scholarly journals Staff attitudes and beliefs around LGBTQ issues at the Children's Hospital of Eastern Ontario

2014 ◽  
Author(s):  
Margaret Sampson ◽  
Marnie Potter ◽  
Heather Bragg ◽  
Corrine Langill
Keyword(s):  
Information Needs ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Care Providers ◽  
Pediatric Hospital ◽  
Web Based ◽  
Additional Training ◽  
Specialty Hospitals ◽  
Survey Results ◽  
Knowledge Deficits

Introduction: Pediatric specialty hospitals may be experiencing increases in the number of lesbian, gay, bisexual transgender and queer (LGBTQ) patients and parents seen. There is no published information on the attitudes, beliefs and information needs of the broad range of staff and physicians that provide care in a hospital context, although recent surveys have considered individual professional groups. We undertook such a hospital-wide survey to assess the climate and information needs of care providers. Methods: A web-based survey was opened to all staff and physicians at a tertiary care pediatric hospital in Ottawa, Canada in June 2013. Results: 315 completed surveys were analyzed. Most respondents identified as heterosexual and none identified as transgender. Approximately half were directly involved in patient care. Approximately 90% were fully comfortable around LGBTQ patients and coworkers and most felt the hospital provided fair and equitable care for all. LGBTQ-identified respondents were somewhat less positive about the climate than heterosexual respondents, and front line staff less positive than managers. Many respondents identified knowledge deficits and were receptive to additional training. Conclusions: In the context of a socially and legally liberal jurisdiction, most pediatric hospital staff are accepting of LGBTQ clientele and co-workers while some identify areas where knowledge and skill could be improved and are willing to undergo additional training in working with LGBTQ clientele. Survey results can inform policy and procedural changes as well as training initiatives.

scholarly journals Staff attitudes and beliefs around LGBTQ issues at the Children's Hospital of Eastern Ontario

2014 ◽  
Author(s):  
Margaret Sampson ◽  
Marnie Potter ◽  
Heather Bragg ◽  
Corrine Langill
Keyword(s):  
Information Needs ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Care Providers ◽  
Pediatric Hospital ◽  
Web Based ◽  
Additional Training ◽  
Specialty Hospitals ◽  
Survey Results ◽  
Knowledge Deficits

Introduction: Pediatric specialty hospitals may be experiencing increases in the number of lesbian, gay, bisexual transgender and queer (LGBTQ) patients and parents seen. There is no published information on the attitudes, beliefs and information needs of the broad range of staff and physicians that provide care in a hospital context, although recent surveys have considered individual professional groups. We undertook such a hospital-wide survey to assess the climate and information needs of care providers. Methods: A web-based survey was opened to all staff and physicians at a tertiary care pediatric hospital in Ottawa, Canada in June 2013. Results: 315 completed surveys were analyzed. Most respondents identified as heterosexual and none identified as transgender. Approximately half were directly involved in patient care. Approximately 90% were fully comfortable around LGBTQ patients and coworkers and most felt the hospital provided fair and equitable care for all. LGBTQ-identified respondents were somewhat less positive about the climate than heterosexual respondents, and front line staff less positive than managers. Many respondents identified knowledge deficits and were receptive to additional training. Conclusions: In the context of a socially and legally liberal jurisdiction, most pediatric hospital staff are accepting of LGBTQ clientele and co-workers while some identify areas where knowledge and skill could be improved and are willing to undergo additional training in working with LGBTQ clientele. Survey results can inform policy and procedural changes as well as training initiatives.

scholarly journals Practise Patterns and Perceptions of Chest Health Care Providers on Electronic Cigarette Use: An In-Depth Discussion and Report of Survey Results

2017 ◽  
Vol 13 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Stephen R. Baldassarri ◽  
Geoffrey L. Chupp ◽  
Frank T. Leone ◽  
Graham W. Warren ◽  
Benjamin A. Toll
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Electronic Cigarettes ◽  
Scientific Data ◽  
Care Providers ◽  
Web Based ◽  
Provider Perceptions ◽  
Chest Physician ◽  
Health Community ◽  
Survey Results

Introduction: The emergence of electronic cigarettes (ECs) has become a growing phenomenon that has sharply split opinion among the public health community, physicians, and lawmakers.Aims: We sought to determine chest physician perceptions regarding ECs.Methods: We conducted a web-based survey of 18,000 American College of Chest Physician (CHEST) members to determine health care provider experiences with EC users and to characterise provider perceptions regarding ECs.Results/Findings: There were 994 respondents. Eighty-eight per cent reported that patients had asked their opinion of ECs, and 31% reported EC use among at least 10% of their patients. More disagreed than agreed (41% vs. 21%) that patients could improve their health by switching from tobacco smoking to daily EC use. Respondents were split on whether ECs promote tobacco cessation (32% agree vs. 33% disagree).Conclusions: Current perceptions of ECs are variable among providers. More than 1/3 of respondents felt that EC's could be used for smoking cessation for smokers who failed prior quit attempts with approved therapies. However, many respondents were not convinced that ECs will reduce harms from tobacco use. There is an urgent need to generate additional high quality scientific data regarding ECs to inform chest physicians, health professionals, and the general public.

