scholarly journals Creating a Spirit of Challenge and Responsibility among Medical Staff : Constructing a Medical Team by Coaching Communication

2012 ◽  
Vol 32 (1) ◽  
pp. 104-110
Author(s):  
Yoshio HATANO
Keyword(s):  
2011 ◽  
Vol 26 (S1) ◽  
pp. s84-s84
Author(s):  
G.V. Kipor ◽  
N.K. Pichugina ◽  
B.V. Bobi

Training special medical teams to be prepared for delivering emergency relief to the injured requires a special psychological conformity of individuals and mutual inter-understanding based on professional qualifications. The psycho-physiological approach comprises a set of methods of computerized tools for medical staff education, training, and preparedness, keeping in mind the aim of the necessity of mutual activities in triage process, medical care, and decision-making for evacuating injured victims from the emergency site. The goal of this presentation is to expose the battery of new original methods and technologies of staff preparedness in order to realize the maximum conformity of personal composed together in one unique mobile team sent into the situations of emergency accompanied by psychological tension, insufficient volume of info sharing, field conditions, etc. Methods are based on the measurements of the functional asymmetry of brain hemispheres tested by computer-loaded, original software. Several levels of evaluation of functional asymmetry status have been proposed for discussion and for choosing of criteria for the conformity matrix study. These include: (1) a primary table of digital variables characterizing the first level of comparison of psycho-physiological individual regulation obtained for everyone of the emergency medical team permitting to propose the primary team composition; (2) co-efficients of psycho-physiological regulation for the determination of conformity between the individualities of medical staff team and the dynamics of psychological resistance in emergency environment; and (3) integrative profiles of functional asymmetry, giving the objective fundamentals for team composition and its training, to the ideal sophisticated model of psycho-physiological conformity. Quantitative, objective data give the arguments to prepare the criteria for the composition of field medical team. The individual programs issued from examination are proposed for the improvement of permanent psycho physiological staff conformity.


2020 ◽  
Vol 33 (3) ◽  
pp. 122-124
Author(s):  
Diná Mie Hatanaka ◽  
Livia Maria Valim ◽  
Carolina Baeta Neves Duarte Ferreira ◽  
Leandro Echenique ◽  
Fabiola Alves de Souza Leão ◽  
...  

While the coronavirus-19 has already infected over 2.2 million patients and killed over 150 thousand people worldwide, in Brazil, there are now 374 thousand confirmed cases and 23 thousand casualties. Apparently, the country has not yet reached the expected peak of infections, based on the experience of previously affected countries. Many considerations have been made concerning surgical cases during the COVID pandemic. Some recommendations include delaying all electives cases to save beds, equipment, and medical staff for COVID-19 infected patients. At the same time, it is known that not all elective cases are optional. Surgery cancellation may, eventually, be deleterious to the patient. Urgent and emergency procedures will still have to be undertaken and are of great concern since noninfected subjects can be infected by the coronavirus-19 during hospitalization and, likewise, asymptomatic COVID-19 infected patients may be operated and spread the virus to the environment, contaminating the medical team and other patients. The purpose of this article was to discuss whether elective surgeries should be performed and, if performed, what precautions should be taken in order to protect both the patients and the hospital staff. Also, the conduction of urgent cases will be addressed.


2018 ◽  
Vol 53 (5) ◽  
pp. 304-308 ◽  
Author(s):  
Jan Ekstrand ◽  
Daniel Lundqvist ◽  
Michael Davison ◽  
Michel D’Hooghe ◽  
Anne Marte Pensgaard

ObjectivesWe investigated medical staff interpretations and descriptions of internal communication quality in elite football teams to determine whether internal communication was correlated with injuries and/or player availability at training and matches.MethodsMedical staff from 36 elite football clubs across 17 European countries produced 77 reports at four postseason meetings to provide their perceptions of internal communications in their teams. They also recorded data on individual players’ exposure to football and time-loss injuries.ResultsThe injury burden and incidence of severe injuries were significantly higher in teams with low quality of communication between the head coach/manager and the medical team (scores of 1–2 on a 5-point Likert scale) compared with teams with moderate or high-quality scores (scores of 3–5; p=0.008 for both). Teams with low scores had 4%–5% lower training attendance (76% vs 83%, p=0.001) and less availability at matches (82% vs 88%, p=0.004) compared with teams with moderate or high communication quality scores.ConclusionsThe quality of internal communication within a team was correlated with injury rates, training attendance and match availability.


