Abstract P862: Successes and Impact of a Statewide Stroke Education Campaign for Healthcare Providers

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Olivia N Jones ◽  
Janna Pietrzak ◽  
Kylie Picou ◽  
Mindy Cook ◽  
Adela Santana ◽  
...  
Keyword(s):  
North Dakota ◽  
Health Care Providers ◽  
Healthcare Professionals ◽  
Life Support ◽  
Systems Of Care ◽  
Everyday Practice ◽  
Care Providers ◽  
Stroke Patients ◽  
Treatment Methods ◽  
The Impact

Introduction: The North Dakota Mission: Lifeline Stroke program is a 3-year initiative which aims to improve statewide stroke systems of care. Due to complexities in recognizing and treating stroke patients, effective education of prehospital and hospital health care providers on guideline-based assessments and treatment methods were identified as an essential intervention. In person lectures, conferences, workshops, stroke simulation trainings, online courses, webinars, and a stroke certification program were deployed throughout the project. Purpose: The purpose of the post-education survey was to determine the impact, value, and success of different types of education provided during the project. Methods: North Dakota healthcare professionals (n=221) completed a 20-question online survey about their experiences participating in the stroke trainings provided from 2017 to 2020. Results: Survey respondents consisted of 76 Emergency Medical Service (EMS) providers and 145 hospital-based healthcare professionals. The majority of hospital-based staff respondents were nurses (80.1%), while most EMS-based respondents were paramedics or EMTs (75.0%). Half of all respondents (49.8%) participated in 2 or more educational offerings. Respondents were asked to rank the educational offerings in which they participated in by order of the benefit to their everyday practice. The two highest ranking educational offerings were the Advanced Stroke Life Support Class (mean rank=1.6) and Simulation in Motion (SIM) ND (mean rank=2.3). More than 90% of respondents stated that these trainings were extremely or very applicable to their everyday practice. When asked about the overall impact of all the educational offerings they participated in, almost all (92.6%) respondents indicated they agree that because of the trainings they have a better understanding of the key issues related to caring for stroke patients. Conclusions: Overall, the comprehensive survey provides concrete evidence and feedback that multi-modal education campaigns are well-received and effective in furthering awareness of guideline-based stroke assessments and treatment methods. Activities with a kinesthetic learning approach were found to be especially well-received.

Abstract TP259: Mission: Lifeline Stroke Education Campaign Drives Systems of Care Improvement in North Dakota

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Janna Pietrzak ◽  
Alexander Drofa ◽  
Jerilyn Alexander ◽  
Megan Carlblom ◽  
Mandy Henderson ◽  
...  
Keyword(s):  
North Dakota ◽  
Health Care Providers ◽  
Systems Of Care ◽  
Early Recognition ◽  
Care Providers ◽  
Stroke Patients ◽  
Stroke Treatment ◽  
Education Campaign ◽  
Symptom Screening ◽  
Stroke Education

Introduction: The AHA Mission: Lifeline Stroke program is a 3-year initiative in North Dakota which aims to improve statewide stroke systems of care. Due to complexities in recognizing and treating stroke patients, effectively educating prehospital and hospital health care providers on guideline-based assessments and treatment methods was identified as an interventional opportunity. Purpose: The purpose of the education campaign was to increase early recognition of stroke symptoms and expand application of guideline-based triage and treatment protocols thereby improving early recognition, treatment times and outcomes. Methods: The planning group considered individual learning style preferences by using the Visual, Auditory, Read/Write, and Kinesthetic (VARK) model which divides learners into these four categories. Beginning in January 2017, the following education offerings were deployed to address each style: in person lectures, conferences, workshops, stroke simulation trainings, online courses, webinars and a stroke certification course. Topics included: stroke symptom screening, severity scoring, LVO criteria, transport protocols, statewide stroke treatment guidelines and IV alteplase administration. Systems improvement data was correlated from the GWTG-Stroke registry in which all 6 ND tertiary hospitals and 32 of 36 critical access hospitals participate. Results: In the ND critical access hospital cohort the percentage of stroke patients who received brain imaging within 25 minutes of arrival increased from 57.1% in 2016 to 72% in 2018, and those who arrived at the hospital within 2 hours of LKW and received IV alteplase within 3 hours increased from 56.0% in 2016 to 64.3% in 2018. While in the all ND hospital cohort the percentage of acute ischemic stroke patients receiving IV alteplase within 60 minutes of arrival increased from 66.2% in 2016 to 78.2% in 2018. Conclusions: A multifaceted stroke education campaign can be an effective way to improve statewide stroke triage and treatment times. Continuing educational efforts are needed to maintain these gains and elicit further advancements. Additional studies are needed to determine if an improvement in triage and treatment times corresponds with reduced mortality and morbidity.

