Sliding Sheet Use in Nursing Practice: An Intervention Study

2019 ◽  
Vol 68 (4) ◽  
pp. 171-181
Author(s):  
Deborah Alperovitch-Najenson ◽  
Chava Weiner ◽  
Joseph Ribak ◽  
Leonid Kalichman
Keyword(s):  
Job Satisfaction ◽  
Patient Care ◽  
Nursing Practice ◽  
Low Cost ◽  
Neck Disability Index ◽  
Nursing Assistants ◽  
Direct Patient Care ◽  
Care Providers ◽  
Work Related ◽  
Neck Disability

Background: Previous studies have discovered that the utilization of sliding sheets in patient care is a valuable technique for repositioning bedridden patients compared with traditional cotton sheets or carriers. Our aim was to examine the effects of sliding sheet usage on work-related musculoskeletal disorders and disability, perceived workload, burnout, and job satisfaction, among nurses and nursing assistants. Method: This repeated measurement study included 41 female nurses and nursing assistants from three internal medicine departments who provided direct patient care. Participants completed an eight-part questionnaire (demographics, Neck Disability Index, Quick Disability of the Arms, Shoulder and Hand Questionnaire, Modified Oswestry Low Back Pain Disability Questionnaire, BackAche Disability Index workload, burnout, and job satisfaction) 4 times during the study period: 3 months prior to the intervention, on the first day of the intervention, and 3 and 6 months after commencement of the intervention. Findings: After 3 and 6 months of sliding sheet usage, pain and disability decreased in the neck ( p < .001); arms, shoulders, hands ( p = .041); and lower back ( p < .001), with an increase in job satisfaction ( p < .001). Discussion/Application to Practice: The findings of our study indicate a clear influence of reducing work-related musculoskeletal pain and disability while increasing job satisfaction when sliding sheets are introduced into nursing practice. Occupational health nurses in health care should consider this type of low-cost intervention as a method for reducing musculoskeletal injury among direct patient care providers.

scholarly journals Understanding why primary care doctors leave direct patient care: a systematic review of qualitative research

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e029846
Author(s):  
Linda Long ◽  
Darren Moore ◽  
Sophie Robinson ◽  
Anna Sansom ◽  
Alex Aylward ◽  
...  
Keyword(s):  
Systematic Review ◽  
Job Satisfaction ◽  
Qualitative Research ◽  
Patient Care ◽  
Good Practice ◽  
Stress Factors ◽  
Direct Patient Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Factors Affecting

BackgroundUK general practitioners (GPs) are leaving direct patient care in significant numbers. We undertook a systematic review of qualitative research to identify factors affecting GPs’ leaving behaviour in the workforce as part of a wider mixed methods study (ReGROUP).ObjectiveTo identify factors that affect GPs’ decisions to leave direct patient care.MethodsQualitative interview-based studies were identified and their quality was assessed. A thematic analysis was performed and an explanatory model was constructed providing an overview of factors affecting UK GPs. Non-UK studies were considered separately.ResultsSix UK interview-based studies and one Australian interview-based study were identified. Three central dynamics that are key to understanding UK GP leaving behaviour were identified: factors associated with low job satisfaction, high job satisfaction and those linked to the doctor–patient relationship. The importance of contextual influence on job satisfaction emerged. GPs with high job satisfaction described feeling supported by good practice relationships, while GPs with poor job satisfaction described feeling overworked and unsupported with negatively impacted doctor–patient relationships.ConclusionsMany GPs report that job satisfaction directly relates to the quality of the doctor–patient relationship. Combined with changing relationships with patients and interfaces with secondary care, and the gradual sense of loss of autonomy within the workplace, many GPs report a reduction in job satisfaction. Once job satisfaction has become negatively impacted, the combined pressure of increased patient demand and workload, together with other stress factors, has left many feeling unsupported and vulnerable to burn-out and ill health, and ultimately to the decision to leave general practice.

Introduction of computerized provider order entry (CPOE) and time impact in an inpatient hematology/oncology service: Serial time and motion studies

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17507-e17507
Author(s):  
D. A. Hanauer ◽  
R. W. Beasley ◽  
J. Schumacher ◽  
M. G. Duck ◽  
D. W. Blayney
Keyword(s):  
Patient Care ◽  
Physician Assistants ◽  
House Staff ◽  
Direct Patient Care ◽  
Care Providers ◽  
Order Entry ◽  
Time And Motion ◽  
Oncology Service ◽  
The Impact ◽  
Productive Time

