scholarly journals 604. Impact of COVID-19 Pandemic on Telehealth Practices in Pediatric Infectious Diseases

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S404-S405
Author(s):  
Sindhu Mohandas ◽  
Daniel Olson ◽  
Sergio Fanella ◽  
Amin Hakim ◽  
Claudia Gaviria-Agudelo ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Online Survey ◽  
Response Rate ◽  
New Technology ◽  
Perceived Barriers ◽  
Direct Patient Care ◽  
Allied Health Professionals ◽  
Complete Physical Examination ◽  
Survey Monkey ◽  
The Impact

Abstract Background The COVID-19 pandemic has led to changes in clinical practice, including a significant increase in the use of telehealth (TH). We sought to assess the impact of the pandemic on the use and perceptions of TH by pediatric infectious diseases (PID) clinicians. Figure 1. Modalities Figure 2. Comfort Methods The PIDS* Telehealth Working Group developed a 26-question online survey to assess telehealth practices among PID clinicians. The survey was available via Survey Monkey® from 12/6/2020-2/26/2021 to members of PIDS, PICNIC*, AAMI and AAP*. Clinicians in active practice in North America were included in the analysis. Figure 3. Platforms Figure 4. Barriers Results The response rate was 10% (n=253) of 2,550 PID clinicians. Physicians accounted for 98.4% of the cohort. The remaining 1.6% were allied health professionals. 81 survey respondents (32%) were in 4 US states (CA, TX, OH and NY) and the province of Quebec. 62.8% of respondents were women, 37% of respondents were 36-45 years old, with 42.7% devoting about 50-99% of their time to direct patient care. TH usage increased during the pandemic with the most gain in provider-patient communications with 65.6% increase for synchronous and 22.1% for asynchronous TH (Figure 1). Gains in provider-provider TH were less than 20%. Respondents reported a 6-fold gain in comfort with TH usage versus pre-pandemic level (Figure 2). Most respondents report being satisfied with their current platform and modality. Once the COVID-19 waivers expire, 70% of respondents plan to continue using TH. The most common TH modality used was an EMR-integrated TH platform (Figure 3). The main perceived barriers to TH adoption were lack of complete physical examination (73.7%), dealing with new technology (21.5%), and insufficient reimbursement (20.8%) (Figure 4). Conclusion The COVID-19 pandemic has resulted in a significant increase in the use of TH by PID specialists versus pre-pandemic usage. Respondents gained comfort with use of different telehealth modalities during the pandemic. This data can help clinicians and organizations in planning and resource allocation for telehealth programs in a post-pandemic environment. Disclosures All Authors: No reported disclosures

scholarly journals Occupational burnout following the first wave of coronavirus disease at a Welsh district general hospital

2021 ◽  
pp. 175114372110100
Author(s):  
Gayathri Chinnappa Srinivas ◽  
Anwen Whitham ◽  
Rachel Rouse ◽  
Vincent Hamlyn ◽  
Matthew Williams
Keyword(s):  
Health Care Professionals ◽  
Response Rate ◽  
District General Hospital ◽  
Learning Opportunities ◽  
Direct Patient Care ◽  
Protective Equipment ◽  
Positive Outcomes ◽  
Occupational Burnout ◽  
Staff Burnout ◽  
The Impact

A survey was conducted to identify the prevalence of occupational burnout amongst health care professionals caring for COVID-19 patients in the Intensive Care Unit (ICU) of a Welsh hospital. The response rate was 79%. Nurses and other staff reassigned to work in the ICU had higher levels of burnout. Working in Personal Protective Equipment was most distressing, followed by direct patient care. There were positive outcomes including learning opportunities, professional development and job satisfaction. The impact of the pandemic on staff burnout may have been mitigated by acknowledging the contribution of staff, improving communication and encouraging them to access support.

Surveying Allied Health Professionals Within a Public Health Service: What Works Best, Paper or Online?

