study, we recommend systematic double-gloving and frequent changing of gloves to prevent the gloves' perforation and reduce its risks. Key messages Surgical teams must be aware of the importance of the problem of gloves perforation. The findings reaffirm the importance of double-gloving and changing gloves in surgeries of more than 90 minutes duration.

scholarly journals Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares
Keyword(s):  
Visual Inspection ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

Role of MRI in the Diagnosis and Pre-Operative Classification of Perianal and Anal Fistulas - A Cross-Sectional Study, Southern Rajasthan

2021 ◽  
Vol 8 (33) ◽  
pp. 3156-3162
Author(s):  
Hari Ram Jat ◽  
Neel Patel ◽  
Sitaram Barath ◽  
Pooja Yadav
Keyword(s):  
Perianal Fistula ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Anal Fistulas ◽  
Chi Square ◽  
Cross Sectional ◽  
Perianal Fistulas ◽  
Operative Assessment

BACKGROUND Perianal fistulas account for a substantial discomfort and morbidity to the patient thus affecting productive man hours and quality of life. Accurate pre-operative assessment of course of the primary fistulous track and secondary extension or abscesses is required for successful surgical management of anal fistulas. The purpose of this study was to diagnose and classify pre-operative perianal fistulas. METHODS This is a cross-sectional study at Department of Radiodiagnosis in a tertiary level hospital of southern Rajasthan from November 2018 to November 2020. The study included a total of 50 patients referred to department of radiology for magnetic resonance imaging (MRI). Statistical analysis was done using chi square test and student t test. RESULTS Out of these patients, 56 % were having secondary tract on MRI, 12 % patients were having abscess and 4 % were having horseshoe abscess on MRI. The commonest type of ano-rectal fistula encountered in the study was Grade -II seen in 32 %. CONCLUSIONS MRI is a highly accurate, rapid and non-invasive tool in pre-operative evaluation of the perianal and anal fistulas. MRI evaluation and classification of perianal fistulae has a high degree of diagnostic accuracy. The use of MRI for the diagnosis and classification of perianal fistula can provide reliable information which has both pre-operative and prognostic value. St James University Hospital classification, which is an MR imaging-based grading system for perianal fistula is very useful for effective radiological-surgical communication thus contributing to improved patient care and reduced rate of recurrence. KEYWORDS MR Fistulogram, Perianal Fistula, Anal Fistula, Fistula Classification, Fistulography

scholarly journals Patient Attitudes towards Physician Nonverbal Behaviors during Consultancy: Result from a Developing Country

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Fahad Hanif Khan ◽  
Raheela Hanif ◽  
Rumina Tabassum ◽  
Waris Qidwai ◽  
Kashmira Nanji
Keyword(s):  
Nonverbal Communication ◽  
Tertiary Care ◽  
Eye Contact ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Care Hospital ◽  
Nonverbal Behaviors ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital. Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and their responses were noted. The data were analyzed using SPSS and chi-square test was used to identify corelations. Results. Overall, 120 patients were enrolled. About 58.3% were men and 41.7% were women with a mean age of 34.9±10.9 years. 95.8% were Muslims and 57.6% had more than 12 years of education. Among females 74% wanted supportive touch from doctors, used to comfort the patient (45%) or to show respect (27.5%) or as healing (30%). 86.1% of the respondents believe that establishing eye contact with the patient shows that the doctor is attentive towards his/her patient. The eye contact should be brief but regular (54.1%) and prolonged staring (36.7%) makes them uncomfortable. Conclusion. Nonverbal communication helps to strengthen the doctor-patient relation as patients do appreciate positive touch and eye contact from their physicians.

scholarly journals Workloads and burnout of nursing workers

2019 ◽  
Vol 72 (6) ◽  
pp. 1435-1441
Author(s):  
Deciane Pintanela de Carvalho ◽  
Laurelize Pereira Rocha ◽  
Eliana Cardia de Pinho ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Edison Luiz Devos Barlem ◽  
...  
Keyword(s):  
Lower Limb ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Lumbar Pain ◽  
Limb Pain ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Lower Limb Pain ◽  
Chi Square Test

ABSTRACT Objective: to identify workloads in nursing work and its association with nursing worker burnout. Method: a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used. Results: the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness. Conclusion: workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

scholarly journals Differences between surgical team members in terms of teamwork, workload and stress

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Aouicha ◽  
M A Tlili ◽  
J Sahli ◽  
M Limam ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Time Pressure ◽  
Care Delivery ◽  
Practical Method ◽  
University Hospital ◽  
Surgical Team ◽  
Risk Environment ◽  
Cross Sectional ◽  
Team Members ◽  
Targeted Interventions ◽  
Global Teamwork

