scholarly journals Effect on nurse and patient experience: overnight use of blue-depleted illumination

2019 ◽  
Vol 8 (3) ◽  
pp. e000692 ◽  
Author(s):  
Lorenzo Albala ◽  
Timothy Bober ◽  
Graham Hale ◽  
Benjamin Warfield ◽  
Micaela Langille Collins ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Patient Experience ◽  
Financial Incentives ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Poor Sleep ◽  
Patient Anxiety ◽  
Night Time ◽  
Task Lighting ◽  
The Impact

BackgroundTypical hospital lighting is rich in blue-wavelength emission, which can create unwanted circadian disruption in patients when exposed at night. Despite a growing body of evidence regarding the effects of poor sleep on health outcomes, physiologically neutral technologies have not been widely implemented in the US healthcare system.ObjectiveThe authors sought to determine if rechargeable, proximity-sensing, blue-depleted lighting pods that provide wireless task lighting can make overnight hospital care more efficient for providers and less disruptive to patients.DesignNon-randomised, controlled interventional trial in an intermediate-acuity unit at a large urban medical centre.MethodsNight-time healthcare providers abstained from turning on overhead patient room lighting in favour of a physiologically neutral lighting device. 33 nurses caring for patients on that unit were surveyed after each shift. 21 patients were evaluated after two nights with standard-of-care light and after two nights with lighting intervention.ResultsProviders reported a satisfaction score of 8 out of 10, with 82% responding that the lighting pods provided adequate lighting for overnight care tasks. Among patients, a median 2-point improvement on the Hospital Anxiety and Depression Scale was reported.Conclusion and relevanceThe authors noted improved caregiver satisfaction and decreased patient anxiety by using a blue-depleted automated task-lighting alternative to overhead room lights. Larger studies are needed to determine the impact of these lighting devices on sleep measures and patient health outcomes like delirium. With the shift to patient-centred financial incentives and emphasis on patient experience, this study points to the feasibility of a physiologically targeted solution for overnight task lighting in healthcare environments.

scholarly journals What impact does postgraduate clinical training have on empathy among Japanese trainee dentists?

2020 ◽  
Author(s):  
Toshiko Yoshida ◽  
Sho Watanabe ◽  
Takayuki Kono ◽  
Hiroaki Taketa ◽  
Noriko Shiotsu ◽  
...  
Keyword(s):  
Clinical Training ◽  
Interaction Analysis ◽  
Healthcare Providers ◽  
Japanese Version ◽  
University Hospital ◽  
Simulated Patients ◽  
Patient Anxiety ◽  
Significant Difference ◽  
Education Support ◽  
The Impact

Abstract Background: Enhancing empathy in healthcare education is a critical component in the development of a relationship between healthcare providers and patients that would ensure better patient care; improved patient satisfaction, adherence to treatment, patients’ medication self-efficacy, improved treatment outcomes, and reduced patient anxiety. Unfortunately, however, the decline of empathy among students has been frequently reported. It is especially common when the curriculum transitions to a clinical setting. However, some studies have questioned the significance and frequency of this decline. Thus, the purpose of this study was to determine the impact of postgraduate clinical training on dental trainees’ empathy from cognitive, behavioral, and patients’ perspective.Methods: This study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists carried out initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The trainees completed the Japanese version of the Jefferson Scale of Empathy for health professionals just before each interview. The SPs evaluated the trainees’ communication using an assessment questionnaire immediately after the interviews. All interviews were videotaped and analyzed using the Roter Interaction Analysis System. The hypothesis was that empathy in the trainees would have reduced at the end of their clinical training. The results were compared between the beginning and the end. The data were analyzed utilizing paired t-test and the Wilcoxon signed-ranks test.Results: No significant difference was found in the self-reported empathy of trainees at the beginning and the end of the clinical training (107.73 vs. 108.34, p=0.643). Similarly, there was no difference in the SPs’ evaluation of trainees’ communication (10.73 vs. 10.38, p=0.434). Communication behavior in the emotional responsiveness category for trainees in the beginning was significantly higher than that at the end (2.47 vs. 1.14, p=0.000).Conclusions: Overall, a one-year postgraduate dental training program neither reduced nor increased trainee dentists’ empathy levels. Providing regular education support in this area may help trainees foster their empathy.