2019 ◽  
pp. 016327871987056
Author(s):  
Joanna C. Kidd ◽  
Sue Colley ◽  
Sarah Dennis
Keyword(s):  
Selection Bias ◽  
Online Survey ◽  
Allied Health ◽  
Response Rate ◽  
Poor Response ◽  
Research Capacity ◽  
Local Health ◽  
Allied Health Professionals ◽  
Paper Form ◽  
Paper Survey

Poor response rate, self-selection bias, and item noncompletion negatively impact the generalization of results from surveys. This study examined differences in these factors between a paper and online survey among allied health clinicians. Clinicians within a large local health district were initially invited to complete the Research Capacity in Context Tool online via an e-mail link. Following a lower-than-expected response rate, potential selection bias, and item noncompletion, the survey was readministered in paper form to the same cohort of clinicians 6–12 months later. The response rate to the paper survey was higher than to the online survey (27.6% vs. 16.5%). Selection biases were evident, characterized by seniority and discipline: Junior clinicians responded at rates significantly less than expected to the online survey but as expected to the paper survey. Occupational therapists, speech pathologists, and podiatrists responded more highly to the online survey, while other disciplines responded more highly to the paper survey. The rate of item noncompletion was higher for online than paper survey (6.72% vs. 3.8% questions not completed, respectively), with patterns of noncompletion also differing. These data suggest paper surveys are likely to produce less biased and more generalizable data from allied health clinicians.

scholarly journals UK multisite evaluation of the impact of clinical educators in EDs from a learner’s perspective

2021 ◽  
pp. emermed-2020-210122
Author(s):  
Muniswamy Hemavathi ◽  
Chi Huynh ◽  
Eloise Phillips ◽  
Matthew Aiello ◽  
Brian Kennedy ◽  
...  
Keyword(s):  
Online Survey ◽  
Positive Impact ◽  
Well Being ◽  
Service Evaluation ◽  
Allied Health Professionals ◽  
Clinical Educators ◽  
Study Sites ◽  
The Impact ◽  
Learner’S Perspective ◽  
Acute Trust

BackgroundIn England, demand for emergency care is increasing while there is also a staffing shortage. The Royal College of Emergency Medicine (RCEM) suggested that appointment of senior doctors as clinical educators (CEs) would enable support and development of learners in EDs and improve retention and well-being. This study aimed to evaluate the impact of CEs in ED on learners.MethodsCEs were placed in 54 NHS Acute Trust EDs for a pilot beginning July 2018 and ending October 2020. Learners from multiple disciplines working at 54 NHS Acute Trust EDs where CEs were deployed were invited to complete an online survey designed to identify the impact of CEs in July of 2019, as part of an interim service evaluation.ResultsRespondents numbered 493 from 49 of 54 study sites, including 286 (58%) medical (non-consultant) and 72 (14.6%) all other nursing, allied health professionals. 9 out of 10 learners reported having experienced a change to their learning as a result of the deployment of CEs in their department. 49.9% (246/493) reported that CEs had a positive impact on their well-being. 95% (340/358) reported an improved accessibility to undertaking clinical based assessments. 78% (281/358) perceived that access to CEs increased likelihood of passing assessments. Of those responding, 80.9% (399/493) reported they would remain/return to the same ED with a CE, and 92.5% (456/493) responded that they would prefer to go to a Trust with a CE.ConclusionsAccording to survey respondents, deployment of CEs across NHS Trusts has resulted in improvement and increased accessibility of learning and assessment opportunities for learners within ED. The impact of CEs on well-being is uncertain with half reporting improvement and the remaining half unsure. Further evaluation within the project will continue to explore the service benefit and workforce impact of the CEED intervention.

scholarly journals Predicting the Willingness of Nurses to Work with COVID-19 Patients: The Impact of Knowledge and Attitude

2020 ◽  
Author(s):  
Abdulqadir J. Nashwan ◽  
Ahmad A. Abujaber ◽  
Ahmed S. Mohamed ◽  
Ralph C. Villar ◽  
Mahmood M. Al-Jabry
Keyword(s):  
Online Survey ◽  
Response Rate ◽  
High Risk Patient ◽  
Cross Sectional ◽  
Nursing Leaders ◽  
Patient Groups ◽  
Main Factors ◽  
Knowledge And Attitude ◽  
The Impact ◽  
Nurses And Midwives

