scholarly journals Patient-Centered Collaborative Care: The Impact of a New Approach to Postpartum Rounds on Residents' Perception of Their Work Environment

2010 ◽  
Vol 2 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Maureen Baldwin ◽  
Jason Hashima ◽  
Jeanne-Marie Guise ◽  
William Thomas Gregory ◽  
Alison Edelman ◽  
...  
Keyword(s):  
Patient Care ◽  
Work Environment ◽  
Collaborative Care ◽  
Improve Patient Care ◽  
Well Being ◽  
Care Patient ◽  
Case Managers ◽  
Patient Centered ◽  
Negative Impacts ◽  
The Impact

Abstract Objective At our institution, traditional postpartum rounds consisted of separate visits from all members of the obstetric team. This led to patient care inefficiencies and miscommunication. In an effort to improve patient care, patient-centered collaborative care (PCCC) was established, whereby physicians, residents, medical students, nurses, case managers, and social workers conduct rounds as a team. The goal of this observational study was to evaluate how PCCC rounds affected resident physicians' assessment of their work environment. Methods Obstetrics and gynecology residents completed a 13-question written survey designed to assess their sense of workflow, education, and workplace cohesion. Surveys were completed before and 6 months after the implementation of PCCC. Responses were compared in aggregate for preintervention and postintervention with Pearson χ2 test. Results Ninety-two percent of the obstetrics residents (n  =  23) completed the preintervention survey, and 79% (n  =  19) completed the postintervention survey. For most measures, there was no difference in resident perception between the 2 time points. After implementation of PCCC rounds, fewer residents felt that rounds were educational (preintervention  =  39%, postintervention  =  7%; P  =  .03). Conclusion Residents did not report negative impacts on workflow, cohesion, or general well-being after the implementation of PCCC rounds. However, there was a perception that PCCC rounds negatively impacted the educational value of postpartum rounds. This information will help identify ways to improve the resident physician experience in the obstetric service while optimizing patient care.

scholarly journals Developing Lifetime Relationships with Patients: Strategies to Improve Patient Care and Build Your Practice

2008 ◽  
Vol 9 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Roger P. Levin
Keyword(s):  
Oral Health ◽  
Home Care ◽  
Patient Care ◽  
Customer Service ◽  
Improve Patient Care ◽  
Well Being ◽  
Dental Practice ◽  
Patient Centered ◽  
Comprehensive Service ◽  
Improve Patient

Abstract Aim The purpose of this article is to describe three strategies to build a thriving, patient-centered practice and promote oral health throughout a patient's lifetime. Background Compared to previous decades, more dental patients are “shopping around” for dental care and changing dental practices. This trend is due to factors such as acceptance of dental insurance, more comprehensive service offerings by other dentists, and effective marketing campaigns by other dental offices. Findings Delivering customer service exceeding patient expectations (“WOW” service), advocating patient education, and developing customized home care regimens will help lead to long-term patient retention and promote optimal patient care. Discussion A dental team making relationship-building a priority conveys respect for their patients’ time and well-being. Once trust has been established patients are more likely to be receptive to oral health education and become more compliant with home care regimens. Since a patient's oral health status will likely change over time, it's important to make education and customized treatment planning an integral part of each visit. Conclusions By demonstrating a strong commitment to customer service, education, and home care, patients recognize the care providers in a dental practice are interested in their well-being rather than simply treating problems. Clinical Significance If patients recognize a dental practice is focused on prevention and at-home oral health care, they are more likely to partner with that practice for a lifetime of excellent oral health care. Keywords Patient-centered practice, comprehensive service, patient education Citation Levin RP. Developing Lifetime Relationships with Patients: Strategies to Improve Patient Care and Build Your Practice. J Contemp Dent Pract 2008 January; (9)1:105-112.

scholarly journals Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

2020 ◽  
Vol 93 (6) ◽  
pp. 343-350
Author(s):  
Molly O. Regelmann ◽  
Rushika Conroy ◽  
Evgenia Gourgari ◽  
Anshu Gupta ◽  
Ines Guttmann-Bauman ◽  
...  
Keyword(s):  
Patient Care ◽  
Care Patient ◽  
The Novel ◽  
Patient Privacy ◽  
Pediatric Endocrinology ◽  
Quality Of Patient Care ◽  
Care Outcomes ◽  
Novel Coronavirus ◽  
The Impact

