Healthcare interpreters and difficult conversations: a survey

2021 ◽  
pp. bmjspcare-2021-003045
Author(s):  
Helen James ◽  
Gregory Brian Crawford
Keyword(s):  
Compassion Fatigue ◽  
Further Training ◽  
Life Measure ◽  
Difficult Conversations ◽  
Australian State ◽  
Burn Out ◽  
Medical Teams ◽  
Evidence Based Guidelines ◽  
Delivering Bad News

ObjectivesThe aims of this survey of healthcare interpreters were to assess the impacts of difficult conversations such as discussions involving explanation of a serious diagnosis, goals-of-care or death or dying and to discover interpreters’ opinions on ways to improve these conversations.MethodsA purpose derived survey incorporating the Professional Quality of Life measure 5 was distributed to all healthcare interpreters in an Australian state. Outcome measures were to quantify levels of compassion satisfaction (CS), burn-out and secondary traumatic stress (STS), as well as to determine how well interpreters believed difficult conversations were being conducted and suggestions for improvement.ResultsThere were 94 respondents all scoring moderate (34.1%) or high (65.9%) on the CS score. No respondents scored high on burn-out or STS scales. Significant subgroup analysis was those aged 18–30 with higher burn-out scores. The two most common concerns raised were (1) not knowing the content prior to a discussion and (2) feeling guilty about delivering bad news. The two most frequent suggestions for improvement were (1) prebriefing with medical teams prior and (2) allowing opportunity to explain cultural concerns.ConclusionsInterpreters surveyed were not experiencing burn-out or STS and had moderate or high CS scores. Recommendations are: further training and evidence-based guidelines for medical staff and healthcare interpreters in the facilitation of difficult conversations; prebriefing and debriefing for interpreters; further research to delineate the characteristics that predispose to compassion fatigue.

Beyond SPIKES: Key principles to enhance communication in difficult conversations.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 138-138
Author(s):  
Tommie Wade Farrell ◽  
Josh Reed ◽  
Michael Roffers
Keyword(s):  
Supportive Care ◽  
Terminal Illness ◽  
Treatment Options ◽  
Bad News ◽  
Further Training ◽  
Potential Side Effect ◽  
Difficult Conversations ◽  
Treatment Plans ◽  
Delivering Bad News ◽  
Expected Outcomes

138 Background: The SPIKES protocol for delivering bad news developed by Buckman et al. has been a standard since published. Though helpful those in practice understand that further training is needed for these difficult conversations and for those that follow when deciding on treatment options. What skills can be taught to prepare for these conversations? Methods: At our program Hospice/Palliative and Oncology fellows rotate with the hospital Supportive Care team. They are trained in Three Key Principles after training in the SPIKES protocol: EMOTIONAL ALIGNMENT: aligning team goals with the goals of the patient/family. This includes eliciting the goals of the patient, clarifying the basis of these goals and showing alignment. Example phrases: Tell me what your hopes are for your treatment. What do you feel will happen when you attempt this? Your desire to live as long as possible makes perfect sense. TRANSPARENCY: sharing the ambiguity inherent in care. This includes presenting all options of care, and the variability that exists with all options. Examples: We don't always know exactly what will happen with treatment, but if your goal is to live as long as possible this will possibly extend life by months. If your goal is to maximize time with family, a person may choose to use the services of the hospice team who focus on you being at home. CLARITY: clarifying misconceptions and ensuring that goals and treatment plans match. This includes asking for expectations of treatment, giving accurate expected outcomes, and using language that is clear. Examples: When we say that this treatment is palliative we mean that we don't expect that it will cure, but it may provide on average an extra few months. You have told me you hope to get stronger by doing this treatment. I need to tell you that typically this treatment does not make a person stronger and fatigue is actually a potential side effect. Results: Fellows find these principles helpful in discussing treatment options. They universally evaluate this skill set as being achievable and also report it enhances patient-physician relationships. Conclusions: Applying these key principles is a skill that can enhance communication when making treatment decisions in potentially terminal illness.

Moral distress, compassion fatigue and burn-out in veterinary practice

2020 ◽  
Vol 11 (7) ◽  
pp. 292-295
Author(s):  
Amber Foote
Keyword(s):  
Quality Of Life ◽  
Compassion Fatigue ◽  
Moral Distress ◽  
Ethical Dilemmas ◽  
Work Related Stress ◽  
Veterinary Practice ◽  
Work Related ◽  
Burn Out ◽  
Related Stress

Concerns regarding compassion fatigue and burn-out in veterinary practice are steadily increasing. Burn-out is defined as the state in which a person feels emotionally, physically and mentally exhausted. Work-related stress can have a significant impact on our quality of life and unfortunately lead to burn-out, moral distress and compassion fatigue. As veterinary professionals are exposed to ethical dilemmas and stressful situations daily, it is important that they are aware of the signs of burn-out and how it can be managed.

