scholarly journals Patient’s perception of the communication of clinical doctors and surgeons in a university hospital

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Milena Regina Dos Santos Perez ◽  
Mirele Cristine Santos de Oliveira ◽  
Danielle Bispo Vieira Ortiz ◽  
Stela Souza Peña ◽  
Jose Roberto Pretel Pereira Job ◽  
...  
Keyword(s):  
University Education ◽  
University Hospital ◽  
Hospital Environment ◽  
Medical Clinic ◽  
Cross Sectional ◽  
Good Communication ◽  
Patient Dissatisfaction ◽  
Hospitalization Period ◽  
General Communication ◽  
Surgical Clinic

Abstract: Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.

scholarly journals Percepção de pacientes sobre a comunicação de médicos clínicos e cirurgiões em hospital universitário

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Milena Regina Dos Santos Perez ◽  
Mirele Cristine Santos de Oliveira ◽  
Danielle Bispo Vieira Ortiz ◽  
Stela Souza Peña ◽  
Jose Roberto Pretel Pereira Job ◽  
...  
Keyword(s):  
University Education ◽  
Hospital Environment ◽  
Medical Clinic ◽  
Cross Sectional ◽  
Good Communication ◽  
Doctor Patient Communication ◽  
Patient Dissatisfaction ◽  
Hospitalization Period ◽  
General Communication ◽  
Surgical Clinic

Abstract: Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.

scholarly journals Occurrence of pressure injury in patients hospitalized in a school hospital

2018 ◽  
Author(s):  
Juliana Barbosa ◽  
Geraldo Salomé
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Emergency Room ◽  
University Hospital ◽  
Medical Clinic ◽  
Moderate Risk ◽  
Cross Sectional ◽  
Braden Scale ◽  
Pressure Injury ◽  
Surgical Clinic

Objective: to evaluate the occurrence and risk factors for the development of pressure injury (PI) in patients admitted in medical and surgical clinics and in observation at the emergency room of a university hospital. Methods: Cross-sectional, descriptive-exploratory, epidemiological study. Patients were assessed by physical examination three times a week for two consecutive months between June and November 2016. Results: the frequency of PI was 29% (n = 9) in the medical clinic, 16% (n = 4) in the surgical clinic and 53.8% (n = 7) in observation at the emergency room. According to the Braden scale, seven (30.4%) patients in the medical clinic presented high risk and two (25%) moderate risk; three (27.3%) patients from the surgical clinic presented a high risk and one (7.1%) moderate risk; and seven (58.3%) patients in observation at the emergency room were high risk. The risk factors associated with the participants who developed PI were: restriction in the bed, use of catheters or devices, vasoactive drug, diaper, mechanical ventilation, sedatives, unconsciousness, food fasting and hospitalization time over 10 days. Conclusion: there was a high frequency of PI in the medical and surgical clinics and in observation at the emergency room. Most patients were high risk for developing PI.

scholarly journals Practice of use of diapers in hospitalized adults and elderly: cross-sectional study

2018 ◽  
Vol 71 (2) ◽  
pp. 343-349 ◽  
Author(s):  
Graziele Ribeiro Bitencourt ◽  
Luise de Almeida Ferreira Alves ◽  
Rosimere Ferreira Santana
Keyword(s):  
Urinary Catheter ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Collection Period ◽  
Surgical Clinic ◽  
Main Complication ◽  
Urinary Control

ABSTRACT Objective: analyze the practice of use of diapers in adults and elderly in hospital. Method: observational cross-sectional study, with a sample of 105 participants assigned according to the data collection period, from September 2013 to January 2014, in the surgical clinic wards in a University Hospital. Results: it was observed that 38% of the 105 participants of the study did not need the use of diapers. 18% used it because they were disabled and 16% had their cognitive system damaged. As they were hospitalized, it was identified that 51.4% of patients were there ranging from 02 to 10 days, and 60% used diapers for the same period. It is also identified that long term urinary catheter (24.8%), as technology associated to diapers in the urinary control and to pressure ulcers (12.4%), being the main complication. Conclusion: the use of diapers did not have specific criteria to be selected. For this, it was proposed an "Evaluation Scale of Diapers Use in Adults", as for indication as for its monitoring to help the study transposal for the nursing practice.

scholarly journals Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

2020 ◽  
Author(s):  
Jean-Rodolphe MACKANGA ◽  
Emeline Gracia MOUENDOU MOULOUNGUI ◽  
Josaphat IBA-BA ◽  
Pierre POTTIER ◽  
Jean-Baptiste MOUSSAVOU KOMBILA ◽  
...  
Keyword(s):  
Associated Factors ◽  
University Hospital ◽  
Hospital Environment ◽  
Easy Access ◽  
Cross Sectional ◽  
Middle Income ◽  
Medical Context ◽  
Sub Saharan ◽  
High Level ◽  
Hospital Center

