scholarly journals Internal Medicine Residents' Time Study: Paperwork Versus Patient Care

2011 ◽  
Vol 3 (4) ◽  
pp. 550-553 ◽  
Author(s):  
Dalal Alromaihi ◽  
Amanda Godfrey ◽  
Tina Dimoski ◽  
Paul Gunnels ◽  
Eric Scher ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
General Practice ◽  
Patient Care ◽  
Health Care Workers ◽  
Direct Patient Care ◽  
Time Study ◽  
Structured Education ◽  
Internal Medicine Residents ◽  
Care Workers

Abstract Background Multiple factors affect residency education, including duty-hour restrictions and documentation requirements for regulatory compliance. We designed a work sampling study to determine the proportion of time residents spend in structured education, direct patient care, indirect patient care that must be completed by a physician, indirect patient care that may be delegated to other health care workers, and personal activities while on an inpatient general practice unit. Methods The 3-month study in 2009 involved 14 categorical internal medicine residents who volunteered to use personal digital assistants to self-report their location and primary tasks while on an inpatient general practice unit. Results Residents reported spending most of their time at workstations (43%) and less time in patient rooms (20%). By task, residents spent 39% of time on indirect patient care that must be completed by a physician, 31% on structured education, 17% on direct patient care, 9% on indirect patient care that may be delegated to other health care workers, and 4% on personal activities. From these data we estimated that residents spend 34 minutes per patient per day completing indirect patient care tasks compared with 15 minutes per patient per day in direct patient care. Conclusions This single-institution time study objectively quantified a current state of how and where internal medicine residents spend their time while on a general practice unit, showing that residents overall spend less time on direct patient care compared with other activities.

scholarly journals 645 Acute Insomnia Disorder in Health Care Workers Before and During COVID-19: Rates and Predictive Factors

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A252-A253
Author(s):  
William McCall ◽  
Demetra Mensah-Bonsu ◽  
Allison Withers ◽  
Robert Gibson
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Tertiary Care ◽  
Direct Patient Care ◽  
Care Providers ◽  
Insomnia Disorder ◽  
Care Workers

Abstract Introduction Pandemics such as COVID-19 create population-wide stressors that create a natural laboratory for acute insomnia research. This study investigated risk factors and estimated rates of acute insomnia disorder in health care workers at the onset of the COVID-19 pandemic. Methods A Qualtrics survey of more than 2300 health care providers was conducted in a single academic health system on May 15th 2020, comprised of practicing attending physicians, residents and fellows in training, advanced practice providers, and nurses. Six hundred and sixty eight responded (29% response rate). The Research Diagnostic Criteria for Insomnia Disorder was used to diagnose Acute Insomnia Disorder. Results 573 respondent had no missing data pertaining to sleep, with a mean age of 43.4 + 12.5 years and 72% women. The rate of Insomnia Disorder before COVID-19 was 44.5%, while after COVID-19 it was 64.0% - a statistically significant increase. 10.2% of persons with Insomnia Disorder before COVID-19 stated it had resolved during COVID-19, while 43.4% of persons who did not have Insomnia Disorder before COVID-19 developed Acute Insomnia Disorder during COVID-19 (χ2=145.2; df=1; P<0.0001). New cases of Acute Insomnia Disorder increased with female gender, advancing age, and less time spent in direct patient care. Conclusion Insomnia Disorder showed high baseline prevalence before COVID-19, followed by a striking increase in incidence in this sample of tertiary care health care workers. The effects of gender and age were similar to what has been previously published as risk factors for insomnia. The surprising finding that less time spent in direct patient care was associated with more cases of Acute Insomnia Disorder might be related to the poorly understood stresses of working from home during COVID-19. Support (if any):

scholarly journals Knowledge and practice of the universal precaution among nursing students of Eras’s Lucknow Medical College and Hospital, Lucknow

2018 ◽  
Vol 5 (8) ◽  
pp. 3326
Author(s):  
Firdous Hussain ◽  
Ruby Khatoon ◽  
Beena Sachan ◽  
J. P. Srivastava
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Patient Care ◽  
Health Care Workers ◽  
Body Fluids ◽  
Direct Patient Care ◽  
Universal Precaution ◽  
Standard Precautions ◽  
Medical College ◽  
Care Workers

