scholarly journals From nurse to patient: A journey to healing

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Leo Begazo

The nurse manager of an oncology clinic in a major cancer center shares his personal experience as a COVID-19 patient with other health care workers. He has spent two weeks in intensive care and found himself on the brink of death. In a lively description, he underlines the aspect of care that contributed to his cure. This included the respect that his caregivers expressed to his values, his love of his family and his religious beliefs. The communication of the caregivers was always honest and compassionate. He learned that love is the strongest motivation to survive in the course of a life-threatening disease and that healing is possible even in the absence of cure.

2020 ◽  
Vol 86 (2) ◽  
pp. 140-145
Author(s):  
Shoshana Levi ◽  
Emily Alberto ◽  
Dakota Urban ◽  
Nicholas Petrelli ◽  
Gregory Tiesi

Perception of physician reimbursement for surgical procedures is not well studied. The few existing studies illustrate that patients believe compensation to be higher than in reality. These studies focus on patient perceptions and have not assessed health-care workers’ views. Our study examined health-care workers’ perception of reimbursement for complex surgical oncology procedures. An anonymous online survey was distributed to employees at our cancer center with descriptions and illustrations of three oncology procedures—hepatectomy, gastrectomy, and pancreaticoduodenectomy. Participants estimated the Medicare fee and gave their perceived value of each procedure. Participants recorded their perception of surgeon compensation overall, both before and after revealing the Medicare fee schedule. Most of the 113 participants were physicians (33.6%) and nurses (28.3%). When blinded to the Medicare fee schedules, most felt that reimbursements were too low for all procedures (60–64%) and that surgeons were overall undercompensated (57%). Value predictions for each procedure were discordant from actual Medicare fee schedules, with overestimates up to 374 per cent. After revealing the Medicare fee schedules, 55 per cent of respondents felt that surgeons were undercompensated. Even among health-care workers, a large discrepancy exists between perceived and actual reimbursement. Revealing actual reimbursements did not alter perception on overall surgeon compensation.


2020 ◽  
Vol 47 (3) ◽  
pp. 207-214
Author(s):  
M. Mukhtar-Yola ◽  
B. Andrew

Background: Health care workers at the bedside of critically ill babies freely carry their mobile phones in between procedures and handling  patients. Concerns are rising as this may contribute to nosocomial infections with pathogenic bacteria. Aim: To determine if mobile phones of health care workers in Intensive care units carry potentially pathogenic bacteria leading to hospital acquired infections. Design: Systematic review.Data sources: Electronic databases (Medline via ovid, CINAHL, Web of science) and hand Searching of references and citations were done to identify studies. Screening and inclusion criteria were used to identify studies with a cross-sectional or cohort design. The search was limited to journal articles published between 2008-2015 and to English language. Quality assessment was done using the National Institute of Health tool for observational studies. Data was extracted on to excel sheets and analysed using SPSS version 22.Results: Six studies with a cohort (1) or cross-sectional design (5) involving 1, 131 health care workers were reviewed. The overall quality of the studies was fair, and a narrative synthesis was done. The colonization rate of the mobile phones ranged between 46.3 % and a 100% with 13-50% carrying potentially pathogenic multidrug resistant microorganisms. Methicillin resistant staphylococcus aureus, Vancomycine resistant enterococci, acinobacter and coagulase negative staphylococci were reported across all studies and were recognized as leading causes of morbidity and mortalityin the ICU. Conclusion: Mobile phones Of HCW are portals of potentially pathogenic microorganisms, which could result in morbidity and mortality.Although no causal relationship could be established, strong associations have been reported. Guidelines by hospital infection control committees are needed on restriction, care and routine cleaning of mobile phones as well as further research. Key words: Health care worker, Intensive care unit, Hospital Acquired Infections, mobile phones


