scholarly journals Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

2017 ◽  
Vol 105 (4) ◽  
Author(s):  
Kathel Dunn ◽  
Joanne Gard Marshall ◽  
Amber L. Wells ◽  
Joyce E. B. Backus
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Information Resources ◽  
Information Resource ◽  
Care Providers ◽  
Other Information

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions.

Creating Healthy Work Environments for Second Victims of Adverse Events

2017 ◽  
Vol 28 (4) ◽  
pp. 366-374 ◽  
Author(s):  
Linda M. Tamburri
Keyword(s):  
Health Care ◽  
Organizational Culture ◽  
Adverse Events ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Senior Leaders ◽  
Practice Nurses ◽  
Healthy Work ◽  
Healthy Work Environments

Adverse events may cause a patient serious harm or death; the patient becomes the first victim of these events. The health care providers who become traumatized by the events are the second victims. These second victims experience feelings such as guilt, shame, sadness, and grief, which can lead to profound personal and professional consequences. An organizational culture of blame and a lack of support can intensify the provider’s suffering. Second victims, as they move through predictable stages of recovery, can be positively influenced by a supportive organizational culture and the compassionate actions of peers, managers, advanced practice nurses, educators, and senior leaders. The American Association of Critical-Care Nurses Healthy Work Environment standards provide a framework for specific actions health care professionals should take to support colleagues during their recovery from adverse events.

scholarly journals A Comparison of Tertiary Drug Resources’ Consistency Regarding Drug-Drug Interactions of Adjunctive Analgesics

2020 ◽  
pp. 875512252095133
Author(s):  
Andrew Lang ◽  
Michael A. Veronin ◽  
Justin P. Reinert
Keyword(s):  
Health Care ◽  
Drug Interaction ◽  
Drug Interactions ◽  
Patient Care ◽  
Health Care Providers ◽  
Drug Information ◽  
Interaction Analysis ◽  
Information Resources ◽  
Care Providers ◽  
Drug Drug Interaction

Background: Health care providers routinely rely on tertiary drug information resources to affirm knowledge or proactively verify the safety and efficacy of medications. Though all patient care areas are affected, the reliability of these resources is perhaps nowhere as poignant as it is in high-acuity settings, including the emergency department and the intensive care unit. As providers seek to identify adjunctive analgesics for acute pain in these areas, they must be able to rely on the integrity to whichever resource their institution has granted access. Objective: To determine the congruency of drug-drug interaction information found on 3 tertiary drug resources. Methods: A drug-drug interaction analysis was conducted on Micromedex, Lexicomp, and Medscape. Adjunctive analgesics included dexmedetomidine and ketamine, which were compared with the intravenous opioid products morphine, fentanyl, and hydromorphone. Results: Significant discrepancies were appreciated with regard to the severity of drug-drug interactions. In addition, the heterogeneity in which reaction severity and likelihood are described by each respective resource makes direct comparisons difficult. Interaction warnings for dexmedetomidine and fentanyl included a “major interaction” from Micromedex, whereas Lexicomp did not identify a risk and Medscape only recommended increased monitoring on the grounds of respiratory and central nervous system depression. Conclusions: Health care providers must remain vigilant when reviewing tertiary drug information resources. Pharmacists possess the training and skills necessary to assist interdisciplinary medical teams in providing optimal patient care through evaluating and applying the information gleaned from these resources.

Facing up to Stigma: Workplace and Personal Strategies

2001 ◽  
Vol 38 (3) ◽  
pp. 245-247 ◽  
Author(s):  
Robert W. Kelton
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Team Approach ◽  
Hemifacial Microsomia ◽  
Care Providers ◽  
Professional Success ◽  
The Family ◽  
Life Success

This paper examines some of the influences that contribute to health, life success, and resiliency in persons with craniofacial conditions. Those influences are examined from the perspective of the author, a 50-year-old man with cleft palate, right microtia, and hemifacial microsomia. A biosketch describes the author as one example of someone with craniofacial conditions who has also achieved significant personal and professional success. Central to that success were the influences of health care providers and parents as well as other people with craniofacial conditions. Specific attention is given to the benefits of a team approach to the care of patients with craniofacial conditions; the role of health care professionals in fostering the optimism that can mobilize the family for action; the importance of acknowledging the intransigence of stigma in our culture; the value of practical advice that affected individuals can offer one another.