e17507 Background: The impact of CPOE on inpatient hematology/oncology care is not well studied. CPOE has many benefits, but concerns exist about increased time required to enter electronic orders compared to handwritten orders. We hypothesized that CPOE would require more order-related time from caregivers, and reduce the amount of time for direct patient care. Methods: Physician assistants (PAs) enter all patient orders (except those for chemotherapy) and are the dedicated and exclusive care providers on this non-house staff service at the main Hospital of the University of Michigan Health System. We chose the PA service for observation as we could eliminate potential biases introduced by rotating house staff we observed in earlier studies. PAs were directly observed at -1, +3 and +8 months post implementation of a CPOE system (Sunrise Clinical Manager, Eclypsis, Atlanta GA). Dedicated observers used a data entry tool with a modified database (available on the Health IT Tools section at healthit.ahrq.gov) on a tablet computer. For analysis, the 60 individual activities were grouped into 6 major categories, as well as an ordering category. We observed the same three PAs for 82.5 hours pre-CPOE, for 75.0 hours at 3 months post and for 70.5 hours 8 months post. Productive time was all non-personal and non-administrative time. The faculty entered chemotherapy orders and supervised the PAs, but were not studied. Results: Overall time for order-related activities was unchanged during the three observation periods, requiring 10.3, 10.6 and 11.4% of productive time, respectively. Time spent on direct patient care (as a percentage of productive time) was also unchanged once CPOE was implemented (50.7% pre vs. 49.8% and 47.8% post). Conclusions: We could not detect differences in order-entry time by well-trained PAs using standardized order sets before and after CPOE implementation on an inpatient hematology/oncology service. The decision to adopt CPOE should not be based on the hypothesis that there will be less (or more) time spent on order entry tasks. No significant financial relationships to disclose.

scholarly journals Haemophilia nursing practice: A global survey of roles and responsibilities

2016 ◽  
Vol 3 (2) ◽  
pp. 29-33
Author(s):  
Kate Khair ◽  
Mahmoud Abu-Riash ◽  
Ana Claudia Acerbi ◽  
Marlene Beijlevelt ◽  
Georgina Floros ◽  
...  
Keyword(s):  
Patient Care ◽  
Best Practice ◽  
Nursing Practice ◽  
Medical Practitioner ◽  
Direct Patient Care ◽  
Learning Capability ◽  
Patient Reported ◽  
On Line ◽  
Nursing Roles ◽  
The Impact

Abstract Haemophilia nursing roles continue to develop alongside nursing as a profession. There are now nurses who practice autonomously, much like a medical practitioner, and many who have extended their roles to deliver direct patient care, education and research. There has been little, if any, comparison with haemophilia nurse roles internationally, nor of the impact of these roles on patient reported outcomes. This paper reports the results of an international survey, of 297 haemophilia nurses from 22 countries, describing current day practice and care. Many nurses work above and beyond their funded hours to improve care through research and evidence-based practice. While some are able to attend international meetings to report and discover this evidence, many due to financial constraints, are not. Others reported difficulty with communicating in English, which limited congress attendance. With on-line learning capability, sharing of best practice is now possible, and this approach should be a platform developed in coming years to further enhance haemophilia nursing practice and ultimately patient care.

The feasibility of gym-based exercise therapy for patients with persistent neck pain

2020 ◽  
Vol 20 (2) ◽  
pp. 261-272
Author(s):  
Johan Larsson ◽  
Hans Westergren ◽  
Birgitta Häggman-Henrikson ◽  
Aurelija Ilgunas ◽  
Anders Wänman ◽  
...  
Keyword(s):  
Health Care ◽  
Neck Pain ◽  
Health Care Providers ◽  
Exercise Therapy ◽  
Physical Therapist ◽  
Neck Disability Index ◽  
Care Providers ◽  
Neck Trauma ◽  
Neck Disability ◽  
Therapy Intervention

AbstractBackground and aimsPersistent neck pain is common and can be detrimental to the health of those who are affected. This is particularly common after neck trauma, where it poses a challenge to health care providers. In this paper, we present the design and results of a study aimed primarily at assessing the feasibility of a supervised exercise intervention for patients with persistent neck pain after trauma. As a secondary aim, we analyzed the results of the intervention.MethodsWe designed and conducted a feasibility study using a mixed methods design. Ten patients with persistent neck pain (nine with a history of neck trauma and one with sudden onset of neck pain) were recruited from a specialized pain rehabilitation center and underwent a gym-based individual exercise therapy intervention, supervised by a physical therapist. We assessed the feasibility of the exercise therapy intervention based on the experiences of the patients and physical therapists. We analyzed both quantitative and qualitative results using descriptive statistics, content analysis, and questionnaires.ResultsThe study found the exercise therapy to be a feasible alternative for patients with persistent neck pain. Most of the practical aspects of the intervention and study were executed as planned, and the study was well received by the patients, who found it a valuable part of their rehabilitation. In the quantitative analysis, improvements were observed on the Neck Disability Index, numerical rating scale for pain, EuroQol 5D, and physical activity, with scores on the Neck Disability Index showing a statistically significant improvement. Scores on the Disability Rating Index showed a non-significant deterioration. The qualitative analysis uncovered one overarching theme and four themes for the patients and three themes for the physical therapist.ConclusionsThe exercise therapy intervention seems to be feasible with favorable outcomes for the patients. The quantitative and qualitative analyses demonstrated exercise therapy to be beneficial from several different perspectives. However, although structured, the training needs customization and individual adaption from a clinical reasoning perspective in order to meet each patient’s individual needs.ImplicationsThis study shows that supervised gym-based exercise therapy is feasible for patients with severe, persistent neck pain. It facilitates and motivates the execution of a larger, controlled trial, which might then lead to a new and potentially effective addition to the toolbox of all health care providers treating patients with persistent neck pain.