Abstract Background Within Operating Rooms (OR), teams consisting of professionals with different training and backgrounds are expected to function optimally in a high-risk environment that is scattered with stressors, that often appear simultaneously and are usually related to the ever-present time pressure which is often paired with ineffective teamwork and an ever-increasing workload and stress. This study aimed to investigate whether there are significant differences in teamwork; workload; and stress levels between surgeons, anesthesiologists, and scrub nurses. Methods This was an observational cross-sectional study, conducted over 3 months in 2018, in Sahloul University Hospital; in 4 ORs with different specialties. We used a validated observation sheet to asses teamwork (Observational teamwork assessment for surgery tool) during the intraoperative phase. At the end of each operation, stress and workload of the surgical team members were measured. All ethical considerations were taken into account. Results Overall, 160 participants from the concerned ORs participated in the study and 50 operations were observed. Most of the participants were nurses (45.6%). Concerning teamwork, in fact, surgeons received significantly higher scores on all of the dimensions. The mean global teamwork score for surgeons was 4.87 (SD = 0.75, p < 0.01) on a scale of 0 to 6. Moreover, ANOVA test showed that surgeons experienced higher workload with a mean of 66.88 (SD = 25.98, p < 0.01). However, nurses were significantly more stressed than both anesthesiologists and surgeons. Conclusions This study offered a practical method to evaluate, simultaneously, teamwork, workload and stress in the OR and revealed differences across team members as surgery unfolds. Given the importance of care delivery in the ORs, the findings of this study can be used to lead targeted interventions to enhance the surgical team performance. Key messages There were significant differences between surgical team members in terms of teamwork, workload and stress. Surgeons had higher teamwork and workload; however, nurses had the highest stress.

scholarly journals Route of birth delivery preferred by mothers and their motivations

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Kottwitz ◽  
Helga Geremias Gouveia ◽  
Annelise de Carvalho Gonçalves
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Route Of Delivery ◽  
Type Of Delivery

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.

scholarly journals Evaluation of the impact of intra-operative distractions on teamwork, stress and workload

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Aouicha ◽  
M A Tlili ◽  
M Limam ◽  
M Snéne ◽  
M Ben Dhiab ◽  
...  
Keyword(s):  
Daily Basis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Team Members ◽  
Surgical Workflow ◽  
Global Teamwork ◽  
The Mean ◽  
Teaching Cases ◽  
The Impact

Abstract Background Within the OR, distractions occur on a regular basis, which affects surgical workflow and results in discontinuation of urgent tasks. In addition, engaging into distractions in the OR may not only increase stress and workload, but also impair teamwork performance. This study aimed to observe the occurrence of intra-operative distractions in ORs and to evaluate associations between distractions, teamwork, workload and stress. Methods This observational cross-sectional study was conducted in Sahloul University Hospital; more specifically in four different surgical units: orthopedic, urology, emergency and digestive surgery and over a period of 3 months in 2018. Using validated observation sheets, distractions and teamwork were recorded and rated in real-time during the intraoperative phase of every case. Besides, stress and workload of OR team members were measured at the end of each operation. All ethical considerations were taken into account. Results Fifty cases were observed and 160 participants were included in this study. In total, we recorded 933 distractions that occurred once every 3 minutes, on average. The mean global teamwork score was 3.85 (SD = ±0,67) on a scale of 0 to 6, the mean workload score was 58.60 (±24,27) and the mean stress score was 15.29 (SD = ±4,00). The highest rate of distraction was significantly related to external staff entering or exiting the OR during non-teaching cases (M = 9.43, SD = 3.56; p = 0.006). Surgeons also experienced significantly higher workload with a mean of 66.88 (SD = 25.98,p<0.01). Conclusions This study highlighted a serious problem which is, often, ignored or underestimated. Taking into consideration the results, we recommend the implementation of systemic interventions on a daily basis to reduce the number of distractions in the OR. Key messages Distractions happened in all of the included operations. Stress and workload among nurses got higher as work environment distractions increased.

scholarly journals Frequency of extra-articular manifestations in cohort of Pakistani patients presented with RA at Independent University Hospital Faisalabad.