2014 ◽  
Vol 83 (2) ◽  
pp. 33-34
Author(s):  
Eric Roszell ◽  
Craig Olmstead ◽  
Craig Olmstead

Our case begins in a setting far removed from a typical North American hospital. It begins in Sumatra, Indonesia during earthquake recovery efforts in November, 2009. An Australian Defence Force medical team was deployed to help with the recovery efforts. After a successful mission providing relief, the deployed forces started to pack up their supplies and prepared to leave in the next few days. Shortly after dinnertime, however, one of the staff members presented to the medical staff in the mobile centre with generalized urticaria.1


Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 5574-5574
Author(s):  
John W. Pattison ◽  
Annette J. Neylon

Abstract Bone marrow investigation is an important haematological investigation used to determine a wide range of diverse conditions. Historically the investigation was carried out by a member of the medical haematology team; recently there has been an increasing trend towards non-medical staff taking on the role. At South Tyneside NHS Foundation Trust the Haematology Clinical Nurse Specialist (CNS) was trained and deemed competent by the Consultant Haematologists to carry out this complex procedure. To evaluate the benefits of this change in practice we designed a patient satisfaction survey to determine whether the patient experience is influenced by whether the procedure was carried out by the CNS or a member of the medical team. A simple questionnaire was formulated which was given to patients following bone marrow investigation. The questionnaire was completed and returned anonymously to the audit department for collation of results. Twenty-four patients in total returned questionnaires, twelve from medical staff and twelve from the CNS operators. There was no variation in explanation of the investigation given to the patient between the two groups. However, all 100% of the patients seen by the CNS were given written information regarding the procedure, whereas only 22% of the medical staff group furnished information to the patient. There was no overall difference between the two groups with respect to opportunity to ask questions relating to the procedure before it was undertaken. Those procedures carried out by the CNS were completed one to two days of the decision to biopsy in 92% of cases, whereas this was only achieved in 44% of those patients seen by a member of the medical team. In addition, there was no difference in the pain experience of either group, with twenty to thirty percent requiring analgesia in both cohorts. The CNS was more likely to supply a follow up appointment to the patient for the test results. In summary, there is no apparent difference in patient satisfaction between medical staff and CNS when bone marrow investigation is required. However, the CNS is more inclined to support verbal information with written documentation and to carry out the procedure within a more rapid time frame. When re-structuring haematological services locally, the role of the CNS in respect to bone marrow investigation should be considered as crucial, particularly regarding significant investigative procedures such as bone marrow biopsy. Importantly, this must be supported by suitable training and competency assessment.


2020 ◽  
Vol 33 (5) ◽  
pp. e100288
Author(s):  
Wenhong Cheng ◽  
Fang Zhang ◽  
Zhen Liu ◽  
Hao Zhang ◽  
Yifan Lyu ◽  
...  

BackgroundMedical staff fighting the COVID-19 pandemic are experiencing stress from high occupational risk, panic in the community and the extreme workload. Maintaining the psychological health of a medical team is essential for efficient functioning, but psychological intervention models for emergency medical teams are rare.AimsTo design a systematic, full-coverage psychological health support scheme for medical teams serving large-scale emergent situations, and demonstrate its effectiveness in a real-world study in Leishenshan Hospital during the COVID-19 epidemic in Wuhan, China.MethodsThe scheme integrates onsite and online mental health resources and features team-based psychosocial support and evidence-based interventions. It contained five modules, including a daily measurement of mood, a daily mood broadcast that promotes positive affirmation, a daily online peer-group activity with themes based on the challenges reported by the team, Balint groups and an after-work support team. The daily mood measurement provides information to the other modules. The scheme also respects the special psychological characteristics of medical staff by promoting their strengths.ResultsThe scheme economically supported a special medical team of 156 members with only one onsite psychiatrist. Our data reflected that the entire medical team maintained an overall positive outlook (7–9 out of 10 in a Daily Mood Index, DMI) for nearly 6 weeks of continuous working. Since the scheme promoted self-strengths and positive self-affirmation, the number of self-reports of life-related gains were high and played a significant effect on the DMI. Our follow-up investigations also revealed that multiple modules of the scheme received high attention and evaluation levels.ConclusionOur quantitative data from Leishenshan hospital, Wuhan, China, show that the programme is adequate to support the continuous high workload of medical teams. This scheme could be applied to medical teams dealing with emergent situations.


