scholarly journals Barriers to discharge in an acute care medical teaching unit: a qualitative analysis of health providers’ perceptions

Author(s):  
Barbara Okoniewska ◽  
Maria Jose Santana ◽  
Horacio Groshaus ◽  
Svetlana Stajkovic ◽  
Jennifer Cowles ◽  
...  
2014 ◽  
Vol 39 (1) ◽  
pp. 44-53 ◽  
Author(s):  
Melissa L. Langhan ◽  
Antonio Riera ◽  
Jordan C. Kurtz ◽  
Paula Schaeffer ◽  
Andrea G. Asnes

2019 ◽  
Author(s):  
Corey B. Bills ◽  
Peter Acker ◽  
Tina McGovern ◽  
Rebecca Walker ◽  
Htoo Ohn ◽  
...  

Abstract Background Currently, Myanmar does not have a nationalized emergency care or emergency medical services (EMS) system. The provision of emergency medicine (EM) education to physicians without such training is essential to address this unmet need for high quality emergency care. We queried a group of healthcare providers in Myanmar about their experience, understanding and perceptions regarding the current and future needs for EM training in their country. Methods A 34-question survey was administered to a convenience sample of healthcare workers from two primary metropolitan areas in Myanmar to assess exposure to and understanding of emergency and pre-hospital care in the country. Results 236 of 290 (81% response rate) individuals attending one of two full-day symposia on emergency medicine completed the survey. The majority of respondents were female (n=138, 59%), physicians (n=171, 74%), and working in private practice (n=148, 64%). A majority of respondents (n=133, 57%) spent some to all of their clinical time providing acute and emergency care however 83.5% (n=192) of all surveyed reported little or no past training in emergency care; and those who have received prior emergency medicine training were more likely to care for emergencies (>2 weeks training; p=.052). 81% (n= 184) thought the development of emergency and acute care services should be a public health priority. Conclusions Although this subset of surveyed health practitioners commonly provides acute care, providers in Myanmar may not have adequate training in emergency medicine. Continued efforts to train Myanmar’s existing healthcare workforce in emergency and acute care should be emphasized.


2018 ◽  
Vol 30 (2) ◽  
pp. 87-97 ◽  
Author(s):  
Abby Adler ◽  
Sadia Chadhury ◽  
Barbara Stanley ◽  
Marjan Ghahramanlou-Holloway ◽  
Ashley Bush ◽  
...  

CNS Spectrums ◽  
2006 ◽  
Vol 11 (2) ◽  
pp. 137-142 ◽  
Author(s):  
Margaret L. Stuber ◽  
Stephanie Schneider ◽  
Nancy Kassam-Adams ◽  
Anne E. Kazak ◽  
Glenn Saxe

AbstractChildren and their parents who are exposed to medical life-threat due to illness or injury are at risk for developing symptoms of posttraumatic stress. However, the prevention, detection, and treatment needed are often not available in the acute care settings of the hospital. The National Child Traumatic Stress Network and the Substance Abuse and Mental Health Services Administration have created a set of materials for use by hospital health providers and families that is available for download free from the National Child Traumatic Stress Network website, www.nctsn.org.


2021 ◽  
pp. 1-7
Author(s):  
Miguel Julião ◽  
Maria Ana Sobral ◽  
Bridget Johnston ◽  
Ana Raquel Lemos ◽  
Sara Almeida ◽  
...  

Abstract Objectives Dignity therapy (DT) is a brief, individualized intervention, which provides terminally ill patients with an opportunity to convey memories, essential disclosures, and prepare a final generativity document. DT addresses psychosocial and existential issues, enhancing a sense of meaning and purpose. Several studies have considered the legacy topics most frequently discussed by patients near the end of life. To date, no Portuguese study has done that analysis. Method We conducted a qualitative analysis of 17 generativity documents derived from a randomized controlled trial (RCT). Inductive content analysis was used to identify emerging themes. Results From the 39 RCT participants receiving DT, 17 gave consent for their generativity document to undergo qualitative analysis. Nine patients were female; mean age of 65 years, with a range from 46 to 79 years. Seven themes emerged: “Significant people and things”; “Remarkable moments”; “Acknowledgments”; “Reflection on the course of life”; “Personal values”; “Messages left to others”; and “Requests and last wishes”. Significance of results Generativity document analysis provides useful information for patients nearing death, including their remarkable life moments and memories, core values, concerns, and wishes for their loved ones. Being conscious of these dominant themes may allow health providers to support humanized and personalized care to vulnerable patients and their families, enhancing how professionals perceive and respond to personhood within the clinical setting.


2007 ◽  
Vol 82 (2) ◽  
pp. 207-213 ◽  
Author(s):  
Robert R. Kempainen ◽  
Dianne M. Bartels ◽  
Patricia McCarthy Veach

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