Do we need a UK vascular journal? Survey of multidisciplinary UK vascular specialists

2021 ◽  
Vol 1 (1) ◽  
pp. 6-10
Author(s):  
J Long ◽  
R Lathan ◽  
M Sidapra ◽  
I Chetter ◽  
S Nandhra
Keyword(s):  
Great Britain ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Free Text ◽  
Vascular Health ◽  
Online Questionnaire ◽  
Research Committee ◽  
Collaborative Working ◽  
Background Prior

Background: Prior to the development of the Journal of Vascular Societies Great Britain & Ireland (JVSGBI), there were limited opportunities for UK based vascular health professionals to publish research relevant for UK vascular practice. A survey was developed to evaluate the appetite and potential infrastructure for a UK vascular journal amongst vascular healthcare professionals. Methods: In May 2020, an online questionnaire was administered by The Vascular Society of Great Britain and Ireland (VSGBI) Research Committee, surveying vascular health professionals regarding the development of a UK-specific vascular journal. The survey was disseminated via email to multi-disciplinary members of the vascular community with links promoted on social media. Results: Responses were received from 359 individuals identifying predominantly as surgeons (38%), nurses (8%), technologists (10%), radiologists (20%), trainees (10%), physiotherapists (7%) and other (7%). The majority of participants (67%) indicated they would be in favour of a UK-specific vascular journal and that it should be available as an online quarterly publication. Almost three quarters (74%) of respondents thought a subscription fee should be included in societies’ membership fees. Free text comments highlighted a few concerns, suggesting the focus should instead be to improve the quality of existing vascular journals. However, most respondents welcomed the idea of a journal relevant to UK practice, with inclusivity of all UK vascular professions to encourage more collaborative working. Conclusions: Overall, feedback collected from the survey was positive and suggested a demand for a UK-specific vascular journal, providing an indication that the development of such a journal should be further explored. The results of this survey helped to inform the development of the JVSGBI.

scholarly journals A Systematic Review of Healthcare Professionals’ Knowledge, Self-Efficacy and Attitudes Towards Working with Autistic People

2021 ◽  
Author(s):  
Kirsten Corden ◽  
Rebecca Brewer ◽  
Eilidh Cage
Keyword(s):  
Health Professionals ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Vital Role ◽  
Narrative Synthesis ◽  
Quality Assessment Tool ◽  
Professional Background ◽  
Autistic People

AbstractHealthcare professionals play a vital role in identifying and supporting autistic people. This study systematically reviewed empirical research examining healthcare professionals’ knowledge, self-efficacy and attitudes towards working with autistic people. Thirty-five studies were included. The included studies sampled a range of countries and professional backgrounds. A modified quality assessment tool found the quality of the included studies was moderately good. Narrative synthesis indicated that healthcare professionals report only moderate levels of autism knowledge and self-efficacy, and often lack training. Variation within and between countries and professional background was not explained by demographic factors. The reviewed evidence suggests health professionals’ limited knowledge and self-efficacy in working with autistic people is a challenge to the provision of healthcare for autistic individuals.

scholarly journals Addressing healthcare for migrants and ethnic minorities in Europe: A review of training programmes

2018 ◽  
Vol 78 (1) ◽  
pp. 9-23 ◽  
Author(s):  
Antonio Chiarenza ◽  
Lidia Horvat ◽  
Katja Lanting ◽  
Anna Ciannameo ◽  
Jeanine Suurmond
Keyword(s):  
Ethnic Minorities ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Policy Support ◽  
Training Design ◽  
Conceptual Approach ◽  
Effective Response ◽  
Access And Quality ◽  
Training Programmes