Abstract Background: burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods: a prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results: among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6% -44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), to live in the borough where the hospital is located (OR = 0.24, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion: in Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.

scholarly journals PLEASURE, SUFFERING AND INTERPERSONAL COMMUNICATION IN THE WORK OF NURSES IN THE HOSPITAL SETTING

2020 ◽  
Vol 29 ◽  
Author(s):  
Cláudia Jeane Lopes Pimenta ◽  
Lia Raquel de Carvalho Viana ◽  
Thaíse Alves Bezerra ◽  
Cleane Rosa Ribeiro da Silva ◽  
Tatiana Ferreira da Costa ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Health Professionals ◽  
Hospital Setting ◽  
Critical Assessment ◽  
University Hospital ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Negative Experiences ◽  
Work Related ◽  
Competence Scale

ABSTRACT Objective: to correlate pleasure and suffering at work with nurses' interpersonal communication in the hospital environment. Method: a cross-sectional, exploratory, descriptive and correlational study, with a quantitative approach, conducted from October to November 2017, with 152 nurses working at a University Hospital in Northeast Brazil. The data were collected through interviews, using an instrument with sociodemographic and work-related variables, the Pleasure and Suffering Indicators at Work Scale and the Interpersonal Communication Competence Scale, being analyzed by descriptive and inferential statistics. Results: it was observed that the experience of pleasure was satisfactory, while the factors of suffering obtained a critical assessment. The nurses surveyed had high means in all the domains of competence in interpersonal communication. The analysis of the correlation between interpersonal communication and the indicators of pleasure and suffering showed significant values, with the level of communication proportional to the experience of pleasure. On the other hand, communication decreased, as suffering at work increased. Conclusion: the positive and negative experiences at work significantly influence the interpersonal communication of nurses and of the health professionals/multidisciplinary team.

scholarly journals Use of monitoring indicators in hospital management of antimicrobials

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ravena Melo Ribeiro da Silva ◽  
Simonize Cunha B. de Mendonça ◽  
Ingrid Novaes Leão ◽  
Quesia Nery dos Santos ◽  
Alessandra Macedo Batista ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Analytical Study ◽  
University Hospital ◽  
Medical Clinic ◽  
Carbapenem Resistant ◽  
Stewardship Program ◽  
Days Of Therapy ◽  
Length Of Therapy ◽  
Surgical Clinic ◽  
Gathering Data

Abstract Background According to the literature, 25% to 50% of antimicrobials prescribed in hospitals are unnecessary or inappropriate, directly impacting antimicrobial resistance. Thus, the present study aimed to evaluate the use of antimicrobials in a university hospital in Northeast Brazil, using days of therapy (DOT) and length of therapy (LOT) indicators in accordance with the latest national and international recommendations for monitoring the use of antimicrobials. Methods This is an observational, prospective analytical study conducted in a teaching hospital, with 94 active beds, distributed between the intensive care unit (ICU), the surgical clinic (SUR), the medical clinic (MED), the pneumology/infectology department (PNE/INF) and pediatrics (PED). The duration of the study was from the beginning of January to the end of December 2018. Results During the study period, a total of 11,634 patient-days were followed up and 50.4% of the patients were found to have received some antimicrobial, with a significant reduction in use of 1% per month throughout the year. Patients were receiving antimicrobial therapy for 376 days in every 1000 days of hospitalization (LOT = 376/1000pd). Overall, the 1st-generation cephalosporins and fluoroquinolones were the most used in respect of the number of prescriptions and the duration of therapy. The calculated global DOT/LOT ratio showed that each patient received an average of 1.5 antimicrobials during the hospital stay. The incidence of antimicrobial resistance, globally, for both methicillin-resistant Staphylococcus aureus (methicillin R), Carbapenem-resistant Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii (Carbapenem R), was 1 per 1000 patient-days. Conclusions The results obtained from the analyses revealed that half of the patients admitted to the hospital who took part in the study were exposed to the use of antimicrobials at some point during their stay. Although moderate, it is noteworthy that there was a decline in the use of antimicrobials throughout the year. The indicators used in this study were found to be very effective for gathering data on the use of antimicrobials, and assessing the results of the initiatives taken as part of the Stewardship program.

scholarly journals Risks management in the hospital environment: incidence and risk factors associated with falls and pressure injuries in a clinical unit

