scholarly journals Paramedic confidence in estimating external blood loss

2017 ◽  
Vol 14 (3) ◽  
Author(s):  
Wayne Harris ◽  
Auston Rotheram ◽  
Sue Pearson ◽  
Peter Lucas ◽  
Dale Edwards ◽  
...  
Keyword(s):  
Blood Loss ◽  
Online Survey ◽  
Response Rate ◽  
Assessment Tools ◽  
Free Text ◽  
Visual Estimation ◽  
Demographic Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Relationship

IntroductionStudies have identified that visual estimation of blood loss is highly inaccurate, however no research has investigated the relationship between this practice and the confidence of estimation by paramedics.The aim of this study was to determine paramedic confidence in the estimation of, and reporting of external blood loss due to medical or trauma aetiology, within an Australasian paramedic context.MethodsBetween July and September 2015, a cross-sectional survey was distributed through Australasian paramedic professional bodies to determine confidence in estimating and documentation of external blood loss. Using Likert scale and free text responses, participants provided demographic information and their self-perceived confidence in estimating and documenting external blood loss.ResultsFive thousand six hundred paramedics were invited to participate in an online survey. Two hundred and eight responses were received (3.8% response rate). A total of 86.6% of participants reported documenting blood loss in clinical reports, however only 47.8% of participants believed their estimation of external blood loss was accurate with 13% reporting underestimation and 33.5% reporting overestimation of blood loss. Additionally, only 51.6% of participants agreed to strongly agreed that they were confident in their estimation of blood loss.ConclusionThis research demonstrates the majority of paramedics estimate and document external blood loss, yet nearly half do not feel confident in doing so, despite indicating its importance. Educational and organisational changes are recommended to reflect the clear evidence against this practice. Further research is recommended to identify appropriate physiological parameters and practical assessment tools to replace this inaccurate form of clinical assessment.

Workplace bullying: an examination of power and perpetrators

2019 ◽  
Vol 48 (2) ◽  
pp. 324-341 ◽  
Author(s):  
Helen De Cieri ◽  
Cathy Sheehan ◽  
Ross Donohue ◽  
Tracey Shea ◽  
Brian Cooper
Keyword(s):  
Workplace Bullying ◽  
Online Survey ◽  
Response Rate ◽  
Health Workers ◽  
Demographic Characteristics ◽  
Healthcare Sector ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Practical Implications

Purpose The purpose of this paper is to apply the concept of power imbalance to explain workplace and demographic characteristics associated with bullying by different perpetrators in the healthcare sector. Design/methodology/approach All 69,927 members of the Australian Nursing and Midwifery Federation (Victoria) were invited to participate in an online survey in 2014; 4,891 responses were received (7 per cent response rate). Participants were asked about their exposure to workplace bullying (WPB) by different perpetrators. The questionnaire addressed demographic characteristics and perceptions of workplace characteristics (workplace type, leading indicators of occupational health and safety (OHS), prioritisation of OHS, supervisor support for safety and bureaucracy). Analysis involved descriptive statistics and regression analyses. Findings The study found that the exposure of nurses and health workers to bullying is relatively high (with 42 per cent of respondents experiencing WPB in the past 12 months) and there are multiple perpetrators of bullying. The research revealed several demographic predictors associated with the different types of perpetrators. Downward and horizontal bullying were the most prevalent forms. Workplace characteristics were more important predictors of bullying by different perpetrators than were demographic characteristics. Research limitations/implications There are limitations to the study due to a low response rate and the cross-sectional survey. Practical implications Practical implications of this study emphasise the importance of focussed human resource strategies to prevent bullying. Originality/value The key contribution of this research is to draw from theoretical explanations of power to inform understanding of the differences between perpetrators of bullying. The study highlights the workplace characteristics that influence bullying.

scholarly journals COVID-19 Information Sources and the Relationship with Attitudes in Battling the Pandemic: A Cross-Sectional Survey Among the Malaysian Public (Preprint)