Gender Roles and Women's Sleep in Mid and Later Life: A Quantitative Approach

2007 ◽  
Vol 12 (5) ◽  
pp. 182-199 ◽  
Author(s):  
Sara Arber ◽  
Jenny Hislop ◽  
Marcos Bote ◽  
Robert Meadows
Keyword(s):  
Health Status ◽  
Gender Roles ◽  
Later Life ◽  
Quantitative Approach ◽  
Poor Health ◽  
Bivariate Analysis ◽  
Poor Sleep ◽  
Night Time ◽  
The Impact ◽  
Women's Gender Roles

Women in mid and later life report particularly poor quality sleep. This article suggests a sociologically-informed quantitative approach to teasing out the impact of women's roles and relationships on their sleep, while also taking into account women's socio-economic characteristics and health status. This was accomplished through analysis of the UK Women's Sleep Survey 2003, based on self-completion questionnaires from a national sample of 1445 women aged over 40. The article assesses the ways in which three central aspects of women's gender roles: the night-time behaviours of their partners, night-time behaviours of their children, and night-time worries – impact on women's sleep, while also considering how disadvantaged socio-economic circumstances and poor health may compromise women's sleep. Using bivariate analysis followed by hierarchical multiple regression models, we examine the relative importance of different aspects of women's gender roles. The key factors implicated in the poor sleep quality of midlife and older women are their partner's snoring, night-time worries and concerns, poor health status (especially experiencing pain at night), disadvantaged socio-economic status (especially having lower educational qualifications) and for women with children, their children coming home late at night.

scholarly journals The impact of sleep, physical activity and sedentary behaviour on symptoms of depression and anxiety before and during the COVID-19 pandemic in a sample of South African participants

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
R. Lewis ◽  
L. C. Roden ◽  
K. Scheuermaier ◽  
F. X. Gomez-Olive ◽  
D. E. Rae ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Outcomes ◽  
South African ◽  
Mental Health Outcomes ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
The Impact ◽  
Screen Use

AbstractDuring lockdowns associated with the COVID-19 pandemic, individuals have experienced poor sleep quality and sleep regularity, changes in lifestyle behaviours, and heightened depression and anxiety. However, the inter-relationship and relative strength of those behaviours on mental health outcomes is still unknown. We collected data between 12 May and 15 June 2020 from 1048 South African adults (age: 32.76 ± 14.43 years; n = 767 female; n = 473 students) using an online questionnaire. Using structural equation modelling, we investigated how insomnia symptoms, sleep regularity, exercise intensity/frequency and sitting/screen-use (sedentary screen-use) interacted to predict depressive and anxiety-related symptoms before and during lockdown. We also controlled for the effects of sex and student status. Irrespective of lockdown, (a) more severe symptoms of insomnia and greater sedentary screen-use predicted greater symptoms of depression and anxiety and (b) the effects of sedentary screen-use on mental health outcomes were mediated by insomnia. The effects of physical activity on mental health outcomes, however, were only significant during lockdown. Low physical activity predicted greater insomnia symptom severity, which in turn predicted increased depressive and anxiety-related symptoms. Overall, relationships between the study variables and mental health outcomes were amplified during lockdown. The findings highlight the importance of maintaining physical activity and reducing sedentary screen-use to promote better sleep and mental health.

The need for a standardized conceptual term to describe invalidation of patient symptoms

2021 ◽  
pp. 135910532110247
Author(s):  
Allyson C Bontempo
Keyword(s):  
Health Outcomes ◽  
Patient Experience ◽  
Healthcare Providers ◽  
Narrative Review ◽  
Future Research ◽  
Research Reporting

In this paper, I comment on a growing literature documenting that many patients perceive their symptoms have been dismissed, ignored, not taken seriously, not believed, etc. (i.e. invalidated) by healthcare providers. I provide a narrative review of research reporting on this patient-provider phenomenon, invalidation of patient symptoms, in various illness contexts in order to highlight the variability concerning how scholars have been referring to the seemingly same phenomenon. Next, I discuss the challenges this variability poses for scholarship, including how it precludes the ability to build on our understanding of how it contributes to the patient experience and related health outcomes. I conclude with recommendations for future research.

