Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses

Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of crucial importance for providing a high quality of care under everyday conditions, we aimed to identify barriers and facilitators that impact safe communication in obstetrics from the subjective perspective of health care workers. A qualitative study with 20 semi-structured interviews at two university hospitals in Germany was conducted to explore everyday perceptions from a subjective perspective (subjective theories). Physicians, midwives, and nurses in a wide span of professional experience and positions were enrolled. We identified a structural area of conflict at the professional interface between midwives and physicians. Mandatory interprofessional meetings, acceptance of subjective mistakes, mutual understanding, and debriefings of conflict situations are reported to improve collaboration. Additionally, emergency trainings, trainings in precise communication, and handovers are proposed to reduce risks for pAEs. Furthermore, the participants reported time-constraints and understaffing as a huge burden that hinders safe communication. Concluding, safety culture and organizational management are closely entwined and strategies should address various levels of which communication trainings are promising.

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Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

10.26686/wgtn.12470129.v1 ◽

2020 ◽

Author(s):

J Wailling ◽

Brian Robinson ◽

M Coombs

Keyword(s):

Health Care ◽

Patient Safety ◽

New Zealand ◽

Health Care Professionals ◽

Nuclear Power ◽

High Reliability ◽

Health Care Systems ◽

Tertiary Hospital ◽

Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

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Mandatory meningococcal vaccine, and other recommended immunisations: Uptake, barriers, and facilitators among health care workers and trainees at Hajj

World Journal of Clinical Cases ◽

10.12998/wjcc.v6.i16.1128 ◽

2018 ◽

Vol 6 (16) ◽

pp. 1128-1135 ◽

Cited By ~ 5

Author(s):

Al-Mamoon Badahdah ◽

Mohammad Alfelali ◽

Amani S Alqahtani ◽

Saeed Alsharif ◽

Osamah Barasheed ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Barriers And Facilitators ◽

Meningococcal Vaccine ◽

Care Workers

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AIDS Dementia Complex: The Perception of Loss of Functional Ability

British Journal of Occupational Therapy ◽

10.1177/030802260206501105 ◽

2002 ◽

Vol 65 (11) ◽

pp. 509-514

Author(s):

Kate Gregory ◽

Deanna Gibbs

Keyword(s):

Health Care ◽

Health Care Workers ◽

Functional Ability ◽

Aids Dementia Complex ◽

Limited Information ◽

Loss Of Function ◽

Structured Interviews ◽

Aids Dementia ◽

Care Workers ◽

And Function

AIDS Dementia Complex (ADC) is a subcortical dementia often associated with HIV disease. Despite undergoing numerous assessments of cognition and function to determine their need for personal care assistance, there is limited information on how individuals with ADC view their functional and cognitive impairments and the subsequent effect on their lifestyle. This study investigated issues of concern to clients with ADC in order to provide a greater understanding of the psychological effect of the loss of functional ability. A qualitative design was used to explore individuals' experience of ADC and clarify their insight and perception regarding the loss of function. The participants were selected by the use of purposeful sampling techniques. Information was obtained through semi-structured interviews and analysed using an analytic induction method. Five main themes were identified as being important in relation to the perception of functional ability. Discrepancies emerged between the insights of individuals with ADC regarding their level of function and their need for assistance and support with activities of daily living, compared with those of the health care workers involved in their care. Health care workers need to have an awareness of the insight that individuals with ADC may have into their functional ability when addressing issues of supported accommodation and level of assistance required.

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Patient safety culture-perception of health care workers in a tertiary care hospital

International Journal of Risk & Safety in Medicine ◽

10.3233/jrs-2012-0575 ◽

2012 ◽

Vol 24 (4) ◽

pp. 191-199 ◽

Cited By ~ 2

Author(s):

Sumathi Muralidhar ◽

Akhil Taneja ◽

V. Ramesh

Keyword(s):

Health Care ◽

Patient Safety ◽

Safety Culture ◽

Health Care Workers ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Patient Safety Culture ◽

Care Hospital ◽

Care Workers ◽

Perception Of Health

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Healthcare Workers’ Mobile Phones as a Possible Vehicle of Nosocomial Pathogens and the Role of Different Disinfectants in their Decontamination

10.51429/ejmm30304 ◽

2021 ◽

Vol 30 (3) ◽

pp. 29-36

Author(s):

Rana E. Elgabeery ◽

Radwa A. Eissa ◽

Sohair M. Soliman ◽

Naglaa F. Ghoname

Keyword(s):