Background: The global phenomenon of migration has dramatically changed the social context in which healthcare professionals operate. European states are facing a growing need to effectively train healthcare professionals to understand and respond appropriately to the diverse needs of migrants and ethnic minorities. While many European Union (EU) countries have adopted specific initiatives, there is considerable variation in these activities and few examples of evaluation of the quality of these training courses. Aims: This article describes findings from a review conducted as a part of the ‘Training packages for health professionals to improve access and quality of health services for migrants and ethnic minorities, including the Roma (MEM-TP)’ project, which sought to identify and assess training programmes for health professionals delivered in Europe between 2004 and 2013. Methods: The review and analysis of training materials comprised three components: (1) a review of the published and unpublished literature, (2) a survey addressing national contact persons, and representatives of international organisations and non-governmental organisations and (3) an assessment of the quality of the training programmes identified. Results: The review showed that training programmes tend to be characterised by low levels of participant involvement in training development, delivery and evaluation. Training programmes often lacked an explicit pedagogical approach, did not systematically focus on outcomes in training design, implementation and evaluation, and were poorly linked to key organisational and policy support. Finally, while cultural competence continues to be the broad conceptual approach used in training programmes, alternate approaches such as intersectionality, equity and person-centred care are emergent. Conclusion: Training programmes in Europe can be further improved in order to ensure an effective response to the diverse needs of patients, carers, health professionals and the community.

scholarly journals Multisource feedback for the physician associate role

2021 ◽  
Vol 103 (4) ◽  
pp. 206-210
Author(s):  
M Theodoraki ◽  
TS Hany ◽  
H Singh ◽  
M Khatri
Keyword(s):  
Communication Skills ◽  
Healthcare Professionals ◽  
Clinical Skills ◽  
Multisource Feedback ◽  
Junior Doctors ◽  
Free Text ◽  
Online Questionnaire ◽  
Medical Practitioners ◽  
North West ◽  
The North

Introduction Physician associates (PAs) are dependent medical practitioners who work alongside doctors and other healthcare professionals. There are approximately 350 PAs working throughout the UK, with another 550 in training. Methods An online questionnaire was sent to healthcare professionals throughout the North West region with a total of 119 responding. Participants were asked nine questions on clinical skills and three on communication skills. These were to be rated as ‘excellent’, ‘good’, ‘satisfactory’, ‘needs to improve’ or ‘unacceptable’. In addition, respondents were asked to indicate their agreement with 14 statements about the role of PAs. There was also a field for free text comments. Results Of the 1,071 individual responses to the survey questions on clinical skills, 859 (80%) were ‘excellent’ or ‘good’. Similarly, among the 357 answers to the questions on communication skills, 317 (89%) were ‘excellent’ or ‘good’. Comments in the free text field included both positive and negative observations, with all negative comments coming from junior doctors. Conclusions Overall feedback for the PA role was overwhelmingly positive. However, the most commonly mentioned problem was that they are not being utilised effectively and in turn, that they are taking learning opportunities from junior doctors. This is an important concern to note and warrants further investigation. PAs are clearly useful assets and are set to increase in number in the NHS over the coming years. It is therefore imperative that this new role works well with the existing roles and training structure of junior doctors.

scholarly journals Impact of COVID-19 pandemic on the sleep quality of medical professionals in Brazil

2021 ◽  
Vol 79 (2) ◽  
pp. 149-155
Author(s):  
Janaína Mariana de Araújo Miranda Brito-Marques ◽  
Clélia Maria Ribeiro Franco ◽  
Paulo Roberto de Brito-Marques ◽  
Sandra Cristina Gonçalves Martinez ◽  
Gilmar Fernandes do Prado
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Health Professionals ◽  
Well Being ◽  
Poor Sleep ◽  
World Population ◽  
Psychological Resilience ◽  
Online Questionnaire ◽  
Related Factors

