Factors Associated with Moral Distress and Caring Behavior of Nurses Working in Emergency Departments of Mazandaran University of Medical Sciences During COVID-19 Pandemic

2021 ◽  
Vol 15 (5) ◽  
pp. 1545-1550
Author(s):  
F. Talebian ◽  
T. Yaghoubi ◽  
R. Marzband
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Moral Distress ◽  
Final Conclusion ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Caring Behaviors ◽  
Factors Associated ◽  
Caring Behavior ◽  
Medical Centers

Introduction: Moral distress is one of the prevalent problems of nursing which causes stress, that leads to nurses being unable to show a proper moral function in the critical situations. Moreover, due to the stressful conditions in emergency department, caring behaviors of nurses is of great importance. This study aimed to determine the factors associated with moral distress and caring behaviors of nurses working in emergency departments in educational-medical centers of Mazandaran University of Medical Sciences during COVID-19 pandemic. Methodology: This study was descriptive-analytical which was conducted through stratified and convenience sampling, and by participation of 188 nurses working in emergency departments in 5 educational-medical centers of Mazandaran University of Medical Sciences in 2020. Data was collected through standard three-section questionnaire of demographic information, Corley moral distress and Wolf caring behaviors of nurses, and its validity and reliability was confirmed. Data was analyzed by using descriptive (mean and standard deviation, frequency and percentage) and analytical statistics (Mann–Whitney, Kruskal-Wallis, and Spearman correlation coefficient). Finding: Moral distress mean score of nurses working in emergency was 20/97±101/60 and they had 92/4% of average moral distress. Caring behavior of nurses was 8/62±101/60. Gender and marital status variables had a significant relation with caring behavior, in a way that male nurses and married nurses had a lower score (p<0.05). the relation between moral distress and caring behavior was NOT statistically significant. Final conclusion: Nursing staff must have a good command of their caring behavior so that caring will be presented in high quality, and patients and help-seekers’ satisfaction who come to the emergency, especially in COVID-19 pandemic, will be met. Thus, it is necessary that health and medical system managers provide educational programs to draw nurses’ attention to their caring behavior dimensions, especially in emergency departments. Key words: moral distress, caring behavior, emergency department nurse, COVID-19 pandemic

scholarly journals Factors associated with caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254987
Author(s):  
Hyang Sook Kim ◽  
Chung Eun Lee ◽  
Yong Sook Yang
Keyword(s):  
Mechanical Ventilation ◽  
Family Caregivers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Home Mechanical Ventilation ◽  
Cross Sectional ◽  
Caring Behaviors ◽  
Factors Associated ◽  
Caring Behavior ◽  
Number Of Patients

Background The number of patients on home mechanical ventilation (HMV) worldwide has been steadily rising as medical technological advanced. To ensure the safety and quality care of the patients receiving HMV with tracheostomy, caring behavior of family caregivers is critical. However, studies on caring behavior of family caregivers and its associated factors were remained unexplored. This study aimed to describe the caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy and to identify factors associated with their caring behaviors. Methods This was a cross-sectional study for 95 family caregivers for patients with invasive home mechanical ventilation in South Korea. Caring behaviors were assessed by the Caring Behavior Scale with 74 items with 5-point Likert scale. Data were analyzed using multiple regression analysis. Results Caring behaviors score of caregivers was 304.68±31.05 out of 370. They were significantly associated with knowledge on emergency care (β = 0.22, p = .011), number of required instruments for care (β = 0.21, p = .010), frequency of home visit care (β = 0.19, p = .017), experience of emergency situation for the last six months (β = 0.19, p = .009) and activities of daily living of patient (β = 0.27, p = .002). Conclusion Development of standardized multidisciplinary discharge education for improving the caring capacity of caregivers is required for successful and healthy application of home mechanical ventilation.

scholarly journals Implementing the Regulation of the Minister of Health by Polish Emergency Departments In 2020

2021 ◽  
Vol 8 (3) ◽  
pp. 144-149
Author(s):  
Jan Stachurski ◽  
Anna Kaczyńska ◽  
Zofia Czaplińska-Paszek
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Data Retrieval ◽  
Medical Centers ◽  
Primary Health ◽  
After Hours