Background: Health care workers (HCWs) are at risk of various occupational hazards in the hospital, including exposure to bloodborne infections such as HIV and hepatitis B and C virus (HBV and HCV) infection from sharps injuries and contact with body fluids. All health care workers should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure during contact with any patient's blood or body fluids that require universal precautions. The objective of the study was to evaluate both the knowledge and the practice of standard precautions by nursing   students in the teaching hospital.Methods: It is a cross sectional study conducted in Era’s Lucknow Medical College and Hospital over a period of two months from November 2014 to December 2014 on nursing students. 100 nursing students were included in this study. All the nurses had been professionally active for 1 year or more in direct patient care and hospital hygiene.Results: Most of the nursing students were aware of the concept of universal precaution. 97% of nursing students used to wash their hands before and after patient care. In reasons for use of universal precaution it was found that100% of nursing student said use of universal precaution is to protect health care worker. While 100% said it protects HCW while handling infectious waste. Nursing students knowledge regarding indications of hand hygiene was found 97.Conclusions: The findings of this study highlight the need to implement a programme to improve knowledge on standard precautions.

scholarly journals Risk Factors for SARS-CoV-2 Seropositivity in a Health Care Worker Population

2020 ◽  
Author(s):  
Sebastian D. Schubl ◽  
Cesar Figueroa ◽  
Anton M. Palma ◽  
Rafael R. de Assis ◽  
Aarti Jain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Patient Care ◽  
Health Care Workers ◽  
Academic Medical Center ◽  
Male Gender ◽  
Direct Patient Care ◽  
Environmental Services ◽  
Care Workers ◽  
The Impact

AbstractBackgroundProtecting health care workers (HCWs) during the coronavirus disease 2019 (COVID-19) pandemic is essential. Serologic testing can identify HCWs who had minimally symptomatic severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infections that were missed by occupational screening based on daily symptom and temperature checks. Recent studies report conflicting results regarding the impact of occupational factors on SARS-CoV-2 seropositivity amongst HCWs.MethodsThe study population included all hospital workers at an academic medical center in Orange County, California. SARS-CoV-2 seropositivity was assessed from a fingerstick blood specimen using a coronavirus antigen microarray, which compares IgM and IgG antibodies against a panel of SARS-CoV-2 antigens with positive and negative controls to identify prior SARS-CoV-2 infection with 98% specificity and 93% sensitivity. Demographic, occupational, and clinical factors were surveyed and their effect on seropositivity estimated using multivariable logistic regression analysis.ResultsAmongst 1,557 HCWs with complete data, SARS-CoV-2 seropositivity was 10.8%. Risk factors for increased seropositivity included male gender, exposure to COVID-19 outside of work, working in food or environmental services, and working in COVID-19 units. Amongst the 1,103 HCW who were seropositive but missed by occupational screening, additional risk factors included younger age and working in administration.ConclusionsSARS-CoV-2 seropositivity is significantly higher than reported case counts even amongst HCWs who are meticulously screened. Seropositive HCWs missed by occupational screening were more likely to be younger, work roles without direct patient care, or have COVID-19 exposure outside of work.Key PointsSARS-CoV-2 seropositivity risk factors amongst health care workers included male gender, nonoccupational exposure, food or environmental services role, and COVID-19 unit location. Those missed by occupational screening were younger, in roles without direct patient care, or exposed outside of work.

47 - Train the Trainer: Empowering Health-Care Workers to Enhance Diabetes Patient Care

2019 ◽  
Vol 43 (7) ◽  
pp. S20-S21
Author(s):  
Helene Porada ◽  
Catherine Godin ◽  
Monique Laliberte ◽  
Paul Linton
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Workers ◽  
Diabetes Patient ◽  
Train The Trainer ◽  
Care Workers

scholarly journals Can computers improve patient care by primary health care workers in India?