2020 ◽  
Author(s):  
Emma Mohamad ◽  
Jen Sern Tham ◽  
Suffian Hadi Ayub ◽  
Mohammad Rezal Hamzah ◽  
Hasrul Hashim ◽  
...  
Keyword(s):  
Online Survey ◽  
Information Source ◽  
World Health ◽  
Public Confidence ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Health Crisis ◽  
The Relationship

BACKGROUND There are multiple media platforms and various resources available on COVID-19. Identifying people’s preferences is key to building public confidence and planning for successful national health intervention strategies. OBJECTIVE This study examines the sources of information for COVID-19 used by the Malaysian public and identifies those that are associated with building public confidence as well as positive perceptions toward the Malaysian government. METHODS A cross-sectional online survey of 4,850 Malaysian residents was conducted. Participant demographics, media use, information source, and attitudes surrounding COVID-19 were assessed. Descriptive statistics and multiple logistic regression analyses were conducted to gauge the relationship between demographics, information source and attitudes toward COVID-19. RESULTS Malaysians primarily utilized television and Internet news portals for information on COVID-19. The Malaysian Ministry of Health was the most preferred source of COVID-19 information. Respondents who referred to the Ministry of Health, television and the Malaysian National Security Council had greater odds in believing that the country could win the battle against COVID-19 and that the government was handling the health crisis well. Those who used the World Health Organization, friends, YouTube, family and radio as sources of information were less likely to harbor confidence and positive belief toward combating COVID-19. CONCLUSIONS Managing information and sustaining public confidence is important in a pandemic. Health authorities should pay considerable attention to the use of appropriate media channels and sources to allow for more effective dissemination of critical information to the public. CLINICALTRIAL

scholarly journals Parenting and Emotional and Behavioral Responses of Children and Adolescents to the COVID-19 Epidemic: A Cross-sectional Survey in China

2021 ◽  
Author(s):  
Zhiyuan Hou ◽  
Fanxing Du ◽  
Li He ◽  
Mark Francis ◽  
Mark Forshaw ◽  
...  
Keyword(s):  
Online Survey ◽  
Response Rate ◽  
Emotional Problems ◽  
Parenting Skills ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Disadvantaged Children ◽  
Socially Disadvantaged ◽  
Stress Symptoms ◽  
Socially Disadvantaged Children

Abstract To investigate parenting and children’s emotional and lifestyle responses to the COVID-19 epidemic, we conducted an online survey of random, representative sample of residents with children aged 3–17 years in mid-March, 2020 in China. 1655 parents were surveyed with 80.1% response rate. During the epidemic, half (49%) of children had stress symptoms and 10% had emotional problems; children had higher screen time, less exercise and worse sleep than before. Socially disadvantaged children were more vulnerable to the epidemic. Children whose parents communicated about the epidemic more frequently, who had irritable parents and experienced worse parent-child closeness had higher probabilities of emotional problems, stress symptoms and worse lifestyles. Improve parenting skills and communication quality is necessary during the epidemic.

scholarly journals What Motivates Medical Students to Engage in Volunteer Behavior During the COVID-19 Outbreak? A Large Cross-Sectional Survey

2021 ◽  
Vol 11 ◽  
Author(s):  
Yu Shi ◽  
Shu-e Zhang ◽  
Lihua Fan ◽  
Tao Sun
Keyword(s):  
Medical Students ◽  
Health System ◽  
Online Survey ◽  
Linear Regression Analysis ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prosocial Motivation ◽  
The Impact ◽  
The Relationship

