scholarly journals Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations?

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
A. Khoury ◽  
F. S. Sall ◽  
A. De Luca ◽  
A. Pugin ◽  
S. Pili-Floury ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Random Order ◽  
Analysis Methods ◽  
Monitoring Tools ◽  
Ventilatory Parameter ◽  
Ventilation Efficiency ◽  
Ventilation Performance ◽  
Parameter Values ◽  
Direct Feedback

Introduction.Manikin-based studies for evaluation of ventilation performance show high heterogeneity in the analysis and experimental methods used as we pointed out in previous studies. In this work, we aim to evaluate these potential limitations and propose a new analysis methodology to reliably assess ventilation performance.Methods.One hundred forty healthcare providers were selected to ventilate a manikin with two adult self-inflating bags in random order. Ventilation parameters were analysed using different published analysis methods compared to ours.Results.Using different methods impacts the evaluation of ventilation efficiency which ranges from 0% to 45.71%. Our new method proved relevant and showed that all professionals tend to cause hyperventilation and revealed a significant relationship between professional category, grip strength of the hand keeping the mask, and ventilation performance (p=0.0049andp=0.0297, resp.).Conclusion.Using adequate analysis methods is crucial to avoid many biases. Extrapolations to humans still have to be taken with caution as many factors impact the evaluation of ventilation performance. Healthcare professionals tend to cause hyperventilation with current devices. We believe this problem could be prevented by implementing monitoring tools in order to give direct feedback to healthcare professionals regarding ventilation efficiency and ventilatory parameter values.

scholarly journals To intubate or not: ventilation is the question. A manikin-based observational study

2018 ◽  
Vol 5 (1) ◽  
pp. e000261 ◽  
Author(s):  
Fatimata Seydou Sall ◽  
Alban De Luca ◽  
Lionel Pazart ◽  
Aurore Pugin ◽  
Gilles Capellier ◽  
...  
Keyword(s):  
Observational Study ◽  
Healthcare Providers ◽  
Random Order ◽  
Respiratory Arrest ◽  
Manual Ventilation ◽  
Adequate Ventilation ◽  
Window Method ◽  
Ventilatory Parameters ◽  
Ventilation Efficiency ◽  
Ventilation Performance

IntroductionThere is a continuous debate concerning the superiority of endotracheal intubation on bag-valve-mask (BVM) ventilation in patients with cardiac arrest. In this manikin-based observational study, we evaluate and compare the performance of manual ventilation through a facemask (BVM) and an endotracheal tube (ETT).MethodsOne hundred and forty healthcare providers were instructed to manually ventilate a manikin as they would do for a 75 kg adult patient in respiratory arrest. Each one was ventilating both through a facemask and an ETT for a 5 min period in a random order. Ventilatory parameters were measured by the ASL 5000 lung simulator and ventilation performance was analysed using a sliding window method published in a previous study to assess accurately ventilation efficiency.ResultsThe mean ventilation rate was high whatever the technique used (24 bpm). A weak relationship between manual ventilation performance and the type of interface used was observed (p=0.0484). The overall rate of adequate ventilation was low even if we noticed a slight improvement when ventilating through an ETT (13.21% vs 7.5% of adequate ventilation). However, the rate of hyperventilation did not differ between mask and tube (79% vs 77%). A significant relationship is observed between professional category, the size of the hand squeezing the bag and manual ventilation performance (p<0.05).ConclusionWhatever the interface used, healthcare professionals are still struggling to perform manual ventilation efficiently according to international guidelines. Ventilation with an ETT does not prove to be significantly more efficient than with a facemask. It would be therefore important to recentre the debate on controlling ventilatory parameters with current devices. Focusing on training may maximise manual ventilation efficiency and minimise the loss of time during cardiopulmonary resuscitation.

scholarly journals Ventilation feedback device for manual ventilation in simulated respiratory arrest: a crossover manikin study

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Abdo Khoury ◽  
Alban De Luca ◽  
Fatimata S. Sall ◽  
Lionel Pazart ◽  
Gilles Capellier
Keyword(s):  
Endotracheal Tube ◽  
Healthcare Providers ◽  
Random Order ◽  
Respiratory Arrest ◽  
Manual Ventilation ◽  
Ventilatory Parameters ◽  
The Mean ◽  
Ventilation Rates ◽  
Direct Feedback

