Healthcare professionals' knowledge, skills, and attitudes regarding defibrillator use in pediatric emergency and intensive care clinics

Purpose: Successful resuscitation and early defibrillation are critical in survival after in- or out-of-hospital cardiopulmonary arrest. This study aimed to determine the knowledge, skills, and attitudes of the pediatric healthcare professionals about the defibrillator use and to offer solutions if there was room for improvement. Procedures: This was a multicenter survey study. Findings: The study included 716 healthcare professionals with an average age of 30.1 ± 5.8 years; 50% (n=358) were pediatric residents and 41.3% (n=296) had less than three years of professional experience. Self-declared level of knowledge about defibrillation/cardioversion was low-to-medium for 66.5% (n=476); 60.8% (n=435) had never practiced these procedures and 22.2% (n=159) had never received any training about defibrillator use. There was a significant relationship between professional experience and the proportion of participants who correctly responded to the first-shock dose for defibrillation but not for cardioversion. Conclusion: Professional experience is crucial in the correct defibrillator use. However, the defibrillation/cardioversion procedures are prone to errors since they are not commonly applied in day to day practice. An ideal approach to improve the experience of personnel could be to use practical training with case-based simulations and to educate the personnel about the features of the defibrillators available in their clinics.

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Does the informal education training increase awareness of anaphylaxis among students of medicine? Before-after survey study.

10.21203/rs.3.rs-118660/v1 ◽

2020 ◽

Author(s):

Julia Leszkowicz ◽

Agata Pieńkowska ◽

Wojciech Nazar ◽

Eliza Bogdan ◽

Natalia Kwaka ◽

...

Keyword(s):

Informal Education ◽

Formal Education ◽

First Aid ◽

Survey Study ◽

Practical Training ◽

Knowledge Test ◽

Level Of Knowledge ◽

Almost All ◽

Medical University ◽

Auto Injector

Abstract BackgroundAllergies are among the most common chronic diseases in Europe. The most serious complication of allergies is anaphylactic shock. Most of cases occur outside the hospital, thus knowledge of symptoms and first aid is crucial. The aim of this study was to evaluate the level of knowledge about anaphylaxis and ability to use adrenaline auto-injectors among medical students and to determine an improvement after a training based on non-formal education.MethodsThe research was conducted among 365 medicine students from the Medical University of Gdańsk. The respondents completed a multiple-choice knowledge test, before theoretical and practical training on adrenaline auto-injector use was given, then they re-took the test. Descriptive statistics were used to reveal characteristics of students of different grades. T-test was used for statistical analysis.ResultsThere was an increase in knowledge test scores (on average, 28.6%, p=0.0168) after training. The average test score increase questions for the whole study group was 2.29, varying between 4.96 and 7.25, out of 8. Almost all (99.4%) of the respondents after training believed that they would be able to use adrenaline auto-injector in an emergency.ConclusionsTested students didn’t have sufficient knowledge to provide first aid in cases of anaphylaxis before schooling. The training based on non-formal education was effective. Using the subject-performed task method helps remembering stages of action in stressful situations. This type of training would increase self-efficacy among various social groups.

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Identifying and managing eating disorders in type 1 diabetes mellitus: An all-Wales study

Clinical Child Psychology and Psychiatry ◽

10.1177/13591045211009591 ◽

2021 ◽

pp. 135910452110095

Author(s):

Jacinta O A Tan ◽

Imogen Spector-Hill

Keyword(s):

Diabetes Mellitus ◽

Primary Care ◽

Eating Disorders ◽

Type 1 Diabetes ◽

Eating Disorder ◽

Type 1 Diabetes Mellitus ◽

Healthcare Professionals ◽

Health And Wellbeing ◽

Level Of Knowledge

Background: Co-morbid diabetes and eating disorders have a particularly high mortality, significant in numbers and highly dangerous in terms of impact on health and wellbeing. However, not much is known about the level of awareness, knowledge and confidence amongst healthcare professionals regarding co-morbid Type 1 Diabetes Mellitus (T1DM) and eating disorders. Aim: To understand the level of knowledge and confidence amongst healthcare professionals in Wales regarding co-morbid T1DM and eating disorder presentations, identification and treatment. Results: We conducted a survey of 102 Welsh clinicians in primary care, diabetes services and eating disorder services. 60.8% expressed low confidence in identification of co-morbid T1DM and eating disorders. Respondents reported fewer cases seen than would be expected. There was poor understanding of co-morbid T1DM and eating disorders: 44.6% identified weight loss as a main symptom, 78.4% used no screening instruments, and 80.3% consulted no relevant guidance. The respondents expressed an awareness of their lack of knowledge and the majority expressed willingness to accept training and education. Conclusion: We suggest that priority must be given to education and training of all healthcare professionals in primary care, diabetes services and mental health services who may see patients with co-morbid T1DM and eating disorders.

