scholarly journals Evaluating the Impact of ACLS Scenario Based Resuscitation Simulation for Emergency Team

2021 ◽  
Vol 20 (1) ◽  
pp. 12-18
Author(s):  
Yogendra Amatya ◽  
Susmita Shrestha
Keyword(s):  
Good Method ◽  
Healthcare Services ◽  
Team Dynamics ◽  
Team Members ◽  
Emergency Team ◽  
Emergency Situations ◽  
Likert Score ◽  
Survey Responses ◽  
A Prospective Study ◽  
The Impact

Introduction: Medical simulation has become increasingly important for education in emergency situations like resuscitation and improvising healthcare services. Methods: A prospective study was performed implementing ACLS resuscitation simulation with the Patan Hospital emergency team. The survey questionnaire was designed to evaluate participants’ communication skills, leadership, team dynamics, competency in ACLS and perception regarding simulation as a learning method. The paired t-tests were performed to compare pre and post simulation survey responses. The quantitative data were managed and analysed using Microsoft Excel. Results: Fifty seven emergency staffs participated in the study. In the communication domain pre-simulation survey mean likert score of close loop communication was 2.68, SBAR was 2.54 and PEARL was 2.25 while the post-simulation survey were 3.19, 3.05 and 2.96 respectively. In leadership pre-survey assessment of coordinating team members was 2.61 and summarising events skill was 2.58 while the post-survey scores were 2.91 and 3.02 respectively. The team dynamics pre-survey of the teamwork experience was 2.63 while post-survey was 3.07. The competency pre-survey of competency level in ACLS was 2.51 while the post-survey was 2.88. The pre-survey regarding considering simulation a good method of training was 3.32 while the post-survey was 3.56. All the survey questionnaires of each domain showed the increased difference that is statically significant with p-values <0.001. Conclusions: Simulation training is an effective and useful educational technique for training the health personnel working in emergency service.

scholarly journals THE IMPACT OF STATUS ANONYMITY ON TEAM DYNAMICS IN CO-CREATION WORKSHOPS

2020 ◽  
Vol 1 ◽  
pp. 1465-1474
Author(s):  
A. Lecuna Aguerrevere ◽  
J. Alleblas ◽  
R. M. Mueller ◽  
M. Graves ◽  
K. Thoring
Keyword(s):  
Idea Generation ◽  
Team Dynamics ◽  
Team Members ◽  
Face To Face ◽  
Positive Effects ◽  
The Impact ◽  
Early Phases ◽  
Partial Status

AbstractThis paper looks at the positive effects of partial status anonymity in face-to-face co-creation workshops. Results suggest that especially during the early phases of co-creation, i.e. idea generation, participants experience more freedom to express themselves without self-imposed barriers. We observed positive effects in terms of (1) lowering or even suspending the perceived status among team members, (2) increased motivation, (3) freedom to speak and positive disposition to listen, (4) willingness to consider perspectives from other team members.

scholarly journals Cultivating Acute Care Rehabilitation Team Collaboration Using the Kawa Model

2019 ◽  
Author(s):  
Jayme Ober ◽  
Jennifer Lape
Keyword(s):  
Acute Care ◽  
Physical Therapists ◽  
Healthcare Team ◽  
Team Collaboration ◽  
Rehabilitation Team ◽  
Team Members ◽  
High Productivity ◽  
Speech Language Pathologist ◽  
Survey Responses ◽  
The Impact

Purpose: Effective healthcare team collaboration is imperative for quality client-centered care, job satisfaction, and overall morale. Rehabilitation team collaboration can be impacted by high productivity demands, differing backgrounds of individual team members, and the unpredictable healthcare environment. The Kawa (river) model, a culturally-neutral model of occupational therapy practice, has been shown to improve communication and collaboration with its use of metaphors, but its utility in various contexts to enhance collaborative practice is still being explored. The purpose of this study was to implement an evidence-based teambuilding intervention with use of the Kawa model to investigate the impact on acute care rehabilitation team collaboration. Method: A 5-week pretest-posttest study was completed with a group of eight rehabilitation team members, consisting of occupational therapists, physical therapists, and a speech language pathologist, in an acute care setting. Pre and post-surveys were utilized to gather quantitative and qualitative data on perceptions of team collaboration, knowledge of the Kawa model, and the model’s utility for collaboration. Results: Outcomes showed overall mean improvements in agreement that the Kawa model provides a common method of communication, and 100% of the participants agreed or strongly agreed that use of the Kawa model can improve acute care rehabilitation team collaboration. Qualitative post-survey responses indicated an enhanced understanding of the components of effective team collaboration. Conclusions & Recommendations: Team collaboration was cultivated with use of the Kawa model. The model provided a successful method for the acute care team to openly discuss and collaboratively problem-solve how to maximize their team flow. Further study of the Kawa model’s utility to improve collaboration in various contexts with broader participant groups is recommended, as well as study of longitudinal effects of a teambuilding intervention with use of the Kawa model.