Relationship Between Control Over Nursing Practice and Job Satisfaction and Quality of Patient Care

2019 ◽  
Vol 34 (3) ◽  
pp. E1-E6 ◽  
Author(s):  
Zaid Al-Hamdan ◽  
Eman Smadi ◽  
Muayyad Ahmad ◽  
Hala Bawadi ◽  
Ann M. Mitchell
Keyword(s):  
Job Satisfaction ◽  
Patient Care ◽  
Nursing Practice ◽  
Quality Of Patient Care ◽  
Control Over Nursing Practice

scholarly journals Miniscalpel-Needle Treatment Is Effective for Work-Related Neck and Shoulder Musculoskeletal Disorders

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Shuming Li ◽  
Tong Shen ◽  
Yongshan Liang ◽  
Bo Bai ◽  
Ying Zhang
Keyword(s):  
Musculoskeletal Disorders ◽  
Neck Disability Index ◽  
Serum Levels ◽  
Work Related ◽  
Reactive Protein ◽  
Work Related Musculoskeletal Disorders ◽  
Before And After ◽  
Healthy Control ◽  
Neck Disability ◽  
Serum Crp

Background.Work-related musculoskeletal disorders (MSDs) are a group of painful disorders of muscles, tendons, and nerves, such as neck and shoulder MSD. This study was designed to use miniscalpel-needle (MSN) technique as an intervention for work-related MSDs.Methods.Thirty-one patients with work-related MSDs and 28 healthy subjects were enrolled as controls in this study. The MSD symptoms of each patient were assessed by visual analog scale (VAS) and neck disability index (NDI). Blood samples were collected from control subjects and MSD patients before and after treatment. Serum levels of C-reactive protein (CRP) and tumor necrosis factor (TNF) were measured using ELISA.Results.Prior to MSN treatment, serum levels of CRP and TNF were significantly higher in the MSD patients than the healthy controls. Serum CRP levels correlated with VAS and NDI scores, and serum TNF levels correlated with NDI scores. Compared to pretreatment, VAS and NDI scores were significantly lower in MSD patients after MSN treatment, while serum CRP and TNF levels were significantly lower compared with the healthy control levels.Conclusions.Our results indicate that MSN may be an effective intervention for work-related MSDs and be associated with lower serum levels of inflammatory biomarkers.

scholarly journals 645 Acute Insomnia Disorder in Health Care Workers Before and During COVID-19: Rates and Predictive Factors

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A252-A253
Author(s):  
William McCall ◽  
Demetra Mensah-Bonsu ◽  
Allison Withers ◽  
Robert Gibson
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Tertiary Care ◽  
Direct Patient Care ◽  
Care Providers ◽  
Insomnia Disorder ◽  
Care Workers

Abstract Introduction Pandemics such as COVID-19 create population-wide stressors that create a natural laboratory for acute insomnia research. This study investigated risk factors and estimated rates of acute insomnia disorder in health care workers at the onset of the COVID-19 pandemic. Methods A Qualtrics survey of more than 2300 health care providers was conducted in a single academic health system on May 15th 2020, comprised of practicing attending physicians, residents and fellows in training, advanced practice providers, and nurses. Six hundred and sixty eight responded (29% response rate). The Research Diagnostic Criteria for Insomnia Disorder was used to diagnose Acute Insomnia Disorder. Results 573 respondent had no missing data pertaining to sleep, with a mean age of 43.4 + 12.5 years and 72% women. The rate of Insomnia Disorder before COVID-19 was 44.5%, while after COVID-19 it was 64.0% - a statistically significant increase. 10.2% of persons with Insomnia Disorder before COVID-19 stated it had resolved during COVID-19, while 43.4% of persons who did not have Insomnia Disorder before COVID-19 developed Acute Insomnia Disorder during COVID-19 (χ2=145.2; df=1; P&lt;0.0001). New cases of Acute Insomnia Disorder increased with female gender, advancing age, and less time spent in direct patient care. Conclusion Insomnia Disorder showed high baseline prevalence before COVID-19, followed by a striking increase in incidence in this sample of tertiary care health care workers. The effects of gender and age were similar to what has been previously published as risk factors for insomnia. The surprising finding that less time spent in direct patient care was associated with more cases of Acute Insomnia Disorder might be related to the poorly understood stresses of working from home during COVID-19. Support (if any):