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Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052434 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2434

Author(s):

Yoshito Nishimura ◽

Tomoko Miyoshi ◽

Hideharu Hagiya ◽

Yoshinori Kosaki ◽

Fumio Otsuka

Keyword(s):

Healthcare Workers ◽

Healthcare Professionals ◽

Healthcare Delivery ◽

General Medicine ◽

Maslach Burnout Inventory ◽

University Hospital ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.

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Pediatric healthcare professionals’ perceptions, knowledge, and use of essential oils

Complementary Therapies in Clinical Practice ◽

10.1016/j.ctcp.2021.101474 ◽

2021 ◽

pp. 101474

Author(s):

Johanna R. Michlig ◽

Ashley J. Stelter ◽

Michelle L. Czarnecki ◽

Anita Norton ◽

Nancy Korom ◽

...

Keyword(s):

Essential Oils ◽

Healthcare Professionals ◽

Pediatric Healthcare

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Simulation-Based Medical Error Disclosure Training for Pediatric Healthcare Professionals

Journal for Healthcare Quality ◽

10.1111/j.1945-1474.2007.tb00200.x ◽

2007 ◽

Vol 29 (4) ◽

pp. 12-19 ◽

Cited By ~ 13

Author(s):

Karen I. Wayman ◽

Kimberly A. Yaeger ◽

Paul J. Sharek ◽

Sandy Trotter ◽

Lisa Wise ◽

...

Keyword(s):

Medical Error ◽

Healthcare Professionals ◽

Error Disclosure ◽

Simulation Based ◽

Pediatric Healthcare

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PERIPHERAL BRAIN

Pediatrics in Review ◽

10.1542/pir.16.6.229 ◽

1995 ◽

Vol 16 (6) ◽

pp. 229-238

Author(s):

Jill M. Baren ◽

James S. Seidel

Keyword(s):

Health Care ◽

Emergency Department ◽

Health Care Providers ◽

Cardiopulmonary Arrest ◽

Pediatric Emergency ◽

Care Providers ◽

Loss Of Life ◽

Policies And Procedures ◽

Emergency Drugs ◽

Emergency Equipment

This section of Pediatrics in Review is designed to be clipped or duplicated and filed in a handy place in the office, clinic, or emergency department, providing a convenient and concise reference. All offices in which children are examined should have pediatric emergency equipment, supplies, drugs, policies, and procedures. The equipment, supplies, and drugs kept in the office will depend on the spectrum of ill or injured children seen in the practice. However, a source of oxygen, basic resuscitation drugs (suited to the patient population and experience of the health-care providers), and a dosage chart or weight-based dosing tape (Figure 1) should be available in all offices. The following list of drugs is fairly comprehensive and is organized according to sign or symptom needing treatment. Health-care providers should become familiar with the information regarding specific drugs that they use commonly, eg, choose a short-acting benzodiazepine such as diazepam or lorazepam for treating status epilepticus. The intraosseous (IO) route of drug administration can be used for the majority of emergency drugs listed in the chart that suggest administration by the intramuscular (IM) or intravenous (IV) routes. The IO route is appropriate for children age 6 years and younger and should be reserved for those circumstances where failure to achieve vascular access might result in loss of life or limb (ie, anaphylaxis, cardiopulmonary arrest).

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Interdisciplinary Crisis Resource Management Training: How Do Otolaryngology Residents Compare? A Survey Study

OTO Open ◽

10.1177/2473974x18770409 ◽

2018 ◽

Vol 2 (2) ◽

pp. 2473974X1877040 ◽

Cited By ~ 1

Author(s):

Carol Nhan ◽

Meredith Young ◽

Ilana Bank ◽

Peter Nugus ◽

Rachel Fisher ◽

...

Keyword(s):

Emergency Medicine ◽

Resource Management ◽

Management Training ◽

Pediatric Emergency ◽

Interdisciplinary Teams ◽

Survey Study ◽

Crisis Resource Management ◽

Pediatric Emergency Medicine ◽

Current State ◽

Acute Airway Obstruction

Objective Emergent medical crises, such as acute airway obstruction, are often managed by interdisciplinary teams. However, resident training in crisis resource management traditionally occurs in silos. Our objective was to compare the current state of interdisciplinary crisis resource management (IDCRM) training of otolaryngology residents with other disciplines. Methods A survey study examining (1) the frequency with which residents are involved in interdisciplinary crises, (2) the current state of interdisciplinary training, and (3) the desired training was conducted targeting Canadian residents in the following disciplines: otolaryngology, anesthesiology, emergency medicine, general surgery, obstetrics and gynecology, internal medicine, pediatric emergency medicine, and pediatric/neonatal intensive care. Results A total of 474 surveys were completed (response rate, 12%). On average, residents were involved in 13 interdisciplinary crises per year. Only 8% of otolaryngology residents had access to IDCRM training, as opposed to 66% of anesthesiology residents. Otolaryngology residents reported receiving an average of 0.3 hours per year of interdisciplinary training, as compared with 5.4 hours per year for pediatric emergency medicine residents. Ninety-six percent of residents desired more IDCRM training, with 95% reporting a preference for simulation-based training. Discussion Residents reported participating in crises managed by interdisciplinary teams. There is strong interest in IDCRM and crisis resource management training; however, it is not uniformly available across Canadian residency programs. Despite their pivotal role in managing critical emergencies such as acute airway obstruction, otolaryngology residents received the least training. Implication IDCRM should be explicitly taught since it reflects reality and may positively affect patient outcomes.