scholarly journals Identifying and Improving Knowledge Deficits of Emergency Airway Management of Tracheotomy and Laryngectomy Patients: A Pilot Patient Safety Initiative

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Ivan H. El-Sayed ◽  
Susan Ryan ◽  
Hildy Schell ◽  
Rosanne Rappazini ◽  
Steven J. Wang
Keyword(s):  
Airway Management ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Care Hospital ◽  
Cross Sectional ◽  
Respiratory Therapists ◽  
Emergency Airway ◽  
Emergent Airway Management ◽  
Knowledge Deficits ◽  
The Impact

Objectives. To evaluate the knowledge base of hospital staff regarding emergent airway management of tracheotomy and laryngectomy patients, and the impact of the introduction of a bedside airway form.Methods. Cross-sectional surveys of physicians, nurses, and respiratory therapists at a tertiary care hospital prior to and 24 months after introduction of a bedside Emergency Airway Access (EAA) form.Results. Pre- and postintervention surveys revealed several knowledge deficits. Preintervention, 37% of medical internists and 19% overall did not know that laryngectomy patients cannot be orally ventilated, and 67% of internists could not identify the purpose of stay sutures in recently created tracheotomies. Postintervention, these numbers improved for all groups. Furthermore, 80% of respiratory therapists reported encountering the EAA form in an emergent situation and found it useful.Conclusion. A knowledge deficit is identified in caregivers expected to provide emergency management of patients with airway anatomy altered by subspecialty surgeons. Safety initiatives such as the EAA form may improve knowledge among providers.

scholarly journals Users’ Experiences With Web-Based Health Care Information: Qualitative Study About Diabetes and Dementia Information Presented on a Governmental Website (Preprint)

2018 ◽  
Author(s):  
Therese Agnes Wiegers ◽  
Michelle Hendriks ◽  
Uriëll Malanda ◽  
Dolf de Boer
Keyword(s):  
Health Care ◽  
Information Needs ◽  
Treatment Options ◽  
General Information ◽  
Quality Information ◽  
Cognitive Interviews ◽  
Care Providers ◽  
Health Care Information ◽  
Term Care ◽  
Web Based

BACKGROUND Information on health and health care is abundant on the internet. To make informed choices, patients need reliable and easy-to-understand information about quality and availability of care providers and treatment options. However, the reliability of such Web-based information is difficult to assess. OBJECTIVE This study aimed to test Web-based information about diabetes and dementia and specifically a new presentation format of care routes to see if people are able to understand and use the information. METHODS Overall, 38 cognitive interviews were held; 20 people viewed the information about diabetes and 18 viewed the dementia information. Participants were asked what they would want to know about either diabetes or dementia, what choices they would want to make concerning their preferred care provider and treatment, and what information they would like to find to make these choices. They were then asked to view the relevant pages and comment on them. The interview was focused on general information about the condition, the care route, and the quality information for choosing a hospital. The interviews were transcribed verbatim and then systematically coded and ordered into themes. RESULTS The themes that were developed for both Web pages during the analysis were information needs, findability, usability, comprehension and readability, recognizability, care route, quality information, and usefulness. Information needs were found to be very diverse and dependent on the personal situation and condition of the participant. Several participants were unable to find specific items because they were not where they expected them to be. Most participants were positive about the layout, font, and color scheme of the test pages. However, options of clicking through to another website and indications where information can be expanded and collapsed could be made clearer. Participants generally found the information easy to understand but felt a need for a more detailed explanation of the medical terms. Recognition of the information played an important role: participants assessed whether the information they found matched their experiences. The term care route meant little to most of the participants, but the layout of the care route itself was found to be clear. Not many respondents spontaneously went to the quality information, and a number of participants had difficulty understanding it. Overall, the participants thought the information on the website was useful and helpful. CONCLUSIONS The cognitive interviews gave numerous insights into how Web-based information is processed and understood. The care route offers a clear overview of the various stages as the condition progresses, but the name care route is not clear to everyone. We gained insight into differences between subgroups of people in terms of information needs, comprehension, and use of the information because the diversity within the group of participants was lower than expected.

scholarly journals Collaborative Approach to Developing Infection Prevention Control Recommendations at a Tertiary-Care Pediatric Hospital