Patient Perception of remote, digital NHS healthcare during the COVID-19 pandemic: a UK-wide survey (Preprint)

2020 ◽  
Author(s):  
Rehan Symonds ◽  
John Tredinnick-Rowe ◽  
Sebastian Stevens ◽  
Oliver Sleeman
Keyword(s):  
Healthcare Services ◽  
Patient Perception ◽  
User Preference ◽  
Free Text ◽  
Remote Consultation ◽  
Face To Face ◽  
Remote Healthcare ◽  
The Uk ◽  
Survey Responses ◽  
The Impact

BACKGROUND During the early spring of 2020, the use of remote healthcare services in the UK saw a dramatic increase in usage as services transitioned away from face-to-face delivery due to the risk of contracting COVID-19. While by far the largest shift was to telephone access which has been studied in recent years pre-COVID (Campbell, 2014), we wanted to determine the impact on patients of any shift to digital access (via an online consultation using a webcam, laptop, mobile phone application). We therefore commissioned a UK-wide representative survey of patient use and attitudes towards digital remote healthcare during the peak of the 2020 COVID-19 Pandemic in the UK. This report predominantly focuses on primary care as it accounts for 300 million NHS patient contacts each year. OBJECTIVE To rapidly assess patient attitudes towards the use of digital healthcare methods during the COVID-19 pandemic via a representative UK-wide survey. METHODS 2,138 survey responses were analysed against the respondents’ protected characteristics, social status, working status, location (UK region), social media usage and number of children (if any) in their household. Inferential statistics were used to compare these variables and survey responses. The survey consisted of three questions. 2,129 free text responses were thematically analysed from the survey, using an inductive, rapid coding method. RESULTS Initially, 14 themes arose from the data. These were collapsed into 7 parent themes with a smaller number of subtopics. These themes represent patient concern and experience of digital, remote healthcare, (1) Remote healthcare is a lesser service, (2) Useful but only for certain conditions, (3) No preference between face-to-face and remote healthcare. (4) Ease of Access to remote healthcare, (5) Speed of Access to Remote Healthcare. (6) Safety Concerns and Remote Healthcare, and (7) Remote healthcare is better than face-to-face. In summary, current patient perception of remote healthcare is that it is a lesser service, compared to face-to-face delivery. Quantitative results indicate 26% of respondents had used a digital, remote consultation. Users were more likely to be females and in a higher social grade. The largest correlation (Cramer’s V 0.51) between variables was across patients who did not see the benefits of digital, remote consultation but who were willing to use it for safety reasons due to the COVID-19 pandemic. CONCLUSIONS Patient preference for using digital, remote healthcare comes with a series of caveats that practitioners and commissioners should be aware of as the active engagement of patients in remote working appears to be more complex than simple measures of technical ability. The survey data intimates issues around willingness, trust, user-preference and more basic behavioural traits that may not have been factored into the delivery of digital care so far. In short, capacity to act is not well equated to willingness or free will of individuals, least of all acceptance of digital, remote healthcare in any universal form. Our data indicates the need for a psychology-based understanding of the frictions and enablers to remote healthcare, rather than a more narrow assessment of technical capacity if we are to drive behaviour change and help shape effective policy. CLINICALTRIAL n/a

scholarly journals Resident-Led Physical Wellness Initiative Linked to Less Burnout for Emergency Physicians during COVID-19 Pandemic

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Camila Calderon ◽  
Keyword(s):  
Psychological Health ◽  
Online Survey ◽  
Mental Wellbeing ◽  
Emergency Physicians ◽  
Likert Score ◽  
Physical And Psychological Health ◽  
Physical Wellness ◽  
A Prospective Study ◽  
The Impact ◽  
Wellness Initiative