ABSTRACT Introduction: Coronavirus pandemic began in China in 2019 (COVID-19), causing not only public health problems but also great psychological distress, especially for physicians involved in coping with the virus or those of the risk group in social isolation, and this represents a challenge for the psychological resilience in the world population. Studies showed that health professionals had psychological symptoms such as depression, anxiety, insomnia, stress, among others. Objectives: To investigate the quality of sleep and the prevalence rate of sleeping disorders among physicians during COVID-19 pandemic, and identify the psychological and social factors associated with the condition. Methods: A cross-sectional study of an online questionnaire was applied for physicians in Brazil. Among the 332 participants included, 227 were women. Sociodemographic assessment was used in the questionnaire, as well as the scale of impact on the events of modifications caused by COVID-19, assessment on sleep quality (PSQI), presence and severity of insomnia (ISI), depressive symptoms (PHQ-9), and anxiety (GAD-7). Results: Most physicians (65.6%) had changes in sleep. Poor sleep quality was reported by 73.1%, depressive symptoms were present in 75.8%, and anxiety in 73.4%. Conclusion: Our study found that more than 70% of the physicians assessed had impaired sleep quality, characterizing insomnia symptoms during COVID-19 outbreak. Related factors included an environment of isolation, concerns about COVID-19 outbreak and symptoms of anxiety and depression. Special interventions are needed to promote health professionals’ mental well-being and implement changes in this scenario.

scholarly journals P106 Psychological and self-management support for people with systemic vasculitis or CTDs: a mixed methods study of health professionals’ perception of provision in Rheumatology and Nephrology departments in the UK

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Joanna C Robson ◽  
Michael Shepherd ◽  
Mwidimi Ndosi ◽  
Lorraine Harper ◽  
Caroline Flurey ◽  
...  
Keyword(s):  
Health Professional ◽  
Health Professionals ◽  
Online Survey ◽  
Psychological Support ◽  
Self Management ◽  
Free Text ◽  
Management Support ◽  
The Uk

Abstract Background People with a connective tissue disease (CTD) or systemic vasculititis have diseases which can be life and organ threatening, require complicated medication regimens and impact on all aspects of health-related quality of life. People are routinely managed across multiple medical specialities and have to navigate their way through complex health care systems. The aim of this study was to investigate current psychological and self-management support available for people with CTDs and vasculitis in rheumatology and nephrology departments in the UK. Methods An online survey of health professionals in rheumatology and nephrology departments was conducted with follow-up interviews. The survey comprised 45 multiple-choice and free-text questions. Quantitative material was analysed descriptively. Follow-up interviews were recorded, transcribed and analysed thematically, together with free-text survey responses, to identify health professionals’ perceptions on unmet needs and key improvements required. Results The online survey included 120 health professional respondents (34 % specialist nurses, 51% doctors and 12 % allied health professionals and pharmacists). Respondents worked primarily in rheumatology (52.9%) and nephrology (21.5%). Access to self-management programmes or clinics for people with CTD and vasculitis was available in 23% of rheumatology and 8% of nephrology departments. In response to the question “How well is your team providing self-management support to people with CTD and vasculitis?”, 38% of respondents reported not very well, or not well at all. Direct access to psychological support (either within their department or within the hospital) was available for patients in 76.9% of nephrology and 32.8% of rheumatology departments. Where psychological referrals were direct, the assessment of the quality of the service by health professionals was higher than when the referrals were indirect (i.e when patients were either referred to primary care or asked to self-refer) (X2=13.83, p < 0.001). Over 80% of health-professional respondents reported they would like additional training in providing self-management support. Key themes from the qualitative data included the need for dedicated psychological support within departments, self-management programmes (specifically for people with CTD and vasculitis or opening up established programmes for people with other conditions), the benefits of a whole team approach (specialist teams not individual clinicians working to empower patients to take a lead in managing their own care), individual staff training needs ( training in brief psychological interventions and support for health professionals to set up self-management programmes) and signposting to additional resources for patients and their families ( disease-specific written and online information and support from patient charities). Conclusion People with CTD and vasculitis have complex needs and systemic improvements in support are required. Patients in nephrology departments are more likely to have access to psychological support than those in rheumatology. There is inadequate access to structured self-management programmes in both nephrology and rheumatology. Disclosures J.C. Robson None. M. Shepherd None. M. Ndosi None. L. Harper None. C. Flurey None. S. Logan None. K. Austin None. E. Dures None.