2020 ◽  
Vol 41 (S1) ◽  
pp. s173-s173
Author(s):  
Bonita Lee ◽  
Joan Durand ◽  
Helen Jones ◽  
Nicole Gartner ◽  
Jennifer Driscoll ◽  
...  
Keyword(s):  
Working Group ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Family Care ◽  
Consensus Meeting ◽  
Transmission Risk ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Pediatric Hospital ◽  
Frontline Staff

Background: Stollery Children’s Hospital (SCH) is a tertiary-care pediatric hospital with a complex infrastructure: 3 NICUs located at 3 different hospitals, and all of the pediatric inpatient beds, PICU, PCICU, and a medical-surgical NICU at the main SCH site shared buildings with an academic adult hospital. We describe a collaborative process used to develop standardized SCH Infection Prevention and Control (IPC) recommendations. Methods: The SCH IPC formed a working group with Patient and Family-Centered Care (PFCC) and family representatives in 2014 to enhance the engagement of families in regards to IPC issues and initiatives. The working group identified inconsistent messages provided to families when a child was admitted as a patient requiring additional precautions (PRAP). The working group then developed a framework of key questions to be answered for family care providers of PRAP. The working group held several consultative meetings with frontline staff followed by a review of published guidelines and consultations with other pediatric hospitals about contentious issues. A consensus meeting with all key stakeholders was held to finalize IPC recommendations. Results: The key contentious issues included (1) whether personal protective equipment is required for family care providers who stay overnight with PRAP and (2) whether family care providers of PRAP are allowed to access nutrition centers on clinical units and family lounges in PCICU–PICU–NICU that were stocked with free hot meals for the families. No directly applicable recommendation was available IPC guidelines on these issues. Discussions of these topics were directed by PFCC at family councils of various clinical programs with efforts to seek opinions from more family representatives. Expert opinions and current practice were also obtained from Canadian hospitals through emails and from US hospitals through SHEA Open Forum by ICP. A final consensus meeting revisiting all available information was held, and a new Stollery IPC guideline was created with families as partners sharing the IPC vision of minimizing transmission risk at SCH. Conclusions: A consultative engagement and consensus process was successful in the development of IPC recommendations for family care providers for PRAP for implementation at a tertiary-care pediatric hospital with a complex infrastructure. The next step is to develop family-friendly educational and resource materials with clear and concise messages.Funding: NoneDisclosures: None

Clinical characteristics and epidemiology survey of lung transplantation recipients accepting surgeries during COVID-19 pandemic：from area near Hubei Province (Preprint)

2020 ◽  
Author(s):  
Lingxiao Qiu ◽  
Shanshan Chen ◽  
Cong Wang ◽  
Caihong Liu ◽  
Huaqi Wang ◽  
...  
Keyword(s):  
Lung Transplantation ◽  
Clinical Characteristics ◽  
Lung Transplant ◽  
The Novel ◽  
Web Based ◽  
Transplant Program ◽  
Medical Institutions ◽  
Survey Results ◽  
Wbc Count ◽  
Novel Coronavirus

BACKGROUND Lung transplantation recipients (LTx) are more susceptible to severe acute respiratory syndrome-corona virus-2 (SARS-Cov-2) and suffer severer outcomes than healthy subjects. OBJECTIVE Here we aim to analyze whether it was appropriate to maintain lung transplant programs in medical institutions accepting coronavirus disease 2019 (COVID-19) patients. METHODS Methods: the clinical characteristics, laboratory testing, and epidemiology survey results of 10 LTx recipients undergoing allograft lung transplantation surgeries in the First Affiliated Hospital of Zhengzhou University during the COVID-19 pandemic were collected. A web-based epidemiology questionnaire was used to collect the information of LTx recipients after discharge. RESULTS A total of 10 LTx recipients were identified. The main cause of lung transplantation was idiopathic interstitial pneumonia (60%), with another rare case of cystic fibrosis. Comorbidities involved hyperlipidemia, subclinical hyperthyroidism, diabetes, viral hepatitis of type B. The average white blood cell (WBC) count and average lymphocyte count were 9.5±3.9×109 cells/liter and 1.7±1.1×109 cells/liter, respectively. 40% of the LTx recipients had lymphopenia. Impaired alanine aminotransferase (ALT) and aspartate transaminase (AST) were observed in LTx recipients. Good habitats of hand hygiene (100%), wearing protective masks behaviors (100%), indoor ventilation behaviors (100%), indoor disinfection measures (83%), personal tableware (67%), separate room (100%), personal bedsheets/ quilts (100%) and drinking glasses (100%) were observed during the follow-up. None of the LTx recipients or their family members get infected with SARS-CoV-2 during the novel coronavirus pandemic. CONCLUSIONS Under the premise of taking appropriate preventive measures during hospitalization and after discharge, the lung transplant program can be maintained in the medical institution that accepts patients with COVID-19. INTERNATIONAL REGISTERED REPORT RR2-doi: https://doi.org/10.1101/2020.07.06.20147264

scholarly journals Care Coordination Needs of Families of Children with Down Syndrome: A Scoping Review to Inform Development of mHealth Applications for Families