The Role of the Pastoral Practitioner in Health Outcomes and Wellbeing During Acute Illness: Exploring the Patient Experience of a Pastoral Visit

2017 ◽  
Vol 71 (4) ◽  
pp. 230-236 ◽  
Author(s):  
Janie Brown ◽  
Jennifer Gardner
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Patient Outcomes ◽  
Patient Experience ◽  
Health Care Services ◽  
Care Facility ◽  
Acute Illness ◽  
Care Services ◽  
The Impact

The role of the pastoral practitioner is embedded in many health care services and organizations. Despite this, there is little evidence to describe the impact of this role on patient outcomes, in particular how visits by a pastoral practitioner influence patient healing and recovery. This paper describes a small study that explored the patient experience of pastoral practitioner visits in an acute care facility.

scholarly journals Investigating the Effectiveness of Breast Cancer Supplemental Screening Considering Radiologists’ Bias

2020 ◽  
Author(s):  
Sevda Molani ◽  
Mahboubeh Madadi ◽  
Donna L. Williams
Keyword(s):  
Breast Cancer ◽  
Health Outcomes ◽  
Breast Density ◽  
Healthcare Providers ◽  
Screening Tests ◽  
Early States ◽  
Patient’S Outcome ◽  
Screening Sensitivity ◽  
Partially Observable ◽  
The Impact

AbstractBreast density is known to increase breast cancer risk and decrease mammography screening sensitivity. Breast density notification laws (enacted in 38 states as of September 2020), require physicians to inform women with high breast density of these potential risks. The laws usually require healthcare providers to notify patients of the possibility of using more sensitive supplemental screening tests (e.g., ultrasound). Since the enactment of the laws, there have been controversial debates over i) their implementations due to the potential radiologists bias in breast density classification of mammogram images and ii) the necessity of supplemental screenings for all patients with high breast density. In this study, we formulate a finite-horizon, discrete-time partially observable Markov chain (POMC) to investigate the effectiveness of supplemental screening and the impact of radiologists’ bias on patients’ outcomes. We consider the conditional probability of eventually detecting breast cancer in early states given that the patient develops breast cancer in her lifetime as the primary and the expected number of supplemental tests as the secondary patient’s outcome. Our results indicate that referring patients to a supplemental test solely based on their breast density may not necessarily improve their health outcomes and other risk factors need to be considered when making such referrals. Additionally, average-skilled radiologists’ performances are shown to be comparable with the performance of a perfect radiologist (i.e., 100% accuracy in breast density classification). However, a significant bias in breast density classification (i.e., consistent upgrading or downgrading of breast density classes) can negatively impact a patient’s health outcomes.

scholarly journals DRIVING CESSATION IS ASSOCIATED WITH POORER MENTAL HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S343-S343
Author(s):  
Arne Stinchcombe ◽  
Carlina Marchese ◽  
Shauna Fossum ◽  
Sylvain Gagnon ◽  
Gary Naglie ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Mental Health Outcomes ◽  
Health Study ◽  
Depression Symptoms ◽  
Driving Cessation ◽  
Using Data ◽  
The Impact

