scholarly journals Development of a Remote Psychological First Aid Protocol for Healthcare Workers Following the COVID-19 Pandemic in a University Teaching Hospital, Malaysia

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 228 ◽  
Author(s):  
Ahmad Hatim Sulaiman ◽  
Zuraida Ahmad Sabki ◽  
Mohd Johari Jaafa ◽  
Benedict Francis ◽  
Khairul Arif Razali ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Psychological Functioning ◽  
Healthcare Workers ◽  
Psychological Impact ◽  
First Aid ◽  
University Teaching ◽  
Psychological First Aid ◽  
Suspected Infection ◽  
Phone Calls

The purpose of this article is to discuss the importance of addressing the psychological impact of coronavirus disease 2019 (COVID-19) on healthcare workers (HCWs) who are frontliners directly involved in mitigating the spread of the disease. This paper focuses on the utilization of a clinical practice protocol for identifying HCWs who are COVID-19-positive or under investigation and surveillance for suspected infection, in a tertiary, university teaching hospital of Malaysia. The protocol for Psychological First Aid (PFA), which is applied remotely via a mobile application and phone calls, outlines the work process in stages, with expected immediate, intermediate, and long-term goals within a “Specific, Measurable, Attainable, Relevant, and Realistic Timeframe” (SMART). This protocol is developed to provide a guideline for psychological crisis interventions that promote safety, calm, and hope in HCWs, allowing them to return to psychological functioning without being stigmatized. The unprecedented remote PFA protocol may serve as a platform for further research on the application of a goal-directed approach in a healthcare organization.

scholarly journals COVID-Well Study: Qualitative Evaluation of Supported Wellbeing Centres and Psychological First Aid for Healthcare Workers During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Holly Blake ◽  
Alisha Gupta ◽  
Mahnoor Javed ◽  
Ben Wood ◽  
Steph Knowles ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Psychological Impact ◽  
Qualitative Evaluation ◽  
First Aid ◽  
Peer To Peer ◽  
Care Quality ◽  
Structured Interviews ◽  
High Quality ◽  
Psychological First Aid ◽  
The Uk

Supported wellbeing centres were set up in UK hospital trusts as an early intervention aimed at mitigating the psychological impact of COVID-19 on healthcare workers. These provided high quality rest spaces with peer-to-peer psychological support provided by National Health Service (NHS) staff volunteers called ‘wellbeing buddies’, trained in psychological first aid. The aim of the study was to explore the views of centre visitors and operational staff towards this COVID-19 workforce wellbeing provision. Qualitative semi-structured interviews were undertaken with twenty-four (20F, 4M) employees from an acute hospital trust in the UK. Interviews were digitally recorded and transcribed, data were handled and analysed using thematic analysis. Interviews generated 3 over-arching themes, and 13 sub-themes covering ‘exposure and job roles’, ‘emotional impacts of COVID-19 and ‘the wellbeing centres’. Supported wellbeing centres were viewed as critical for the wellbeing of hospital employees during the first surge of COVID-19 in the UK. Wellbeing initiatives require managerial advocacy and must be inclusive. Job-related barriers to work breaks and accessing staff wellbeing provisions should be addressed. High quality rest spaces and access to peer-to-peer support are seen to benefit individuals, teams, organisations and care quality. Training NHS staff in psychological first aid is a useful approach to supporting the wellbeing of the NHS workforce during and beyond the COVID-19 pandemic.

scholarly journals COVID-Well Study: Qualitative Evaluation of Supported Wellbeing Centres and Psychological First Aid for Healthcare Workers during the COVID-19 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3626
Author(s):  
Holly Blake ◽  
Alisha Gupta ◽  
Mahnoor Javed ◽  
Ben Wood ◽  
Steph Knowles ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Psychological Impact ◽  
Qualitative Evaluation ◽  
First Aid ◽  
Peer To Peer ◽  
Care Quality ◽  
Structured Interviews ◽  
High Quality ◽  
Psychological First Aid ◽  
The Uk

