Psychological Considerations in the Intersection of Infectious Disease with Critical Care Medicine

2021 ◽  
pp. 181-196
Author(s):  
Julie Highfield ◽  
Matt Morgan ◽  
Paul Twose
Keyword(s):  
Infectious Disease ◽  
Critical Care ◽  
Psychological Intervention ◽  
Critical Care Medicine ◽  
Care Staff ◽  
Staff Support ◽  
The United Kingdom ◽  
The Family ◽  
Similarities And Differences ◽  
Future Practice

This chapter discusses the intersection between infectious disease and critical care and how it has impacted the delivery of critical care medicine as well as the ability to provide rehabilitation and psychological intervention. It also considers the psychological implications for critical care staff, relationships at work and team dynamics, and the requirements for staff support. Specific issues encountered during worldwide pandemics are also reviewed, along with implications for future practice. The family of coronavirus illnesses are highlighted, including Middle East respiratory syndrome, severe acute respiratory syndrome, and coronavirus, which causes coronavirus disease (COVID-19). Similarities and differences between practices in the United Kingdom and United States are also discussed.

scholarly journals 2541. Impact of a Combined Infectious Disease-Critical Care Medicine (ID-CCM) Track on Fellowship Recruitment

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S883-S883
Author(s):  
Nitin Bhanot ◽  
Zaw Min ◽  
Matthew Moffa ◽  
Thomas L Walsh ◽  
James D Como
Keyword(s):  
Infectious Disease ◽  
Medical Education ◽  
Critical Care ◽  
Critical Care Medicine ◽  
Collaborative Effort ◽  
Fellowship Program ◽  
Fully Integrated ◽  
Increasing Trend ◽  
Fellowship Programs ◽  
Allegheny General Hospital

Abstract Background There has been a declining national trend in recent years of resident applications to Infectious Disease (ID) fellowship programs. This dearth of interested and available applicants has resulted in many programs failing to fill some or all of their fellowship slots. Our ID fellowship program, founded in 2013 at Allegheny General Hospital, had met with similar difficulty. Methods To increase the recruitment pool of candidates and combat the challenge to fill our positions, we incorporated a combined 3 year ID-Critical Care Medicine (CCM) track in 2016, initially with one of our two annual fellowship slots allotted to this track. This entailed a collaborative effort between the ID and CCM divisions, an internal application completion outlining the need and rationale for this combined program, and finally, approval from the institutional as well as the Accreditation Council for Graduate Medical Education (ACGME). Results The number of applicants interviewed from 2013 to 2016 for ID (pre-inception of the ID-CCM track), as well as those for ID, ID-CCM, or those interviewing for both tracks following 2016, were counted. We noted a consistent increasing trend in the numbers interviewed for both the ID (4, 8, and 12 total applicants) and ID-CCM (4, 10, and 12 total applicants) tracks over the three since the inception of our combined fellowship program; 3 additional applicants in years 2017 and 2018, and 5 in 2019, expressed interest in either ID or ID-CCM (Graph 1). This favorably amounted to filling our training positions. Conclusion Implementation of a combined ID-CCM fellowship program proved to be a viable strategy to increase the number of applicants at our institution. Given the success of having one dually-accredited slot, we have expanded the combined-track to both positions. As the first fully-integrated ID-CCM fellowship program in the country, we may be pioneering this novel training pathway for future physicians. Disclosures All authors: No reported disclosures.

scholarly journals Delivery of a psychological intervention to assess and reduce workplace stress among intensive care staff

2020 ◽  
pp. 175114371988485
Author(s):  
Dorothy Wade ◽  
Milena Georgieva ◽  
Hein Gunnewicht ◽  
Jacqui Finnigan ◽  
Niall MacCallum
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Management ◽  
Psychological Intervention ◽  
Health And Safety ◽  
Workplace Stress ◽  
Care Staff ◽  
Service Improvement ◽  
Post Intervention ◽  
Staff Support

Introduction Intensive care staff have high levels of stress. We conducted a service improvement initiative to assess workplace stress levels among staff in one adult general intensive care unit and deliver a stress management intervention. Methods A psychological intervention of four stress management sessions, and fortnightly staff support drop-in groups, was developed and delivered within a year. Pre- and post-intervention, workplace stress in the unit was assessed using a Health and Safety Executive tool. Results Pre-intervention assessment of 76 (47.2%) staff indicated that improvement was needed in all domains of workplace stress. 125 staff (77.6%) participated in the intervention and gave positive ratings for content, relevance, practicality and personal value (median 4 (1–5); interquartile range 3.8–4.6). Post-intervention assessment of 71 staff (41.3%) demonstrated improvements in all workplace stress domains. Conclusion A reduction in workplace stress was observed following a service improvement intervention in one intensive care unit although no causality can be assumed. Similar interventions should be evaluated using robust study designs.

scholarly journals PENGARUH KEPATUHAN DAN MOTIVASI PENDERITA TB PARU TERHADAP TINGKAT KESEMBUHAN PENGOBATAN DI PUSKESMAS TANJUNG MORAWA KABUPATEN DELI SERDANG TAHUN 2017

2018 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Reni Aprinawaty Sirait ◽  
Imelda J Verawati Lubis
Keyword(s):  
Infectious Disease ◽  
Pulmonary Tuberculosis ◽  
Family Support ◽  
Health Centers ◽  
Cure Rate ◽  
Staff Support ◽  
Pulmonary Tb ◽  
The Family ◽  
The World ◽  
Significant Health

Tuberculosis (TB) is one of the infectious disease remains a significant health problem forpeople the world till now, including Indonesia. Tanjung Morawa Health Center is clinicthat the lowest cure rate of 34 health centers in Deli Serdang district. The number ofpatients with Pulmonary TB positive BTA at Deli Serdang district by the Year 2014 manyas 142 people with cure rate 75,79% In year 2015, there were 124 patients withPulmonary TB positive BTA but cure rate 63,5%.. This means decreasing of cure ratein Deli Serdang district and did not reach the target yet was set at least 85%. This type ofresearch using explanatory research aims to explain the effect of adherence andmotivation cure level of pulmonary tuberculosis treatment at Tanjung Morawa . Thepopulation were all patients with positive BTA pulmonary TB with a sample size of 21people. The results of bivariat statistic test showed variables which influence treatment ofPulmonary TB cure rate, patient compliance (p=0.002), the family support/PMO(p=0.003) and staff support (p=0.008). For increase TB patients awareness need IECabout pulmonary tuberculosis diseases, extension or counseling patients that patientsmore understand about their diseases and responsible on their recovery.

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