scholarly journals Patient handover in a European border region: Cross-sectional survey study among healthcare workers to explore the status quo, potential risks, and solutions

2021 ◽  
pp. 205343452110094
Author(s):  
Mara EJ Bouwmans ◽  
Juliëtte A Beuken ◽  
Daniëlle ML Verstegen ◽  
Laura van Kersbergen ◽  
Diana HJM Dolmans ◽  
...  

Introduction While the popularity of international care is rising, the complexity of international care compromises patient safety. To identify risks and propose solutions to improve international care, this study explores experiences of healthcare workers with international handovers in a European border region. Methods A cross-sectional survey design was used to reach out to 3000 healthcare workers, working for hospitals or emergency services in three neighboring countries in the Meuse-Rhine Euregion. In total, 846 healthcare workers completed the survey with 35 closed- and open-ended questions about experiences with international patient handover. Results One-third of respondents had been involved in international handover in the previous month. The handovers occurred in planned and acute care settings and were supported by numerous, yet varying standardized procedures. Healthcare workers were trained for this in some, but not all settings. Respondents mentioned 408 risks and proposed 373 solutions, which were inductively analyzed. Six identified themes classify the level on which risks and accompanying solutions can be found: awareness, professional competencies, communication between professionals, loss of information, facilities and support, and organizational structure. Discussion This study gives insight in international patient handovers in a European border region. Among the biggest risks experienced are procedural differences, sharing patient information, unfamiliarity with foreign healthcare systems, and not knowing roles and responsibilities of peers working across the border. Standardization of procedures, harmonization of systems, and the possibility for healthcare workers to get to know each other will contribute to reach common ground and move towards optimized and patient-safer cross-border care.

Author(s):  
Yoshito Nishimura ◽  
Tomoko Miyoshi ◽  
Hideharu Hagiya ◽  
Yoshinori Kosaki ◽  
Fumio Otsuka

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.


2021 ◽  
Vol 3 (1) ◽  
pp. 87-95
Author(s):  
Amina Hassan

The study explored the common students’ indiscipline at Islamic University in Uganda. The study was quantitative and a cross-sectional survey design was used. The population of the study was 3,486 registered students in the academic year 2019/2020. They were selected from the Faculty of Education, Faculty of Management Studies, Faculty of Law, Faculty of Social Sciences, and Faculty of Science. A sample of 265 respondents was selected for the study using proportionate and random sampling. The mean score was computed to analyse the data. To conclude, the point range of the arithmetic mean was considered. The study found that the common indiscipline among learners in IUIU included disrespect to teachers and school rules and regulations, theft, and irregular attendance. The study recommended IUIU administration improves staff remuneration to change the status of the teachers. Furthermore, the administration needs to tighten security in the university and residents need to take care of their property to avoid theft. The researcher also recommended that a study should be carried out to find out the cause of students’ irregular attendance


2016 ◽  
Vol 25 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Rebecca L. Dekker ◽  
Sarah King ◽  
Kara Lester

ABSTRACTThe purpose of this study was to describe how people use social media to find and disseminate information about evidence-based maternity care. We used a cross-sectional Internet-based survey design in which 1,661 participants were recruited from childbirth-related blogs. Participants answered questions about how they find, use, and share evidence-based maternity information using social media. Overall, women in this study were highly engaged in using social media to find and share maternity information. Most respondents were very interested in reading evidence-based maternity care articles online. Most intend to use this information that they found, despite the fact that a substantial percentage had no intentions of discussing this information with their childbirth educators or physician.


2020 ◽  
Author(s):  
kejimu sunzi ◽  
cheng lei ◽  
jun pan ◽  
mei ju

Abstract Background: Nursing is becoming ever more demanding, and is regarded as a stressful occupation because of manpower shortages and various other challenges associated with nursing practice.This article describes the students’ professional commitment and career maturity, and students establish their career objectives during the early stages of their graduate study. Methods: A cross sectional,survey design was conducted at universities in China. A sample of 184 students was selected using the professional commitment scale and career maturity scale to investigate the status quo of professional commitment and career maturity of full-time nursing postgraduates. Data was collected using self-designed demographic characteristics of the student, professional commitment scale, career maturity scale in 2019.Data was analyzed using correlation coefficient test(α < 0.05 ).Results: Participants returned 184 surveys (response rate, 100%) . Career maturity (105.12±11.13), Specialty commitment(90.0 ±12.09),Career maturity was positively correlated with Professional Commitment (r=0.20).Conclusions: The career maturity and professional commitments of full-time nursing postgraduates were of an average level. Career planning courses could be useful to strengthen the vocational education of the post-graduate students.


Author(s):  
Dalga Surofchy ◽  
Christina Mnatzaganian ◽  
Lord Sarino ◽  
Grace Kuo

Background Pharmacists represent some of the most accessible healthcare workers and are in an opportune position to spearhead new clinical initiatives, such as pharmacogenomics (PGx) services. It is important that we understand the perceptions and attitudes both pharmacists and patients have regarding PGx and potential barriers of implementing it into routine clinical practice. Methods A cross-sectional survey study was conducted across one regional division of a large community pharmacy chain to assess the perceptions and attitudes of pharmacists and patients regarding PGx in California. A secondary aim was to determine perceived barriers to PGx implementation into community pharmacies. Results The majority (67%) of pharmacists agreed or strongly agreed to understanding PGx compared to 35% of patients being aware of PGx (p<0.001). More patients (62%) preferred their pharmacist compared to pharmacists (43%) preferring themselves as a provider to manage patients' medications based on their PGx results (p<0.01). Many patients (88%) expressed interest in participating in a PGx test; both pharmacists (84%) and patients (85%) were unlikely to have participated or know someone who has participated in PGx testing. Pharmacists and patients expressed similar concerns about privacy of their PGx data by employers (p=0.287) and insurers (p=0.953), a potential barrier to PGx implementation. Conclusion Pharmacists are well positioned to spearhead PGx consultations and patients are interested in pharmacists using PGx to help manage their medications; however, various barriers were identified that must be overcome for PGx to become incorporated in routine practice.