Introduction: The COVID-19 pandemic has taken a significant toll on societal, physical, and psychological health. Emergency physicians (EPs) are susceptible to burnout under ordinary circumstances and may be particularly vulnerable during the pandemic. To reduce pandemic-related burnout, we implemented a residency-led physical wellness initiative and evaluated the effect on burnout among EPs. Methods: In the spring of 2020, we invited all resident and attending EPs in our department to participate in a four-week physical wellness initiative as part of a prospective study. After completing or opting out of this wellness initiative, EPs responded to an online survey comprised of five sections: demographics, participation, opinion on wellness initiative, opinion on the impact of COVID-19, and the Maslach Burnout Index (MBI-HSS). We stratified respondents by initiative participation, described the characteristics of each group, and then compared the perceived impact of COVID-19 and the MBI-HSS results between the two groups. Results: Out of 110 eligible participants, 57 EPs completed the survey (51.8%). Thirty-five respondents completed the wellness initiative. Few (37.1%) documented their progress, though most worked with accountability partners (85.7%). Most enrollees enjoyed participation (Likert Score 3.2-5, CI 2.9-3.5) and would participate again (3.3, CI 3.0-3.6). The reported effect of the COVID-19 pandemic on mental wellbeing was lower for participants, although this was not significant (2.1, CI 1.5-2.1 vs 2.4, CI 2.0-2.7, p=0.312). On the MBI-HSS, participants had a lower emotional exhaustion score (1.4, 95% CI 0.9-1.8) than non-participants (2.2, 95%CI 1.8-2.6, p=0.005).

International Remittances and Private Healthcare in Kerala, India

2020 ◽  
Vol 17 (3) ◽  
pp. 445-460
Author(s):  
Mohd Imran Khan ◽  
Valatheeswaran C.
Keyword(s):  
Instrumental Variable ◽  
Capital Investment ◽  
Healthcare Expenditure ◽  
Healthcare Services ◽  
Private Healthcare ◽  
International Remittances ◽  
Variable Approach ◽  
Using Data ◽  
The Impact ◽  
Instrumental Variable Approach

The inflow of international remittances to Kerala has been increasing over the last three decades. It has increased the income of recipient households and enabled them to spend more on human capital investment. Using data from the Kerala Migration Survey-2010, this study analyses the impact of remittance receipts on the households’ healthcare expenditure and access to private healthcare in Kerala. This study employs an instrumental variable approach to account for the endogeneity of remittances receipts. The empirical results show that remittance income has a positive and significant impact on households’ healthcare expenditure and access to private healthcare services. After disaggregating the sample into different heterogeneous groups, this study found that remittances have a greater effect on lower-income households and Other Backward Class (OBC) households but not Scheduled Caste (SC) and Scheduled Tribe (ST) households, which remain excluded from reaping the benefit of international migration and remittances.

THE IMPACT OF LEADERSHIP PRACTICES TO TEAM MEMBERS’ SATISFACTION

2009 ◽  
Vol 8 (1) ◽  
Author(s):  
Chalimah .
Keyword(s):  
Conflict Resolution ◽  
Leadership Practices ◽  
Hotel Industry ◽  
Leader Behavior ◽  
Team Leader ◽  
Shop Floor ◽  
Team Members ◽  
Top Executives ◽  
Wide Range ◽  
The Impact

eamwork is becoming increasingly important to wide range of operations. It applies to all levels of the company. It is just as important for top executives as it is to middle management, supervisors and shop floor workers. Poor teamwork at any level or between levels can seriously damage organizational effectiveness. The focus of this paper was therefore to examine whether leadership practices consist of team leader behavior, conflict resolution style and openness in communication significantly influenced the team member’s satisfaction in hotel industry. Result indicates that team leader behavior and the conflict resolution style significantly influenced team member satisfaction. It was surprising that openness in communication did not affect significantly to the team members’ satisfaction.