After the COVID-19 outbreak, the health status of the general population has suffered a huge threat, and the health system has also encountered great challenges. As critical members of human capital in the health sector, medical students with specialized knowledge and skills have positively fought against the epidemic by providing volunteer services that boosted the resilience of the health system. Although volunteer behavior (VB) is associated with individual internal motivation, there is sparse evidence on this relationship among medical students, especially regarding potential mechanisms. Therefore, this study had two main objectives: (1) to examine the influence of prosocial motivation (PM) of medical students on their VB; and (2) to verify the chain-mediating role of calling and vocation (CV) as well as social responsibility (SR) in the relationship between PM and VB. Study I: a total of 2454 Chinese full-time medical students were invited to complete an online survey. Data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and multiple linear regression analysis. The results demonstrated that PM significantly affected VB in medical students (β = 0.098, P < 0.001); CV as well as SR chain-mediated the relationship between PM and VB (β = 0.084, P < 0.001). PM promoted the formation of SR by positively evoking CV of medical students, further resulting in increased VB. Study II: A 28 person qualitative interview was conducted. Qualitative data are added to reduce the limitations of online questionnaires. At the same time, we can also critically study the VB of Chinese medical students during COVID-19. The results showed that there were various reasons for medical students to volunteer in the process of fighting against COVID-19, and the experience of volunteer service and the impact on their future life were different. Lastly, the current findings suggest that fostering volunteerism among medical students requires the joint effort of the government, non-profit organizations, and medical colleges.

Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Satu Kajander-Unkuri ◽  
Riitta Meretoja ◽  
Jouko Katajisto ◽  
Helena Leino-Kilpi ◽  
Arja Suikkala
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Nursing Students ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Competence Scale ◽  
The Relationship ◽  
Education Nursing

AbstractDuring nursing education, nursing students are required to develop their competence to be able to fulfill their duties safely as Registered Nurses. The aims of this study were to explore 1) nursing students’ self-assessed competence levels during education 2) the relationship with competence and frequency at which competencies are utilized in clinical practice, and 3) factors related to competence levels. 841 (response rate 67.6 %) nursing students responded to the Nurse Competence Scale in a cross-sectional study. The self-assessed overall competence levels were improving during the education continuum (VAS-means 1st 56.6; 2nd 58.3; 3rd 59.8 and 3.5th -year students 68.4). Every group revealed a significant positive correlation with competence and frequency at which competencies are utilized in clinical practice in clinical placement. Risk factors for low competence were also identified. Systematic multimethod competence evaluations with longitudinal designs are needed to monitor outcomes of nursing education.

scholarly journals Perceptions on Competence by Design in urology

2018 ◽  
Vol 13 (7) ◽  
Author(s):  
Peter (Zhan Tao) Wang ◽  
Ernest Chan ◽  
Adam Forster ◽  
Jennifer Vergel De Dios ◽  
Alp Sener ◽  
...  
Keyword(s):  
Online Survey ◽  
Administrative Support ◽  
Overall Response Rate ◽  
Response Rate ◽  
Research Area ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Analog Scale ◽  
Cross Sectional ◽  
Valid Assessment

Introduction: The Royal College of Physicians and Surgeons of Canada has begun implementing Competence by Design (CBD). However, it is unclear how much urology trainees and faculty know about CBD, their attitudes towards this change, and their willingness to embrace and participate in this new model of training.Methods: This cross-sectional study was conducted through an online survey, which was administered to all trainees and faculty at Canadian urology programs prior to the implementation of CBD. The final survey consisted of eight demographic questions, 17 fivepoint Likert items, one visual analog scale question, 11 multiple selection questions, and two open-ended questions.Results: A total of 74 participants (38 faculty and 36 trainees) across 12 universities responded, with a completion rate of 82.4%. This corresponded to an overall response rate of 20.5%. Overall, there was a lack of resounding enthusiasm towards this shift to CBD in urology. Although both trainees and faculty had overall positive perceptions of CBD on assessment, teaching, and readiness, most agreed that this transition will be costly and associated with increased requirements for time, funding, and administrative support. Furthermore, there were significant concerns regarding the lack of valid assessment tools and evidence for the validity of entrustable professional activities.Conclusions: While this survey has demonstrated an appreciation for the benefits of CBD, challenges are equally anticipated. CBD in urology will be a fertile research area; this study has identified several important educational questions regarding the model’s effectiveness and consequences, thus, providing collaborative opportunities among all Canadian programs.