Aim: The inadequate system of triage in Emergency Departments leads to the situation in which the personnel is not always able to provide care on time. A regulation determining the conditions of performing triage in Emergency Departments (paragraph 1, section 2) was issued on 27 June 2019. In order to present the level of the fulfilment of rules from the regulation and to determine the level of organization in the Polish health care, the percentage of Emergency Departments which provided the required information on their websites, was examined. Material and methods: The study was conducted in April 2020. 236 websites of hospitals with Emergency Departments were analyzed. The criteria of data retrieval were as follows: 1. The presence of the information concerning the rules of redirecting patients to Primary Health Care/After Hours Medical Centers. 2. The presence of information concerning the time an Emergency Department doctor has to inform the patient about the admission or about refusal to admit a patient. The collected data were statistically analyzed. Each Emergency Department was given the following statuses: “yes”, “no”, or “incomplete”. Results: Information concerning the 1st criterion were available in case of 59 hospitals (25%), while no such information was on the website in Opole and West Pomeranian Provinces. Information concerning the 2nd criterion was placed by 51 hospitals. In 28 cases the information was described as ”complete” and in 23 as “incomplete”. Conclusions: The majority of hospitals failed to observe the obligation to provide the information included in the Regulation.

scholarly journals Evaluation of Emergency Nurses’ Knowledge and Performance about Hospital Triage

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Asghar Sherafat ◽  
Ali Akbar Vaezi ◽  
Mohammadreza Vafaeenasab ◽  
Mohammad Hassan Ehrampoush ◽  
Hossein Fallahzadeh ◽  
...  
Keyword(s):  
Significant Relationship ◽  
Work Experience ◽  
Emergency Departments ◽  
Study Data ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
And Performance

Background and Objectives: By knowing the level of knowledge of triage nurses, we will be capable of making the right decision about allocating suitable resources for enriching the quality of the emergency department. So, the objective of our study is to evaluate triage knowledge and performance of emergency nurses in Yazd province of Iran. Materials and Methods: This was a cross-sectional study. The sampling was performed from all nurses responsible for triage in emergency departments of 8 educational hospitals of Yazd University of Medical Sciences were included for our sampling in the study. Data collection was done using a questionnaire whose validity and reliability have already been approved. After evaluating all the questionnaires, 84 of them were completed, and others were excluded from the study. Data were analyzed by descriptive and inferential statistics using the SPSS version 22 software. Results: According to statistical analysis results, there was no significant relationship between the knowledge score, performance and total score with demographic characteristics. Moreover, there was no significant relationship between educational courses, work experience and work shift with knowledge, performance and total score. Although female nurses’ scores in knowledge and performance areas was higher than male scores, the differences were not statistically significant. Conclusion: The level of knowledge of the nurses employed in the emergency departments of Shahid Sadoughi University of medical sciences in Yazd is moderate in terms of triage. However, the performance of nurses working in the emergency departments of the aforementioned centers is higher than average. It is concluded that there is an immediate need to reconsider nurses triage education and improve the triage knowledge and performance among nurses.

scholarly journals HUBUNGAN ANTARA PERILAKU CARING PERAWAT DENGAN SRATEGI KOPING KELUARGA (PRIMARY CAREGIVER) YANG ANGGOTA KELUARGANYA DIRAWAT DI INSTALASI GAWAT DARURAT

2020 ◽  
Vol 8 (1) ◽  
pp. 1-13
Author(s):  
Muhamad Irfanudin ◽  
Achir Yani S. Hamid ◽  
Titin Ungsianik
Keyword(s):  
Emergency Department ◽  
Coping Strategies ◽  
Nursing Care ◽  
Family Members ◽  
Total Sample ◽  
Primary Caregiver ◽  
Family Coping ◽  
Caring Behaviors ◽  
Caring Behavior ◽  
Nurse Caring

Background: Caring behavior of nurses is the essence of nursing science ("the heart of nursing"), as this is what determines the quality and service quality nursing care and will directly affect coping strategies family (primary caregiver) who had family members get care in the emergency department (ED). This study aims to identify the correlation between nurse caring behaviors with family coping strategies (caregiver) whose family members were treated in the ED. Methods: This study used a descriptive correlation approach, with a total sample of 75 respondents, the sample selection was conducted by sampling proposive. The research instrument used Assesmant Caring Behavior Tool (CBA) and F Copes (Family Crisis Oriented Personal Scales). Results: of the study found that there is no correlation between nurse caring behaviors with family coping strategies whose family members were treated in emergency care with a value of P 0.938 and r -0.009 Conclusion: of this study imply that nurses caring behavior should be used as a culture in providing nursing care and hospital management determines the policies related policies on caring behavior of nurses in emergency department service

scholarly journals Factors reducing inappropriate attendances to emergency departments before and during the COVID-19 pandemic: A multicentre study

