scholarly journals Healthcare professionals’ perspectives on infant feeding support in paediatric inpatients: single-centre qualitative study

2021 ◽  
Vol 5 (1) ◽  
pp. e001247
Author(s):  
Rosie Baker ◽  
Elizabeth Evans ◽  
Amy Fielden ◽  
Bronia Arnott
Keyword(s):  
Infant Feeding ◽  
Hospital Environment ◽  
Online Questionnaire ◽  
Large Hospital ◽  
North East ◽  
Background Theory ◽  
Practical Support ◽  
Baseline Knowledge ◽  
Specialist Knowledge ◽  
Specialist Nurses

ObjectiveTo provide information on baseline knowledge, skills and attitudes (KSA) of paediatric staff to formulate a plan for improving infant feeding support in hospitals.DesignSemistructured interviews assessed baseline infant feeding KSA and experiences in 14 paediatric health professionals of various grades (medical students, healthcare assistants, ward nurses and specialist nurses). Audio recordings were transcribed verbatim and underwent thematic analysis. An online questionnaire gathered descriptive statistics about participants.SettingA single large hospital trust, North East England.ResultsSeven major themes were identified in KSA: culture and trends, roles and working practice, training and resources, the health professional, understanding the parent, effective communication and the challenges of feeding the ill child.Staff discussed various organisational and personal barriers to acquiring infant feeding support training and experience, and to delivering feeding support. Staff were keen to support families with feeding but often felt constrained by a belief that this required specialist knowledge and skills. Although staff believed they actively promoted breastfeeding-friendly messages, it was evident that marketing communications and personal experiences inadvertently influenced their approach to families.ConclusionsThe development of clear, evidence-based infant feeding education and training for paediatric staff delivered by experienced mentors is warranted. Training should cover background theory, delivering practical support, communication skills and creating a baby-friendly hospital environment. UNICEF Baby Friendly Standards would be suitable to inform content. Training is likely to be received positively by staff and benefit women and babies in this setting.

scholarly journals Outbreak of Mupirocin-Resistant Staphylococci in a Hospital in Warsaw, Poland, Due to Plasmid Transmission and Clonal Spread of Several Strains

1999 ◽  
Vol 37 (9) ◽  
pp. 2781-2788 ◽  
Author(s):  
Tomasz A. Łe˛ski ◽  
Marek Gniadkowski ◽  
Anna Skoczyńska ◽  
Elz˙bieta Stefaniuk ◽  
Krzysztof Trzciński ◽  
...  
Keyword(s):  
Resistance Mechanisms ◽  
Hospital Environment ◽  
Coagulase Negative Staphylococci ◽  
Large Hospital ◽  
Methicillin Resistant ◽  
Inappropriate Use ◽  
Clonal Spread ◽  
High Level ◽  
Almost All ◽  
Level Resistance

An outbreak of mupirocin-resistant (MuR) staphylococci was investigated in two wards of a large hospital in Warsaw, Poland. Fifty-three MuR isolates of Staphylococcus aureus, S. epidermidis, S. haemolyticus, S. xylosus, and S. capitis were identified over a 17-month survey which was carried out after introduction of the drug for the treatment of skin infections. The isolates were collected from patients with infections, environmental samples, and carriers; they constituted 19.5% of all staphylococcal isolates identified in the two wards during that time. Almost all the MuR isolates were also resistant to methicillin (methicillin-resistant S. aureus and methicillin-resistant coagulase-negative staphylococci). Seven of the outbreak isolates expressed a low-level-resistance phenotype (MuL), whereas the remaining majority of isolates were found to be highly resistant to mupirocin (MuH). The mupA gene, responsible for the MuH phenotype, has been assigned to three different polymorphic loci among the strains in the collection analyzed. The predominant polymorph, polymorph I (characterized by a mupA-containingEcoRI DNA fragment of about 16 kb), was located on a specific plasmid which was widely distributed among the entire staphylococcal population. All MuR S. aureus isolates were found to represent a single epidemic strain, which was clonally disseminated in both wards. The S. epidermidis population was much more diverse; however, at least four clusters of closely related isolates were identified, which suggested that some strains of this species were also clonally spread in the hospital environment. Six isolates of S. epidermidis were demonstrated to express the MuL and MuH resistance mechanisms simultaneously, and this is the first identification of such dual MuR phenotype-bearing strains. The outbreak was attributed to a high level and inappropriate use of mupirocin, and as a result the dermatological formulation of the drug has been removed from the hospital formulary.