Job Satisfaction and Career Commitment Among Alzheimer’s Care Providers: Addressing Turnover and Improving Staff Empowerment

2011 ◽  
Vol 26 (7) ◽  
pp. 521-527 ◽  
Author(s):  
Constance L. Coogle ◽  
Iris A. Parham ◽  
Colleen A. Rachel
Keyword(s):  
Job Satisfaction ◽  
Career Planning ◽  
Career Commitment ◽  
Care Staff ◽  
Care Providers ◽  
Satisfaction Measure ◽  
Work Related ◽  
Scale Scores ◽  
Intrinsic Job Satisfaction

This study investigated the relation between job satisfaction and career commitment among 262 Alzheimer’s care staff working in long-term and community-based care settings. It was anticipated that the results would suggest whether career commitment could be enhanced to positively influence job satisfaction, and conversely, if improvements in job satisfaction might contribute to a deepened sense of vocational empowerment. Participants attended dementia-specific training and completed 2 short work-related questionnaires that measured job satisfaction and career commitment. The results of stepwise regression revealed interrelations between the 2 constructs. Congruence appeared to be reciprocal with respect to the overall scale scores and the intrinsic job satisfaction measure. Unexpected relations appeared in analyses of the extrinsic job satisfaction measure and the career planning subscale. Results are indicative of the fundamental distinction between job satisfaction and career commitment. Implications for efforts to reduce turnover and improve staff empowerment are also considered.

scholarly journals Bullying in the Australian medical workforce: cross-sectional data from an Australian e-Cohort study

2012 ◽  
Vol 36 (2) ◽  
pp. 197 ◽  
Author(s):  
Deborah A. Askew ◽  
Philip J. Schluter ◽  
Marie-Louise Dick ◽  
Patricia M. Régo ◽  
Catherine Turner ◽  
...  
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Cohort Study ◽  
Patient Care ◽  
Workplace Bullying ◽  
Age Groups ◽  
Direct Patient Care ◽  
Medical Workforce ◽  
Job Stressors ◽  
Cross Sectional

Objective. This study aimed to describe the prevalence of perceived workplace bullying in the Australian medical workforce, and investigate the relationship between workplace bullying and job satisfaction, health status, and current and planned medical workforce participation. Methods. An electronic cross-sectional survey of doctors currently in the paid workforce, conducted between April 2008 and October 2009, was nested within a longitudinal cohort study investigating factors affecting the recruitment and retention of the Australian medical workforce. To address the specific aims of this study, a subset of questions in the survey investigated the prevalence of self-reported bullying; physical and mental health; workforce participation patterns; job satisfaction; and job stressors. Results. Seven hundred and forty-seven participants responded to the bullying question and were included in this analysis. Twenty-five percent of participants reported being bullied in the last 12 months. There were no differences in the reported rates of bullying across age groups, sex and country of medical qualification. Bullied doctors were least satisfied with their jobs (P < 0.001), had taken more sick leave in the last 12 months (P < 0.001), and were more likely to be planning to decrease the number of hours worked in medicine in the next 12 months (P = 0.01) or ceasing direct patient care in the next 5 years (independent of their age or the number of hours currently worked in patient care) (P = 0.006). Conclusions. Our findings suggest that Australian doctors, independent of age or sex, have experienced workplace bullying, and although no conclusions can be made about causal pathways, there were strong associations between this exposure and poorer health and wellbeing, and on remaining in the medical workforce. What is known about the topic? Bullying and harassment have a significant impact on mental health, job satisfaction, and intention to leave the workforce. Workplace bullying in healthcare organisations affects the individuals involved, the organisations and the patients. The prevalence of workplace bullying throughout the medical workforce in Australia or elsewhere has not been investigated, with previous studies focussing on subsets of doctors, particularly junior doctors. What does this paper add? This paper found that 25% of doctors participating in this study reported experiencing persistent behaviours in the last 12 months that had undermined their professional confidence or self-esteem. There were no differences in the prevalence of bullying observed between sexes, age groups, country of medical qualifications, or employment sector. Victims of bullying had poorer mental health, had taken more sick leave in the last 12 months, were less satisfied with their current jobs and with being doctors, were more affected by job stressors and were more likely to be considering ceasing direct patient care than non-bullied doctors. What are the implications for practitioners? Practitioners need to be alert for potential bullying and harassment within healthcare organisations and be prepared to act decisively to minimise its impact on staff health, satisfaction and retention, and patient quality of care.

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