Abstract Aim: This study aims to assess the impact of nurses’ knowledge and attitude toward Coronavirus Disease 2019 (COVID-19) as a predictor for their willingness to work with patients diagnosed with COVID-19 in Qatar. Design: A cross-sectional study.Methods: A self-administered, 35-item online survey was circulated to the registered nurses and midwives working in Hamad Medical Corporation; the principle healthcare provider in Qatar. Results: A total of 580 attempts to complete the survey. Of them, 377 completed surveys with a response rate of 65%. Logistic regression was used to predict nurses’ willingness to work with patients with COVID-19. Two main factors were found to be significant predictors for nurses’ willingness; knowledge level and the expected remuneration that is associated with the level of exposure to risk. The findings of this study may help nursing leaders design educational programs and remuneration models that may help boost nurses’ willingness to work with high-risk patient groups, especially during crisis situations.

scholarly journals Awareness of surgeons and surgical trainees of online web-based techniques for teaching laparoscopic surgery in north Queensland

2017 ◽  
Vol 4 (7) ◽  
pp. 2131
Author(s):  
Alfred Egedovo ◽  
Yik-Hong Ho ◽  
Sarah Larkins ◽  
Chrispen Mushuya ◽  
Muhammad Ashraf ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Online Survey ◽  
Response Rate ◽  
Operating Theatre ◽  
Web Based ◽  
Educational Value ◽  
Training Video ◽  
Surgical Trainees ◽  
Survey Monkey ◽  
Online Web

Background: For generations, surgical training has followed the example of an apprenticeship model. However, many doctors see this training as insufficient and potentially unsafe for the patient. Web-based simulation training for teaching laparoscopic surgery is not only becoming increasingly popular but is cheaper in comparison to the traditional apprenticeship method. Objective is to assess the educational value of web-based training videosMethods: Data was obtained through questionnaires sent to consultant surgeons and   surgical trainees at three sites in North Queensland. Study invited participants to complete a 24-item questionnaire on knowledge and attitudes. The questionnaires were distributed using online survey monkey software to send emails to the three Government Hospitals.Results: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%).  Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.Conclusions: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%).  Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.

scholarly journals The impact of social media access and anxiety among indonesia society during covid-19 outbreak

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Berru Amalianita ◽  
Ifdil Ifdil ◽  
Rima Pratiwi Fadli ◽  
Nilma Zola ◽  
Yola Eka Putri
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Media Use ◽  
Virus Disease ◽  
Media Access ◽  
Cross Sectional ◽  
Corona Virus ◽  
Survey Monkey ◽  
Novel Coronavirus ◽  
The Impact

A novel coronavirus (2019-nCoV) outbreak began in Wuhan, China, has been named corona virus disease 2019 (COVID-19) in December 2019. The first cases of  COVID-19 was reported in Indonesia on 2 March 2020. All caused global panic, fears, anxiety  around the coronavirus have been especially amplified by social media. During coroan virus outbreak, disinformation and false reports have bombarded social media and stoked unfounded anxiety among Indonesian society. This research, therefore, aims to analyze the impact social media and anxiety level during COVID-19 outbreak in Indonesia. This research Cross-Sectional research was online conducted  during March 22 -25, 2020. The procedure of this research is  Indonesian citizens old were invited to participant online survey thought Survey Monkey platform. There are 1543  participant  form aged 17 to 60 Year and form several province and region in Indonesia. The instrumen useing  the DASS was to modify patients’ anxiety. Data analyzed using JASP (Jeffrey's Amazing Statistics Program). The research showed that respondents anxiety in the very haviness category with the highest anxiety when the duration of social media access more than 6 hours in a day. The anxiety base of aspect in watching/reading  have a higher, then Imagine and  listening when access social media about corona virus among Indonesia society. Social media use is complex reading or watching  lots of news about coronavirus has led to anxiety.

