scholarly journals Correction to: Australian hospital staff perceptions of barriers and enablers of domestic and family violence screening and response

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Debra K. Creedy ◽  
Kathleen Baird ◽  
Kerri Gillespie ◽  
Grace Branjerdporn
Keyword(s):  
Family Violence ◽  
Hospital Staff ◽  
Staff Perceptions ◽  
Barriers And Enablers ◽  
Australian Hospital

scholarly journals Australian hospital staff perceptions of barriers and enablers of domestic and family violence screening and response

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Debra K. Creedy ◽  
Kathleen Baird ◽  
Kerri Gillespie ◽  
Grace Brandjerdporn
Keyword(s):  
Family Violence ◽  
Hospital Staff ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional Survey ◽  
Staff Perceptions ◽  
Cross Sectional ◽  
Team Meetings ◽  
Barriers And Enablers ◽  
Australian Hospital

Abstract Background Hospital presentations provide unique opportunities to detect DFV. However, up to 70% of women experiencing Domestic and Family Violence (DFV) go undetected by hospital staff. While routine DFV screening is internationally encouraged, there is still much debate surrounding its implementation. The aim of the study was to determine staff perceptions of barriers and enablers of DFV screening and response. Methods A cross-sectional survey was conducted at a tertiary level public hospital and health service. Health care staff in allied health, maternity and mental health divisions (n = 615) were invited to participate by email and through team meetings. 172 responses were analysed. Results Less than a third of respondents reported routinely asking patients about DFV, with 34.9% reporting they did not have sufficient training to assist with DFV. Increased levels of training were positively correlated with screening practices, preparedness and knowledge. Major barriers were presence of partner and language barriers, while written protocols and supportive work environment were the principal enablers of screening. Conclusion Staff generally believed that routine screening was important and should encompass all forms of abuse. Many felt ill-equipped to ask about or manage disclosure of DFV. More training improves staff capacity for DFV detection and response, and written guidelines should be made available to all staff.

Hospital Staff Perceptions of a Legislative Mandate for Methicillin-Resistant Staphylococcus aureus Screening

2011 ◽  
Vol 32 (6) ◽  
pp. 573-578 ◽  
Author(s):  
Matthew E. Wise ◽  
Stephen G. Weber ◽  
Amy Schneider ◽  
Meg Stojcevski ◽  
Anne Marie France ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Focus Group ◽  
Focus Groups ◽  
Hospital Staff ◽  
Negative Consequences ◽  
Staff Perceptions ◽  
Methicillin Resistant ◽  
Chicago Area ◽  
Use Of Resources ◽  
Implementation Plans

Objective.In August 2007, Illinois passed legislation mandating methicillin-resistant Staphylococcus aureus (MRSA) admission screening for intensive care unit patients. We assessed hospital staff perceptions of the implementation of this law.Design.Mixed-methods evaluation using structured focus groups and questionnaires.Setting.Eight Chicago-area hospitals.Participants.Three strata of staff (leadership, midlevel, and frontline) at each hospital.Methods.All participants completed a questionnaire and participated in a focus group. Focus group transcripts were thematically coded and analyzed. The proportion of staff agreeing with statements about MRSA and the legislation was compared across staff types.Results.Overall, 126 hospital staff participated in 23 focus groups. Fifty-six percent of participants agreed that the legislation had a positive effect at their facility; frontline staff were more likely to agree than midlevel and leadership staff (P < .01). Perceived benefits of the legislation included increased awareness of MRSA among staff and better knowledge of the epidemiology of MRSA colonization. Perceived negative consequences included the psychosocial effect of screening and contact precautions on patients and increased use of resources. Most participants (59%) would choose to continue the activities associated with the legislation but advised facilities in states considering similar legislation to educate staff and patients about MRSA screening and to draft clear implementation plans.Conclusion.Staff from Chicago-area hospitals perceived that mandatory MRSA screening legislation resulted in some benefits but highlighted implementation challenges. States considering similar initiatives might minimize these challenges by optimizing messaging to patients and healthcare staff, drafting implementation plans, and developing program evaluation strategies.

scholarly journals What Are Staff Perceptions About Their Current Use of Emergency Departments for Long-Term Care Residents at End of Life?

