scholarly journals The Not So Obvious Impact of COVID 19: The Hidden “Curriculum”

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Fatimah Lateef
Keyword(s):  
Technology Adoption ◽  
Patient Care ◽  
Emergency Physician ◽  
Academic Medicine ◽  
Hidden Curriculum ◽  
Psychological Safety ◽  
Healthcare Staff ◽  
Medical Educator ◽  
Self Development ◽  
Direct Awareness

The last two years of the Covid 19 pandemic has certainly brought on and inculcated a variety of changes, new practices, innovative approaches and altered mindsets. Some of these were intended, planned and incorporated into pathways and practices. There were many lessons and new experiences. Without our complete realization, there were also many less obvious lessons: the hidden curriculum. This refers to the unwritten, unspoken, unplanned and less obvious values, behaviour and norms practised or experienced during the pandemic. The hidden curriculum is conveyed and communicated without our direct awareness and intent. The hidden curriculum will certainly contribute towards healthcare staff resilience, handling of stressors, decisions on utilization of resources and patient care. Not to be forgotten, it will also impact how they develop friendships, partnerships, collaborations, negotiate their self-development and strengthen their sense of purpose and challenge assumptions. In this paper, the author, who worked at the frontline during the pandemic shares some of her views on the new healthcare landscape, mindset changes, technology adoption, psychological safety and the meaning of ‘staying home’. They represent her views, coloured by her experiences as an emergency physician, a medical educator, academic medicine practitioner and researcher.

scholarly journals Professional Development Track to Prepare Future Academic Clinicians

2020 ◽  
Author(s):  
K. Marie Traylor ◽  
Jorge L. Cervantes ◽  
Cynthia N. Perry
Keyword(s):  
Professional Development ◽  
Medical Education ◽  
Student Achievement ◽  
Education Research ◽  
Medical Student ◽  
Patient Care ◽  
Academic Medicine ◽  
Student Feedback ◽  
Residency Programs ◽  
School Of Medicine

Abstract Professional development is instrumental in the success of professionals and trainees in academic medicine. In response to medical student feedback requesting additional professional development opportunities, the Foster School of Medicine developed a distinction program, the Pathway for Preparing Academic Clinicians (PPAC), designed to deliver sought-after skill development and foundational knowledge in the three primary activities of academic medicine: medical education, research, and patient care. This distinction program addresses a curricular gap as identified by students and common to many UME curricula and also provides an opportunity for residency programs to identify student achievement within a pass/fail program.

scholarly journals Improving Adult Vaccination Status in the United States

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1411
Author(s):  
R. Burciaga Valdez ◽  
Korazon S. Romero
Keyword(s):  
United States ◽  
African American ◽  
Patient Care ◽  
Community Organizations ◽  
The United States ◽  
Vaccination Status ◽  
Healthcare Staff ◽  
Immunization Registry ◽  
Adult Vaccination ◽  
Adult Immunization

Adult immunization practices leave much to be desired. Misinformation has increased mistrust. As a result, Latino and African American populations have low rates of annual flu vaccinations and, during the COVID-19 pandemic, lag behind for COVID-19 vaccination. Historically, healthcare staff have failed to adhere to adult immunization guidelines contributing to patient infections. Healthcare staff, both clinical and non-clinical, must lead by example by making “prevention primary”. Most adults may not realize they need immunizations. We recommend the following steps to increase immunization uptake: Make adult immunization a standard of patient care as we do for children. Assess immunization status at every clinical opportunity. Strongly recommend vaccinations needed. Administer needed vaccinations, multiple if warranted. Document vaccines received by your patient. Participate in your state’s immunization registry and work with community organizations that can help make adult immunization the norm.

scholarly journals AN INDIVIDUAL’S PSYCHOLOGICAL SAFETY IN THE UNSTABLE WORLD

2021 ◽  
Vol 7 (1) ◽  
pp. 65-81
Author(s):  
Halyna Chuyko ◽  
◽  
Yan Chaplak ◽  
Mariya Komisaryk ◽  
◽  
...  
Keyword(s):  
Satisfaction With Life ◽  
Psychological Safety ◽  
Careful Study ◽  
Psychological Hardiness ◽  
Sense Of Security ◽  
Self Development ◽  
Life Lessons ◽  
Complex Integral ◽  
Life Challenge ◽  
Further Development

