scholarly journals Feasibility and perceptions of video tutorials for intern training in anaesthesia: a survey

Author(s):  
L Naicker ◽  
K Govender ◽  
VS Singaram

Background: Effective intern training is essential for safe delivery of anaesthesia during community service. Interns are trained using both tutorials and clinical exposure. E-learning platforms using video tutorials may address millennial learner needs better, but feasibility is unknown in a particular local setting. This study aimed to explore the feasibility of using a video tutorial to facilitate intern training. Perceptions of the value of tutorials were also assessed. Methods: A cross-sectional survey was conducted amongst interns who rotated through anaesthesia at a regional hospital in KwaZulu-Natal. The interns had been exposed to face-to-face tutorials previously and provided with a video-based tutorial. Results: Thirty-seven of the interns consented (88%), watched the video and answered the questionnaire. All interns indicated a need for tutorials during internship. A majority of respondents (71%) felt underprepared by undergraduate training programmes. Most interns were prepared to watch the video tutorial outside of working hours; however, they were divided over the fairness of using internet access for tutorials. There was a preference for video tutorials over reading a textbook or lecture notes. A total of 88% watched the video from the Internet. One intern did not have Internet access or a computer but the video was watched using a free Wi-Fi hotspot. Conclusion: A video-based tutorial system is feasible but current infrastructure needs to be considered. Interns continue to feel underprepared for internship and request that tutorials continue in internship.

2019 ◽  
Vol 4 (1) ◽  
pp. 28
Author(s):  
Victor Uwadibie Chukwuma

The study examined the relationship between leader attunement and employee work involvement of the deposit money banks in Port Harcourt, Nigeria. To accomplish the purpose of this study a cross sectional survey method for social research was adopted, with a self-administered questionnaire as instruments of data collection. The population of the study was 3,978 employees drawn from the ten deposit money banks in Port Harcourt. A sample size of 381 respondents was calculated using Taro Yamane sample size determination formula. The research instrument was validated through supervisor's vetting and approval, while the reliability of the instrument was achieved by the use of  Crombach's Alpha coefficient with all the items scoring above 0.70. The hypotheses were tested using Spearman's Rank Order Correlation Coefficient and statistical software SPSS. The tests were carried out at a 95% confidence interval and a 0.05 level of significance. The result of the analysis revealed that a positive and significant relationship exist between leader attunement and the employee work involvement of the deposit money banks in Port Harcourt. The study recommends that leader should exhibit attunement skill since there is no better and faster way to build trust than for leader to listen to employee. Consequently. The study posits that management of deposit banks in Port Harcourt should encourage training programmes for leaders. This will enhance their social awareness competence.


2021 ◽  
Vol 12 ◽  
Author(s):  
Lina Marie Mülder ◽  
Nicole Deci ◽  
Antonia Maria Werner ◽  
Jennifer L. Reichel ◽  
Ana Nanette Tibubos ◽  
...  

Prolonging working hours and presenteeism have been conceptualized as self-endangering coping behaviors in employees, which are related to health impairment. Drawing upon the self-regulation of behavior model, the goal achievement process, and Warr's vitamin model, we examined the antecedents and moderation effects regarding quantitative demands, autonomy, emotion regulation, and self-motivation competence of university students' self-endangering coping behaviors (showing prolonging working hours and presenteeism). Results from a cross-sectional survey of 3,546 German university students indicate that quantitative demands are positively related and autonomy has a u-shape connection with self-endangering coping. Emotion regulation was shown to be a protective factor for prolonging working hours. Moreover, self-motivation moderated the relationship between quantitative demands and prolonging of working hours, but not in the assumed direction. Self-motivation showed a systematic positive relationship with prolonging of working hours, but no relationship with presenteeism. Autonomy moderated the relationship of quantitative demands with both self-endangering behaviors. We found no moderating effects for emotion regulation of quantitative demands or autonomy and self-endangering behaviors. Besides further practical implications, the results suggest that lecturers should design their courses accordingly with less time pressure and university students should be trained in the use of autonomy.


Author(s):  
Sam McCrabb ◽  
Laura Twyman ◽  
Kerrin Palazzi ◽  
Ashleigh Guillaumier ◽  
Christine Paul ◽  
...  