2021 ◽  
Author(s):  
Jiahao Wang ◽  
Zhengying Chen ◽  
Yiting Liu ◽  
Xiaoli Liao ◽  
Liuxin Long ◽  
...  

Abstract BackgroundEmpathy and death competence are important competences for clinical nurses. However, there is no clear consensus about what impact empathy has on death competency. Our study aimed to understand the status of the empathy and death competence of clinical nurses in China and to explore the effect of empathy on their competence.MethodsFor a survey conducted from May–June 2021, 1415 clinical nurses were selected by convenience sampling as the research objects. The Coping with Death Scale, the Jefferson Scale of Empathy—Health Professionals and a general information questionnaire designed by the researchers were used to investigate the status of the empathy and death competence of clinical nurses. The relationship between empathy and death competence was analysed by Pearson correlation, and the influence of the empathy of clinical nurses on their death competence was analysed by a hierarchical regression model.ResultPearson correlation analysis revealed that death competence was positively correlated with each dimension of empathy. Hierarchical regression model analysis revealed that after controlling for the influence of general information, nurses' empathy had a significant influence on their death competence, and this independently explained 5.8% of the variance in death competence.ConclusionsThe death competence of the clinical nurses in this sample was moderate to low level. Emotional nursing and transposition thinking are important influencing factors of death competence. Nursing managers should improve the empathy of clinical nurses to promote their death competence.


2021 ◽  
Author(s):  
Syaribah Noor Brice ◽  
Justin James Boutilier ◽  
Daniel Gartner ◽  
Paul Harper ◽  
Vincent Knight ◽  
...  

Abstract Background Pre-hospital and emergency services in Indonesia are still developing. Despite recent improvements in the Indonesian healthcare system, issues with the provision of pre-hospital and emergency services persist. The demand for pre-hospital and emergency services has not been the subject of previous research and, therefore, has not been fully understood. Our research explored the characteristics of patients attending hospital emergency departments in Jakarta, Indonesia. Methods The study used a cross-sectional survey design involving five general hospitals (four government-funded and one private). The patients’ demographic profile, medical conditions, time to treatment based on different medical conditions, and methods of transport to reach the hospitals were analysed using descriptive statistics. The Kruskal-Wallis test was used to compare groups and the result was considered significant if the p-value < 0.05. Results A total of 1,964 patients was surveyed. The median age of patients was 44 years with an interquartile range (IQR) of 26 to 58 years. IQR describes the range of the middle 50% of values in the data when it is ordered from lowest to highest. Life-threatening conditions such as trauma and cardiovascular diseases were found in 8.6% and 6.6% of patients respectively, the general medical category accounted for 63%. The majority of patients with trauma travelled to the hospital using a motorcycle or car (59.8%). Ambulance was used by 9.3% of the patients, 38% of patients were not aware of the availability of ambulances. The median travel time by ambulances to the hospital was 42 minutes (IQR: 12 to 54 minutes). The median time to treatment for patients with cardiovascular disease was 102 minutes (IQR: 66 to 300 minutes). Conclusion Investing resources in pre-hospital and emergency services in Indonesia and in particular the provision of ambulance services, would create real benefits for the population and result in a significant reduction in deaths following heart disease and stroke.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lingling Zhang ◽  
Kimberlee L. Flike ◽  
C. Ann Gakumo ◽  
Ling Shi ◽  
Suzanne G. Leveille ◽  
...  

Abstract Background The existing studies showed that frontline healthcare workers during an epidemic experienced unusual stressors and mental distress which even lasted for years after the crisis. It is important to learn about their concerns early to mitigate the negative impact as well as to evaluate disease control from experiences on the front lines for improving responses to the outbreak. The study aimed to provide insights on how to strengthen public health responses to protect healthcare workers both physically and mentally, and effectively control the disease in light of hierarchy of controls. Methods A cross-sectional survey was distributed online via Qualtrics to frontline healthcare workers during the COVID-19 through a university’s nursing program and received 267 valid responses from 103 certificated nursing assistants, 125 nurses, and 39 other health professionals. A descriptive data analysis with a Chi-square test at a two-sided 0.05 level of significance was performed on factors that potentially affected mental health of healthcare workers and effectiveness of disease control at workplace in five domains. The themes were summarized on open-ended questions. Results About 30% of the respondents showed the symptom of depression and needed a further investigation. The influencing factors in five domains were examined. Engineering and administrative controls, as well as PPE were widely used in response to COVID-19. The respondents assessed the state and workplace responses to COVID-19 better than the federal government responses. The workplace responses were considered most effective. Multiple factors with a statistically significant correlation with effectiveness of the disease control at workplace were identified. Conclusions The study suggested that timely responses at policy level will be more effective than other measures in early prevention and control of the pandemic, mental distress should be addressed in addition to PPE, and nursing programs should consider providing a situation-specific career coaching or counseling for students. A longitudinal study at a larger scale is warranted to capture the variation of time change with the disease control evolvement and across geographic regions.


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