scholarly journals The Relationship between Perceptions of the Availability of Hospital Facilities and Infrastructure to the Level of Fire Disaster Preparedness among Clinical Clerkship Students in Zainoel Abidin Hospital

2021 ◽  
Vol 4 (2) ◽  
pp. 1-8
Author(s):  
T Husni TR ◽  
Yulia Agustina ◽  
Taufik Suryadi
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Hospital Environment ◽  
Clinical Clerkship ◽  
Validity And Reliability ◽  
Online Questionnaire ◽  
Chi Square ◽  
Fire Disaster ◽  
Chi Square Test ◽  
The Relationship

Clinical clerkship students are one of the communities who are always in the hospital environment and have been provided with fire disaster management materials through training and simulations. The hospital has provided complete fire disaster management facilities and infrastructure. However, the problem is that there is no information about clinical clerkship student preparedness for fire disasters in hospitals. The purpose of this study is to determine the relationship between perceptions of the availability of hospital facilities and infrastructure to the level of fire disaster preparedness among clinical clerkship students in the Zainoel Abidin Hospital. This study used an analytical method with a cross-sectional design. The sample of this study was the clinical clerkship students of the Faculty of Medicine, Syiah Kuala University, who were taken by proportional stratified random sampling, totaling 117 people. The data was collected using an online questionnaire that has been tested for its validity and reliability. Data analysis was performed univariate and bivariate using the chi-square test. The results showed that the clinical clerkship student had a good perception regarding facilities and infrastructure in the hospital (68.4%), while the attitude of preparedness to face fire disasters in the hospital showed a high level (80.3%). The Chi-square test results showed that there was a significant relationship between the clinical clerkship student perception regarding facilities and infrastructure in hospitals and fire disaster preparedness (p = 0,000). The conclusion of this study showed that the good perceptions of clinical clerkship students about the availability of fire disaster management facilities and infrastructure increase fire disaster preparedness in the hospital. This study recommends the importance of training and fire disaster management simulation to be continuously carried out on clinical clerkship students to improve the quality of disaster preparedness communities.

scholarly journals Population Stress Reactions in North-East Hungary during the Pandemic

2021 ◽  
Vol 4 (1) ◽  
pp. 103
Author(s):  
Andrea Rucska ◽  
Csilla Lakatos
Keyword(s):  
Mental State ◽  
Well Being ◽  
Small Towns ◽  
Stress Reactions ◽  
Online Questionnaire ◽  
North East ◽  
Priority Task ◽  
Aggression Questionnaire ◽  
The University ◽  
Available Information

Emergency caused by the SARS-CoV-2 has provoked several difficulties in daily life. On the other hand, it provided an opportunity to produce new attitudes toward our life and community, but also forced us to face our vulnerabilities. Outbreak of the SARS-CoV-2 highlighted that despite our vulnerability, we can manage this crisis, by being able to influence our stress reaction as well as our fears and emotions about the pandemic. Faculty of Healthcare of the University of Miskolc is training such professionals, whose priority task is to preserve the mental health of individuals and communities, reduce stress reactions, increase the available information on the subject, and help the community to adapt adequately to unexpected difficulties, like a pandemic situation. In the present study, we examined the mental state of the population of Northeastern Hungary in the second wave to adapt the above-described education to the ongoing changes caused by the pandemic. During the research, we applied an online questionnaire, that included the Hungarian version of the 10-item Perceived Stress Scale-, the Adult Hope Scale-, the WHO Well-Being, and the Buss Perry aggression questionnaire. Most participants (n=528) live in small towns or villages and their average age is 39.4±13.1. The aggression level of responders did not reach the threshold, but the level of verbal aggression exceeded it. The participants were more stressed, but they thought they could handle their problems. Consequently, the pandemic harms the mental state and health of the population, therefore the presence of health professionals is needed.