2021 ◽  
Vol 28 (06) ◽  
pp. 819-827
Author(s):  
Zafar Ali Zafar ◽  
Muhammad Absar Alam ◽  
Muhammad Sarfraz ◽  
Touseef Ahmad ◽  
Hafiz Salman Saeed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Age Groups ◽  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Early Assessment ◽  
Chi Square ◽  
Cross Sectional ◽  
American College Of Rheumatology ◽  
Independent University

Objective: To determine the frequency of extra articular manifestations in Rheumatoid Arthritis patients at independent university hospital Faisalabad. Study Design: Cross Sectional study. Setting: Rheumatology Division of Internal Medicine Independent University Hospital Faisalabad. Period: January 2019 to December 2019. Material & Methods: Consecutive Three hundred and twenty-three adult patients of either sex, of age between 20-60 years with baseline RA fulfilling the 2010 criteria of American College of Rheumatology. Extra articular manifestations were assessed. Chi square test was used to compare the frequency of extra articular manifestations among different disease duration, age groups, seropositivity and disease score. A p-value ≤ 0.05 was considered statistically significant. Results: 323 patients with RA were assessed in this study. Extra articular manifestations were assessed according to clinical presentation. 15.2% (49) patients were found to have lung involvement with predominant interstitial lung disease. Rheumatoid nodules were found in 9.9% (32) patients. 3rd most common extra-articular manifestation was sicca syndrome, seen in 3.7% (12) patients followed by neurological 2.2% and cardiac was 1.5%. Other extra-articular manifestations were seen in 2.8% of patients. Conclusion: it is very important to assess the extra articular manifestations in rheumatoid arthritis. Early assessment and early intervention can decrease the disease morbidity and mortality.

scholarly journals Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ahmed I. Albarrak ◽  
Ammar S. Almansour ◽  
Ali A. Alzahrani ◽  
Abdulaziz H. Almalki ◽  
Abdulrahman A. Alshehri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Safety ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Electronic Reporting ◽  
Chi Square Test ◽  
Usability Data

Abstract Background The purpose of patient safety is to prevent harm occurring in the healthcare system. Patient safety is improved by the use of a reporting system in which healthcare workers can document and learn from incidents, and thus prevent potential medical errors. The present study aimed to determine patient safety challenges facing clinicians (physicians and nurses) in emergency medicine and to assess barriers to using e-OVR (electronic occurrence variance reporting). Methods This cross-sectional study involved physicians and nurses in the emergency department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. Using convenience sampling, a self-administered questionnaire was distributed to 294 clinicians working in the ED. The questionnaire consisted of items pertaining to patient safety and e-OVR usability. Data were analyzed using frequencies, means, and percentages, and the chi-square test was used for comparison. Results A total of 197 participants completed the questionnaire (67% response rate) of which 48 were physicians (24%) and 149 nurses (76%). Only 39% of participants thought that there was enough staff to handle work in the ED. Roughly half (48%) of participants spoke up when something negatively affected patient safety, and 61% admitted that they sometimes missed important patient care information during shift changes. Two-thirds (66%) of the participants reported experiencing violence. Regarding e-OVR, 31% of participants found reporting to be time consuming. Most (85%) participants agreed that e-OVR training regarding knowledge and skills was sufficient. Physicians reported lower knowledge levels regarding how to access (46%) and how to use (44%) e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a quarter of the staff did not receive timely feedback after reporting. Regarding overall satisfaction with e-OVR, only 25% of physicians were generally satisfied compared to nearly half (52%) of nurses. Conclusion Although patient safety is well emphasized in clinical practice, especially in the ED, many factors hinder patient safety. More awareness is needed to eliminate violence and to emphasize the needs of additional staff in the ED. Electronic reporting and documentation of incidents should be well supported by continuous staff training, help, and feedback.

scholarly journals Activities of the healthcare team for women who smoke during pregnancy and the puerperium

2014 ◽  
Vol 22 (4) ◽  
pp. 621-628
Author(s):  
Carolina de Castilhos Teixeira ◽  
Amália de Fátima Lucena ◽  
Isabel Cristina Echer
Keyword(s):  
Social Sciences ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Postpartum Women ◽  
Healthcare Team ◽  
Sectional Study ◽  
Cross Sectional ◽  
Team Members ◽  
Health Team ◽  
Staff Members

OBJECTIVE: to identify activities developed by the healthcare team for pregnant and postpartum women who smoke.METHOD: cross-sectional study with a sample of 135 healthcare team members who assist pregnant and postpartum women in a university hospital located in southern Brazil. The data was collected using questionnaires and analyzed using the Statistical Package for Social Sciences software.RESULTS: 76 (56.3%) staff members reported that they always addressed smoking cessation; however, the approach occurred in only two periods of the hospitalization and/or prenatal consultations, not including family members. In regard to the effectiveness of their actions, the health team assessed it as fair or poor, and mentioned the need for updating knowledge regarding this issue.CONCLUSIONS: the health team did not perform the approach as recommended by the tobacco control guidelines, requiring training to offer a qualified and efficient intervention.

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