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 558
Author(s):  
Beth Skelton ◽  
Kathleen Knafl ◽  
Marcia Van Riper ◽  
Louise Fleming ◽  
Veronica Swallow
Keyword(s):  
Down Syndrome ◽  
Scoping Review ◽  
Care Coordination ◽  
Information Needs ◽  
Personal Health Record ◽  
Specific Information ◽  
Care Providers ◽  
Children With Down Syndrome ◽  
Scoping Reviews ◽  
Mhealth Apps

Care coordination is a critical component of health management aimed at linking care providers and health-information-involved care management. Our intent in this scoping review was to identify care coordination needs of families of children with Down syndrome (DS) and the strategies they used to meet those needs, with the goal of contributing to the evidence base for developing interventions by using an mHealth application (mHealth apps) for these families. Using established guidelines for scoping reviews, we searched five databases, yielding 2149 articles. Following abstract and full-text review, we identified 38 articles meeting our inclusion criteria. Studies incorporated varied in regard to research designs, samples, measures, and analytic approaches, with only one testing an intervention by using mHealth apps. Across studies, data came from 4882 families. Common aspects of families’ care coordination needs included communication and information needs and utilization of healthcare resources. Additional themes were identified related to individual, family, and healthcare contextual factors. Authors also reported families’ recommendations for desirable characteristics of an mHealth apps that addressed the design of a personal health record, meeting age-specific information needs, and ensuring access to up-to-date information. These results will further the development of mHealth apps that are tailored to the needs of families with a child with DS.

scholarly journals Improving Communications With Patients and Families in Geriatric Care. The How, When, and What

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Shirley Chien-Chieh Huang ◽  
Alden Morgan ◽  
Vanessa Peck ◽  
Lara Khoury
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Providers ◽  
Telephone Interviews ◽  
Written Information ◽  
Geriatric Unit ◽  
Patient Health

There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making.

scholarly journals Information needs of patients with chronic diseases and their relatives for web-based advance care planning: a qualitative interview study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Doris van der Smissen ◽  
Judith A. C. Rietjens ◽  
Lisette van Gemert-Pijnen ◽  
Sandra van Dulmen ◽  
Agnes van der Heide ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Advance Care Planning ◽  
Information Needs ◽  
Care Planning ◽  
Web Based ◽  
Disease Trajectory ◽  
Search Terms ◽  
Practical Support ◽  
Advance Care ◽  
Search For Information

Abstract Background Advance care planning (ACP) enables persons to identify preferences for future treatment and care, and to discuss, record and review these preferences. However, the uptake of ACP among patients with chronic diseases is relatively low. Web-based ACP programs can support patients and their relatives in ACP. However, information needs of patients and their relatives for ACP are unknown. The aim of this study is to explore information needs of patients with chronic disease and their relatives for web-based ACP. Methods We conducted semi-structured interviews with patients with chronic diseases and relatives at their home or at the study center. In three cases, the patient and relative were paired since they preferred to be interviewed together. We asked about information they would search for when to start with ACP, where they would search for information, what search terms they would use on the Internet, and what content and information they would consider important on an ACP website. The interviewer asked participants to clarify their responses during the interview. We used thematic analysis to analyze the interviewees’ responses. Results We interviewed nine patients with different chronic diseases including amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), chronic obstructive pulmonary disease (COPD) and kidney diseases, and seven relatives, namely partners or (adult) children. The interviewees were aged 24 to 80 years, nine were female and seven were male. Both patients with a chronic disease and relatives mentioned comparable information needs. Many interviewees indicated they would use the Internet to search for information about ACP. Mentioned search terms were “advance care planning”, “treatment plan”, “disease trajectory” and names of patient associations. Information needs concerned their disease trajectory and quality of life, medical treatment decisions, practical support in arranging care, the concept of ACP and guidance in ACP, communication of treatment and care preferences, peer support of others with chronic diseases, and information for relatives. Many appreciated encouragement of their healthcare providers to take a pro-active role in ACP. Conclusions We conclude that information needs for ACP included guidance in ACP, support in making decisions about medical treatment, and practical support in arranging care. We recommend adapting web-based ACP information to the information needs of patients and their relatives to increase its findability, uptake and usefulness.

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