scholarly journals Shared Surgical Decision Making in the Era of COVID-19: Lessons From Hurricane Katrina

2020 ◽  
pp. 019459982095727
Author(s):  
Isaac D. Erbele ◽  
Moisés A. Arriaga ◽  
Daniel W. Nuss
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Hurricane Katrina ◽  
Health Care Workers ◽  
Lessons Learned ◽  
Current Crisis ◽  
Potential Harm ◽  
Scarce Resources ◽  
Care Workers ◽  
The Face

The COVID-19 pandemic has challenged every surgical discipline. Lessons learned from Hurricane Katrina have informed our department’s management of the current crisis. That experience impressed upon us a profound appreciation for shared decision making in the face of scarce resources, an evolving clinical context, and potential harm to patients and health care workers. To that end, we have formed a Resource Utilization Committee to prospectively review all nonemergent surgical cases during the current crisis. This has allowed “state-of-the-pandemic” otolaryngologic care in a real-time, collaborative, and high-information setting. In addition, to protect our patients and health care workers, it has influenced our institution’s thoughtful application of COVID testing and the use of personal protective equipment.

scholarly journals Organizational and Individual Innovation Decisions in an Interorganizational System: Social Influence and Decision-Making Authority

2020 ◽  
Vol 70 (4) ◽  
pp. 497-521
Author(s):  
Jiawei Sophia Fu ◽  
Michelle Shumate ◽  
Noshir Contractor
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Social Norms ◽  
Social Influence ◽  
Health Care Workers ◽  
Social Information Processing ◽  
Innovation Adoption ◽  
Decision Makers ◽  
Care Workers ◽  
Interorganizational System

Abstract This study examines the processes of complex innovation adoption in an interorganizational system. It distinguishes the innovation adoption mechanisms of organizational-decision-makers (ODMs), who make authority adoption decisions on behalf of an organization, from individual-decision-makers (IDMs), who make optional innovation decisions in their own work practice. Drawing on the Theory of Reasoned Action and Social Information Processing Theory, we propose and test a theoretical model of interorganizational social influence. We surveyed government health-care workers, whose advice networks mostly span organizational boundaries, across 1,849 state health agencies in Bihar, India. The collective attitudes of coworkers and advice network members influence health-care workers’ attitudes and perceptions of social norms toward four types of innovations. However, individuals’ decision-making authority moderates these relationships; advisors’ attitudes have a greater influence on ODMs, while perceptions of social norms only influence IDMs. Notably, heterogeneity of advisors’ and coworkers’ attitudes negatively influence IDMs’ evaluations of innovations but not ODMs’.

scholarly journals Use of face mask in COVID-19 pandemic-a review

2021 ◽  
Vol 9 (12) ◽  
pp. 3750
Author(s):  
Santosh Kumar Swain ◽  
Pragnya Paramita Jena
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Virus Disease ◽  
Minimum Cost ◽  
Face Mask ◽  
Medical Community ◽  
Care Workers ◽  
Surgical Masks ◽  
The World ◽  
The Face

The current novel corona virus disease 2019 (COVID-19) is a highly infectious disease of the respiratory tract and rapidly spreading all over the world in short span of time. In current COVID-19 pandemic, use of the face mask is becoming usual and ubiquitous for both health care workers and public individuals. Wearing face mask is one of the non-pharmaceutical interventions which need minimum cost and provide dramatic response for preventing the COVID-19 infection. Limited availability of the vaccine and inadequate supply of therapeutic options, face mask use is an important part for public health measures for restricting the COVID-19 spread. Regardless of the debate among medical community regarding global face mask production shortage, a greater number of countries in the world are moving ahead with recommendations or mandates for using face mask in public. As currently global shortage of N95/FFP2 respirators and surgical masks for use by health care workers in the hospitals, simple cloth masks will act as a pragmatic solution for the use of the public. General public often use the surgical mask or even filtering facepiece (FFP) masks irrespective of their need, resulting unnecessary shortage for needy individuals those are exposed to the patients or those are health care workers. So, this review article will clarify the indication of the different types of masks and their rational use in the current COVID-19 pandemic.

scholarly journals The Experience of the 2003 SARS outbreak as a traumatic stress among frontline health-care workers in Toronto: lessons learned