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Psychosocial Working Conditions Play an Important Role in the Return-to-Work Process After Total Knee and Hip Arthroplasty

Journal of Occupational Rehabilitation ◽

10.1007/s10926-021-10006-7 ◽

2021 ◽

Author(s):

Tamara Kamp ◽

Sandra Brouwer ◽

Tjerk H. Hylkema ◽

Jan van Beveren ◽

Paul C. Rijk ◽

...

Keyword(s):

Return To Work ◽

Sex Education ◽

Working Conditions ◽

Hip Arthroplasty ◽

Survey Study ◽

Related Factors ◽

Psychosocial Working Conditions ◽

Work Related ◽

Multicenter Survey ◽

Total Knee

AbstractPurpose Both personal and work-related factors affect return to work (RTW) after total knee arthroplasty (TKA) and total hip arthroplasty (THA). Little is known about work-related factors associated with the recovery process. This study aimed to determine which work-related factors are associated with time to RTW for both TKA and THA patients. Methods A prospective multicenter survey study was conducted that included patients aged 18–63, had a paid job and were scheduled to undergo primary TKA/THA. Surveys were completed preoperatively, 6 weeks, and 3, 6, and 12 months postoperatively, and included four domains of work-related factors: work characteristics, physical working conditions, psychosocial working conditions and work adjustments. Control variables included age, sex, education, and comorbidity. Time to RTW was defined as days from surgery until RTW. Multivariate linear regression analyses were conducted separately for TKA/THA patients. Results Enrolled were 246 patients (n = 146 TKA, n = 100 THA, median age 56 years, 57% female). Median time to RTW was 79 days (IQR 52.0–146.0). Mainly physical tasks (TKA: B 58.2, 95%CI 9.5–106.8; THA: B 52.1, 95%CI 14.1–90.2) and a combination of physical and mental tasks (TKA: B 50.2, 95%CI 6.4–94.0; THA B 54.0, 95%CI 24.2–83.7) were associated with longer time to RTW after both TKA and THA. More possibilities for personal job development (B − 12.8, 95%CI − 25.3–0.4) and more work recognition (B − 13.2, 95%CI − 25.5 to − 0.9) were significantly associated with shorter time to RTW after TKA. Higher quality of supervisor leadership (B − 14.1, 95%CI − 22.2 to − 6.0) was significantly associated with shorter time to RTW after THA. Conclusion The findings of this study stress the importance of psychosocial working conditions, besides type of job tasks, in RTW after TKA/THA. Further research on work-related factors is needed, as arthroplasty is being performed on an increasingly younger population of knee and hip OA patients for whom participating in work is of critical importance.

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Covid-19, the perfect time to broaden our horizons about social media use in oncology? A survey study with healthcare professionals caring for youth with cancer

10.21203/rs.3.rs-303214/v1 ◽

2021 ◽

Author(s):

Michael Rost ◽

Vittoria Espeli ◽

Marc Ansari ◽

Nicholas von der Weid ◽

Bernice Elger ◽

...

Keyword(s):

Social Media ◽

Healthcare Professionals ◽

Media Use ◽

Healthcare Providers ◽

Young Patients ◽

Adolescent And Young Adult ◽

Survey Study ◽

Ethical Guidelines ◽

Social Media Use ◽

Health Crisis

Abstract Purpose The study aims to explore the attitudes of Swiss healthcare professionals towards the use of social media in adolescent and young adult oncology and to examine whether the ongoing social restrictions due COVID-19 might have altered these attitudes. Methods This study was cross-sectional in design. The subjects were healthcare providers working in pediatric or adult oncology settings in Switzerland. We performed descriptive and inferential statistical analyses. Results While considered useful, only a small minority of participants actually used social media for professional reasons and considered themselves skillful in using these platforms. Although institutional guidelines were deemed crucial to improve social media use, many respondents seemed unaware of their existence. Only a minority reported an impact of Covid-19 on their attitudes towards the professional implementation of social media. Conclusion The global health crisis creates important challenges for young patients with cancer and their healthcare providers. In times of social restrictions, social media may be promising tools to facilitate health information provision, connectivity and patient care. Virtual mentorship and target social media training interventions might be the best way to improve familiarity with social media and with ethical guidelines for their use.

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