2006 ◽  
Vol 18 (6) ◽  
pp. 437-445 ◽  
Author(s):  
David H. Peters ◽  
Manish Kohli ◽  
Maya Mascarenhas ◽  
Krishna Rao
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Care ◽  
Health Care Workers ◽  
Improve Patient Care ◽  
Primary Health ◽  
Care Workers ◽  
Improve Patient

scholarly journals French ICU's health care workers have a poor knowledge of the cost of the devices they use for patient care: A prospective multicentric study

2020 ◽  
Vol 56 ◽  
pp. 37-41
Author(s):  
Paul Gabarre ◽  
Pierre-Yves Boelle ◽  
Naike Bigé ◽  
Muriel Fartoukh ◽  
Christophe Guitton ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Workers ◽  
Multicentric Study ◽  
Poor Knowledge ◽  
Care Workers ◽  
The Cost

scholarly journals The problem of patients' aggression toward health care workers

2015 ◽  
Vol 14 (53) ◽  
pp. 39-43
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Psychiatric Hospitals ◽  
Psychological Aggression ◽  
Direct Patient Care ◽  
Aggressive Behaviors ◽  
Physical Attack ◽  
Care Workers ◽  
And Gender ◽  
Violence In The Workplace

Introduction. Aggression and violence in the workplace have become an alarming problem worldwide. They result in disorders which affect both professional and social functioning of victims as well as their mental state. Nurses engaged in direct patient care are especially exposed to aggressive behaviors. Aim. The purpose of this study was to assess the exposure of health care workers to aggression. Material and Methodology. The study was carried out in 2014. It included 230 female and male nurses employed in psychiatric hospitals in the Lubuskie Province. This survey-based study was conducted using an original questionnaire “Exposure to aggression” developed at the Unit of Labor Psychology at Prof. J. Nofer Labor Medicine Institute in Łodź. Results. Some 99.1% of the surveyed faced patient aggression. Its most common form was verbal aggression (shouting – 99.1%). Forms of psychological aggression included: threats (92.2%), offending employees in the presence of their co-workers (89.1%), offending employees in the presence of other patients (87.8%) and blackmail (83.9%). Physical aggression was experienced by 49.1% and attempts of physical attack – 66.5% of the respondents. Education and gender of the surveyed had no statistically significant influence on the exposure to patient aggression. The factors having such influence were: seniority, workplace and age. Employees with the least professional experience and the youngest ones were the most frequent subject to patient aggression. A group at the highest risk of patients’ aggressive behaviors were workers of general psychiatric wards. Conclusion. Nurses employed at psychiatric wards experience various forms of patients’ aggressive behaviors. The most common form of aggression towards nurses is psychological aggression. The degree of exposure to patient aggression is related to workers’ age, workplace, and seniority. Neither education nor gender has an influence on the exposure to patient aggression.

scholarly journals Psychological status of health care workers during the outbreak of Coronavirus disease in China: a cross-sectional study

2020 ◽  
Author(s):  
Xiangrui Song ◽  
Chunyan Ni ◽  
Wenpeng Cai ◽  
Tianya Hou ◽  
Bin Lian ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Social Support ◽  
Health Care ◽  
Mental Disorders ◽  
Health Care Workers ◽  
Psychological Status ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Medicine Department ◽  
Care Workers

Abstract Background: Following the outbreak of Coronavirus disease (COVID-19) in Wuhan, China, thousands of health care workers (HCWs) joined in the battle to prevent epidemic. The purposes of this study were to assess the psychological status of health care workers fighting against COVID-19 and compared their status with non-health care workers.Methods: 1521 participants were invited to complete a cross-sectional survey which consisted of a demographic questionnaire, the symptom checklist-90 (SCL-90), the Connor-Davidson Resilience scale (CD-RISC) and Chinese-Version Social support revalued scale (SSRS). SCL-90 was used as a measure of psychological status, CD-RISC was used as a measure of resilience and SSRS was used as a measure of social support. All analyses were completed by SPSS21.0 and two-tailed with significance defined as p <0.05.Results: HCWs showed higher level of obsessive-compulsive symptoms ( p = 0.002), depression ( p =0.011), anxiety ( p = 0.037) and had lower level of subjective support ( p <0.001) as well as strength ( p =0.012). Compared with those who working in other hospital departments, HＣＷｓ working in internal medicine department had high level of obsessive-compulsive, anxiety and interpersonal sensitivity, they also had low level of social support and resilience.Conclusions: HCWs were vulnerable to mental disorders, and health organizations and government should initiate psychological assistant program to keep them immune to mental disorders. HCWs who working in internal medicine department (IMD) were supposed to rebuild their resilience, social support systems, confidence and job satisfaction under the guidance of psychologists.

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