SARS ◽  
2005 ◽  
pp. 96-106 ◽  
Author(s):  
Robert Maunder ◽  
William J. Lancee ◽  
Sean B. Rourke ◽  
Jonathan Hunter ◽  
David S. Goldbloom ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Traumatic Stress ◽  
Lessons Learned ◽  
Care Workers

scholarly journals Perceptions of health workers on the referral of women with obstetric complications: a qualitative study in rural Sierra Leone

2020 ◽  
Author(s):  
R. Proos ◽  
H. Mathéron ◽  
J. Vas Nunes ◽  
A. Falama ◽  
P. Serry-Kamal ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Mortality ◽  
Sierra Leone ◽  
Health Care Workers ◽  
Health Workers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Obstetric Complications ◽  
Care Workers

Abstract BackgroundSierra Leone has one of the highest maternal mortality ratios in the world. Timely and well-coordinated referrals are necessary to reduce delays in providing adequate care for women with obstetric complications. This study describes the perspectives of health workers in rural facilities in Sierra Leone concerning the referral of women with obstetric complications.MethodsWe conducted semi-structured group interviews with health care workers in nine peripheral health units in rural Sierra Leone regarding the referral of women with obstetric complications. Themes discussed were based on an interview guide. The data was analysed by systematic text condensation.ResultsPerspectives were grouped according to the following themes identified: 1) communication between health care workers; 2) underlying influences on decision-making; 3) women’s compliance to referral; 4) logistic constraints.ConclusionSeveral factors in rural Sierra Leone are perceived to complicate timely and adequate referral of women in need of emergency obstetric care. Notable among these factors are fear among women for being referred and fear among health care workers for having maternal deaths or severe obstetric complications at their own facilities. Furthermore, the decision-making of health care workers concerning referral is negatively influenced by an atmosphere of hierarchy between health care workers. Such factors must be considered in efforts to reduce maternal mortality.

scholarly journals Preparing for the Next Wave of COVID-19: Resilience in the Face of a Spreading Pandemic

2020 ◽  
Vol 17 (11) ◽  
pp. 4098 ◽  
Author(s):  
Gerald Steiner ◽  
Lukas Zenk ◽  
Eva Schernhammer
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Workers ◽  
Decision Makers ◽  
Comprehensive Understanding ◽  
Global Crisis ◽  
Substantial Advantage ◽  
Care Workers ◽  
The Face ◽  
Societal Resilience

COVID-19 painfully demonstrates how little resilience our societies have to novel viruses. Societies, decision makers, and scientists lack (1) a comprehensive understanding of the complexity of viral outbreaks and their impact on society; (2) intervention portfolios; and (3) a global crisis and resilience policy, all of which are required to develop appropriate measures and to improve societal resilience. We highlight COVID-19 immunity as one key benchmark in preparation for the next wave of the pandemic. Specifically, using network scenarios, we demonstrate the substantial advantage of reintegrating health care workers with acquired COVID-19 immunity in epidemic hotspots, which would not only enable their safe contribution to the health care system but also drastically contain further spread.

scholarly journals A hospital-wide response to multiple outbreaks of COVID-19 in health care workers: Lessons learned from the field

2021 ◽  
Vol 26 ◽  
pp. S4-S5
Author(s):  
Caroline Marshall ◽  
Kirsty Buising ◽  
Deborah Williamson ◽  
Benjamin Cowie ◽  
Jennifer MacLachlan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Lessons Learned ◽  
Care Workers

Contact Hours, Skills Fairs, and Competency Assessment

2013 ◽  
Vol 32 (5) ◽  
pp. 359-364 ◽  
Author(s):  
Jobeth Pilcher ◽  
Lisa Stone ◽  
Regina Reynolds
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Problem Solving ◽  
Best Practices ◽  
Patient Outcomes ◽  
Health Care Workers ◽  
Regulatory Agencies ◽  
Competency Assessment ◽  
Care Workers ◽  
Contact Hours

Various regulatory agencies have indicated the need to measure initial and ongoing competency among health care workers. Yet, what is competency and how can it be measured? In reality, competency assessment is about outcomes. Maintaining and advancing our knowledge, skills, and analytical abilities is important for achieving optimal patient outcomes. Competency assessment should go beyond the act of attending lectures and skills fairs. Competency assessment should be a time when nurses can demonstrate and document their problem-solving and decision-making skills, inclusion of best practices, and evidence of how those skills make a difference for the patients they care for.

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