2021 ◽  
Vol 50 (11) ◽  
pp. 818-826
Author(s):  
Lenard Cheng ◽  
Wei Ming Ng ◽  
Ziwei Lin ◽  
Lawrence Siu-Chun Law ◽  
Lorraine Yong ◽  
...  
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Emergency Departments ◽  
Odds Ratio ◽  
Older Patients ◽  
Adjusted Odds Ratio ◽  
Time Frame ◽  
Healthcare Systems ◽  
Low Back ◽  
Factors Associated

Introduction: Inappropriate attendances (IAs) to emergency departments (ED) create an unnecessary strain on healthcare systems. With decreased ED attendance during the COVID-19 pandemic, this study postulates that there are less IAs compared to before the pandemic and identifies factors associated with IAs. Methods: We performed a retrospective review of 29,267 patient presentations to a healthcare cluster in Singapore from 7 April 2020 to 1 June 2020, and 36,370 patients within a corresponding period in 2019. This time frame coincided with local COVID-19 lockdown measures. IAs were defined as patient presentations with no investigations required, with patients eventually discharged from the ED. IAs in the 2020 period during the pandemic were compared with 2019. Multivariable logistic regression was performed to identify factors associated with IAs. Results: There was a decrease in daily IAs in 2020 compared to 2019 (9.91±3.06 versus 24.96±5.92, P<0.001). IAs were more likely with self-referrals (adjusted odds ratio [aOR] 1.58, 95% confidence interval [CI] 1.50–1.66) and walk-ins (aOR 4.96, 95% CI 4.59–5.36), and those diagnosed with non-specific headache (aOR 2.08, 95% CI 1.85–2.34), or non-specific low back pain (aOR 1.28, 95% CI 1.15–1.42). IAs were less likely in 2020 compared to 2019 (aOR 0.67, 95% CI 0.65–0.71) and older patients (aOR 0.79 each 10 years, 95% CI 0.78–0.80). Conclusion: ED IAs decreased during COVID-19. The pandemic has provided a unique opportunity to examine factors associated with IAs. Keywords: COVID-19, emergency department, inappropriate attendance, utilisation

scholarly journals 140. Symptoms and Situations Predispose Patients to Use Antibiotics Without Medical Advice

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S200-S200
Author(s):  
Michael Hansen ◽  
Barbara Trautner ◽  
Roger Zoorob ◽  
George Germanos ◽  
Osvaldo Alquicira ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Emergency Departments ◽  
Primary Care Clinic ◽  
Antibiotic Use ◽  
Safety Net ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Primary Care Patients ◽  
Emergency Department Patients

Abstract Background Use of antibiotics without a prescription (non-prescription use) contributes to antimicrobial resistance. Non-prescription use includes obtaining and taking antibiotics without a prescription, taking another person’s antibiotics, or taking one’s own stored antibiotics. We conducted a quantitative survey focusing on the factors that impact patients’ decisions to use non-prescription antibiotics. Methods We surveyed patients visiting public safety net primary care clinics and private emergency departments in a racially/ethnically diverse urban area. Surveys were read aloud to patients in Spanish and English. Survey domains included patients’ perspectives on which syndromes require antibiotic treatment, their perceptions of health care, and their access to antibiotics without a prescription. Results We interviewed 190 patients, 122 from emergency departments (64%), and 68 from primary care clinics (36%). Overall, 44% reported non-prescription antibiotic use within the past 12 months. Non-prescription use was higher among primary care clinic patients (63%) than the emergency department patients (39%, p = 0.002). The majority felt that antibiotics would be needed for bronchitis (78%) while few felt antibiotics would be needed for diarrhea (30%) (Figure 1). The most common situation identified “in which respondents would consider taking antibiotics without contacting a healthcare provider was “got better by taking this antibiotic before” (Figure 2). Primary care patients were more likely to obtain antibiotics without prescription from another country than emergency department patients (27% vs. 13%, P=0.03). Also, primary care patients were more likely to report obstacles to seeking a doctor’s care, such as the inability to take time off from work or transportation difficulties, but these comparisons were not statistically significant. Figure 1. Patients’ agreement that antibiotics would be needed varied by symptom/syndrome. Figure 2. Situations that lead to non-prescription antibiotic use impacted the two clinical populations differently Conclusion Non-prescription antibiotic use is a widespread problem in the two very different healthcare systems we included in this study, although factors underlying this practice differ by patient population. Better understanding of the factors driving non-prescription antibiotic use is essential to designing patient-focused interventions to decrease this unsafe practice. Disclosures All Authors: No reported disclosures

Factors associated with time to first analgesic medication in the emergency department

2021 ◽  
Author(s):  
James A. Hughes ◽  
Kimberly E. Alexander ◽  
Lyndall Spencer ◽  
Patsy Yates
Keyword(s):  
Emergency Department ◽  
Factors Associated ◽  
Analgesic Medication
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