Abstract 465: PERC: A 23 Years Experience of Disseminating BLS Techniques in Underserved Areas

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Neiberg A Lima ◽  
Swelen Lima ◽  
Gabriel Pessoa ◽  
Priscila Costa ◽  
Thomaz Costa ◽  
...  
Keyword(s):  
Sudden Cardiac Death ◽  
Health Care Providers ◽  
Cardiac Death ◽  
Life Support ◽  
Underserved Populations ◽  
Public Hospitals ◽  
Health Providers ◽  
Care Providers ◽  
Mortality And Morbidity ◽  
The Impact

Background: Ischemic heart disease is the main cause of mortality in Brazil. Sudden cardiac death is often the initial presentation of a myocardial infarction, however Basic Life Support (BLS) undertraining is real not only for lay rescuers but for health care providers in Brazil. A group of medical students from the Universidade Federal do Ceara (UFC) founded in 1996 the Cardiorespiratory Resuscitation Education Program (PERC) with a goal of disseminating BLS techniques. Objective: Emphasize the importance of creating social projects to propagate BLS techniques in underserved populations. Methods: An experience of over 23 years of BLS training with a non profit medical student group in the northeast of Brazil will be reported. Results/Discussion: The group is formed by students from the first to the last year of the UFC medical school. They are trained by cardiology faculties and senior members on the most recent ILCOR guidelines for BLS. A member usually stays in the program for two or three years and during this time is responsible to facilitate free classes in schools, public hospitals, health centers and medical schools. These courses are based on one lecture followed by a hands on training on CPR manikins. Pre and post testing are applied to evaluate satisfaction and learning. With 23 years of experience, a total of 11,841 people were directly trained by our program: 4.626 lay rescuers, 3.124 medical/nursing students and 4.091 health providers. A satisfaction rate is above 95%. The impact of this program in our community is immeasurable. Conclusion: Even though these courses don’t replace the official AHA-BLS training, nonprofit organizations as PERC can play an important role in communities with limited resources, helping to disseminate BLS techniques and maybe decreasing the mortality and morbidity associated with the sudden cardiac death in those areas.

scholarly journals Impact of a Yogic Breathing Technique on the Well-Being of Healthcare Professionals During the COVID-19 Pandemic

2021 ◽  
Vol 10 ◽  
pp. 216495612098295
Author(s):  
Kanchibhotla Divya ◽  
Saisudha Bharathi ◽  
Ramrakhyani Somya ◽  
Mehta H Darshan
Keyword(s):  
Life Satisfaction ◽  
Health Care Providers ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Providers ◽  
Quality Of Sleep ◽  
The Impact