<b><i>Background:</i></b> Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. <b><i>Summary:</i></b> The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. <b><i>Key Messages:</i></b> With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

scholarly journals An approach to assess stress in response to drive hunts using cortisol levels of wild boar (Sus scrofa)

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Justine Güldenpfennig ◽  
Marion Schmicke ◽  
Martina Hoedemaker ◽  
Ursula Siebert ◽  
Oliver Keuling
Keyword(s):  
Wild Boar ◽  
Stress Hormones ◽  
Age Groups ◽  
Group Living ◽  
Well Being ◽  
Lower Saxony ◽  
Cortisol Levels ◽  
Negative Impacts ◽  
The Impact ◽  
Effect Of Age

AbstractHunting can easily be linked to stress in wildlife. Drive hunts performed two to three times in one area during the respective hunting period, are thought to decrease the pressure hunting places on wildlife. Nevertheless, the expression of cortisol—one of the main mammalian stress hormones—is considered to have negative impacts on animals’ well-being if expressed excessively, which may occur during some (especially repeated) hunting events. We explored the effect of drive hunts on cortisol levels in wild boar in Lower Saxony, Germany, compared these cortisol levels to reference values given by a similar study, and investigated the effect of age, sex, and pregnancy. Blood collected from wild boar shot on drive hunts was analysed using a radioimmunoassay. As expected, we observed elevated cortisol levels in all samples, however, we still found significant differences between age groups and sexes, as well as an influence of pregnancy on cortisol levels. The effect of drive hunts on cortisol levels appears to be weaker than predicted, while the effects of other variables, such as sex, are distinct. Only half of the evaluated samples showed explicitly increased cortisol levels and no significant differences were found between sampling months and locations. Group living animals and pregnant females showed significantly higher cortisol levels. The impact of hunting is measurable but is masked by natural effects such as pregnancy. Thus, we need more information on stress levels in game species.

Impact of Health Information Technologies on the Quality of Healthcare Deliveries

2021 ◽  
Vol 6 (1) ◽  
pp. 30-44
Author(s):  
Patricia Whitley ◽  
Hossain Shahriar ◽  
Sweta Sneha
Keyword(s):  
Patient Care ◽  
Health Information ◽  
Medical Errors ◽  
Information Technologies ◽  
Healthcare Delivery ◽  
Well Being ◽  
Quality Of Healthcare ◽  
Quality Healthcare ◽  
The Impact

Through a literary review of recent research, this paper examines the mixed impact of health information technology (HIT) on patient care, medical errors, and the quality of healthcare delivery in selected hospital settings such as emergency departments. Specific technologies examined include the electronic health record (EHR), medical devices, artificial intelligence, and robotics. The paper identifies that some healthcare technologies are increasingly valuable in reducing medical errors, improving healthcare quality, and in producing better patient-centered outcomes. It also determines that technologies have complicated the delivery of quality patient care, increased the incidences of clinician burnout, and made receiving quality healthcare in America's hospital systems possibly less sure. The paper concludes with some suggestions for improving HIT's implementations and confirms the need for further evaluation of the impact of HIT in increasing patient safety and clinician well-being.

The impact of workplace change of a private jet company on employee satisfaction

Facilities ◽  
2020 ◽  
Vol 38 (13/14) ◽  
pp. 943-960
Author(s):  
Chaiwat Riratanaphong ◽  
Bovornpak Chaiprasien
Keyword(s):  
Conceptual Framework ◽  
Work Environment ◽  
Employee Satisfaction ◽  
Workplace Change ◽  
Content Type ◽  
Implementation Processes ◽  
Job Functions ◽  
Negative Impacts ◽  
Mode Of Transport ◽  
The Impact