Supported wellbeing centres were set up in UK hospital trusts as an early intervention aimed at mitigating the psychological impact of COVID-19 on healthcare workers. These provided high quality rest spaces with peer-to-peer psychological support provided by National Health Service (NHS) staff volunteers called ‘wellbeing buddies’, trained in psychological first aid. The aim of the study was to explore the views of centre visitors and operational staff towards this COVID-19 workforce wellbeing provision. Qualitative semi-structured interviews were undertaken with twenty-four (20F, 4M) employees from an acute hospital trust in the UK. Interviews were digitally recorded and transcribed, data were handled and analysed using thematic analysis. Interviews generated 3 over-arching themes, and 13 sub-themes covering ‘exposure and job roles’, ‘emotional impacts of COVID-19 and ‘the wellbeing centres’. Supported wellbeing centres were viewed as critical for the wellbeing of hospital employees during the first surge of COVID-19 in the UK. Wellbeing initiatives require managerial advocacy and must be inclusive. Job-related barriers to work breaks and accessing staff wellbeing provisions should be addressed. High quality rest spaces and access to peer-to-peer support are seen to benefit individuals, teams, organisations and care quality. Training NHS staff in psychological first aid is a useful approach to supporting the wellbeing of the NHS workforce during and beyond the COVID-19 pandemic.

Psychological First Aid

2007 ◽  
Vol 29 (1) ◽  
pp. 17-49 ◽  
Author(s):  
Josef I. Ruzek ◽  
Melissa J. Brymer ◽  
Anne K. Jacobs ◽  
Christopher M. Layne ◽  
Eric M. Vernberg ◽  
...  
Keyword(s):  
Adaptive Functioning ◽  
Developmentally Appropriate ◽  
Social Supports ◽  
First Aid ◽  
Psychological First Aid ◽  
Formal Evaluation ◽  
Short And Long Term ◽  
Trauma Response ◽  
Disaster Trauma

Psychological First Aid (PFA) consists of a systematic set of helping actions aimed at reducing initial post-trauma distress and supporting short- and long-term adaptive functioning. Designed as an initial component of a comprehensive disaster/trauma response, PFA is constructed around eight core actions: contact and engagement, safety and comfort, stabilization, information gathering, practical assistance, connection with social supports, information on coping support, and linkage with collaborative services. PFA for children and adolescents focuses on these same core actions, with modifications to make them developmentally appropriate. Formal evaluation of the effectiveness of PFA is needed and it is hoped that development of a PFA Field Operations Guide will facilitate such evaluation.

scholarly journals Detection of Coccidian Parasites and their Clinical Manifestation, Treatment and Prophylaxis in HIV Infected Patients in Tribhuvan University Teaching Hospital

1970 ◽  
Vol 8 (8) ◽  
pp. 51-55 ◽  
Author(s):  
A Basnet ◽  
BB Sherchan ◽  
B Rijal ◽  
S Sharma ◽  
P Khadga
Keyword(s):  
Clinical Manifestation ◽  
Teaching Hospital ◽  
Opportunistic Infections ◽  
Previous History ◽  
University Teaching ◽  
Hiv Patients ◽  
Cryptosporidium Spp ◽  
Long Term Treatment ◽  
Coccidian Parasites