scholarly journals Insights from health care providers in dealing with suicide attempters in Kashmir: A preliminary qualitative analysis

2019 ◽  
Vol 10 (2) ◽  
pp. 24
Author(s):  
Zahid Maqbool ◽  
Aadil Bashir
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Hospital Setting ◽  
Care Providers ◽  
Suicide Attempters ◽  
Prevention Intervention ◽  
The Times ◽  
Primary Health Care Physicians

Background: The Valley of Kashmir has witnessed a growing number of suicides. It is often witnessed that whenever a person attempts or commits suicide, most of the times he/she is bought to the hospital to save his/her life. Thus, the role of health care providers in a hospital setting is very important, as this is the first point of contact with the suicide attempters. In this study, an attempt was made to assess the intervention of health care providers toward suicide attempters in Kashmir. Methodology: In-depth expert interviews were conducted with the 12 healthcare professionals (Psychiatrists, Clinical Psychologists and Primary Health Care Physicians) who were involved in the identification; assessment, management, and prevention of suicidal behaviour at an urban general hospital in Srinagar, Kashmir. Purposive sampling method was used based on the availability and willingness of the participants from August to November 2018. Results: The results revealed that the health care providers follow a systematic procedure i.e., prevention, intervention and postvention in dealing with suicide attempters. However, their main focus remains on the intervention within the walls of the hospital setting. Conclusion: The results of the study provides some broad understanding about the role of doctors in the treatment and management of suicide attempters that will go a long way in the management of people attempting suicide in Kashmir. Keyword: Suicide, health care professionals, prevention, intervention, postvention

Pain Assessment: An Overview

2003 ◽  
Vol 16 (4) ◽  
pp. 225-230
Author(s):  
M. Jane Rolf
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Care Provider ◽  
Pain Assessment ◽  
Health Care Professionals ◽  
Cultural Beliefs ◽  
Care Providers ◽  
Quality Patient Care ◽  
Assessment And Treatment

Pain assessment is an integral part of providing quality patient care. Treatment of pain is driven by the findings of the pain assessment. Pain assessment provides health care professionals with the information necessary to effectively mange a patient's course of treatment and plan of care. To assess and manage pain with the best possible outcomes, the health care provider must depend on the patient's subjective description in addition to objective tools. Barriers, related to the patient's religion or cultural beliefs, and/or lack of knowledge on the part of the health care providers often impede proper assessment and treatment of patients' pain.

scholarly journals Keeping Patients Safe: The Critical Role of Medical Error Recovery

2020 ◽  
Author(s):  
Theresa A. Gaffney
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Critical Role ◽  
Recovery Process ◽  
Error Recovery ◽  
Institute Of Medicine ◽  
Care Providers

Two decades after the Institute of Medicine Report, To Err is Human: Building a Safer Health System illuminated the high number of preventable deaths and adverse events associated with health care, medical errors remain a top global concern. To date, resources have been focused on preventing medical errors; however, the importance of error recovery must not be overlooked. Medical errors cannot be fully eliminated from our health care system, yet many errors can be recovered thus preventing patient harm. This chapter will (1) define and describe the error recovery process, (2) discuss the role of health care providers in error recovery, (3) explore strategies that enhance and prohibit error recovery, and (4) analyze characteristics that influence error recovery. Given the importance of patient safety within the health care industry, health care professionals and organizations must focus on both error prevention and error recovery as a key strategy in keeping patients safe.

scholarly journals Older Patients in Emergency Departments. Challenges from the health care providers’ perspective

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Deutschbein ◽  
M Möckel ◽  
L Schenk
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care Providers ◽  
Demographic Change ◽  
Health Care Professionals ◽  
Emergency Departments ◽  
Older Patients ◽  
Care Providers ◽  
Complex Needs ◽  
Prolonged Length

