S800 Managing IBD in Pregnancy: Healthcare Professionals Involvement, Knowledge and Decision Making – A Cross-Sectional Study

Abstract Background Creating a treatment plan (TP) through shared decision making (SDM) with healthcare professionals, is of paramount importance for patients with multimorbidity. This study aims to estimate the prevalence of SDM and TP in patients with multimorbidity, and study the association between SDM/TP with demographics and patients’ confidence to manage their diseases.Method This cross-sectional study used an internationally recognized survey. 1,032 patients aged 60 or above with multimorbidity, were recruited from a specialist outpatient clinic, general outpatient clinic (GOPC) and a geriatric day hospital. The proportion of patients reported to have SDM and TP were estimated. Associations between the presence of SDM/TP and patients’ demographic data, and the confidence level to manage their illnesses, were then studied using logistic regression.Results The prevalence of SDM and TP were 35.8% and 82.1%, respectively. The presence of TP was associated with receiving healthcare from the same doctor or in the same facilities, and being recruited from GOPC. Presence of SDM (OR 1.381, p=0.054) and TP(OR 2.195, p<0.0001) were associated with enhanced confidence in dealing with diseases.Conclusion Most people with multimorbidity had TP in Hong Kong, but fewer patients had SDM.Practice implications: Ways to promote SDM in HK are needed.

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Does participation in ethics discussions have an impact on ethics decision-making? A cross-sectional study among healthcare professionals in paediatric oncology

European Journal of Oncology Nursing ◽

10.1016/j.ejon.2021.101950 ◽

2021 ◽

Vol 52 ◽

pp. 101950

Author(s):

Cecilia Bartholdson ◽

Margareta af Sandeberg ◽

Bert Molewijk ◽

Pernilla Pergert

Keyword(s):

Decision Making ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Paediatric Oncology ◽

Sectional Study ◽

Cross Sectional

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Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

10.2196/preprints.25186 ◽

2020 ◽

Author(s):

Guillaume Sacco ◽

Pauline Carliez ◽

Frédéric Noublanche ◽

Romain Simon ◽

Anne Renaudin ◽

...

Keyword(s):

Older Adults ◽

Geriatric Patients ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Satisfaction Score ◽

Tablet Computer ◽

Sectional Study ◽

Cross Sectional ◽

System Usability Scale ◽

Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

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Factors associated with emotional exhaustion in healthcare professionals involved in the COVID-19 pandemic: an application of the job demands-resources model

International Archives of Occupational and Environmental Health ◽

10.1007/s00420-021-01669-z ◽

2021 ◽

Author(s):

Serena Barello ◽

Rosario Caruso ◽

Lorenzo Palamenghi ◽

Tiziana Nania ◽

Federica Dellafiore ◽

...

Keyword(s):

Emotional Exhaustion ◽

Patient Engagement ◽

Healthcare Professionals ◽

Job Demands ◽

Cross Sectional Study ◽

Personal Resources ◽

Sectional Study ◽

Cross Sectional ◽

The Impact

Abstract Purpose The purpose of the present cross-sectional study is to investigate the role of perceived COVID-19-related organizational demands and threats in predicting emotional exhaustion, and the role of organizational support in reducing the negative influence of perceived COVID-19 work-related stressors on burnout. Moreover, the present study aims to add to the understanding of the role of personal resources in the Job Demands-Resources model (JD-R) by examining whether personal resources—such as the professionals’ orientation towards patient engagement—may also strengthen the impact of job resources and mitigate the impact of job demands. Methods This cross-sectional study involved 532 healthcare professionals working during the COVID-19 pandemic in Italy. It adopted the Job-Demands-Resource Model to study the determinants of professional’s burnout. An integrative model describing how increasing job demands experienced by this specific population are related to burnout and in particular to emotional exhaustion symptoms was developed. Results The results of the logistic regression models provided strong support for the proposed model, as both Job Demands and Resources are significant predictors (OR = 2.359 and 0.563 respectively, with p < 0.001). Moreover, healthcare professionals’ orientation towards patient engagement appears as a significant moderator of this relationship, as it reduces Demands’ effect (OR = 1.188) and increases Resources’ effect (OR = 0.501). Conclusions These findings integrate previous findings on the JD-R Model and suggest the relevance of personal resources and of relational factors in affecting professionals’ experience of burnout.

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Prelicensure Nursing Students’ COVID-19 Attitude Impact on Nursing Career Decision during Pandemic Threat in Taiwan: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063272 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3272

Author(s):

Shu-Chun Lin ◽

Lee-Fen Ni ◽

Yu-Ming Wang ◽

Shu Hsin Lee ◽

Hung-Chang Liao ◽

...

