Challenges to Arboviral Surveillance in Tennessee: Health-Care Providers' Attitudes and Behaviors

Healthcare is a complex multidimensional system that depends upon effective communication and collaboration amongst all members of the health care team as the key ingredient for best patient care. In the current health care environment all health care providers are feeling the growing pressures on care delivery and the changing health dynamics which in many instances has negatively impacted their attitudes and behaviors toward medical care. Nursing is a key part of this process. In order to provide best patient care, affiliated organizations need to recognize how important staff satisfaction and engagement is to care continuity and provide the necessary resources and support to maintain staff physical, emotional, and behavioral well- being. The aim of the article is to review key literature findings to help organizations recognize the causes and consequences of stress and burnout and the importance of providing the appropriate support and resources to help nurses succeed.

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Sexual Misconduct: Are You Aware?

CommonHealth ◽

10.15367/ch.v1i2.301 ◽

2020 ◽

Vol 1 (2) ◽

pp. 69-75

Author(s):

Anne C. Russ ◽

Jamie L. Mansell ◽

Dani M. Moffit

Keyword(s):

Health Care ◽

Health Care Providers ◽

Contextual Factors ◽

Sexual Misconduct ◽

Care Providers ◽

Power Dynamic ◽

Positional Power ◽

And Behaviors

Sexual misconduct, a continuum of unwanted acts and behaviors that ranges from discrimination to assault, is a growing concern in health care. There is often a power dynamic involved, with the perpetrator having greater positional power than the victim. Both health care providers and educators in health care programs need to be aware of sexual misconduct. This includes using consent when working with a patient and/or student as wells as being sensitive to how varying contextual factors impact how actions and conversations are received. Schools and programs have a responsibility to educate individuals on prevention and recognition of sexual misconduct, reporting sexual misconduct, and responding to sexual misconduct.

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Sodium Knowledge, Beliefs, and Behaviors in Patients on Chronic Hemodialysis

Blood Purification ◽

10.1159/000502678 ◽

2019 ◽

Vol 49 (1-2) ◽

pp. 25-32

Author(s):

Zorica Kauric-Klein

Keyword(s):

Blood Pressure ◽

Health Care ◽

Health Care Providers ◽

Salt Intake ◽

Sodium Intake ◽

Chronic Hemodialysis ◽

Care Providers ◽

And Behaviors ◽

The Relationship ◽

Total Sodium

Introduction: There is a clear relationship between sodium intake and blood pressure in patients on chronic hemodialysis (HEMO). To date, there are few studies that assess sodium knowledge, beliefs, and behaviors in patients on chronic HEMO. The purpose of this research study was to determine sodium knowledge, beliefs and behaviors in patients on chronic HEMO. Methods: A descriptive correlational study was conducted using an investigator developed online sodium knowledge, beliefs, and behaviors survey. Participants were recruited via nephrology social media websites. Findings: One hundred and fourteen participants completed the survey, the majority of participants (n = 39, 34.2%) were between the ages of 36 and 50 years, 55.3% (n = 63) were female, and 70% (n = 80) were white. Fifty-four participants (47%) could not identify their recommended salt intake limit. Participants answered an average of 4 out of 7 questions pertaining to sodium knowledge correctly (SD 1.5). Increased age was associated with total sodium knowledge (r = 0.33, p= 0.01) and length of time on HEMO was related to total sodium knowledge (r = –0.20, p = 0.04). In terms of beliefs, 38% (n = 44) were unsure or did not believe that salt intake was related to blood pressure and 30% (n = 33) did not feel it was related to fluid gains. Forty-two participants (37%) responded that they were not informed by a health care provider to cut down their salt intake. Discussion: Knowledge about sodium levels is lacking in patients on chronic HEMO. Patients may be more likely to decrease their sodium intake if they know their recommended sodium levels. Health care providers are not doing enough to educate patients on the need to decrease sodium intake and reinforce the relationship between sodium intake, fluid gains, and blood pressure. Findings from this study are useful to help develop educational programs to target these knowledge needs.

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The Long Road to Farewell: The Needs of Families With Dying Children

OMEGA - Journal of Death and Dying ◽

10.1177/0030222817697418 ◽

2017 ◽

Vol 78 (4) ◽

pp. 404-420 ◽

Cited By ~ 4

Author(s):

Joanne Cacciatore ◽

Kara Thieleman ◽

Angela S. Lieber ◽

Cybele Blood ◽

Rachel Goldman

Keyword(s):

Health Care ◽

Health Care Providers ◽

Terminal Illness ◽

Family Members ◽

Care Providers ◽

Dying Children ◽

And Behaviors ◽

Child's Death ◽

Multiple Domains

Families of dying children are profoundly impacted by numerous interactions with health-care providers before, during, and after their child’s death. However, there is a dearth of research on these families’ direct, qualitative experiences with health-care providers. This study presents findings from interviews with 18 family members, predominantly parents, regarding their experiences with health-care providers during a child’s terminal illness, from diagnosis to death. The importance of compassion emerged as a salient theme, manifested in myriad ways, and connected to participants’ perception of caregiver presence in multiple domains. Families were likewise negatively affected by a wide variety of situations and behaviors that represented individual or institutional abandonment or nonpresence, and thus compounded the experience of loss. Specifics and implications for practice are explored.

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What Are the Perceptions, Experiences, and Behaviors of Health Care Providers After Implementation of a Comprehensive Smoke-Free Hospital Policy?

Global Qualitative Nursing Research ◽

10.1177/2333393618756770 ◽

2018 ◽

Vol 5 ◽

pp. 233339361875677 ◽

Cited By ~ 1

Author(s):

Kerrie E. Luck ◽

Shelley Doucet

Keyword(s):

Health Care ◽

Patient Care ◽

Health Care Providers ◽

Hospital Setting ◽

Hospital Environment ◽

Care Providers ◽

Structured Interviews ◽

Staff Morale ◽

Smoke Free Policy ◽

And Behaviors

The aim of this study was to explore the perceptions, experiences, and behaviors of health care providers (HCPs) after the implementation of a comprehensive smoke-free policy. This qualitative descriptive study, using semi-structured interviews, was conducted with 28 HCPs working in a Canadian hospital. Four overarching themes emerged from the analysis including (a) greater support for tobacco reduction, (b) enhanced patient care and interactions, (c) improved staff morale, and (d) some barriers still exist. The main findings suggest a comprehensive smoke-free hospital environment can strengthen the tobacco-free workplace culture within a hospital setting among HCPs where support for tobacco reduction is amplified, patient care and interactions regarding tobacco dependence are improved, and staff morale is enhanced. While there are still some challenging barriers as well as opportunities for improvements, the implementation of a comprehensive smoke-free policy heightened the call-to-action among HCPs to take a more active role in tobacco reduction.

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Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012973 ◽

1999 ◽

Vol 27 (2) ◽

pp. 203-203

Author(s):

Kendra Carlson

Keyword(s):

Health Care ◽

Supreme Court ◽

Health Care Providers ◽

Elder Abuse ◽

Skilled Nursing Facility ◽

Pressure Sores ◽

Care Providers ◽

Nursing Facility ◽

Skilled Nursing ◽

The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations ◽

10.1044/cds19.3.71 ◽

2012 ◽

Vol 19 (3) ◽

pp. 71-76 ◽

Cited By ~ 1

Author(s):

Pauline A. Mashima

Keyword(s):

Health Care ◽

Health Care Providers ◽

Access To Health Care ◽

Underserved Populations ◽

Linguistically Diverse ◽

Care Providers ◽

Department Of Health ◽

Use Of Technology ◽

Access To Health ◽

Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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