Abstract The Canadian Longitudinal Study on Aging (CLSA) is a longitudinal health study that will follow individuals aged 45 to 85 for 20 years. At baseline, participants completed measures related to driving status and mental health outcomes (e.g., Center for Epidemiologic Studies Depression Scale; CES-D). In this study we examined the associations between driving status and mental health outcomes. In the baseline sample, 1,415 participants reported being former drivers and 44,694 reported being current drivers. A greater proportion of former drivers were female, older, and urban-dwelling. Compared to current drivers, former drivers had lower levels of social support, poorer self-rated physical health, and less community participation. After controlling for these covariates as well as age and sex, former drivers had greater odds than current drivers of being classified as depressed (OR=2.48, 95% CI=2.21-2.79), and of reporting psychological distress (OR=2.22, 95% CI=1.87-2.62). Using data from former drivers only, we also examined associations between variables that contributed to driving cessation and depression symptoms. Former drivers had greater odds of being depressed if they reported feeling nervous or intimidated behind the wheel (OR=1.77, 95% CI= 1.11 - 2.80), or if they experienced difficulties with the licensing process (OR=1.62, 95% CI=1.07 - 2.54), before they stopped driving. As a next step we will search for factors that may modify the relationship between driving status and mental health. The identification of factors that modify the impact of driving cessation on mental health is critical to the development of interventions that will support smoother transitions to non-driving.

scholarly journals Disrupted and Restored Patient Experience With Transition to New Electronic Health Record System

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Dajun Tian ◽  
Christine M. Hoehner ◽  
Keith F. Woeltje ◽  
Lan Luong ◽  
Michael A. Lane
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Patient Experience ◽  
Healthcare Providers ◽  
Interrupted Time Series ◽  
Hospital Staff ◽  
Health Record ◽  
Record System ◽  
Electronic Health ◽  
The Impact

Transitioning from one electronic health record (EHR) system to another is of the most disruptive events in health care and research about its impact on patient experience for inpatient is limited. This study aimed to assess the impact of transitioning EHR on patient experience measured by the Hospital Consumer Assessment of Healthcare Providers and Systems composites and global items. An interrupted time series study was conducted to evaluate quarter-specific changes in patient experience following implementation of a new EHR at a Midwest health care system during 2017 to 2018. First quarter post-implementation was associated with statistically significant decreases in Communication with Nurses (−1.82; 95% CI, −3.22 to −0.43; P = .0101), Responsiveness of Hospital Staff (−2.73; 95% CI, −4.90 to −0.57; P = .0131), Care Transition (−2.01; 95% CI, −3.96 to −0.07; P = .0426), and Recommend the Hospital (−2.42; 95% CI, −4.36 to −0.49; P = .0142). No statistically significant changes were observed in the transition, second, or third quarters post-implementation. Patient experience scores returned to baseline level after two quarters and the impact from EHR transition appeared to be temporary.

scholarly journals Perceived Stress, Hope, and Health Outcomes Among Medical Staff in China During the COVID-19 Pandemic

2021 ◽  
Vol 11 ◽  
Author(s):  
Xin Zhang ◽  
Rong Zou ◽  
Xiaoxing Liao ◽  
Allan B. I. Bernardo ◽  
Hongfei Du ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Health Outcomes ◽  
Perceived Stress ◽  
Medical Staff ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Considerable Proportion ◽  
Poor Sleep ◽  
Front Line ◽  
Anxiety Depression

This study investigated the buffering role of hope between perceived stress and health outcomes among front-line medical staff treating patients with suspected COVID-19 infection in Shenzhen, China. In the cross-sectional study with online questionnaires, medical staff's perceived stress, anxiety, depression, sleep quality, and hope were measured by the 10-item Chinese Perceived Stress Scale, Hospital Anxiety and Depression Scale, the Pittsburgh Sleep Quality Index, and the Locus-of-Hope Scale, respectively. A total of 319 eligible front-line medical staff participated. The prevalence of anxiety (29.70%), depression (28.80%), poor sleep quality (38.90%) indicated that a considerable proportion of medical staff experienced mood and sleep disturbances during the COVID-19 pandemic. Internal locus-of-hope significantly moderated the effects of stress on anxiety, depression, and sleep quality. Moreover, external family locus-of-hope and external peer locus-of-hope significantly moderated the association between perceived stress and depression. The prevalence of symptoms indicates that both mental and physical health outcomes of front-line medical staff deserve more attention. Internal and external locus-of-hope functioned differently as protective factors for medical staffs' health and might be promising targets for intervention.

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