Emergency preparedness training preferences and perceived barriers to training among various healthcare providers and public health practitioners in Massachusetts

2017 ◽  
Vol 12 (2) ◽  
pp. 85-106
Author(s):  
John Broach, MD, MPH, MBA, FACEP ◽  
Mary-Elise Smith, MA, MD, FACEP
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Emergency Preparedness ◽  
Online Survey ◽  
Healthcare Providers ◽  
Perceived Barriers ◽  
Training Topic ◽  
Wide Range ◽  
Training Preferences ◽  
The Impact

Introduction: Emergency preparedness training is vital to a wide range of healthcare and public health disciplines. Although agencies may try to tailor their training efforts based on perceived need, the topics and methods of instruction may be misguided, resulting in wasted effort and poor participation in training events. Objective: The objective of this study was to understand in a rigorous way, the training preferences and barriers to training among practitioners in Massachusetts.Methods: In August 2013, the Massachusetts Department of Public Health distributed an online survey to health professionals in Massachusetts regarding their emergency preparedness training topic preferences and any perceived barriers and challenges associated with obtaining this training. A total of 796 healthcare and public health professionals responded to the survey and answered some or all of the questions asked.Results: The results of the survey identified important differences in preference for some topics based on a provider's practice location and discipline. However, Community Recovery and Community Preparedness were seen as desirable by all disciplines with more than 80 percent of respondents rating each of these issues as being highly important. Barriers to training were also assessed. Time spent away from work was the most commonly identified barrier (77.41 percent). Travel distance and financial constraints were also rated highly with scores of 65.48 and 63.71 percent, respectively.Conclusions: This study demonstrates important areas of agreement with respect to desired training topics and points out areas where providers in different disciplines and from different geographic areas may have differing educational preferences. Even within the limitation of this investigation, we expect that this study will be a valuable tool for those attempting to effectively target emergency preparedness training and structure course offerings in ways that minimize the impact of barriers to training.

scholarly journals P115: Bounceback reports-improving patient care

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S97-S98
Author(s):  
F. Pinto ◽  
M. B-Lajoie
Keyword(s):  
Online Survey ◽  
Response Rate ◽  
Clinical Skills ◽  
High Yield ◽  
Academic Hospital ◽  
Outcome Feedback ◽  
Improving Patient Care ◽  
The Impact ◽  
Final Disposition

Introduction: Seeking patient outcome feedback (POF), defined as obtaining information on a patients clinical course beyond ones care, is crucial to the learning process. However, the lack of POF is a major pitfall of emergency medicine. Emergency department (ED) bouncebacks, which are characterized as patients with unplanned returns to the ED after being discharged, are an important type of POF to study because they represent a potential misdiagnosis or mismanagement and can highlight areas for physician self-improvement. Currently, most hospitals do not relay details about ED bouncebacks back to the treating physician, unless a grave error occurred. This studys purpose is to provide weekly reports to all physicians in the ED on patients who have unplanned returns within 7 days of discharge from the ED, and evaluate the impact this has on the physicians practice on seeking POF. Methods: A new weekly report was distributed to physicians working at an academic hospital outlining the patients who have returned within 7 days of discharge from the ED, their new presenting complaint and final disposition. An online survey was also administered to all ED staff evaluating the amount of POF they sought pre and post report, and their attitude towards the new reports. Results: 22 responses were received, for a response rate of 85%. The majority of respondents follow the reports (73%) and actively seek POF by looking up patients charts and results(70%). Additionally, 58% state that they seek POF more often since receiving these reports, for both the bouncebacks and their other patients. Furthermore, 37% claimed that the reports helped improve the appropriateness of their referrals and 32% stated it helped increase their confidence in their clinical practice. The majority of physicians (87%) found the reports to be helpful and would like to continue receiving it. Conclusion: Weekly bounceback reports are a high-yield tool for increasing POF sought in the ED and have benefits for both the physician and the department as a whole. They can be used to not only identify patients who may have had an error in their management, but also help to improve physicians’ clinical skills by encouraging and enabling follow-up of patients they managed. Thus, bounceback reports are a valuable tool to provide to physicians and should be considered by ED Departments.