2002 ◽  
pp. 1-12
Author(s):  
Suleiman Said Buba ◽  
Amina Kaidal

This study was aimed at determining the factors that influences the screening for sexually transmitted diseases among adults in Maiduguri metropolis of Borno State North-Eastern, Nigeria. In order to achieve this objective, one research objectives and one research question was formulated and three null hypotheses were tested. The theoretical frame work used for this study was theory of Reason and Action developed by Martin Fish-Being & Ajzen Icek, (1980). The theory of Reason and Action (TRA), suggest that behavior is determined by individual’s intentions, attitude and belief to perform the behavior. Related literature was reviewed under the following sub-headings: Concept of sexually transmitted infections, Causative Agents and Adults’ Knowledge of Screening for Sexually Transmitted Infections. Survey research design was used for this study. The populations for this study was made up of ten thousand and-ten (10,010), INEC, 2019, and five hundred (500) respondents were sampled for the study using simple random sampling. Data were collected using questionnaire on factors influencing the screening for sexually transmitted diseases among adult in Maiduguri metropolis (FISSTI). Five hundred respondents were sampled for this study and analyzed using descriptive statistics of frequency count and percentages to describe the demographic characteristics of the respondents and to answer research questions. While, inferential statistics of Chi-square test was used to test the research hypotheses at 0.05 alpha level of significant. The result of the findings revealed that screening for sexually transmitted infections among adult in Maiduguri metropolis, had greatly influenced by different factors. Some respondents believed that screening for sexually transmitted infections is against their religious beliefs. Also the result of the findings revealed statistically that Factors influencing the screening for sexually infections in Maiduguri metropolis among adult of different educational background did not differ significantly (p˃ 0.05). While, Factors influencing the screening for sexually transmitted infections between male and female in Maiduguri metropolis differed significantly (p˂ 0.05). and Factors influencing the screening for sexually transmitted infections in Maiduguri metropolis among adult of different ethnic background did not differ significantly (p˃ 0.05). It was concluded that several factors had influenced the behaviors of adult towards the screening for sexually transmitted infections in Maiduguri metropolis. For example some respondents believed that screening for sexually transmitted infections is against their cultural and religious beliefs. Furthermore, some respondents’ shows concerns about stigma, social isolation and discrimination from the society as factor deterred them from accepting the screening for sexually transmitted infection, while some respondents show their concerns about health care workers attitudes, lack of confidentiality and accuracy of the screening result as a factor militating them from going to sexually transmitted infections. It was also found some that respondents strongly agreed that lack of knowledge and support from their family and friends hindered them from accepting the screening for sexually transmitted infections like hepatitis B virus, human papilloma virus and HIV/AIDS. It was recommended that Government should embark on sensitizations workshops and public enlightenment campaigns to educate the general population of young adult on the sexually transmitted diseases and the importance of regular screening for sexually transmitted diseases. A well-organized health education campaigns and media (TV, radio and internet) are needed to improve public perceptions and understanding about sexually transmitted infections. Massive educational campaign that involves all stakeholders of society, including health care workers and community members, should be undertaking to make society more tolerant when it comes to issues of sexually transmitted diseases


2014 ◽  
Vol 8 (01) ◽  
pp. 116-119 ◽  
Author(s):  
Alejandra Ruiz ◽  
Marcelo Mora ◽  
Camilo Zurita ◽  
Danny Larco ◽  
Yadira Toapanta ◽  
...  

Introduction: Colonization of health care workers with methicillin-resistant Staphylococcus aureus (MRSA) has been an important route of dispersion and infection of MRSA and has been implicated in epidemic outbreaks. The objective of the present study was to assess prevalence of MRSA colonization in the anterior nares of health care personnel at the intensive care unit (ICUs) of three hospital facilities in Quito, Ecuador. Methodology: The prevalence of MRSA in specimens from all ICU health care workers of three hospitals was measured by using a real-time PCR assay and CHROMagar MRSA. Results: The prevalence of MRSA among the three health care facilities was 2.4%. Conclusion: The prevalence of MRSA colonization was relatively low compared to other studies and showed no differences between hospital facilities.


2018 ◽  
Vol 131 (8) ◽  
pp. 972.e9-972.e15 ◽  
Author(s):  
Rachel Butler ◽  
Mauricio Monsalve ◽  
Geb W. Thomas ◽  
Ted Herman ◽  
Alberto M. Segre ◽  
...  

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