The Vietnamese Version of the Health-related Quality of Life Measure for Children with Epilepsy (CHEQOL-25): Reliability

MedPharmRes ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 9-14
Author(s):  
Tri Doan ◽  
Tuan Tran ◽  
Han Nguyen ◽  
◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Good Practice ◽  
The Self ◽  
Self Report ◽  
Health Related Quality ◽  
Life Measure ◽  
Related Quality ◽  
Health Related ◽  
Parent Proxy

Purpose: This study aimed to translate and culturally adapt the self-report and parent-proxy Health-Related Quality of Life Measure for Children with Epilepsy (CHEQOL-25) into Vietnamese and to evaluate their reliability. Methods: Both English versions of the self-report and parent-proxy CHEQOL-25 were translated and culturally adapted into Vietnamese by using the Principles of Good Practice for the Translation and Cultural Adaptation Process. The Vietnamese versions were scored by 77 epileptic patients, who aged 8–15 years, and their parents/caregivers at neurology outpatient clinic of Children Hospital No. 2 – Ho Chi Minh City. Reliability of the questionnaires was determined by using Cronbach’s coefficient α and intra-class correlation coefficient (ICC). Results: Both Vietnamese versions of the self-report and parent-proxy CHEQOL-25 were shown to be consistent with the English ones, easy to understand for Vietnamese children and parents. Thus, no further modification was required. Cronbach’s α coefficient for each subscale of the Vietnamese version of the self-report and parent-proxy CHEQOL-25 was 0.65 to 0.86 and 0.83 to 0.86, respectively. The ICC for each subscale of the self-report and parent-proxy CHEQOL-25 was in the range of 0.61 to 0.86 and 0.77 to 0.98, respectively. Conclusion: The Vietnamese version of the self-report and parent-proxy CHEQOL-25 were the first questionnaires about quality of life of epileptic children in Vietnam. This Vietnamese version was shown to be reliable to assess the quality of life of children with epilepsy aged 8–15 years.

Training Package for Emergency Medical Teams Deployed to Disaster Stricken Areas: Has ‘TEAMS’ Achieved its Goals?

2021 ◽  
pp. 1-7
Author(s):  
Moran Bodas ◽  
Kobi Peleg ◽  
Bruria Adini ◽  
Luca Ragazzoni
Keyword(s):  
Self Efficacy ◽  
Training Programs ◽  
Team Work ◽  
Pilot Training ◽  
Perceived Needs ◽  
Training Package ◽  
Emergency Medical ◽  
Field Team ◽  
Medical Teams

Abstract In spite of their good intentions, Emergency Medical Teams (EMTs) were relatively disorganized for many years. To enhance the efficient provision of EMT’s field team work, the Training for Emergency Medical Teams and European Medical Corps (TEAMS) project was established. The purpose of this study was to assess the effectiveness and quality of the TEAMS training package in 2 pilot training programs in Germany and Turkey. A total of 19 German and 29 Turkish participants completed the TEAMS training package. Participants were asked to complete a set of questionnaires designed to assess self-efficacy, team work, and quality of training. The results suggest an improvement for both teams’ self-efficacy and team work. The self-efficacy scale improved from 3.912 (± 0.655 SD) prior to training to 4.580 (± 0.369 SD) after training (out of 5). Team work improved from 3.085 (± 0.591 SD) to 3.556 (± 0.339 SD) (out of 4). The overall mean score of the quality of the training scale was 4.443 (± 0.671 SD) (out of 5). In conclusion, The TEAMS Training Package for Emergency Medical Teams has been demonstrated to be effective in promoting EMT team work capacities, and it is considered by its users to be a useful and appropriate tool for addressing their perceived needs.

scholarly journals Compassion fatigue of funeral directors during and after the first wave of COVID-19

2021 ◽  
Author(s):  
Roel Van Overmeire ◽  
Rose-Lima Van Keer ◽  
Marie Cocquyt ◽  
Johan Bilsen
Keyword(s):  
Compassion Fatigue ◽  
Work Experience ◽  
Online Survey ◽  
Secondary Trauma ◽  
Compassion Satisfaction ◽  
Funeral Directors ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
And Gender