Purpose This study aims to examine the impact of a private jet company’s change of workplace on employees’ satisfaction using specific variables from a conceptual framework of workplace change appraisal. Another purpose of the study is to identify the relationships between staff characteristics and satisfied aspects of a work environment. Design/methodology/approach A case study was conducted at MJets – a company in the aviation and private jet sector. The research methods included field surveys, document analysis and a set of questionnaires on employee satisfaction, which were then analysed and discussed. Findings The findings show that organisational contexts, work processes and implementation processes have an impact on workplace change and employees’ needs and preferences, which affect their responses to the work environment. The most satisfied aspects of a work environment include the ceiling height of each floor, the square-metre area of buildings and the amount of light in the work area. Despite the new work environment, employees are scarcely satisfied with building accessibility, storage, archive facilities and privacy. The relationships between staff characteristics (i.e. working hours, job functions, mode of transport and duration of employment) and employee satisfaction with the work environment are statistically tested. The study shows statistically significant results including the following: mode of transport and satisfaction with parking spaces, job functions and satisfaction with building accessibility and job functions and satisfaction with storage and archive facilities. Research limitations/implications According to a business type, the provision and arrangement of the work environment of a private jet company that is different from other office organisations affect both the generalisation and the generalisability of the study. This study was conducted in Thailand. The impact of the national culture may have also influenced the outcomes. Practical implications The findings and the reflections upon them help understand the complex relationships of variables influencing workplace change appraisal. The focus is on employee involvement; communication with employees in the preparation and implementation processes may be an effective way to promote workplace change objectives and help facility managers reduce negative impacts of workplace change. Originality/value This paper contributes to prior research on workplace change appraisal and provides evidence for both positive and negative impacts of workplace change on employee satisfaction with the work environment. Identifying the impact of workplace change on employee satisfaction through the conceptual framework contributes to the body of research on facilities management. In addition, the conceptual framework of workplace change appraisal can be applied by practitioners in the field of workplace design and management.

scholarly journals Implementation, Evolution and Impact of ICU Telepharmacy Services Across a Health care System

2019 ◽  
Vol 54 (4) ◽  
pp. 232-240 ◽  
Author(s):  
Desiree E. Kosmisky ◽  
Sonia S. Everhart ◽  
Carrie L. Griffiths
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Healthcare System ◽  
Improve Patient Care ◽  
The United States ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Use Of Technology ◽  
American Society ◽  
The Impact

Purpose: A review of the implementation and development of telepharmacy services that ensure access to a critical care-trained pharmacist across a healthcare system. Summary: Teleintensive care unit (tele-ICU) services use audio, video, and electronic databases to assist bedside caregivers. Telepharmacy, as defined by the American Society of Health-System Pharmacists, is a method in which a pharmacist uses telecommunication technology to oversee aspects of pharmacy operations or provide patient care services. Telepharmacists can ensure accurate and timely order verification, recommend interventions to improve patient care, provide drug information to clinicians, assist in standardization of care, and promote medication safety. This tele-ICU pharmacy team is one of the only entirely clinical-based tele-ICU pharmacy models among the tele-ICU programs across the United States. The use of technology for customized alert generation and intervention proposal with medication orders and chart notation are unique. In a 34-month period from September 2015 to July 2018, more than 110 000 alerts were generated and 13 000 interventions were performed by telepharmacists. Conclusions: Tele-ICU pharmacists employ limited resources to provide critical care pharmacy expertise to multiple sites within a healthcare system during nontraditional hours with documented clinical and financial benefits. Further study is needed to determine the impact of tele-ICU pharmacists on ICU and hospital length of stay, morbidity, and mortality.

scholarly journals Behavioral and Psychological Correlates of Well-Being during COVID-19

2020 ◽  
pp. 003329412097816
Author(s):  
Nicole C. Ryerson
Keyword(s):  
College Students ◽  
Alcohol Consumption ◽  
Psychological Health ◽  
Time Management ◽  
Survey Methods ◽  
Leisure Activities ◽  
Well Being ◽  
Management Skills ◽  
Negative Impacts ◽  
The Impact

The globe is currently experiencing the immense and devastating impact of SARS-CoV-2, the virus responsible for the COVID-19 disease. College students are being uniquely impacted by the pandemic as well as the lockdown procedures that are in place. The current study utilized survey methods to investigate the impact of the pandemic on college students with a focus on changes in alcohol consumption and correlates of psychological health. Results found that participants reported a significant increase in alcohol consumption as a result of the pandemic. Furthermore, this increase in consumption related to a decline in psychological health. Exploratory analyses found that a decline in psychological health correlated with negative impacts in several life areas (financial, resource, social, and academic) and a decline in time management skills. However, spending time on leisure activities and spending time in-person with family and friends negatively correlated with psychological decline. Interestingly, news exposure to did not relate to psychological health.

scholarly journals Seeing and Being Seen: The Impact of Art Making on the Experience of Isolation and Fear in Patient Care