The article analyses theoretically the concept of psychological safety as it is understood in psychology and presents the empirical study of students-future psychologists’ feeling of psychological safety in terms of their propensity to risk and their psychological hardiness as a prerequisite for a personal ability to resist danger. It is stated that the problem of an individual’s psychological safety in the situation of quarantine isolation and COVID-2019 pandemic is especially actual, even comes to the fore and requires thorough analysis and careful study in the context of the current objective situation in Ukraine and the world. The need for safety and protection from various threats is an individual’s fundamental need, further self-development and self-realization depend on its satisfaction; but an average person begins to realize this fact only after losing a sense of psychological safety. In scientific sources, psychological safety is more often seen as a means helping achieve / obtain something desired instead of understanding it as a goal. The interpretations of psychological safety, its structure, levels and factors supporting it presented by different scientists and its relation to informational-psychological security are analyzed. After the performed review of scientific psychological literature, the phenomenon of psychological safety was generalized as a complex, integral dynamic phenomenon; an individual’s state and feeling of being protected from external and internal threats; controllability of life events; an individual’s confidence in their ability to resist possible and existing threats; satisfaction of an individual’s basic needs and life as a whole for the further development and self-realization. We understand psychological safety as an individual’s sense of security in a safe world and a willingness to protect and restore that feeling when needed, resulting in the individual’s satisfaction with life. It is concluded that the studied students’ individual psychological hardiness with its components and the components of their sense of safety were not sufficiently developed. However, we can assume that psychological safety is more often experienced by people with developed psychological hardiness and its components: commitment to life; control over things happening in life, in particular, in stressful situations, and risk acceptance as a life challenge, as a result of which an individual can learn valuable life lessons helping them to become wiser for further self-realization.

scholarly journals Psychological safety, the hidden curriculum, and ambiguity in medicine

2020 ◽  
Vol 39 (3) ◽  
pp. 667-671 ◽  
Author(s):  
Karina D. Torralba ◽  
Donna Jose ◽  
John Byrne
Keyword(s):  
Hidden Curriculum ◽  
Psychological Safety

scholarly journals MP02: The impact of adoption of an electronic health record on emergency physician work: a time motion study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S42-S43
Author(s):  
S. Calder-Sprackman ◽  
G. Clapham ◽  
T. Kandiah ◽  
J. Choo-Foo ◽  
S. Aggarwal ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Patient Care ◽  
Emergency Physician ◽  
Chart Review ◽  
Direct Patient Care ◽  
Health Record ◽  
Physical Movement ◽  
Time Motion ◽  
Motion Study ◽  
The Impact

Introduction: Adoption of a new Electronic Health Record (EHR) can introduce radical changes in task allocation, work processes, and efficiency for providers. In June 2019, The Ottawa Hospital transitioned from a primarily paper based EHR to a comprehensive EHR (Epic) using a “big bang” approach. The objective of this study was to assess the impact of the transition to Epic on Emergency Physician (EP) work activities in a tertiary care academic Emergency Department (ED). Methods: We conducted a time motion study of EPs on shift in low acuity areas of our ED (CTAS 3-5). Fifteen EPs representing a spectrum of pre-Epic baseline workflow efficiencies were directly observed in real-time during two 4-hour sessions prior to EHR implementation (May 2019) and again in go live (August 2019). Trained observers performed continuous observation and measured times for the following EP tasks: chart review, direct patient care, documentation, physical movement, communication, teaching, handover, and other (including breaks). We compared time spent on tasks pre Epic and during go live and report mean times for the EP tasks per patient and per shift using two tailed t-test for comparison. Results: All physicians had a 17% decrease in patients seen after Epic implementation (2.72/hr vs 2.24/hr, p < 0.01). EPs spent the same amount of time per patient on direct patient care and chart review (direct patient care: 9min06sec/pt pre vs 8min56sec/pt go live, p = 0.77; chart review: 2min47sec/pt pre vs 2min50sec/pt go live, p = 0.88), however, documentation time increased (5min28sec/pt pre vs 7min12sec/pt go live, p < 0.01). Time spent on shift teaching learners increased but did not reach statistical significance (31min26sec/shift pre vs 36min21sec/shift go live, p = 0.39), and time spent on non-patient-specific activities – physical movement, handover, team communication, and other – did not change (50min49sec/shift pre vs 50min53sec/shift go live, p = 0.99). Conclusion: Implementation of Epic did not affect EP time with individual patients - there was no change in direct patient care or chart review. Documentation time increased and EP efficiency (patients seen per hr on shift) decreased after go live. Patient volumes cannot be adjusted in the ED therefore anticipating the EHR impact on EP workflow is critical for successful implementation. EDs may consider up staffing 20% during go live. Findings from this study can inform how to best support EDs nationally through transition to EHR.