Interprofessional Conflict Among Healthcare Teams in Nigeria: Implications on Quality of Patient Care

2021 ◽  
Author(s):  
Edwin O. Nwobodo ◽  
Cajetan U. Nwadinigwe ◽  
Ugochukwu Bond Anyaehie ◽  
Princewill Ikechukwu Ugwu ◽  
Nkoli F. Nwobodo ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Professionals ◽  
Online Questionnaire ◽  
Healthcare Teams ◽  
Healthcare Settings ◽  
Interprofessional Teamwork ◽  
Institutional Issues ◽  
Quality Of Patient Care ◽  
Care Outcomes

Abstract Background: Patient care in Nigeria is essentially an interprofessional teamwork. The functionality of the team may have substantial implications on the quality of patient care as well as the professional satisfaction of individual professionals in the health team. This study was designed to identity if interprofessional conflicts existed in health teams in health institutions in southeast Nigeria, and to explore their nature, course, identify the extant resolution mechanisms and to start to identify and document feasible mechanisms to mitigate the conflicts. The aim is to enhance the functionality of health teams for an overall better patient care outcome.Method: An online questionnaire survey collected data from 58 health healthcare professionals in four healthcare settings in the southeast of Nigeria. Quantitative and qualitative analyses were conducted resulting in seven central themes of conflict. The paper adopted narrative qualitative survey tools to survey a cohort of healthcare professionals who have practiced for varying periods. This study investigated the existence, or otherwise, and nature of the conflicts within health teams, probes the most at conflict as well as approaches being used in conflict resolution.Results: Many institutional conflicts exist among the healthcare teams. There are several conflict resolutions approaches that are being employed to resolve the conflicts. Most resolutions are simply the avoidance approach. Many of the conflicts potentially affect patient care outcomes but these are issues that could be resolved on a permanent to semi-permanent basis at local levels whilst others are broader institutional issues that will require external fixes. Discussion: There is a need to improve on the team process for healthcare professional early and systematically. Key or essential steps for doing this based on the importance of continued attentions to better patient care approaches are provided in this paper.

scholarly journals “Blaming, shaming, humiliation”: Stigmatising medical interactions among people with non-epileptic seizures

2017 ◽  
Vol 2 ◽  
pp. 55 ◽  
Author(s):  
Catherine Robson ◽  
Olaug S. Lian
Keyword(s):  
Health Professionals ◽  
Epileptic Seizures ◽  
Quality Of Healthcare ◽  
Social Constructionist ◽  
Free Text ◽  
Negative Experiences ◽  
Health And Illness ◽  
Survey Responses ◽  
Study Participants

Background: People with non-epileptic seizures (NES) describe challenging relationships with health professionals, and explain negative interactions as common and expected. Despite these difficulties, little is known about how people with NES experience difficult healthcare encounters. Methods: Using a thematic discourse analysis approach, we analysed the free-text survey responses of 135 people with NES and asked: what kind of challenges do people living with this condition encounter when interacting with health professionals, and how do they experience the consequences of difficult interactions? We explore their experiences by interpreting the latent meaning of participants’ texts from a social-constructionist perspective on health and illness. Results: The overarching narrative depicts a fundamental breakdown in patient-provider relationships. According to our data, the negative experiences of study participants emerge from more than practitioners’ lack of awareness of NES and access to information about the condition - to the extent that it is available. In examining the challenges people with NES encounter when interacting with health professionals, their main experiences centre on blame and humiliation. When exploring their experiences, theories of stigma serve as a useful theoretical framework. Conclusions: Normative judgements arising from psychogenic understandings of NES are stigmatising and restrict professional displays of respectful (patient-centred) care. Those with the condition depict being negatively stereotyped, illegitimated and held morally culpable by health professionals. Perceived to lack medical, moral and credible status, participants describe practitioners who treat them with disrespect, and some recount conduct that defies all ethical and professional obligations and standards. These encounters can have wide-ranging adverse consequences for patients: emotionally, physically, and for their future healthcare. The quality of healthcare interactions for people with NES requires urgent improvements. In addition to increased awareness of the condition, practitioners need to be conscious of making and acting on adverse moral appraisals when interacting with this patient group.

scholarly journals 123 Empowering Patients after Stroke: Development of a Stroke Information Booklet