The objective was to know the prevalence of coccidian parasites, their clinical manifestation, treatment and prophylaxis in HIV infected patients in Tribhuvan University Teaching Hospital, Nepal.A total of 300 stool samples from 128 (64.00%) HIV patient without previous history of treatment with antiretroviral therapy (ART), 72 (36.00%) under ART treatment and 100 HIV seronegative control samples were collected and examined by wet mount, Kinyoun modified Ziehl Neelsen staining, Sheather's sucrose flotation and modified formalin-ethyl acetate sedimentation methods.The coccidian parasites were detected in 22 (11.0%) of the 200 HIV infected patients, 18 (9.0%) without ART and 4 (2.0%) with ART undertaking patients. Those without ART had majority of 11 (8.5%) Cryptosporidium spp and those with ART had equal percentage of 2 (0.03%) Cryptosporidium spp and 2 (0.03%) Cyclospora spp. The prevalence of coccidian parasites was significantly higher in patients with diarrhea (20/22) than in those without diarrhea (2/22) (P value < 0.05). The drug therapy indices of the antibiotic, Cotrimoxazole given for 30 days in combination with ART for treatment and/or prophylaxis for opportunistic infections showed that long term treatment was needed for the clearance of coccidian parasites. Among 8 Cyclospora identified, 7.6% cleared from stool anlaysis after 30th days of treatment likewise 15.3% of Cryptosporidium cleared after 45th days of treatment.In conclusion, Cryptosporidium followed by Cyclospora appeared to be the predominant coccidian parasite associated with diarrhea among HIV patients. Clinicians are requested to query for coccidian parasites to evaluate diarrhea in HIV patients. Cotrimoxazole is the drug of choice in curing coccidian parasites. So, it should be given along with ART as a treatment and/ or prophylaxis that act against both opportunistic infections as well as coccidian parasites. However its side effects should be evaluated for its long term prophylaxis. Key words: AIDS; Coccidian; Diarrhea; HIV; ART; OIs. DOI: 10.3126/sw.v8i8.3849 Scientific World Vol.8(8) 2010 pp.51-55  

scholarly journals Cutaneous Manifestations in Renal Transplant Recipients

2021 ◽  
Vol 19 (1) ◽  
pp. 42-49
Author(s):  
Anil Kumar Das ◽  
Ramesh Sharma ◽  
Ashish Karn
Keyword(s):  
Renal Transplant ◽  
Teaching Hospital ◽  
University Teaching ◽  
Outpatient Department ◽  
Renal Transplant Recipients ◽  
Gingival Hyperplasia ◽  
Transplant Recipients ◽  
Term Survival ◽  
Cutaneous Manifestations

Background: The availability of potent immunosuppressants has paved the path towards decreased incidence of graft rejection and long term survival of the renal transplant recipients. But, with the increased life span of the patients and long term use of immunosuppressants, there has been an increase in various skin conditions; ranging from various infections to some life-threatening cutaneous malignancies. Objectives: This study was carried out to determine the pattern of different cutaneous manifestations in renal transplant recipients at Tribhuvan University Teaching Hospital, to identify the infectious and non-infectious skin manifestations in these patients and their relation with the duration of transplantation. Methodology: The present study was a hospital based cross-sectional descriptive study conducted at Tribhuvan University Teaching Hospital, Kathmandu; Department of Internal Medicine, Transplant Outpatient department and Outpatient department of Department of Dermatology from June 2013 to May 2014. A total of 114 renal transplant recipients were enrolled in the study. Results: A total of 114 renal transplant recipients with a mean age of 37.56±11.10 years were studied. The immunosuppressive regimen consisted of combinations including tacrolimus, prednisolone,   mycophenolate mofetil/azathioprine along with supportive medications like antivirals, antibiotics and antihypertensives. Out of all those studied, 60 patients had a total of 61 cutaneous manifestations. The mean duration from date of transplantation to presentation to the transplant OPD for infectious dermatoses was 688.4 days (1.88 years) and for iatrogenic dermatoses was 67.5 days. The most common cutaneous manifestation was acne (41%) followed by fungal infections (27.9%) consisting of pityriasis versicolor (n=9), dermatophytosis (n=6) and candidiasis (n=2); viral infections (18%) consisting of verruca (n=4), herpes zoster (n=4) and herpes simplex (n=3); bacterial infections (4.9%) consisting of folliculitis (n=2) and erythema chronicum migrans (n=1). Gingival hyperplasia was observed in a single patient. Other cutaneous manifestations like seborrheic dermatitis and xerosis were also observed in 2 patients each during the study.   Conclusion: Renal transplant recipients are susceptible to acquire various cutaneous manifestations as a result of long term immunosuppression and also due to adverse effects of the drugs used. This knowledge helps the transplant physicians for regular dermatologic screening of these patients for early diagnosis and treatment of the skin lesions.