CHROMagarTM Candida Plus: A novel chromogenic agar that permits the rapid identification of Candida auris

2020 ◽  
Author(s):  
Andrew M Borman ◽  
Mark Fraser ◽  
Elizabeth M Johnson
Keyword(s):  
Candida Species ◽  
Rapid Identification ◽  
Hospital Environment ◽  
Candida Auris ◽  
Large Hospital ◽  
Pathogenic Yeast ◽  
Isolation Medium ◽  
Wide Range ◽  
Chromogenic Agar ◽  
Environment Identification

Abstract   Candida auris is a serious nosocomial health risk, with widespread outbreaks in hospitals worldwide. Successful management of such outbreaks has depended upon intensive screening of patients to identify those that are colonized and the subsequent isolation or cohorting of affected patients to prevent onward transmission. Here we describe the evaluation of a novel chromogenic agar, CHROMagarTM Candida Plus, for the specific identification of Candida auris isolates from patient samples. Candida auris colonies on CHROMagarTM Candida Plus are pale cream with a distinctive blue halo that diffuses into the surrounding agar. Of over 50 different species of Candida and related genera that were cultured in parallel, only the vanishingly rare species Candida diddensiae gave a similar appearance. Moreover, both the rate of growth and number of colonies of C. auris recovered from swabs of pure and mixed Candida species were substantially increased on CHROMagarTM Candida Plus agar when compared with growth on the traditional mycological isolation medium, Sabouraud dextrose agar. Taken together, the present data suggest that CHROMagarTM Candida Plus agar is an excellent alternative to current conventional mycological media for the screening of patients who are potentially colonized/infected with Candida auris, can be reliably used to identify this emerging fungal pathogen, and should be tested in a clinical setting. Lay Abstract Candida auris is a novel pathogenic yeast that has been associated with large hospital outbreaks across several continents. Affected patients become colonized, predominantly on the skin, with large quantities of C. auris which they then shed into the hospital environment. Identification of C. auris is challenging using routine laboratory methods, and time consuming when patients are colonized with a mixture of different Candida species. Here we demonstrate that a novel chromogenic agar, CHROMagarTM Candida Plus, permits the rapid differentiation of C. auris from a wide range of other yeast species and is potentially ideally suited to screening of patients that are suspected of being colonized or infected with this medically important yeast.

scholarly journals Work Ability Assessment in Nursing Workers

2021 ◽  
Vol 9 (7) ◽  
pp. 282-294
Author(s):  
Camila Santos Pereira ◽  
Rosuita Frattari Bonito ◽  
Douglas Eulálio Antunes
Keyword(s):  
Work Ability ◽  
Work Capacity ◽  
Hospital Environment ◽  
Physical And Mental Health ◽  
Work Ability Index ◽  
Large Hospital ◽  
Cross Sectional ◽  
Significance Level ◽  
Ability Index ◽  
Nursing Professionals

Objective: To identify the nursing staff of a university hospital's work ability index and point out which factors interfere in the quality of the work of these workers. Method: This is a cross-sectional, descriptive and analytical survey, quantitative, composed of 54 nursing professionals from the medical clinic ward sector of a large hospital in Uberlândia (Minas Gerais, Brazil). Data collection is performed using two tools: sociodemographic questionnaire and Work Ability Index (WAI). The G-Test by Williams was applied to assess the significant association between sociodemographic and occupational variables and those related to the work ability index. It was used the BioEstat® version 5.3 program to perform all analyzes with a significance level of 0.05 (5%). Results: The research showed that nursing professionals had a predominance of good workability (40,7%), the prevalence of young adults, the highest percentage between 31-40 years, 81,5% are women, 50% are in a marital relationship, 63% are open to public tender, and they had no back injuries. It was also found that the only professionals who had a low work capacity were nursing technicians, corresponding to 5,6% of the total percentage. Conclusion: It is known that a hospital environment is a place that favors the illness process of nursing workers. The worker who owns and maintains adequate physical and mental health can perform his duties better and have a better capacity for work, therefore taking better care of the patient.