scholarly journals Unequal availability of workplace policy for prevention of coronavirus disease 2019 across occupations and its relationship with personal protection behaviours: a cross-sectional survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kailu Wang ◽  
Eliza Lai Yi Wong ◽  
Kin Fai Ho ◽  
Annie Wai Ling Cheung ◽  
Emily Ying Yang Chan ◽  
...  
Keyword(s):  
Online Survey ◽  
Health Behaviours ◽  
Relevant Information ◽  
Personal Protection ◽  
Cross Sectional Survey ◽  
Income Loss ◽  
Cross Sectional ◽  
Information Transparency ◽  
Work From Home ◽  
The Relationship

Abstract Background The evolving pandemic of coronavirus disease 2019 (COVID-19) has become a severe threat to public health, and the workplace presents high risks in terms of spreading the disease. Few studies have focused on the relationship between workplace policy and individual behaviours. This study aimed to identify inequalities of workplace policy across occupation groups, examine the relationship of workplace guidelines and measures with employees’ behaviours regarding COVID-19 prevention. Methods A cross-sectional online survey using a structured questionnaire was conducted to gather employees’ access to workplace guidelines and measures as well as their personal protection behaviours. Statistical associations between these two factors in different occupations were examined using multiple ordinal logistic regressions. Results A total of 1048 valid responses across five occupational groups were analysed. Manual labourers reported lower availability of workplace guidelines and measures (76.9% vs. 89.9% for all, P = 0.003). Employees with available workplace guidelines and measures had higher compliance of hand hygiene, wearing masks, and social distancing, and this association was more significant among managers/administrators and manual labourers. Conclusions Protection of the quantity and quality of employment is important. Awareness about the disease and its prevention among employers and administrators should be promoted, and resources should be allocated to publish guidelines and implement measures in the workplace during the pandemic. Both work-from-home arrangement and other policies and responses for those who cannot work from home including guidelines encouraging the health behaviours, information transparency, and provision of infection control materials by employers should be established to reduce inequality. Manual labourers may require specific attention regarding accessibility of relevant information and availability of medical benefits and compensation for income loss due to the sickness, given their poorer experience of workplace policy and the nature of their work. Further studies are needed to test the effectiveness of specific workplace policies on COVID-19 prevention.

scholarly journals Cyberchondria, Uncertainty, and Psychological Distress among Omanis during COVID-19: An Online Cross-Sectional Survey

2020 ◽  
Author(s):  
Khloud Al Dameery ◽  
Mohammed Quteshat ◽  
Ibtisam Al Harthy ◽  
Atika Khalaf
Keyword(s):  
Psychological Distress ◽  
Online Survey ◽  
Population Policy ◽  
Short Form ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Socio Demographic Factors ◽  
Distress Scale ◽  
The Relationship

Abstract Background: Frequent surfing on the internet for self-diagnosis and treatment in association with quarantine during the COVID-19 pandemic leaves people with uncertainty and psychological distress. The aim was to explore the relationship between cyberchondria, psychological distress, and uncertainty in Oman. Methods: A descriptive correlational study was designed. Data was collected through an online survey from 393 Omani participants using the short-form version of the Cyberchondria Severity Scale, the Kessler Psychological Distress Scale, and the Intolerance of Uncertainty Scale. Descriptive and correlational analyses were conducted.Results: The majority of the participants were aged between 18-26 and 45-54 years (32.8% and 30.8% respectively). Almost three-quarters of the participants were female (n= 291, 74%) and half were single (n= 218, 55.5%). No significant associations were found between cyberchondria and the socio-demographic factors or the COVID-19 status. However, significant positive fair correlation was found between cyberchondriac experiences and psychological distress (rs =0.373), and cyberchondria and uncertainty (rs = 0.442).Conclusions: To the best of our knowledge, this study is the first of its kind investigating the relationship between cyberchondria, physiological distress, and uncertainty in the Omani population. Policy makers and stakeholders are encouraged to facilitate the reporting and observation of accurate and up-to-date information distributed to the population to avoid misleading information, and thus reduce the distress and uncertainty related to cyberchondriac behaviors.