scholarly journals Multiple Events Model for the Infant Mortality at Kigali University Teaching Hospital

2018 ◽  
Vol 11 (1) ◽  
pp. 464-473 ◽  
Author(s):  
P. Gatabazi ◽  
S. F. Melesse ◽  
S. Ramroop
Keyword(s):  
Infant Mortality ◽  
Teaching Hospital ◽  
Very Low Birth Weight ◽  
University Teaching ◽  
Complete Case ◽  
Severe Respiratory Distress ◽  
Multiple Events ◽  
Clinical Covariates ◽  
Demographic Covariates

Introduction: The present study applies multiple events survival analysis to infant mortality at the Kigali University Teaching Hospital (KUTH) in Rwanda. Materials and Methods: The primary dataset consists of newborns from KUTH recorded in the year 2016 and in the current paper, a complete case analysis was used. Two events per subject were modeled namely death and the occurrence of at least one of the following conditions that may also cause long-term death to infants such as severe oliguria, severe prematurity, very low birth weight, macrosomia, severe respiratory distress, gastroparesis, hemolytic, trisomy, asphyxia and laparoschisis. Covariates of interest include demographic covariates namely the age and the place of residence for parents; clinical covariates for parents include obstetric antecedents, type of childbirth and previous abortion. Clinical covariates for babies include APGAR, gender, number of births at a time, weight, circumference of the head, and height. Results/Conclusion: The results revealed that Wei, Lin and Weissfeld Model (WLWM) fit the data well. The covariates age, abortion, gender, number, APGAR, weight and head were found to have a significant effect.

scholarly journals Psychological First Aid Well-Being Support Rounds for Frontline Healthcare Workers During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Mansoor Malik ◽  
Jessica Peirce ◽  
Michael Van Wert ◽  
Cynthia Wood ◽  
Haroon Burhanullah ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Healthcare Workers ◽  
Medical Center ◽  
Well Being ◽  
First Aid ◽  
Support Programs ◽  
Active Listening ◽  
Frontline Staff ◽  
Psychological First Aid ◽  
Frontline Healthcare Workers

Background and Objective: Frontline healthcare workers face unprecedented stress from the current SARS COV-2 (COVID-19) pandemic. Hospital systems need to develop support programs to help frontline staff deal with this stress. The purpose of this article is to describe a support program for front line healthcare workers.Methods: In this community case report, we describe a well-being support rounding program that was developed to deliver Psychological First Aid (PFA) to frontline healthcare workers in a large urban medical center to maintain their sense of psychological well-being and self-efficacy. A team of clinicians from the department of psychiatry, who were trained on the Johns Hopkins RAPID model (Reflective Listening, Assessment, Prioritization, Intervention, and Disposition) to provide PFA, were deployed throughout the hospital. These clinicians carried out daily well-being rounds from April to June during the peak of the pandemic.Results: Approximately 20% of the frontline staff members were going through an acute crisis and benefited from PFA. Anxiety, anger, exhaustion, economic worry, job insecurity, dehumanized interactions with patients due to Personal Protective Equipment (PPE), and stress of taking care of sick and dying patients without their families present, were the main themes identified by the staff. The deployed team used active listening, mindfulness, validation, reframing and other cognitive interventions to support staff.Conclusions: Our experience suggests that frontline staff are willing to engage with in-person, on-site support programs. Fostering resilience and self-efficacy through PFA is a useful model to provide emotional support to frontline healthcare workers during health crises.

Sign in / Sign up

Export Citation Format

Share Document