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Karen Dennehy ◽  
Padraig Synnott ◽  
Robert Murphy ◽  
Patricia Galvin ◽  
Michelle Canavan ◽  
...  
Keyword(s):  
Health Professionals ◽  
Allied Health ◽  
Healthcare Professionals ◽  
Stroke Risk ◽  
Panel Discussion ◽  
Free Text ◽  
Care Providers ◽  
Allied Health Professionals ◽  
Post Stroke ◽  
Information Booklet

Abstract Background Patient involvement in healthcare is key to the provision of patient centred care. The national patient experience survey 2018 found that up to 40% of patients did not get adequate information about their condition after discharge.(1) As the planning phase in introducing a stroke information booklet, we sought to examine what patients, families and healthcare professionals feel are important components in such an information booklet. Methods We performed a cross sectional cohort study. A questionnaire was developed after a panel discussion among physicians, allied health professionals, and clinical nurse specialists about what would be important facets to include. Thirteen items were shortlisted and assessed using a Likert scale. Results There were 76 respondents to the questionnaire including nurses (17), allied health professionals (13), doctors (28), stroke patients (10) and relatives (8). Items viewed as most important to include were: an introduction to stroke, future stroke risk, and effects of stroke on daily life. Items viewed as least important to include were - an overview of medical treatments for stroke and information on equipment needs post stroke. A Mann Whitney U test found that patients/families rated information about future stroke risk as more important to include than healthcare professionals (p=0.021). Free text found that psychological effects of stroke, and sexual health post stroke were commonly suggested. Conclusion Patients/Families are keen to receive information regarding stroke, particularly about future risk of stroke. Empowering patients with information about stroke that is relevant to them and their care providers is a fundamental part of secondary stroke prevention. We also need to focus more on the psychological impact of stroke. Our booklet will incorporate information we have gathered in this study to make it a truly patient centred resource.

Are UK healthcare professionals equipped to provide information and support on Human Papillomavirus to patients diagnosed with cancer of the head and neck?

2020 ◽  
pp. 1-6
Author(s):  
R. Jopson ◽  
J. Callender
Keyword(s):  
Human Papillomavirus ◽  
Head And Neck ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Information Provision ◽  
Incidence Rates ◽  
Specific Information ◽  
Online Questionnaire ◽  
Information Leaflets ◽  
Open Questions

Abstract Aim: Incidence rates of Human Papillomavirus (HPV) positive head and neck cancer (HNC) are increasing. The aim of this study was to explore the availability of information and the knowledge and confidence of healthcare professionals (HCPs) involved in the cancer pathway to provide information on HPV to patients. Materials and method: An online questionnaire was designed using closed and open questions to investigate the availability of patient information for patients diagnosed with HPV-associated HNC; health professional’s knowledge of the information available; and their confidence in discussing the topic. The questionnaire was advertised to health professionals through the British Association of Head and Neck Oncologists website. Twenty-five health professionals from six professions across five UK Cancer Alliances completed the questionnaire between November and December 2018. Results: Nearly half of the participants did not know whether patients were routinely provided with information on HPV following an HPV-positive (HPV+) cancer diagnosis; 52% indicated that specific information was available within their hospital trust, however, there were inconsistencies with participants’ knowledge of the content of the information leaflets currently available. On a scale of 1–100, the mean confidence in providing HPV-related information was 58. Findings: Inconsistencies appear to exist with respect to information about HPV available to patients presenting with HNC. A need has been identified for the education of health professionals involved in the patient care to support information provision.

Conflicts of power in the relationship among professionals of health under the optical of the patient

2010 ◽  
Vol 1 (1) ◽  
pp. 19
Author(s):  
Iana Bezerra Lima ◽  
Luís Othon Bastos
Keyword(s):  
Health Professionals ◽  
Point Of View ◽  
Professional Relationships ◽  
Research Committee ◽  
Palabras Clave ◽  
Group Relationships ◽  
The University ◽  
Hospital School ◽  
The Relationship