2020 ◽  
Vol 9 (3) ◽  
pp. 30-35
Author(s):  
Jakub Piątkowski ◽  
Martyna Klecha ◽  
Dmitry Tretiakow ◽  
Andrzej Skorek

<b>Introduction:</b> The SARS-CoV-2 pandemic is one of the biggest healthcare challenges that the medical environment has needed to face since many, many years. Clinicians all over the world present their recommendations for everyday procedures in order to provide safety to the medical staff as well as to patients. The disease leads to ARDS in many cases and some patients will require prolonged intubation; therefore, to avoid the negative aspects of this condition, a number of patients will undergo tracheostomy. Tracheostomy is an aerosol-generating procedure, therefore, when performed on a SARS-CoV-2-positive patient, there is a high risk of contamination both of the medical team and the operating theatre. <br><b>Aim:</b> We describe a set of guidelines that we believe should minimize those risks. We focus on aspects like: presurgical testing, proper preparation of the operating theatre prior to the patients’ arrival, initial education of the medical staff participating in the surgery, patient’ transport and tracheostomy. We describe the critical points during every step and suggest ways to minimalize the risk of viral transmission.


2021 ◽  
Vol 8 ◽  
Author(s):  
Shan Jiang ◽  
Zhongbiao Jiang ◽  
Li-Hua Luo ◽  
Kun Yu ◽  
Yeyu Cai ◽  
...  

Background: To investigate the value of automatic positioning technology in improving the protection of radiographers in the relocatable CT room of a Fang Cang hospital during the outbreak of coronavirus disease 2019 (COVID-19).Methods: The National Emergency Medical Team of our hospital assumed command of Wuchang Fang Cang Hospital and treated confirmed COVID-19 patients with mild symptoms. Relocatable CT was used to examine patients in this hospital. Automatic positioning technology was applied to avoid close contact between medical staff and patients and to protect medical staff more effectively.Results: Seven hundred lung CT scans acquired from 269 patients were completed from February 17 to 26, 2020 with automatic positioning technology for relocatable CT in a Fang Cang hospital. All scans were conducted successfully using automatic positioning technology. All patients entered the scanning room from a separate door. All the position lines were accurate, and all images met the requirement for diagnosis of COVID-19, with satisfied quality. None of our medical staff had any close contact with patients.Conclusion: Automatic positioning technology applied to relocatable CT can minimize the close contact between technologists and patients and effectively improve the protection of medical staff without sacrificing image quality.


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Michael Schultz ◽  
Kassim Baddarni ◽  
Gil Bar-Sela

Spiritual care is a vital part of holistic patient care. Awareness of common patient beliefs will facilitate discussions about spirituality. Such conversations are inherently good for the patient, deepen the caring staff-patient-family relationship, and enhance understanding of how beliefs influence care decisions. All healthcare providers are likely to encounter Muslim patients, yet many lack basic knowledge of the Muslim faith and of the applications of Islamic teachings to palliative care. Similarly, some of the concepts underlying positive Jewish approaches to palliative care are not well known. We outline Jewish and Islamic attitudes toward suffering, treatment, and the end of life. We discuss our religions' approaches to treatments deemed unnecessary by medical staff, and consider some of the cultural reasons that patients and family members might object to palliative care, concluding with specific suggestions for the medical team.


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