Abstract Background Tobacco smoking is highest among population groups which are the most socially disadvantaged. Internet-based smoking cessation programs have been found to be effective, though rates of internet access are not well known in these groups. This study describes the rates of internet use and types of technology used to access the internet by a population of socially disadvantaged smokers. The study also examined relationships between sociodemographic and smoking behaviours with amount of internet use and type of device used. Methods A cross-sectional survey of 369 clients (response rate 77%) from two non-government community service organisations in metropolitan New South Wales, Australia was conducted using touchscreen computers. Descriptive statistics and logistic regressions were used to examine results. Results Eligible participants ranged from 19 to 88 years old current tobacco users. Over half (58%) of the participants reported weekly or more frequent use of the internet with less than a third (28%) not having any access. The odds of using the internet at least weekly decreased with age and as heaviness of smoking increased (OR = 0.94, p < 0.001; OR = 0.81, p = 0.022, respectively). Odds of internet use were higher as income increased (OR = 2.74, p < 0.001 for individuals earning $201–$400 per week; OR = 2.83, p = 0.006 for individuals earning > $400 per week). Device use differed for age and income. Conclusions Internet-based interventions appear to reach the majority of socially disadvantaged populations. It is expected that this reach will continue to grow, making internet-based interventions a potential platform for providing care to low socioeconomic individuals who smoke, however inequalities may be exacerbated for those individual without internet access. Implications Internet use among socially disadvantaged tobacco users is moderate (58%). An internet-based smoking cessation intervention for socially disadvantaged tobacco users may be an effective intervention however, older, heavier tobacco users may not benefit as easily due to limited internet access and therefore acknowledging these limitations when developing an intervention can help to acknowledge limitation of intervention reach.


2017 ◽  
Vol 18 (4) ◽  
pp. 182-188 ◽  
Author(s):  
Maysa Nofal ◽  
Maha Subih ◽  
Mahmoud Al-Kalaldeh

Background: Adherence to infection control precautions (ICP) is important to reduce the transmission of healthcare-associated infections (HAIs). Aims: To determine nurses and physician’s knowledge, attitude and compliance to ICPs and factors associated with reported compliance. Methods: A cross-sectional survey of nurses and physicians recruited from three hospitals at three different healthcare sectors in Jordan. Three instruments were used to assess knowledge, attitudes and compliance to ICPs. Findings: A total of 211 professionals completed the survey: 155 nurses and 56 physicians. Both groups had low knowledge scores for ICP but a high positive attitude. Although both groups had high reported compliance scores, nurses scores were higher ( P = 0.04). Participants from the private hospital had higher knowledge and compliance scores. Length of experience, knowledge and attitude were significant predictors of reported compliance to ICPs. Discussion: Despite poor knowledge, Jordanian healthcare professionals reported high scores for positive attitudes and compliance with IPCs. Clinical training programmes are required to enhance knowledge and understanding of IPCs.


2021 ◽  
Author(s):  
Hiro Nakao ◽  
Osamu Nomura ◽  
Mitsuru Kubota ◽  
Akira Ishiguro

Abstract BackgroundIn Japan, the “Work Style Reform Bill” was partially enacted in 2019. In 2011, an Overnight Call Shift (OCS) system was introduced for pediatric training at the National Center for Child Health and Development (NCCHD). A questionnaire survey was conducted twice during the introduction of this system, finding a decrease in working hours, but no change in the depressive tendency of the residents. We conducted a follow-up survey in 2019 to investigate the long-term effectiveness of the OCS system to improve the pediatric residents’ wellness at NCCHD.MethodsA questionnaire-based cross-sectional survey was conducted for pediatric residents in 2019, and the results were compared to those of the previous survey in 2012. The questionnaire includes demographic data, working conditions data, and wellness assessment by the Center for Epidemiologic Studies Depression scale (CES-D) and the Maslach Burnout Inventory (MBI).ResultsThe collection rate for the 2019 survey was 94.5% (37 participants/39 eligible). Compared to 2012, there were no significant changes in demographic data and working hours, a significant increase by about 30% in residents who took daytime off after night work, about 10% decrease in residents who scored 16 and above on the CES-D, and a significant decrease in the mean score for depersonalization (DP) in the MBI.ConclusionsThis survey demonstrated the long-term effectiveness of the implemented OCS system to improve pediatric residents’ wellness. This study provides evidence for the further initiative to improve pediatricians’ wellness for preparing for the government’s overtime regulations for physicians scheduled for 2024.


2020 ◽  
Author(s):  
Michael Burrows ◽  
Nicola Gale ◽  
Sheila Greenfield ◽  
Ian Litchfield

Abstract Background Amidst increased pressures on General Practice across England, the receptionist continues to fulfil key administrative and clinically related tasks. The need for more robust support for these key personnel to ensure they stay focussed and motivated is apparent, however to be effective a more systematic understanding of the parameters of their work is required. Here we present a valuable insight into the tasks they fulfil their relationship with colleagues and their organisation, and their attitudes and behaviour at work collectively defined as their ‘work design’. Methods Our aim was to quantitatively assess the various characteristics of receptionists in primary care in England using the validated Work Design Questionnaire (a 21 point validated questionnaire, divided into four categories: task, knowledge and social characteristics and work context with a series of sub-categories within each). This was available online and in addition 500 postal questionnaire were sent to a random sample of 100 general practices across England. An online cross-sectional survey was employed with receptionists (N=54). Additionally (N=16; RR=3.1%). Results Seventy participants completed the WDQ; 54 completed the survey online 16 completed the postal version (response rate of 3.1%). Receptionists reported high task variety, task significance and, high level of information processing and knowledge demands, confirming the high cognitive load placed on them by performing numerous yet significant tasks. This complex role required an array of skills, to accommodate their various administrative, communicative, problem solving and decision-making duties they have, and there was a reliance on colleagues for support and feedback. Conclusion Research with modern GP receptionists is sparse and little is known formally regarding the parameters of the role. This research explores the work design of GP receptionists and offers clinicians in practice a practical overview of this important and essential role and its implications for the modern GP practice. We suggest a number of ways in to better support the modern receptionist, including separating complex tasks to avoid the errors involved with high cognitive load, providing informal feedback and developing training programmes.


Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1274
Author(s):  
In-Hwan Yeo ◽  
Yun-Jeong Kim ◽  
Jong-Kun Kim ◽  
Dong-Eun Lee ◽  
Jae-Young Choe ◽  
...  

Background and Objectives: Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. Materials and Methods: This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. Results: A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. Conclusions: Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.


2020 ◽  
Vol Volume 4 (Issue 3) ◽  
pp. 532-555
Author(s):  
Sidra Hussain ◽  
Saima Afzal ◽  
Adeela Manzoor

The present study was intended to determine the level and factors of nurse’s job satisfaction working at public hospitals of Multan city, Pakistan. A cross-sectional survey was employed to collect data (March, 2019-May, 2019) from 441 nurses by utilizing a disproportionate sampling technique. Data collection was done by the application of a self-administered questionnaire e.g. McCloskey/ Mueller Satisfaction Scale. (MMSS).The level of J.S was measured by correlation analysis and to determine the most prevalent factor of J.S regression analysis was done. Correlation coefficient value of socio-demographic variables described that cadre, shiftwork, work experience, marital status, no of children, and working hours demonstrated a significant relationship with J.S. However, regression analysis of MMSS demonstrated a strong positive association with J.S. Nurse's satisfaction could be improved through cultivating a positive work environment, increase in remuneration, decrease in workload, and maintaining work/family balance.


Animals ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 2032
Author(s):  
Anna L. Palmer ◽  
Chris W. Rogers ◽  
Kevin J. Stafford ◽  
Arnon Gal ◽  
Darryl J. Cochrane ◽  
...  

The aim of this study was to conduct a cross-sectional survey of racing greyhound trainers in New Zealand in order to provide an overview of their training practices. A survey regarding training practices was posted to all registered greyhound training license holders in New Zealand in August 2019. Data were collected from a convenience sample of 48 trainers (35.6%; n = 48/137) who completed the survey. Other than the differences in the number of greyhounds in race training, the training programmes described by public trainers and owner trainers were similar. Trainers reported that the primary reason for registering young dogs for racing and for qualifying for racing was the ability to meet time milestones. Young dogs had a median of six (interquartile range (IQR): 4–10) trials before they commenced their racing career. Trainers described training practices that aimed to prepare greyhounds for race-day. Regardless of whether the dogs raced once or twice a week, most training programmes demonstrated high specificity where training involved two periods of load cycles through high-intensity workload. Trainers racing their greyhounds once a week simulated the workload of trainers racing their greyhounds twice a week by introducing one high-intensity (speed) workout during the week. Training programmes were structured to condition the dogs to the physiological and metabolic requirements of sprint racing. This study highlights the importance of the need for an improved understanding of training and competition load in order to enable future research in the field of racing greyhounds.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Scott ◽  
L Ellis ◽  
A Khanom ◽  
M Rhydderch ◽  
G Richardson ◽  
...  

Abstract There are concerns that people seeking sanctuary (asylum seekers and refugees) in Wales, UK, have unmet health needs and face difficulties accessing services, but little collated evidence. This study addressed this gap to inform policy and practice in reducing health inequities. It aimed to: investigate the health, wellbeing and healthcare experiences of adults seeking sanctuary in Wales, including the views of healthcare recipients and providers; and establish what helped or hindered the healthcare experiences of those seeking sanctuary. It is the most comprehensive study of this population in Wales. A mixed-method approach was taken, including a literature search, a cross-sectional survey of 210 adults seeking sanctuary, telephone interviews with 32 health professionals and third sector support workers, and 8 focus groups including 57 people seeking sanctuary and those supporting them. Eight trained volunteer peer researchers, themselves asylum seekers or refugees, administered the surveys. Interviews were digitally recorded, transcribed and analysed using a standard framework. The literature search identified 5 themes that help or hinder people seeking sanctuary to access healthcare. The survey found 79% of respondents attended an initial health assessment on arriving in Wales, with 94% currently registered with Primary healthcare. 64% reported difficulties in accessing health services. Awareness of services was mixed, with 66% having used healthcare in working hours (planned) and 28% out of hours (unplanned). Mainstream health professionals felt they lack capacity to deliver care effectively due to time and other pressures on the healthcare system and the need for appropriate translation/interpretation services. This study triangulates the experiences of people seeking sanctuary with those providing healthcare and general support. Peer researchers maximised sanctuary seekers’ participation. Many of its methods and findings have relevance to other countries in Europe. Key messages Improving health equity is key to realising Wales’ ambition to become a Nation of Sanctuary. Peer Researchers enabled participation by sanctuary seekers and revealed useful findings to steer future policy and practice.


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