Keyword(s):

Decision Making ◽

Nursing Students ◽

Perceived Control ◽

Career Decision ◽

Cross Sectional Study ◽

Attitude Scale ◽

Sectional Study ◽

Career Decision Making ◽

Cross Sectional ◽

Prelicensure Nursing

The COVID-19 pandemic may cause a nursing shortage. Prelicensure nursing students who are exposed to high-stress COVID-19 events are related to defective career decision-making. This study validated the COVID-19 attitude scale and clarified how their attitudes about COVID-19 affected their behavioral intentions toward career decision-making. We conducted a cross-sectional study and recruited a convenience sample of 362 prelicensure nursing students from Northern and Central Taiwan. Two measurements were applied, including the Nursing Students Career Decision-making instrument and COVID-19 attitude scale. We used AMOS (version 22.0) to perform a confirmatory factor analysis. The Cronbach α of the COVID-19 attitude scale was 0.74 and consisted of four factors. The most positive attitude was the nursing belief factor, and the least positive factor was emotional burden. Prelicensure nursing students’ COVID-19 attitudes were significantly positively associated with their career decision-making attitudes and perceived control (ß = 0.41 and ß = 0.40, respectively; p < 0.001). All the key latent variables explained significantly 23% of the variance in the career decision-making behavioral intentions module. In conclusion, the COVID-19 attitude scale is valid. Although the prelicensure nursing students’ COVID-19 attitudes had no direct effect on career decision-making intentions, they had a direct effect on career decision-making attitudes and the perceived control.

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Quality of Life Prior and in the Course of the COVID-19 Pandemic: A Nationwide Cross-Sectional Study with Brazilian Dietitians

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052712 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2712

Author(s):

Raquel Adjafre da Costa Matos ◽

Rita de Cassia Coelho de Almeida Akutsu ◽

Renata Puppin Zandonadi ◽

Raquel Braz Assunção Botelho

Keyword(s):

Quality Of Life ◽

Psychological Health ◽

Social Relationship ◽

Healthcare Professionals ◽

Life Quality ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Chi Squared

Dietitians as healthcare professionals could decrease their quality of life during the SARS-COV-2 pandemic period; therefore, this study aimed to compare Brazilian dietitians’ perceptions of quality of life before and during the pandemic. This nationwide cross-sectional research aimed to evaluate Brazilian dietitians’ quality of life before and in the course of the COVID-19 pandemic, using a previously validated self-administered instrument WHO-QOL-BREF in Brazilian-Portuguese. The questionnaire was composed of 26 items (four domains) to evaluate life quality (physical, psychological, social relationship, and environment). The questionnaire also presented some sociodemographic variables and three questions about the COVID-19 pandemic. It was applied using GoogleForms® platform (Google LLC, Mountain View, CA, USA). For the statistical analysis of data, Paired T-test, Chi-squared test, and Analysis of Variance were used. A total of 1290 Brazilian dietitians replied to the instrument. Comparing quality of life (QoL) before SARS-COV-2 (3.83 ± 0.59) and during the pandemic (3.36 ± 0.66), data was statistically different. Comparing prior and in the course of the COVID-19 pandemic, all variables and domains presented statistical differences (better before the pandemic period). Among Brazilian dietitians, the psychological health domain was the most affected. The Sars-Cov-2 pandemic negatively impacted the QoL of Brazilian dietitians since health professionals face changes in their lives because of work.

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A Cross-Sectional Study: Patient Privacy According to Doctors and Nurses

Nursing Science Quarterly ◽

10.1177/0894318420987171 ◽

2021 ◽

Vol 34 (2) ◽

pp. 114-122

Author(s):

Nilüfer Demirsoy ◽

Hülya Öztürk ◽

Nurdan Ergün Acar

Keyword(s):

Work Environment ◽

Healthcare Professionals ◽

Emergency Services ◽

Cross Sectional Study ◽

Study Patient ◽

Patient Privacy ◽

Sectional Study ◽

Right To Privacy ◽

Cross Sectional ◽

Building Trust

Confidentiality is fundamental in building trust between patients and healthcare professionals. This research aims at presenting healthcare professionals’ opinions on patient privacy, using a 5-point Likert-type scale titled “Opinion of the Healthcare Professionals on Patient Privacy,” and 262 physicians’ and 231 nurses’ opinions were evaluated. Results showed that nurses and doctors working at emergency services got higher mean scores than those working at other units. Results revealed that doctors had the highest mean score for the item “ It is important that the patient’s body is not seen by other patients and professionals during the treatment,” while nurses had the highest mean score for the item “ I approach with due care to protect privacy in the work environment.” Results of this work highlight that patient’s right to privacy constitutes one of the most significant issues to be noted by healthcare professionals.

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Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073359 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3359

Author(s):

Desirée Mena-Tudela ◽

Susana Iglesias-Casás ◽

Víctor Manuel González-Chordá ◽

María Jesús Valero-Chillerón ◽

Laura Andreu-Pejó ◽

...

Keyword(s):

Public Health ◽

Primary Care ◽

Informed Consent ◽

Healthcare Professionals ◽

Public Health Problem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Lack Of Information ◽

Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

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