RESUMOEstudo exploratório e descritivo, de abordagem qualitativa, com o objetivo de investigar os conflitos de poder na relação de profissionais de saúde sob a óptica do paciente em um Hospital Escola Público Federal de Recife. Para a coleta de informações foi utilizado um roteiro de entrevista semi-estruturado com os pacientes e profissionais de saúde, no período Junho e Julho de 2006, após aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da Universidade Federal de Pernambuco e com autorização através do termo de consentimento livre e esclarecido dos participantes. A amostra foi de dez profissionais de saúde do ambulatório e da enfermaria de clínica médica; 15 pacientes que estavam sendo assistidos no ambulatório e dez pacientes das enfermarias. As entrevistas foram codificadas, transcritas e definidas as seguintes categorias: 1) Conflitos frente às relações pessoais e grupais, no ambiente físico no trabalho dos profissionais de saúde; 2) Conflitos abordados e processados na equipe de profissionais de saúde; 3) Conseqüências dos conflitos gerados na relação profissionais de saúde vs profissionais de saúde na qualidade da assistência ao paciente e, 4) Conseqüências dos conflitos de poder na relação profissionais de saúde vs paciente. A análise de cada categoria foi com base na fundamentação teórica associadas aos fatos e relatos dos entrevistados, considerando similitudes e diferenças entre as informações, relacionando-as aos conflitos de poder na relação entre profissionais de saúde sob a óptica do paciente. Palavras-chave: Conflitos; Poder; Profissionais de Saúde; Paciente.ABSTRACTExploratory and descriptive study, of qualitative boarding, whose principal objective was to investigate power conflicts in the professional relationships inside the health area under the patient’s point of view inside a Federal Public Hospital School at Recife city. A semi-structured script was used to collect the information with patients and health personnel, from June to July of 2006. The script was used after it was approved by the Ethics on Research Committee of the University Federal of Pernambuco and under the free and clarified assent term of the participants. The sample was constituted of ten clinic health professional, fifteen patients who were assisted in this clinic and ten patients from the infirmary. Then interviews where codified, transcript, and defined the following categories: 1) Conflicts towards personal and group relationships, inside the environment of health professional’s work; 2) Conflicts inside the team of health professionals; 3) Consequences of the conflicts in the health professional’s relationships vs. Quality of assistance from the health professionals and, 4) Consequences of the power conflicts vs. Patient. The analysis of each category was based on the theoretical recital associated to the facts and stories of the interviewed, considering similarities and differences in the information given, relating them to the power conflicts in the relationship between health professionals under the patient point of view. Key-words: Conflicts; Power; Health Professionals; Patient.RESUMENEstudio indagatorio y descriptivo, con enfoque cualitativo, con el objetivo general de investigar los conflictos poderosos con relación a los profesionistas de salud desde el punto de vista de los pacientes en el Hospital Escuela Publico Federal de Recife. Para la recolección de información fue aplicada una encuesta semi-estructurada a los pacientes y con los profesionistas de salud en el periodo junio y julio de 2006, después de haber sido aprobado el proyecto por el Comité de Investigaciones Éticas de la Universidad Federal de Pernambuco y con el consentimiento, posterior a la justificación, de los pacientes.  La muestra se conformó por: diez profesionistas de la clínica, quince pacientes atendidos en la misma, y diez pacientes del área de enfermería.  Las encuestas fueron codificadas, transcritas y definidas en las siguientes categorías: 1) Conflictos relacionados a las relaciones personales y grupales, en el ambiente físico del trabajo de los profesionistas de salud; 2) Conflictos abordados y procesados dentro del equipo de profesionistas; 3) Consecuencias de los conflictos generados relacionados entre  profesionista y la calidad de la asistencia al paciente; y 4) consecuencias de los conflictos poderosos en la relación profesionista-paciente.  El análisis de cada categoría fue con base a los fundamentos teóricos asociados a los hechos y relatos de los entrevistados, considerando similitudes y diferencias entre la información obtenida, relacionándolas también a los conflictos poderosos en la relación entre los profesionistas desde el punto de vista del paciente. Palabras clave: Conflictos; Poderoso; Profesionistas de salud; Paciente.  

Sign in / Sign up

Export Citation Format

Share Document