Abstract Background Compassion fatigue has not been studied among funeral directors. Yet, funeral directors have been exposed to the same risks for compassion fatigue as other caregivers during the coronavirus disease 2019 (COVID-19) pandemic. Methods An online survey was spread two times to 287 employees of funeral home DELA, in Belgium. Once during the height of the first wave of COVID-19 in Belgium, and a second time at the end of the first wave. The professional quality of life-scale 5 (PROQOL-5) was used to measure compassion fatigue, which includes burnout, compassion satisfaction and secondary trauma. Non-parametric tests were performed. Results In total, 104 participants answered the first survey, and 107 the second. Burnout increases from survey 1 to survey 2 (P < 0.001), while compassion satisfaction (P = 0.011) and secondary trauma decrease (P < 0.001). In survey 1, only age (P = 0.007) and gender (P = 0.040) were found to be significantly associated with secondary trauma. In survey 2, having more work experience is associated with having a higher burnout (P = 0.008) and secondary trauma (P = 0.001) score. Neither for burnout (P < 0.001), nor for secondary trauma (P < 0.001) are there any respondents in the highest category. Conclusions Although overall funeral directors do not have acute problems with compassion fatigue, burnout scores increase significantly after the first wave.

Mass-Casualty Training Exercise Using High-Fidelity Computerized Simulators and Involving Time and Resource Limitation

2021 ◽  
Vol 36 (3) ◽  
pp. 313-320
Author(s):  
Phillip A. Jacobson ◽  
Paul N. Severin ◽  
Dino P. Rumoro ◽  
Shital Shah
Keyword(s):  
Health Care ◽  
Resource Limitation ◽  
Mass Casualty ◽  
Health Care Personnel ◽  
High Fidelity ◽  
Medical Team ◽  
Training Exercise ◽  
The Mean ◽  
Medical Teams

AbstractPurpose:Training emergency department (ED) personnel in the care of victims of mass-casualty incidents (MCIs) is a highly challenging task requiring unique and innovative approaches. The purpose of this study was to retrospectively explore the value of high-fidelity simulators in an exercise that incorporates time and resource limitation as an optimal method of training health care personnel in mass-casualty care.Methods:Mass-casualty injury patterns from an explosive blast event were simulated for 12 victims using high-fidelity computerized simulators (HFCS). Programmed outcomes, based on the nature of injuries and conduct of participants, ranged from successful resuscitation and survival to death. The training exercise was conducted five times with different teams of health care personnel (n = 42). The exercise involved limited time and resources such as blood, ventilators, and imaging capability. Medical team performance was observed and recorded. Following the exercise, participants completed a survey regarding their training satisfaction, quality of the exercise, and their prior experiences with MCI simulations. The Likert scale responses from the survey were evaluated using mean with 95% confidence interval, as well as median and inter-quartile range. For the categorical responses, the frequency, proportions, and associated 95% confidence interval were calculated.Results:The mean rating on the quality of experiences related trainee survey questions (n = 42) was between 4.1 and 4.6 on a scale of 5.0. The mean ratings on a scale of 10.0 for quality, usefulness, and pertinence of the program were 9.2, 9.5, and 9.5, respectfully. One hundred percent of respondents believed that this type of exercise should be required for MCI training and would recommend this exercise to colleagues. The five medical team (n = 5) performances resulted in the number of deaths ranging from two (including the expectant victims) to six. Eighty percent of medical teams attempted to resuscitate the “expectant” infant and exhausted the O- blood supply. Sixty percent of medical teams depleted the supply of ventilators. Forty percent of medical teams treated “delayed” victims too early.Conclusion:A training exercise using HFCS for mass casualties and employing limited time and resources is described. This exercise is a preferred method of training among participating health care personnel.

scholarly journals Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

1999 ◽  
Vol 13 (7) ◽  
pp. 560-562 ◽  
Author(s):  
Colin Macarthur ◽  
Liisa Jaakkimainen
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Guideline Development ◽  
Guideline Implementation ◽  
Key Steps ◽  
Evidence Based Guidelines ◽  
Care Costs

The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances”. The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

Fatigue: Has It Affected Your Compassion?

2017 ◽  
Vol 36 (5) ◽  
pp. 289-293
Author(s):  
Bobbi S. Greiner ◽  
Gail A. Poskey
Keyword(s):  
Risk Factors ◽  
Compassion Fatigue ◽  
Work Productivity ◽  
Signs And Symptoms ◽  
Poor Quality ◽  
Job Dissatisfaction ◽  
Job Turnover ◽  
Additional Stress ◽  
Increased Risk

AbstractCompassion fatigue is a concept used to describe how various stressors affect individuals who work in health care and other caregiving professions. The results of compassion fatigue may include decreased work productivity, poor quality of care, safety concerns, job dissatisfaction, and job turnover. The NICU professionals are at an increased risk for experiencing compassion fatigue because of the nature of working with critically ill infants, their families, and the additional stress of the workplace. The purpose of this article is for the NICU professional to understand compassion fatigue, identify the risk factors, recognize the signs and symptoms, and offer strategies to implement within the NICU environment.

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