2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Rayane Oliveira Cedraz ◽  
Cristiane Helena Gallasch ◽  
Eugenio Fuentes Pérez Júnior ◽  
Helena Ferraz Gomes ◽  
Ronilson Gonçalves Rocha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Length Of Hospital Stay ◽  
Secondary Data ◽  
University Hospital ◽  
Hospital Environment ◽  
Risk Of Falling ◽  
Cross Sectional ◽  
Clinical Unit ◽  
Factors Associated ◽  
Oncological Diseases

Abstract Objective: To evaluate the incidence and risk factors associated with falls and pressure injuries in a clinical unit. Methods: A quantitative, cross-sectional, descriptive-exploratory study was conducted at a university hospital in Rio de Janeiro using secondary data from patient records and information of registers of patients treated in 2015/2016. Data were analyzed using descriptive and inferential statistics. Results: Of the 157 treated patients, women, cardiovascular (43.9%) and oncological diseases (35.0%) predominated. The risk and incidences of falls and pressure injuries were higher in men. There were significant associations of gender with the risk of falling, the occurrence of falls and pressure injuries, and between the length of hospital stay and risk of falling. Conclusion: Risk management is essential to promote patient safety and improve quality of health care. Nurse staff plays a fundamental role in the process of guiding activities, updating the nursing team and evaluating interventions. The use of tools, such as protocols and indicators, allows the optimization of the work process and the achievement of these goals.

scholarly journals The influence of Occupation and Teamwork on the Successful Use of the WHO Surgical Checklist: Experiences of Swedish Healthcare Professionals

2021 ◽  
Vol 11 (12) ◽  
pp. 31-41
Author(s):  
Krupic F
Keyword(s):  
Healthcare Professionals ◽  
University Hospital ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Good Communication ◽  
Emergency Situations ◽  
Who Checklist ◽  
Questionnaire Research ◽  
Surgical Checklist ◽  
Self Administered Questionnaire

Background: Every year, some 300 million operations are performed around the world, with approximately 700,000 in Sweden. This represents about one surgical procedure per 25 people. All these operations are not free of risk. The safety of patients can be enhanced by teamwork, good communication and checklists ensuring adherence to safety routines. The aim of the present study was to describe the experience of Swedish healthcare professionals of using the WHO surgical checklist, with special emphasis on different occupations and teamwork. Methods:A descriptive cross-sectional statistical study, including healthcare professionals from two departments at a university hospital in the western part of Sweden, was conducted. Data were collected from one hundred and ninety-six healthcare professionals, using a self-administered questionnaire that contained 12 questions. The Mantel-Haenszel and Pearson χ2 tests were used for ordered and unordered categorical variables. Results: One hundred and ninety-six healthcare professionals, aged 21-73, and 6 different categories with 5-25 years experiences participated. Regarding the usage of the checklist at different departments, the biggest different was about responsibility to implementation of the checklist (p=0,001), using the checklist in the emergency situations (p=0.04), if the checklist improve patient’s safety (p=0.04), and if the list has been completed correctly (p=0,006). Regarding the training for using the checklist, anaesthetist nurses were most negative with 75,5%, and the operating nurses were most positive with 39.2 %. 66,0 % of nurse anaesthetists, the checklist was adapted to the department. Majority of all the occupations thought that the checklist improved patients safety, and that the checklist had been correctly completed. Conclusion: Different departments and different occupations experience difficulties using the checklist in the Swedish healthcare system. More research is needed to investigate the experiences of healthcare professionals, whether different occupations report differently about using the checklist and whether teamwork is influenced by using the checklist. A further understanding of the checklist and its importance, as well as its content, could increase the safety of patients due to improved compliance. Key words: WHO checklist, surgery, occupation, teamwork questionnaire, research .

scholarly journals Incontinence associated dermatitis in elderly people admitted to a university hospital

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Clóris Regina Blanski Grden ◽  
Alessandra Rodrigues Martins ◽  
Luciane Patrícia Andreani Cabral ◽  
Péricles Martim Reche ◽  
Guilherme Arcaro ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Nasogastric Tube ◽  
Descriptive Analysis ◽  
University Hospital ◽  
Cognitive Screening ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Hospitalization Period ◽  
Restricted Mobility

ABSTRACT Objective: To identify the frequency and factors associated to incontinence associated dermatitis in elderly people. Methods: Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated. Results: Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition. Conclusion: It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.

scholarly journals Prevalence and factors associated with incidents related to medication in surgical patients

2014 ◽  
Vol 48 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Thatianny Tanferri de Brito Paranaguá ◽  
Ana Lúcia Queiroz Bezerra ◽  
Andressa Luanna Moreira dos Santos ◽  
Ana Elisa Bauer de Camargo Silva
Keyword(s):  
Multivariate Analysis ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Surgical Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Surgical Clinic ◽  
Length Of Hospitalization

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.

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