Educational program for medical residents in cancer pain management.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 198-198
Author(s):  
Shyam Ravisankar ◽  
Ela Eris ◽  
Alice Joy Cohen
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Educational Program ◽  
Medical Residents ◽  
Cancer Pain Management ◽  
Pharmacological Interventions ◽  
Online Questionnaire ◽  
Baseline Knowledge ◽  
Education Resource

198 Background: Studies have shown significant deficits in the knowledge of physicians in Cancer Pain Management (CPM). We implemented an educational program on CPM for medical residents with pre and post-testing to assess baseline knowledge and the improvement after education. Methods: The content of the lecture was derived from the Cancer Pain Education Resource (CAPER). It included assessment, non-pharmacological interventions, equi-analgesic conversions , titration, side effects, withdrawal, dependence and addiction. An online questionnaire was created to assess the baseline knowledge and the residents accessed it using their mobile phones. After the lecture the same was used to assess the improvement in knowledge. 22 residents from Newark Beth Israel Internal Medicine Residency Program participated in the lecture and the pre/post-tests. After the lecture, they were given a pocket card with opioid equi-analgesic dosing calculations.Two months later, the same questionnaire was used to assess the retained knowledge. Results: The pretest score was 71% and after the lecture it improved to 81%. After 2 months the score was 72%. Notably, the knowledge of equi-analgesic conversions had increased. 95 % of the residents were very satisfied with the lecture and wanted more education on CPM. Improvement in knowledge on specifics of CPM are shown in Table. Conclusions: One of the ways to improve CPM is to focus on education of residents. After a single lecture, there was improvement in all areas of deficiency.The use of simple tools like pocket cards can help to improve knowledge. Our plan is to expand this program to medical students and have additional lectures. We believe that these lectures will improve the quality of CPM in patients. [Table: see text]

scholarly journals Systemic Problem Structuring in a Complex Hospital Environment using Viable System Diagnosis – Keeping the Blood Flowing

2021 ◽  
Author(s):  
Maren Berge Vik ◽  
Hanne Finnestrand ◽  
Robert L. Flood
Keyword(s):  
Orthopedic Surgery ◽  
Complex Form ◽  
Hospital Environment ◽  
Problem Structuring ◽  
Large Hospital ◽  
Systemic Thinking ◽  
System Diagnosis ◽  
Human Organization ◽  
Set Up ◽  
Viable System

AbstractThis article presents the application of the systemic problem structuring approach Viable System Diagnosis (VSD) within the Department of Orthopedic Surgery in a large hospital in Norway. It explains why systemic thinking is relevant to this uniquely complex form of human organization. The department was coping with systemic dysfunction and VSD was chosen because previous applications demonstrated VSD excels at diagnosis of what is causing dysfunction. VSD was employed through a participatory framework that included in the process, among other stakeholders, medics, technologists, managers, administrators and, as far as possible given the sensitive nature of patient information, the patient. VSD guided thinking about what the organization is set up to do and the existing organizational arrangements to achieve that. The outcome was an agenda for debate that guided stakeholder discussions toward ways and means of improving organizational arrangements. The article briefly reviews previous applications of VSD in the hospital sector and other large complex organisations.

The hospital environment and infant feeding: results from a five country study

1985 ◽  
Vol 17 (S9) ◽  
pp. 83-97 ◽  
Author(s):  
Deborah L. Covington ◽  
D. S. Gates ◽  
Barbara Janowitz ◽  
R. Israel ◽  
Nancy Williamson
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Urban Areas ◽  
Traditional Birth Attendants ◽  
Hospital Environment ◽  
Hospital Personnel ◽  
Feeding Preferences ◽  
Birth Attendants ◽  
Country Study ◽  
Hospital Births

In recent years both the prevalence and duration of breast-feeding have decreased, especially in urban areas of the developing world (McCann et al., 1981). While the majority of births in these areas continue to be attended by traditional birth attendants, the proportion of mothers giving birth in hospitals is increasing. The potential for hospital personnel and practices to affect infant feeding preferences is likely to increase as the trend towards hospital births continues.

scholarly journals Adverse Events in Italian Nursing Homes During the COVID-19 Epidemic: A National Survey