Health Care ◽

Mobile Phones ◽

Health Care Workers ◽

Healthcare Workers ◽

Colony Count ◽

Drug Resistant ◽

University Hospitals ◽

Care Workers ◽

Before And After

Background: As Mobile Phones (MPs) aren’t cleaned routinely and have been touched during patient’s examination, they may become contaminated with hospital pathogens. Objectives: Screen MPs of Health care workers (HCWs) for pathogens and verify the effect of disinfectants in their decontamination. Methods: A questionnaire was submitted by 160 HCWs in Tanta University Hospitals. Samples were taken from their MPs and subjected to pour plate counting before and after disinfection. Standard identification and antibiotic susceptibility of isolates were done. Results: Colony count was greater in MPs used while caring for patients or inside restroom, and was less in regularly cleaned MPs. All tested disinfectants reduced the colony count significantly. Pathogens were isolated from 84.38% of samples and 36.25% of them were Multi-Drug Resistant Organisms (MDROs). Conclusion: Using MPs at critical care areas and restroom may contribute to their contamination with pathogens. Regular disinfection of MPs can reduce this contamination.

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The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers

International Journal of Social Psychiatry ◽

10.1177/0020764020932202 ◽

2020 ◽

Vol 66 (6) ◽

pp. 560-565 ◽

Cited By ~ 4

Author(s):

Mirna Fawaz ◽

Ali Samaha

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Workers ◽

Health Care Professionals ◽

Control Measures ◽

Mental Wellbeing ◽

Care Providers ◽

Structured Interviews ◽

Psychosocial Effects ◽

Care Workers

Background: Since the outbreak of the novel Coronavirus (COVID-19), health care professionals in Lebanon have been diligently serving as the frontline of defense. In the light of challenging economic and political circumstances, putting their community wellbeing as a priority, and abiding by quarantine and strict infection control measures, health care professionals risk both their physical and mental wellbeing. Objective: The aim of this study is to explore the psychosocial effects of being quarantined following exposure to COVID-19 among Lebanese health care professionals. Method: An exploratory qualitative research design was employed, where semi-structured interviews were carried out involving a sample of 13 Lebanese health care providers working at various COVID-19 units. Results: The qualitative analysis has revealed four themes namely ‘Fears of contracting and spreading the virus’, ‘Conflict between professional duty and family obligation’, ‘Stigma of being infected’, and ‘Inadequate or inaccurate information’. Conclusion: COVID-19 quarantine has been posing intense psychological challenges among Lebanese health care workers which are worsened at times by the economic instability; thus, health care policymakers are urged to take proper action nationwide to alleviate longlisting implications and support the health care providers in fulfilling their mission.

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When roles within interpreter-mediated psychiatric consultations speak louder than words

Transcultural Psychiatry ◽

10.1177/1363461520933768 ◽

2020 ◽

pp. 136346152093376 ◽

Cited By ~ 2

Author(s):

Sanja Kilian ◽

Leslie Swartz ◽

Xanthe Hunt ◽

Ereshia Benjamin ◽

Bonginkosi Chiliza

Keyword(s):

South Africa ◽

Health Care ◽

Health Care Workers ◽

Ad Hoc ◽

Psychiatric Hospitals ◽

Best Interests ◽

Western Cape ◽

Structured Interviews ◽

Care Workers ◽

Professional Interpreting

In South Africa, clinicians working in public psychiatric hospitals are mainly fluent in English and Afrikaans, while the majority of patients are not proficient in these languages. Due to a lack of professional interpreting services, informal, ad hoc interpreters are commonly employed in public psychiatric hospitals. We collected data on language practices in public psychiatric care in South Africa, and provide a detailed account of what happens when bilingual health care workers and cleaners haphazardly take on the additional role of interpreter. Data were collected during 2010 at a public psychiatric hospital in the Western Cape, South Africa. Thirteen interpreter-mediated psychiatric consultations were video-recorded, and 18 audio-recorded semi-structured interviews were conducted with the interpreters and clinicians who participated in the interpreter-mediated psychiatric consultations. Patients were proficient in isiXhosa (one of the 11 official languages of South Africa), the clinicians (all registrars) were first language English or Afrikaans speakers, while the health care workers (nurses and social workers) and cleaners were fluent in both the patients’ and clinician’s language. Our findings suggest that interpreters took on the following four roles during the interpreter-mediated psychiatric consultations: regulating turn-taking, cultural broker, gatekeeper and advocate. Our findings suggest that, despite interpreters and clinicians having the patient’s best interests at heart, it is the patient’s voice that becomes lost while the clinician and interpreter negotiate the roles played by each party.

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