Abstract Background Patients aged 65 and above are the fastest growing patient population in Europe. This is one of greatest challenges for almost all health services providers, including acute hospitals and their Emergency Departments (ED). As of today, older patients represent up to 30% of all ED patients, it is estimated. However, it is largely unclear to what degree EDs are currently prepared for older patients and how they need to adjust. This study analyses the present situation from the perspective of health care professionals caring for older ED patients. Methods The study was embedded in a mixed methods design using qualitative expert interviews. N = 25 semi-structured, guided interviews were conducted with professional health care providers from 7 Berlin EDs (physicians, nurses), and adjacent health care sectors such as nursing homes, rehabilitation clinics, and medical practices. Interviewees were asked about their daily experiences with older ED patients and their ideas of health care deficits and potentials. Data was analyzed using content analysis and hermeneutics. Results Health care providers assess the ED care situation for older patients and the necessity of adjustments in different ways but mostly as deficient. EDs are described as not elderly-friendly and partly as hazardous: older patients are at risk of adverse events such as developing a delirium. Risk factors are prolonged length of stay, the busy and noisy ED setting, and falls hazards. In general, ED staffing is not adequate to care for older patients with complex needs. Conclusions Considering demographic change, German Eds need to concentrate on the growing number of oder patients and their specific needs. Further research and development of specific care concepts for older ED patients is strongly needed. Potential adjustments of ED structures and care concepts also need to involve patients’ experiences and subjective needs. However, data on the patient perspective is still missing. Key messages Older patients and demographic change represent great challenges for EDs. Care concepts need to be developed to meet older patients needs and to avoid risks of adverse events.

Benefits, Challenges, and Social Impact of Health Care Providers’ Adoption of Social Media

2021 ◽  
pp. 089443932110257
Author(s):  
Md Irfanuzzaman Khan ◽  
Jennifer (M.I.) Loh
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Promotion ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Community Support ◽  
Care Providers ◽  
Australian Health ◽  
Actual Use ◽  
Use Of Social Media

With the advent of telecommunication technologies and social media, many health care professionals are using social media to communicate with their patients and to promote health. However, the literature reveals a lacuna in our understanding of health care professionals’ perception of their behavioral intentions to use innovations. Using the Unified Technology Acceptance Framework (unified theory of acceptance and use of technology), in-depth interviews were conducted with 16 Australian health care experts to uncover their intent and actual use of social media in their medical practices. Results revealed that social media tools offered five significant benefits such as (i) enhanced communication between health care professionals and their patients, (ii) community support, (iii) enabled e-learning, (iv) enhanced professional network, and (v) expedited health promotion. However, result also revealed barriers to social media usage including (i) inefficiency, (ii) privacy concerns, (iii) poor quality of information, (iv) lack of trust, and (v) blurred professional boundary. Peer influence and supporting conditions were also found to be determinants of social media adoption behaviors among health care professionals. This study has important implications for health care providers, patients, and policy makers on the responsible use of social media, health promotion, and health communication. This research is also among the very few studies that explore Australian health care professionals’ intent and actual use of innovations within a health care setting.

Commentary on “Diabetes and people with learning disabilities: issues for policy, practice and education”

2020 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Brianne Redquest ◽  
Yona Lunsky
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Future Research ◽  
Care Providers ◽  
Family Carers ◽  
Content Type ◽  
Policy Practice

Purpose There has been an increase in research exploring the area of intellectual and developmental disabilities (IDD) and diabetes. Despite being described as instrumental to diabetes care for people with IDD, the role and experiences of family carers, such as parents and siblings, are often neglected in this research. However, it is clear that family carers do not feel that they have sufficient knowledge about diabetes. The purpose of this commentary is to extend the content from “Diabetes and people with learning disabilities: Issues for policy, practice, and education (Maine et al., 2020)” and discuss how family carers can feel better supported when caring for someone with IDD and diabetes. Design/methodology/approach This commentary discusses specific efforts such as STOP diabetes, DESMOND-ID and OK-diabetes for people with IDD including family carers. Encouragement is given for health care providers to recommend such programmes to people with IDD and their family carers. It is also suggested that health care providers involve family carers in diabetes care planning and implementation for people with IDD. Findings It is hoped that if changes are made to current diabetes practices and more research with family carers is conducted, diabetes prevention and management for people with IDD will be more successful and family carers can feel more confident in providing support to their loved ones. Originality/value Research exploring the role of family carers in diabetes care for people with IDD and diabetes is very limited. This commentary makes recommendations to help family carers feel better supported in their role. It also provides areas for future research.

scholarly journals Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

2021 ◽  
Vol 18 (10) ◽  
pp. 5368
Author(s):  
Shimaa A. Elghazally ◽  
Atef F. Alkarn ◽  
Hussein Elkhayat ◽  
Ahmed K. Ibrahim ◽  
Mariam Roshdy Elkhayat
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Adverse Outcomes ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Care Providers ◽  
University Hospitals

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.

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