Background The COVID-19 pandemic has created unprecedented challenges for healthcare globally, the brunt of which has been borne by the health care providers (HCPs). These challenges are felt more keenly in India, as they stretch an insufficiently resourced healthcare system. The long hours, cross over of responsibilities, lack of resources to adequately care for patients, and concerns around safety of self and loves ones, have led to a spike in anxiety, depression, insomnia and other stress – related disorders in healthcare providers. Sudarshan Kriya Yoga (SKY) is a mind-body intervention that has been studied in multiple clinical populations. Prior to this study, there has been no exploration of the impact of SKY on healthcare providers, specifically the impact of a mind-body intervention like SKY on HCPs during a pandemic. Objective This study aims to investigate the impact of SKY on the well-being of HCPs during the COVID-19 pandemic. Methods We conducted a pilot feasibility study with a single arm pre-post design. SKY was taught to participants in a 4-day online breath and meditation workshop. We measured outcomes related to depression, anxiety, resilience, life satisfaction, and quality of sleep. Results Ninety-two subjects completed the study survey before and after the intervention. A significant reduction was observed in the levels of stress, anxiety and depression immediately after the program. In addition, the participants reported sig1nificant improvement in life satisfaction, resilience, and the quality of their sleep. Conclusion The results indicate that SKY breathing technique had a positive impact on the well-being of healthcare professionals during the pandemic. Participants experienced improved quality of sleep, enhanced satisfaction with life, and increased resilience after SKY. This pilot study provides important data for future multi-site randomized controlled trials to study the impact of yogic techniques on well-being of the HCPs.

scholarly journals 407 - The Baycrest Quick-Response Caregiver Tool: The Role for a New Tool for Caregivers of Persons with Dementia

2020 ◽  
Vol 32 (S1) ◽  
pp. 123-123
Author(s):  
Ken Schwartz ◽  
Robert Madan ◽  
Anna Berall ◽  
Marsha Natadira ◽  
Anna Santiago
Keyword(s):  
Family Caregivers ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Well Being ◽  
Moderate Degree ◽  
Quick Response ◽  
Care Providers ◽  
High Level ◽  
Person With Dementia ◽  
The Impact

Background:Responsive behaviours in dementia are associated with poor outcomes for the person with dementia (PWD) and caregiver burnout. Family caregivers need a variety of tools to manage responsive behaviours. The Baycrest Quick-Response Caregiver Tool was developed to provide caregivers with a tool that can be used in real time. In this study, the feasibility, impact, and effectiveness of this new tool were studied in family caregivers and health care providers (HCP) using quantitative and qualitative measures.Methods:Family caregivers were recruited and were asked to complete a pre-survey before being sent the link to the educational tool. One month after the telephone survey, caregivers were sent an online post-survey to gather their feedback on the tool and the impact of the tool on caregiver well -being. Healthcare providers were also recruited and reviewed the tool through an online feedback survey. The feasibility, impact, and effectiveness of the tool were assessed using quantitative and qualitative measures.Results:Caregivers had a moderate degree of and reported a high level of competence - these scores were maintained throughout the study. Caregivers reported that tool positively impacted their compassion towards the person with dementia (PWD), and that their interactions with improved. 100% of HCP who completed the feedback survey would recommend the tool to other HCP and to caregivers of PWD. The caregivers and HCP provided specific suggestions for improvement.Conclusions:The Baycrest Quick-Response Caregiver Tool was found to be feasible and helpful. It provides caregivers and HCP with an additional approach for responsive behaviours.

Reclaiming and Reshaping Life: Patterns of Reconstruction After the Suicide of a Loved One

2016 ◽  
Vol 27 (7) ◽  
pp. 994-1005 ◽  
Author(s):  
Dolores Angela Castelli Dransart
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Suicide Survivors ◽  
Loved One ◽  
Life Patterns ◽  
Survivors Of Suicide ◽  
And Coping ◽  
The Impact ◽  
Depth Interviews

The objective of this study is to identify patterns (components and processes) of reconstruction of suicide survivors. In-depth interviews were conducted with 50 survivors of suicide in Switzerland. Data were analyzed using ATLAS.ti and according to the Grounded Theory principles. Survivors of suicide face four major challenges: dealing with the impact of suicide, searching for meaning, clarifying responsibility, and finding a personal style of reaction and coping. The various ways in which survivors fare through the specific processes of the challenges result in various patterns of reconstruction: the vulnerability, transformation, commitment, and hard blow. The unique characteristics and dynamics of each of them are highlighted. Health care providers would benefit from an approach based on the dynamics of the various patterns of reconstruction in providing appropriate support to survivors of suicide.