2020 ◽  
Vol 11 ◽  
Author(s):  
Flavia L. Lombardo ◽  
Emanuela Salvi ◽  
Eleonora Lacorte ◽  
Paola Piscopo ◽  
Flavia Mayer ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Adverse Events ◽  
Older People ◽  
National Survey ◽  
Physical Restraint ◽  
National Health System ◽  
Online Questionnaire ◽  
North West ◽  
North East ◽  
People With Dementia

Older people living in nursing homes (NHs) are particularly vulnerable in the ongoing COVID-19 pandemic, due to the high prevalence of chronic diseases and disabilities (e.g., dementia). The phenomenon of adverse events (AEs), intended as any harm or injury resulting from medical care or to the failure to provide care, has not yet been investigated in NHs during the pandemic. We performed a national survey on 3,292 NHs, either public or providing services both privately and within the national health system, out of the 3,417 NHs covering the whole Italian territory. An online questionnaire was addressed to the directors of each facility between March 24 and April 27, 2020. The list of NHs was provided by the Dementia Observatory, an online map of Italian services for people with dementia, which was one of the objectives of the implementation of the Italian National Dementia Plan. About 26% of residents in the Italian NHs for older people listed within the Dementia Observatory site had dementia. The objective of our study was to report the frequency of AEs that occurred during the months when SARS-CoV-2 spreading rate was at its highest in the Italian NHs and to identify which conditions and attributes were most associated with the occurrence of AEs by means of multivariate regression logistic analysis. Data are referred to 1,356 NHs that participated in the survey. The overall response rate was 41.2% over a time-period of six weeks (from March 24 to May 5). About one third of the facilities (444 out of 1,334) (33.3%) reported at least 1 adverse event, with a total of 2,000 events. Among the included NHs, having a bed capacity higher than the median of 60 beds (OR=1.57, CI95% 1.17–2.09; p=0.002), an observed increased in the use of psychiatric drugs (OR=1.80, CI95% 1.05–3.07; p=0.032), adopting physical restraint measures (OR=1.97, CI95% 1.47–2.64; p<0.001), residents hospitalized due to flu-like symptoms (OR =1.73, CI95% 1.28–2.32; p<0.001), and being located in specific geographic areas (OR=3.59, CI95% 1.81–7.08; OR = 2.90, CI95% 1.45–5.81 and OR = 4.02, CI05% 2.01–8.04 for, respectively, North-West, North-East and Centre vs South, p<0.001) were all factors positively associated to the occurrence of adverse events in the facility. Future recommendations for the management and care of residents in NHs during the COVID-19 pandemic should include specific statements for the most vulnerable populations, such as people with dementia.

scholarly journals Breast-feeding and maternal mental well-being among Bangladeshi and Pakistani women in north-east England

2007 ◽  
Vol 11 (5) ◽  
pp. 486-492 ◽  
Author(s):  
Sayeda Z Noor ◽  
Emily K Rousham
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Maternal Education ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
North East ◽  
Pakistani Women ◽  
Mental Well Being ◽  
Breast Fed

AbstractObjectivesTo explore the relationship between infant feeding and maternal mental well-being among women of Bangladeshi and Pakistani ethnicity; and to explore the sources of advice, information and support available to women before and after childbirth.DesignA cross-sectional survey of infant feeding and maternal well-being via structured interviews conducted in the home.SettingHome visits within two inner-city wards of Newcastle upon Tyne.SubjectsEighty-six women of South Asian ethnicity.ResultsEnjoyment of everyday activities was higher among women who breast-fed only (P = 0.028); whereas feeling sad or crying during pregnancy was lower among breast-feeding women (P = 0.005), as was not sleeping well (P = 0.003) and feeling that everything was too much (P = 0.039), compared with women who used formula or mixed feeding. Women who breast-fed only had better mean mood scores than those who formula-fed or those who both breast-fed and formula-fed (P < 0.001). Mean mood responses were also significantly associated with the mother’s level of understanding of English and number of years in education (P = 0.005 and P = 0.003, respectively). The association between method of feeding and maternal mood remained strong after controlling for the effects of English language and maternal education.ConclusionsThe study suggests that breast-feeding may be an important mediator of maternal mental well-being after childbirth. Community-based programmes tailored to the needs of Bangladeshi and Pakistani women which support breast-feeding and encourage exclusive breast-feeding may be of benefit.

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