Healthcare System in the Arctic Zone of Russia. Known and Emerging Issues and Solutions to Them

2019 ◽  
pp. 3-20
Author(s):  
V.N. Leksin
Keyword(s):  
Metallurgical Industry ◽  
Healthcare Services ◽  
The Arctic ◽  
Russian Arctic ◽  
Arctic Zone ◽  
Shift Workers ◽  
The North ◽  
Medical Institutions ◽  
Emerging Issues ◽  
The Impact

The impact on healthcare organization on the territory of Russian Arctic of unique natural and climatic, demographic, ethnic, settlement and professional factors of influencing the health of population, constantly or temporarily living on this territory is studied. The necessity is substantiated of various forms and resource provision with healthcare services such real and potential patients of Arctic medical institutions, as representatives of indigenous small peoples of the North, workers of mining and metallurgical industry, military personnel, sailors and shift workers. In this connection a correction of a number of All-Russian normative acts is proposed.

The Impact of Mobile Phone Technology in Bridging the Gaps in The Health Care Service Delivery in Kenya: A Case of Nairobi County. (Preprint)

2019 ◽  
Author(s):  
Alice Ndwiga
Keyword(s):  
Service Delivery ◽  
Mobile Phone ◽  
Care Service ◽  
Health Care Service ◽  
Informal Settlements ◽  
Healthcare Services ◽  
P Value ◽  
Delivery Of Healthcare ◽  
Mobile Phone Technology ◽  
The Impact

BACKGROUND INTRODUCTION: The Kenyan constitution seeks to guarantee every citizen the right to quality healthcare services. Quite often this delivery is hampered by geographical location, socio-economic statuses among other factors. The country has a high mobile phone penetration rate. Digitalization of the healthcare sector is a vital aspect that contributes to effective delivery of care services. This study set out to assess the impact of mobile technology in closing the gaps within the health care service delivery. The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. OBJECTIVE The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. METHODS The target population were patients visiting Médecins Sans Frontières (MSF) clinic in Kibera informal settlements. A cross-sectional study design was employed. Purposive and simple random sampling method was used to select the study sample of 210 participants and 3 healthcare providers. Data were collected using survey questionnaire that was provider-administered and Data were analyzed using SPSS version. RESULTS The characteristics of the respondents were general (mean age, education level, social economic status) to only patients who visited the clinics for HIV tests and other related services such as going for ARVs. The main findings showed that 66.12% of the respondents (14.29% strongly agreed + 55.24% agreed) that the use of mobile phone technology improved their access to healthcare services. Using chi square, there was a statistical difference due to the positive impact of mobile technology on healthcare delivery (p=0.05). CONCLUSIONS The study findings showed that 66.12% of the respondents agreed that the use of mobile phone technology and SMS improved their access to healthcare services. The results hypothesis also proved that use of mobile phone technology positively impacts the delivery of healthcare services.

scholarly journals Treatment of HIV-associated facial lipoatrophy: impact on infection progression assessed by viral load and CD4 count

2013 ◽  
Vol 88 (4) ◽  
pp. 570-577 ◽  
Author(s):  
Flávia Machado Gonçalves Soares ◽  
Izelda Maria Carvalho Costa
Keyword(s):  
Viral Load ◽  
Disease Progression ◽  
Statistical Significance ◽  
Undetectable Viral Load ◽  
Fat Distribution ◽  
Cd4 Count ◽  
Before And After ◽  
Facial Lipoatrophy ◽  
A Prospective Study ◽  
The Impact

BACKGROUND: HIV/AIDS-Associated Lipodystrophy Syndrome includes changes in body fat distribution, with or without metabolic changes. The loss of fat from the face, called facial lipoatrophy, is one of the most stigmatizing signs of the syndrome.OBJECTIVES:To evaluate the effect of FL treatment using polymethylmethacrylate (PMMA) implants on disease progression, assessed by viral load and CD4 cell count.METHODS: This was a prospective study of 44 patients treated from July 2009 to December 2010. Male and female patients, aged over 18 years, with clinically detectable FL and who had never been treated were included in the study. PMMA implantation was done to fill atrophic areas. Laboratory tests were conducted to measure viral load and CD4 count before and after treatment.RESULTS: Of the 44 patients, 72.72% were male and 27.27% female, mean age of 44.38 years. Before treatment, 82% of patients had undetectable viral load, which increased to 88.6% after treatment, but without statistical significance (p = 0.67). CD4 count before treatment ranged from 209 to 1293, averaging 493.97. After treatment, the average increased to 548.61. The increase in CD4 count after treatment was statistically significant with p = 0.02.CONCLUSION: The treatment of FL with PMMA implants showed a statistically significant increase in CD4 count after treatment, revealing the impact of FL treatment on disease progression. Viral load before and after treatment did not vary significantly.

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