2017 ◽  
Vol 28 (6) ◽  
pp. 692-707 ◽  
Author(s):  
Sharon Kaasalainen ◽  
Tamara Sussman ◽  
Pamela Durepos ◽  
Lynn McCleary ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
End Of Life ◽  
Long Term Care ◽  
Hospital Staff ◽  
Clinical Expertise ◽  
Staff Perceptions ◽  
Term Care ◽  
Reflective Process ◽  
Hospital Deaths ◽  
Chart Audits

The goal of this study was to examine current rates of resident deaths, Emergency Department (ED) use within the last year of life, and hospital deaths for long-term care (LTC) residents. Using a mixed-methods approach, we compared these rates across four LTC homes in Ontario, Canada, and explored potential explanations of variations across homes to stimulate staff reflections and improve performance based on a quality improvement approach. Chart audits revealed that 59% of residents across sites visited EDs during the last month of life and 26% of resident deaths occurred in hospital. Staff expressed surprise at the amount of hospital use during end of life (EOL). Reflections suggested that clinical expertise, comfort with EOL communication, clinical resources (i.e., equipment), and family availability for EOL decision making could all affect nondesirable hospital transfers at EOL. Staff appeared motivated to address these areas of practice following this reflective process.

scholarly journals Awakenings? Patient and Hospital Staff Perceptions of Nighttime Disruptions and Their Effect on Patient Sleep

2017 ◽  
Vol 13 (02) ◽  
pp. 301-306 ◽  
Author(s):  
Mila N. Grossman ◽  
Samantha L. Anderson ◽  
Aelaf Worku ◽  
William Marsack ◽  
Nimit Desai ◽  
...  
Keyword(s):  
Hospital Staff ◽  
Staff Perceptions

Caring for people with dementia in hospital: findings from a survey to identify barriers and facilitators to implementing best practice dementia care

2016 ◽  
Vol 29 (3) ◽  
pp. 467-474 ◽  
Author(s):  
Joanne Tropea ◽  
Dina LoGiudice ◽  
Danny Liew ◽  
Carol Roberts ◽  
Caroline Brand
Keyword(s):  
Best Practice ◽  
Quality Care ◽  
Hospital Setting ◽  
Hospital Staff ◽  
Dementia Care ◽  
Perceived Barriers ◽  
Barriers And Enablers ◽  
People With Dementia ◽  
Multidisciplinary Staff ◽  
Survey Responses

ABSTRACTBackground:Best practice dementia care is not always provided in the hospital setting. Knowledge, attitudes and motivation, practitioner behavior, and external factors can influence uptake of best practice and quality care. The aim of this study was to determine hospital staff perceived barriers and enablers to implementing best practice dementia care.Methods:A 17-item survey was administered at two Australian hospitals between July and September 2014. Multidisciplinary staff working in the emergency departments and general medical wards were invited to participate in the survey. The survey collected data about the respondents’ current role, work area, and years of experience, their perceived level of confidence and knowledge in dementia care and common symptoms of dementia, barriers and enablers to implementing best practice dementia care, job satisfaction in caring for people with dementia, and to rate the hospital's capacity and available resources to support best practice dementia care.Results:A total of 112 survey responses were received. The environment, inadequate staffing levels and workload, time, and staff knowledge and skills were identified as barriers to implementing best practice dementia care. Most respondents rated their knowledge of dementia care and common symptoms of dementia, and confidence in recognizing whether a person has dementia, as moderate or high dementia. Approximately, half the respondents rated access to training and equipment as low or very low.Conclusion:The survey findings highlighted hospital staff perceived barriers to implementing best practice dementia care that can be used to inform locally tailored improvement interventions.

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