scholarly journals Implementation of Antimicrobial Stewardship Policies in U.S. Hospitals: Findings from a National Survey

2015 ◽  
Vol 36 (3) ◽  
pp. 261-264 ◽  
Author(s):  
Monika Pogorzelska-Maziarz ◽  
Carolyn T. A. Herzig ◽  
Elaine L. Larson ◽  
E. Yoko Furuya ◽  
Eli N. Perencevich ◽  
...  
Keyword(s):  
Acute Care ◽  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Response Rate ◽  
Acute Care Hospitals ◽  
National Sample ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Annual Survey

OBJECTIVETo describe the use of antimicrobial stewardship policies and to investigate factors associated with implementation in a national sample of acute care hospitals.DESIGNCross-sectional survey.PARTICIPANTSInfection Control Directors from acute care hospitals participating in the National Healthcare Safety Network (NHSN).METHODSAn online survey was conducted in the Fall of 2011. A subset of hospitals also provided access to their 2011 NHSN annual survey data.RESULTSResponses were received from 1,015 hospitals (30% response rate). The majority of hospitals (64%) reported the presence of a policy; use of antibiograms and antimicrobial restriction policies were most frequently utilized (83% and 65%, respectively). Respondents from larger, urban, teaching hospitals and those that are part of a system that shares resources were more likely to report a policy in place (P<.01). Hospitals located in California were more likely to have policy in place than in hospitals located in other states (P=.014).CONCLUSIONThis study provides a snapshot of the implementation of antimicrobial stewardship policies in place in U.S. hospitals and suggests that statewide efforts in California are achieving their intended effect. Further research is needed to identify factors that foster the adoption of these policies.Infect Control Hosp Epidemiol 2014;00(0): 1–4

scholarly journals Lactation challenges of resident physicians- results of a national survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gabrielle W. Peters ◽  
Aleksandra Kuczmarska-Haas ◽  
Emma B. Holliday ◽  
Lindsay Puckett
Keyword(s):  
Response Rate ◽  
Medical Training ◽  
Free Text ◽  
Limited Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
Residency Programs ◽  
Resident Physicians ◽  
Recent Graduates

Abstract Background There are unique challenges to parenting in residency and there is limited data to guide policy regarding lactation facilities and support for female physicians-in-training. We aimed to assess issues surrounding breast-feeding during graduate medical training for current residents or recent graduates from United States (US) residency programs. Methods A national cross-sectional survey was sent to current and recently graduated (2017 and later) female residents in June 2020. This questionnaire was administered using the Qualtrics Survey tool and was open to each participating woman’s organization for 4 weeks. Summary statistics were used to describe characteristics of all respondents and free-text responses were reviewed to identify common themes regarding avenues for improvement. Results Three hundred twelve women responded to the survey, representing a 15.6% response rate. The median duration of providing breastmilk was 9 months (IQR 6–12). 21% of residents reported access to usable lactation rooms within their training hospital, in which 12% reported a computer was present. 60% of lactating residents reported not having a place to store breast milk. 73% reported residency limited their ability to lactate, and 37% stopped prior to their desired goal. 40% reported their faculty and/or co-residents made them feel guilty for their decision to breastfeed, and 56% reported their difficulties with breastfeeding during residency impacted their mental health. Conclusion Residents who become mothers during training face significant obstacles to meeting their breastfeeding/pumping needs and goals. With these barriers defined, informed policy change can be instituted to improve the lactation experience for physicians-in-training.

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