scholarly journals Identifying policies and strategies for general practitioner retention in direct patient care in the United Kingdom: a RAND/UCLA appropriateness method panel study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Rupa Chilvers ◽  
Suzanne H. Richards ◽  
Emily Fletcher ◽  
Alex Aylward ◽  
Sarah Dean ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
United Kingdom ◽  
General Practitioner ◽  
Online Survey ◽  
Panel Study ◽  
Well Being ◽  
Direct Patient Care ◽  
Future Research ◽  
The United Kingdom ◽  
The Impact

Abstract Background The United Kingdom (UK) is experiencing a general practitioner (GP) workforce retention crisis. Research has focused on investigating why GPs intend to quit, but less is known about the acceptability and effectiveness of policies and strategies to improve GP retention. Using evidence from research and key stakeholder organisations, we generated a set of potential policies and strategies aimed at maximising GP retention and tested their appropriateness for implementation by systematically consulting with GPs. Methods 28 GP Partners and GPs working in national stakeholder organisations from South West England and London were purposively sampled, and asked to take part in a RAND/UCLA Appropriateness Method panel. Panellists were asked to read an evidence briefing summary, and then complete an online survey on two occasions. During each round, participants rated the appropriateness of policies and strategies aimed at improving GP retention using a nine point scale (1 ‘extremely inappropriate’ to 9 ‘extremely appropriate’). Fifty-four potential policies and strategies (equating to 100 statements) were tested, focusing on factors influencing job satisfaction (e.g. well-being, workload, incentives and remuneration, flexible working, human resources systems). Ratings were analysed for panel consensus and categorised based on appropriateness (‘appropriate’, ‘uncertain’, ‘inappropriate’). Results 12/28 GPs approached agreed to take part, 9/28 completed two rounds of the online survey between February and June 2018. Panellists identified 24/54 policy and strategy areas (41/100 statements) as ‘appropriate’. Examples included providing GP practices ‘at risk’ of experiencing GP shortages with a toolkit for managing recruitment and retention, and interventions to facilitate peer support to enhance health and wellbeing, or support portfolio careers. Strategies to limit GP workload, and manage patient demand were also endorsed. Conclusions The panel of experienced GPs identified a number of practical ways to improve GP retention through interventions that might enhance job satisfaction and work-life balance. Future research should evaluate the impact of implementing these recommendations.

scholarly journals SP4.2.1 The Global impact of COVID-19 on Surgeons and Team members (GlobalCOST) Study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Zahra Jaffry ◽  
Anshul Sobti ◽  
Ahmed Negida ◽  
Bijayendra Singh ◽  
Peter Brennan ◽  
...  
Keyword(s):  
Online Survey ◽  
Well Being ◽  
Easy Access ◽  
Allied Health Professionals ◽  
Team Members ◽  
Patient Health ◽  
Social Media Platforms ◽  
Food And Drink ◽  
The Impact ◽  
Positive Effect

Abstract Aims To describe the impact of the COVID-19 pandemic on the well-being of surgeons and allied health professionals across the world and assess the support provided by their institutions. Methods An online survey was distributed through medical organisations, social media platforms and collaborators from the 15th of July to the 15th of December 2020. Results 1590 responses were received. 80.0% were surgeons, 6.4% nurses, 5.3% assistants, 3.1% anaesthetists, 1.4% operating department practitioners and 3.8% classed as other. Of participants, 64.0% had found difficulty gaining access to personal protective equipment (PPE), 29.8% had not received training on its use and 32.0% had become physically ill since the start of the pandemic (59.9% of which were due to COVID-19 symptoms). 29.0% saw a decrease in salary and 35.2% a decrease in time spent with family. Between a time two weeks before the start of the pandemic and after, there was a significant increase in mean scores for depression (4.22 (CI = 3.98-4.46)) and anxiety (2.24 (CI = 2.01-2.46)), based on the Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder Assessment (GAD-7) respectively (p < 0.0001). In terms of support, only 36.0% had easy access to occupational health, 58.5% were able to take regular breaks, 16.5% had access to 24 hour rest facilities and 14.2% to 24 hour food and drink facilities. Conclusions This work has highlighted a need and ways in which to improve conditions for the health workforce. This will inevitably have a positive effect on the care received by patients.

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