Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

Background: Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. Summary: The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. Key Messages: With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

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Do medical students and residents impact the quality of patient care? An assessment from different stakeholders in an Italian academic hospital, 2019

PLoS ONE ◽

10.1371/journal.pone.0258633 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258633

Author(s):

Giuseppe Perri ◽

Matteo d’Angelo ◽

Cecilia Smaniotto ◽

Massimo Del Pin ◽

Edoardo Ruscio ◽

...

Keyword(s):

Medical Students ◽

Patient Care ◽

Descriptive Analysis ◽

Direct Interaction ◽

Quality Of Healthcare ◽

Training Data ◽

Patient Privacy ◽

Academic Hospital ◽

Quality Of Patient Care

Medical students and residents play an important role in patient care and ward activities, thus they should follow hospital procedures and ensure best practices and patient safety. A survey concerning staff on training was conducted to assess the perceived quality of healthcare from healthcare workers (HCWs), residents, medical students and patients in Udine Academic Hospital, Italy. Between December, 2018 and March, 2019, a 5-point Likert-scale questionnaire was administered in 21 units, covering four thematic areas: patients and medical staff satisfaction with the quality of care provided by residents and students, patient privacy, clinical risk management, patient perception of staff on training. Data analysis included descriptive analysis and ordered logistic regressions. A total of 596/1,863 questionnaires were collected from: HCWs (165/772), residents (110/355), students (121/389), and patients (200/347). Residents were rated high both by patients (median = 5, IQR = 4–5, OR 0.49, 95%CI 0.26–0.93) and HCWs (median = 4, IQR = 3–5, OR 0.14, 95%CI 0.08–0.26), with a lower score for medical students on the same topic, both by patients (median = 4, IQR = 3–5, OR 2.94, 95%CI 1.49–5.78) and HCWs (median = 3, IQR = 2–3, OR 0.41, 95%CI 0.25–0.67). Therefore, the role of staff on training in quality and safety of healthcare deserves integrated regular evaluation, since direct interaction with patients contributes to patients’ perception of healthcare.

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Sports Rehabilitation and Interprofessional Collaboration

International Archives of Medicine ◽

10.3823/2613 ◽

2019 ◽

Vol 12 ◽

Author(s):

Nicholas B Washmuth ◽

James M Sepich ◽

Abby D McAfee

Keyword(s):

Patient Care ◽

Physical Therapist ◽

Interprofessional Collaboration ◽

Healthcare Setting ◽

High Productivity ◽

Quality Of Patient Care ◽

The Impact ◽

Collaborative Efforts ◽

Successful Collaboration

Background: The demand for interprofessional collaboration continues to grow due to changing priorities of the health care system. The benefits of interprofessional collaboration are well documented; however, the methods of collaboration are often unclear and often difficult to put into practice. While there is a growing number of studies on the impact of interprofessional collaboration in settings such as inpatient, intensive care units, and acute care, there are limited documented cases regarding the interprofessional management of a physical therapy patient in the outpatient orthopedic private practice setting. Purpose: The purpose of this paper is to describe the reflections of a physical therapist and an athletic trainer in their experience with interprofessional collaboration, describe the barriers they have experienced that make interprofessional collaboration challenging, and to offer solutions to these barriers. The barriers discussed in the paper include limited knowledge of and respect for other professionals’ skill set, high-productivity work environments, medical hierarchy, overlapping bodies of knowledge, discrepancy between professional reasoning, territorial behavior, and ineffective communication. Discussion: It appears that contextual factors, such as community in which the professionals practice, the healthcare setting, and the practice environment, have a far less important impact to successful collaboration than the professionals’ attitudes and investment in the collaborative efforts. Conclusion: Collaboration between a PT and an AT can lead to power struggles and suboptimal patient care if these barriers are not overcome and collaboration may be necessary to provide the highest quality of patient care.

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Improving the quality of patient care: patient satisfaction with a nurse-led fracture clinic service

Annals of The Royal College of Surgeons of England ◽

10.1308/003588403321219902 ◽

2003 ◽

Vol 85 (2) ◽

pp. 115-116 ◽

Cited By ~ 11

Author(s):

SC Williams ◽

D Hollins ◽

S Barden-Marshall ◽

WM Harper

Keyword(s):

Patient Satisfaction ◽

Patient Care ◽

Care Patient ◽

Fracture Clinic ◽

Quality Of Patient Care

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Interprofessional Conflict Among Healthcare Teams in Nigeria: Implications on Quality of Patient Care

10.21203/rs.3.rs-904216/v1 ◽

2021 ◽

Author(s):

Edwin O. Nwobodo ◽

Cajetan U. Nwadinigwe ◽

Ugochukwu Bond Anyaehie ◽

Princewill Ikechukwu Ugwu ◽

Nkoli F. Nwobodo ◽

...

Keyword(s):

Patient Care ◽

Healthcare Professionals ◽

Online Questionnaire ◽

Healthcare Teams ◽

Healthcare Settings ◽

Interprofessional Teamwork ◽

Institutional Issues ◽

Quality Of Patient Care ◽

Care Outcomes

Abstract Background: Patient care in Nigeria is essentially an interprofessional teamwork. The functionality of the team may have substantial implications on the quality of patient care as well as the professional satisfaction of individual professionals in the health team. This study was designed to identity if interprofessional conflicts existed in health teams in health institutions in southeast Nigeria, and to explore their nature, course, identify the extant resolution mechanisms and to start to identify and document feasible mechanisms to mitigate the conflicts. The aim is to enhance the functionality of health teams for an overall better patient care outcome.Method: An online questionnaire survey collected data from 58 health healthcare professionals in four healthcare settings in the southeast of Nigeria. Quantitative and qualitative analyses were conducted resulting in seven central themes of conflict. The paper adopted narrative qualitative survey tools to survey a cohort of healthcare professionals who have practiced for varying periods. This study investigated the existence, or otherwise, and nature of the conflicts within health teams, probes the most at conflict as well as approaches being used in conflict resolution.Results: Many institutional conflicts exist among the healthcare teams. There are several conflict resolutions approaches that are being employed to resolve the conflicts. Most resolutions are simply the avoidance approach. Many of the conflicts potentially affect patient care outcomes but these are issues that could be resolved on a permanent to semi-permanent basis at local levels whilst others are broader institutional issues that will require external fixes. Discussion: There is a need to improve on the team process for healthcare professional early and systematically. Key or essential steps for doing this based on the importance of continued attentions to better patient care approaches are provided in this paper.

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Hyperbaric oxygenation in the implementation of rehabilitation measures after COVID-19 pneumonia

Medsestra (Nurse) ◽

10.33920/med-05-2105-01 ◽

2021 ◽

pp. 7-11

Author(s):

Tatyana Nikolaevna Kondratyeva ◽

Natalya Alekseevna Kutalova

Keyword(s):

Quality Of Life ◽

Hyperbaric Oxygenation ◽

The Body ◽

The Novel ◽

Complex Treatment ◽

Coronavirus Infection ◽

Rehabilitation Measures ◽

Novel Coronavirus ◽

The Impact

The aim of the study was to research the hyperbaric oxygenation effect on the condition of patients in the course of complex treatment aimed at rehabilitation after suffering from COVID-19 pneumonia. Results: the impact of hyperbaric oxygenation on the body of patients who have suffered from the novel coronavirus infection provides a positive dynamics and improves their quality of life. Conclusion: in the process of rehabilitating patients who have undergone the new coronavirus infection, it is necessary to use various physiotherapeutic measures, including hyperbaric oxygenation.

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