2020 ◽  
Vol 7 (6) ◽  
pp. 839-841
Author(s):  
Libby Byrne
Keyword(s):  
Mental Health ◽  
Adverse Effect ◽  
Patient Care ◽  
Well Being ◽  
Art Making ◽  
Incurable Illness ◽  
The World ◽  
Health Burdens ◽  
The Impact

A positive diagnosis for COVID-19 is a threat not only to the health of an individual but also to the community where the disease manifests. Rather than being the discreet experience of a few or some, many people now appreciate our shared vulnerability with the threat of uncontained and incurable illness in our midst. “In this era of unspecified isolation, contagious disease, and with no sign of returning to normal life soon, coronavirus is putting an adverse effect on people’s mental health” (1). While managing the spread of COVID-19 has necessitated the use of social distancing and isolation a means of expressing care, equating care with the experience of fear and isolation can place unseen mental health burdens on inner resources for supporting the well-being of patients and those who care for them. Art can offer a remedy for this experience, lending the quality of durability to our fragile human experience and inviting us to extend the ways in which we see, think, and make sense of the world.

Addressing Burnout in Oncology: Why Cancer Care Clinicians Are At Risk, What Individuals Can Do, and How Organizations Can Respond

2016 ◽  
pp. 271-279 ◽  
Author(s):  
Fay J. Hlubocky ◽  
Anthony L. Back ◽  
Tait D. Shanafelt
Keyword(s):  
Cancer Care ◽  
Quality Care ◽  
Action Planning ◽  
Well Being ◽  
Care Patient ◽  
Shared Responsibility ◽  
Direct Care ◽  
Organizational Level ◽  
Individual Level ◽  
The Impact

Despite their benevolent care of others, today, more than ever, the cancer care professional who experiences overwhelming feelings of exhaustion, cynicism, and inefficacy is in grave jeopardy of developing burnout. Clinicians are repeatedly physically and emotionally exposed to exceedingly long hours in direct care with seriously ill patients/families, limited autonomy over daily responsibilities, endless electronic documentation, and a shifting medical landscape. The physical and emotional well-being of the cancer care clinician is critical to the impact on quality care, patient satisfaction, and overall success of their organizations. The prevention of burnout as well as targeting established burnout need to be proactively addressed at the individual level and organizational level. In fact, confronting burnout and promoting wellness are the shared responsibility of both oncology clinicians and their organizations. From an individual perspective, oncology clinicians must be empowered to play a crucial role in enhancing their own wellness by identification of burnout symptoms in both themselves and their colleagues, learning resilience strategies (e.g., mindful self-compassion), and cultivating positive relationships with fellow clinician colleagues. At the organizational level, leadership must recognize the importance of oncology clinician well-being; engage leaders and physicians in collaborative action planning, improve overall practice environment, and provide institutional wellness resources to physicians. These effective individual and organizational interventions are crucial for the prevention and improvement of overall clinician wellness and must be widely and systematically integrated into oncology care.

scholarly journals Likelihood of Asking for Help in Caregivers of Women With Substance Use or Co-Occurring Substance Use and Mental Disorders

2011 ◽  
Vol 12 (3) ◽  
pp. 94-100 ◽  
Author(s):  
Suzanne Brown ◽  
David E. Biegel ◽  
Elizabeth M. Tracy
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Family Caregivers ◽  
Daily Living ◽  
Well Being ◽  
Case Managers ◽  
Care Utilization ◽  
Substance Abuse Treatment Centers ◽  
Abuse Treatment ◽  
The Impact

Family members are important to the well-being of their relatives with substance use disorders or co-occurring substance use and mental disorders. Many caregivers experience high levels of burden, negatively impacting their capacity to provide support to their ill family member. The Andersen health care utilization model (Andersen & Newman, 1973, 2005) was used to identify the impact of predisposing, enabling, and need factors hypothesized to predict caregivers’ likelihood of asking for help and support with their caregiving role. The sample include 82 women recruited from outpatient or inpatient substance abuse treatment centers and 82 family caregivers nominated by these women. Findings showed that almost half of caregivers were unlikely to ask for help. Multiple regression analysis found that two need variables were statistically significant predictors of caregivers’ likelihood to ask for help. Caregivers who had higher subject burden (worry) and caregivers who provided more assistance with daily living were more likely to ask for help. It is suggested that case managers assess the amount of worried family caregivers’ experience because their worries may provide the motivation to ask for help or to participate in help when it is offered to them.

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