Abstract Background Studies have shown that providing adequate ventilation during CPR is essential. While hypoventilation is often feared by most caregivers on the scene, the most critical problem remains hyperventilation. We developed a Ventilation Feedback Device (VFD) for manual ventilation which monitors ventilatory parameters and provides direct feedback about ventilation quality to the rescuer. This study aims to compare the quality of conventional manual ventilation to ventilation with VFD on a simulated respiratory arrest patient. Methods Forty healthcare providers were enrolled and instructed to ventilate a manikin simulating respiratory arrest. Participants were instructed to ventilate the manikin for 5 min with and without the VFD in random order. They were divided in two groups of 20 people, one group ventilating through a mask and the other through an endotracheal tube. Results Ventilation with the VFD improved from 15 to 90% (p < 0.001) with the mask and from 15 to 85% (p < 0.001) with the endotracheal tube (ETT) by significantly reducing the proportion of hyperventilation. The mean ventilation rates and tidal volumes were in the recommended ranges in respectively 100% with the mask and 97.5% of participants with the ETT when using the VFD. Conclusion VFD improves the performance of manual ventilation by over 70% in different simulated scenarios. By providing the rescuer direct feedback and analysis of ventilatory parameters, this device can significantly improve ventilation while performing CPR and thus save lives.

scholarly journals ‘Not just a piece of skin in front of you’—a qualitative exploration of the experiences of adolescents with eczema and psoriasis with healthcare professionals

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041108
Author(s):  
Isabella Joy de Vere Hunt ◽  
Abigail McNiven ◽  
Amanda Roberts ◽  
Himesh Parmar ◽  
Tess McPherson
Keyword(s):  
Young People ◽  
Skin Disease ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Secondary Analysis ◽  
Emotional Impact ◽  
Skin Conditions ◽  
The Uk ◽  
Qualitative Exploration

BackgroundThere is little qualitative research in the UK focussing on adolescents’ experience of their healthcare providers, and inflammatory skin conditions are a common heath problem in adolescence.AimTo explore the experiences of adolescents with eczema and psoriasis with healthcare professionals, and to distil the participants’ key messages for their healthcare providers.DesignThis is a secondary thematic analysis of interviews with adolescents with eczema or psoriasis.ParticipantsThere were a total of 41 text transcripts of interviews with young people with eczema or psoriasis who had given permission for secondary analysis; 23 of the participants had eczema, and 18 psoriasis. Participants were living in the UK at time of interview, and aged 15–24 years old.ResultsWe have distilled the following key messages from young people with eczema and psoriasis for healthcare providers: (1) address the emotional impact; (2) give more information, with the subtheme and (3) appreciate patient research. We identified the following eczema-specific themes: (ECZ-4) ‘It’s not taken seriously’; (ECZ-5) offer choice in treatment and (ECZ-6) lack of structure/conflicting advice. Two psoriasis-specific themes were identified: (PSO-4) feeling dehumanised/treat me as a person; and (PSO-5) think about how treatments will affect daily life.ConclusionThis qualitative data analysis highlights the need for greater recognition of the emotional impact of skin disease in adolescence, and for more comprehensive provision of information about the conditions. We call for greater sensitivity and flexibility in our approach to adolescents with skin disease, with important implications for healthcare delivery to this group.

scholarly journals Opinion of Healthcare Professionals in the Usage of Social Media for Patient Care in Majmaah, Saudi Arabia

2017 ◽  
Vol 6 (1) ◽  
pp. 13
Author(s):  
Syed Meraj Ahmed ◽  
Faisal Alhumaidi Alruways ◽  
Thamer Fahad Alsallum ◽  
Meshal Munahi Almutairi ◽  
Abdullah Saif Al-Subhi ◽  
...  
Keyword(s):  
Social Media ◽  
Saudi Arabia ◽  
Patient Care ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Use Of Social Media

<span lang="EN-US">Use of social media for patient care is the new frontier in the healthcare indus-try. Sharing of information between the clinicians and their patients is now so much easier. In slowly gaining a foothold worldwide it needs a healthy push to make it universally accepta-ble. Study the knowledge, attitude, and practices of healthcare providers on the usage of social media in their clinical practice.</span><span lang="EN-US">A baseline cross – sectional study was conducted among 200 healthcare professionals from March 2015 to September 2015 on their knowledge, attitude, and practices in the use of social media for patient care in Majmaah, Saudi Arabia. A close ended self – administered validated questionnaire was used to gather data which was analyzed by using the SPSS ver. 21.0 software. 55.3% participants used social media for both professional and personal reasons. Some (25.3%) specified using it for patient care while a significant majority (52.9%) opined that it can be successfully used for patient interaction. Nearly 55% agreed that social media should not be banned due to its benefits as an efficient tool for patient communication. </span><span>S</span><span lang="EN-US">ocial media use for pa-tient doctor interaction should be encouraged to improve patient care through effective com-munication.</span>

scholarly journals ‘It’s a real fine balancing act’: directly employed care workers’ experiences of engaging with health services