The Environmental Services Perspective on Hospital Room Design: A Mixed-Methods Approach

2017 ◽  
Vol 6 (1) ◽  
pp. 104-108 ◽  
Author(s):  
Emily S. Patterson ◽  
Elizabeth Sanders ◽  
Carolyn M. Sommerich ◽  
Kevin D. Evans ◽  
Steven A. Lavender ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Patient Care ◽  
Acute Care ◽  
Mixed Methods Study ◽  
Environmental Services ◽  
Healthcare Staff ◽  
Design Features ◽  
Mixed Methods Approach ◽  
Room Size ◽  
Room Design

Our aim is to enhance the safety and efficiency of all healthcare staff by designing patient rooms that meet the physical and cognitive needs of those providing direct and indirect patient care in hospital settings. A mixed-methods study was employed, where findings were compiled from twenty-six environmental services personnel across study activities. The insights were grouped into six categories of challenges with the design of hospital rooms in acute care settings: room cleaning, bathroom, room size, furniture, communication, and a miscellaneous ‘other’ category. There are design implications for storage, room design features, locations of room items, and fabrics and finishes.

scholarly journals The psychological safety of students in the context of digitalization as a factor of social health

2021 ◽  
Vol 295 ◽  
pp. 05001
Author(s):  
Anastasia Bashkireva ◽  
Tatyana Bashkireva ◽  
Alexander Morozov ◽  
Anastasia Evdokimova ◽  
Sergey Tsvetkov
Keyword(s):  
Cognitive Dissonance ◽  
Social Cognitive ◽  
Social Groups ◽  
Psychological Safety ◽  
Social Health ◽  
Digital Content ◽  
Digital Footprint ◽  
The Social ◽  
Self Development ◽  
Intensive Development

The article provides a rationale for the need to study psychological safety as a factor of social health of the intensive development of digitalization. Students, teachers, parents of various social groups become hostages of colossal information, which is contradictory and affects the social norms of the culture of specific peoples. Education is becoming more inclusive. Social cognitive dissonance arises, negatively affecting the social health of participants in education. The paper presents a model of the concept of psychological safety of students, which includes the following components: 1) safe digital content, taking into account age characteristics and ethnic and confessional values; 2) preservation and strengthening of social health; 3) self-development of personal and professional qualities of participants in education, taking into account the cognitive needs and analysis of the digital footprint.

scholarly journals Healthcare staff numbers involved in patient-care in an acute surgical patient

2014 ◽  
Vol 12 ◽  
pp. S87
Author(s):  
Abhishek Sharma ◽  
Duff Bruce ◽  
Manoj Kumar
Keyword(s):  
Patient Care ◽  
Surgical Patient ◽  
Healthcare Staff

Improvements in neonatal care; using experience-based co-design

2014 ◽  
Vol 27 (5) ◽  
pp. 427-438 ◽  
Author(s):  
Susanne Maria Kristina Gustavsson
Keyword(s):  
Patient Care ◽  
Design Methodology ◽  
Healthcare Professionals ◽  
Improve Patient Care ◽  
Quality Improvements ◽  
Healthcare Staff ◽  
Content Type ◽  
Care Processes ◽  
Improve Patient ◽  
Practical Implications

Purpose – The purpose of this paper is to identify and improve patient care processes by collaborating patients, relatives and healthcare professionals. Design/methodology/approach – To identify and improve patient care processes by collaborating patients, relatives and healthcare professionals. Findings – Healthcare problems captured from collaboration between patients and healthcare professionals fall into simple, complicated and complex problems. Healthcare staff and patient experiences with patient processes differ, and a collaborative approach is needed to capture all areas needing improvement. Research limitations/implications – The conclusions are drawn from a project with few participants in a context that probably influenced the results. In contrast, other studies in the same area confirm the results. Practical implications – The study outcomes have direct implications for healthcare professionals who can learn from patients involved in quality improvements such as this experience-based co-design (EBCD) project. Originality/value – The paper contributes to limited studies on EBCD involving patients in healthcare quality improvements.

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