Searching and Making Meaning of the COVID-19 Pandemic: Perspectives of African Immigrants in the United States

2021 ◽  
pp. 002216782110224
Author(s):  
Angela U. Ekwonye ◽  
Nina Truong
Keyword(s):  
United States ◽  
Health Care Providers ◽  
Meaning Making ◽  
Democratic Republic Of Congo ◽  
Central Africa ◽  
African Immigrants ◽  
The United States ◽  
Care Providers ◽  
Making Meaning ◽  
The Impact

African immigrants continue to be disproportionately affected by the COVID-19 pandemic. It is unclear how they are searching for and finding meaning in the face of this adversity. This study sought to understand how African immigrants in the United States are searching for and making meaning of the COVID-19 pandemic. We conducted in-depth interviews remotely with 20 immigrants from West Africa (Nigeria and Ghana), East Africa (Somali and Rwanda), and Central Africa (Democratic Republic of Congo). The meaning-making model was used as a framework to understand the processes of coping during a significant, adverse life event. The study found that some participants attempted to reduce the impact of the COVID-19 pandemic on their global meaning by seeking answers as to why the pandemic occurred and creating positive illusions. Some redefined their priorities and reframed the pandemic in a positive light. Participants found meaning in the form of accepting the pandemic as a reality of life, appreciating events previously taken for granted, and making positive changes in their lives. This study’s findings can inform health care providers of the meaning-making processes of African immigrants’ and the need to assist them in their search for meaning.

The Use of and Attitude Towards Telehealth in Rural Communities

2007 ◽  
Vol 13 (3) ◽  
pp. 29 ◽  
Author(s):  
Emily Mauldon
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Routine Practice ◽  
Care Providers ◽  
Urban Hospital ◽  
Primary Health ◽  
The Impact ◽  
Rural Patients

This paper reports on the attitudes of a sample of health care providers towards the use of telehealth to support rural patients and integrate rural primary health and urban hospital care. Telehealth and other information technologies hold the promise of improving the quality of care for people in rural and remote areas and for supporting rural primary health care providers. While seemingly beneficial for rural patients, study participants believed that telehealth remains underused and poorly integrated into their practice. In general, participants thought that telehealth is potentially beneficial but places constraints on their activities, and few actually used it. Published literature usually reports either on the success of telehealth pilot projects or initiatives that are well resourced and do not reflect the constraints of routine practice, or has an international focus limiting its relevance to the Australian context. Because of the paucity of systematic and generalisable research into the effects of the routine use of telehealth to support rural patients, it is unclear why health care professionals choose to provide such services or the costs and benefits they incur in doing so. Research and policy initiatives continue to be needed to identify the impact of telehealth within the context of Australian primary health care and to develop strategies to support its use.

Health Care Providers in War and Armed Conflict: Operational and Educational Challenges in International Humanitarian Law and the Geneva Conventions, Part I. Historical Perspective

2018 ◽  
Vol 13 (02) ◽  
pp. 109-115 ◽  
Author(s):  
Frederick M. Burkle ◽  
Adam L. Kushner ◽  
Christos Giannou ◽  
Mary A. Paterson ◽  
Sherry M. Wren ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Armed Conflict ◽  
Historical Perspective ◽  
Geneva Convention ◽  
World Health ◽  
International Humanitarian Law ◽  
Humanitarian Law ◽  
Care Providers ◽  
The Impact

AbstractSince 1945, the reason for humanitarian crises and the way in which the world responds to them has dramatically changed every 10 to 15 years or less. Planning, response, and recovery for these tragic events have often been ad hoc, inconsistent, and insufficient, largely because of the complexity of global humanitarian demands and their corresponding response system capabilities. This historical perspective chronicles the transformation of war and armed conflicts from the Cold War to today, emphasizing the impact these events have had on humanitarian professionals and their struggle to adapt to increasing humanitarian, operational, and political challenges. An unprecedented independent United Nations–World Health Organization decision in the Battle for Mosul in Iraq to deploy to combat zones emergency medical teams unprepared in the skills of decades-tested war and armed conflict preparation and response afforded to health care providers and dictated by International Humanitarian Law and Geneva Convention protections has abruptly challenged future decision-making and deployments. (Disaster Med Public Health Preparedness. 2019;13:109–115)

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