2021 ◽  
Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe
Keyword(s):  
Health Services ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Work ◽  
Structured Interviews ◽  
Care Workers ◽  
The Impact ◽  
Health And Well Being

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.

scholarly journals Strategies for Expanding Access and Improving the Quality of Pharmaceutical Services

2017 ◽  
pp. 340-365
Author(s):  
Marcus Vinícius Dias-Souza
Keyword(s):  
Geographic Distribution ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Pharmaceutical Services ◽  
Effective Strategies ◽  
Administrative Management ◽  
Low Education ◽  
Assistance Systems ◽  
Pharmaceutical Enterprises

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.

scholarly journals Covid-19, the perfect time to broaden our horizons about social media use in oncology? A survey study with healthcare professionals caring for youth with cancer

2021 ◽  
Author(s):  
Michael Rost ◽  
Vittoria Espeli ◽  
Marc Ansari ◽  
Nicholas von der Weid ◽  
Bernice Elger ◽  
...  
Keyword(s):  
Social Media ◽  
Healthcare Professionals ◽  
Media Use ◽  
Healthcare Providers ◽  
Young Patients ◽  
Adolescent And Young Adult ◽  
Survey Study ◽  
Ethical Guidelines ◽  
Social Media Use ◽  
Health Crisis

Abstract Purpose The study aims to explore the attitudes of Swiss healthcare professionals towards the use of social media in adolescent and young adult oncology and to examine whether the ongoing social restrictions due COVID-19 might have altered these attitudes. Methods This study was cross-sectional in design. The subjects were healthcare providers working in pediatric or adult oncology settings in Switzerland. We performed descriptive and inferential statistical analyses. Results While considered useful, only a small minority of participants actually used social media for professional reasons and considered themselves skillful in using these platforms. Although institutional guidelines were deemed crucial to improve social media use, many respondents seemed unaware of their existence. Only a minority reported an impact of Covid-19 on their attitudes towards the professional implementation of social media. Conclusion The global health crisis creates important challenges for young patients with cancer and their healthcare providers. In times of social restrictions, social media may be promising tools to facilitate health information provision, connectivity and patient care. Virtual mentorship and target social media training interventions might be the best way to improve familiarity with social media and with ethical guidelines for their use.

scholarly journals Executive Summary: Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

2016 ◽  
Vol 63 (5) ◽  
pp. 575-582 ◽  
Author(s):  
Andre C. Kalil ◽  
Mark L. Metersky ◽  
Michael Klompas ◽  
John Muscedere ◽  
Daniel A. Sweeney ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Ventilator Associated Pneumonia ◽  
Executive Summary ◽  
Literature Reviews ◽  
Physician Judgment ◽  
Patients At Risk ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Abstract It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances. These guidelines are intended for use by healthcare professionals who care for patients at risk for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), including specialists in infectious diseases, pulmonary diseases, critical care, and surgeons, anesthesiologists, hospitalists, and any clinicians and healthcare providers caring for hospitalized patients with nosocomial pneumonia. The panel's recommendations for the diagnosis and treatment of HAP and VAP are based upon evidence derived from topic-specific systematic literature reviews.

Recruitment and Retention of Healthcare Professionals for the Changing Demographics, Culture, and Access in Canada

2011 ◽  
pp. 96-111
Author(s):  
Stéfane M. Kabene ◽  
Melody Wolfe ◽  
Raymond Leduc
Keyword(s):  
Rural Communities ◽  
Human Resources ◽  
Healthcare System ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Human Resources Management ◽  
Healthcare Access ◽  
Healthcare Providers ◽  
Remote Access ◽  
Changing Demographics

The Canadian healthcare system strives to serve a population altered by ever-changing demographics, cultural shifts, and diverse societal populations, and to serve those in rural communities with remote access to health care. The following chapter examines Canada’s current healthcare system and the effects on demand for services and the supply of healthcare providers created by the need to service rural populations, by limited access to medical schools, and by the introduction of foreign medical/health professionals. More specifically, the chapter reviews the symptoms of a strained medical system plagued by “brain waste” due to the non-use of qualified immigrant healthcare professionals, long wait times as a result of inadequate staffing and resources, and a school system that hinders the development of aspiring medical care professionals from rural and international areas. If Canada is to face these challenges with efficacy and vigour, effective human resources management techniques and competent human resources professionals are a necessary prologue. Medical knowledge and skill must be valued; healthcare professionals should be utilized more efficiently to improve healthcare access and minimize brain waste.

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