scholarly journals Online Social Network Use by Health Care Providers in a High Traffic Patient Care Environment

2013 ◽  
Vol 15 (5) ◽  
pp. e94 ◽  
Author(s):  
Erik Black ◽  
Jennifer Light ◽  
Nicole Paradise Black ◽  
Lindsay Thompson
Keyword(s):  
Health Care ◽  
Social Network ◽  
Patient Care ◽  
Health Care Providers ◽  
Online Social Network ◽  
Care Providers ◽  
Care Environment

scholarly journals Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

2017 ◽  
Vol 105 (4) ◽  
Author(s):  
Kathel Dunn ◽  
Joanne Gard Marshall ◽  
Amber L. Wells ◽  
Joyce E. B. Backus
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Information Resources ◽  
Information Resource ◽  
Care Providers ◽  
Other Information

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions.

scholarly journals Athletic Trainer Compassion but Lack of Preparedness to Provide Transgender Patient Care

2020 ◽  
Author(s):  
Lindsey Eberman ◽  
Zachary Winkelmann ◽  
Emma Nye ◽  
Daniel Walen ◽  
Kelcey Granger ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Student Athletes ◽  
Athletic Trainers ◽  
Hormone Replacement ◽  
The Body ◽  
Athletic Trainer ◽  
Care Providers ◽  
Potential Cost

Context: Previous research indicates athletic trainers have a favorable view of treating transgender patients, yet do not feel competent in their patient care knowledge or abilities. Objective: To gain more depth of information about athletic trainers' knowledge and experiences regarding the health care needs of transgender student-athletes. Design: Sequential, explanatory mixed methods. Setting: Individual, semi-structured follow-up interviews. Participants: Fifteen athletic trainers who previously took part in a cross-sectional survey in April 2018 (male=8, female=7, age=24±2, years of experience=3±3). Main Outcome Measure(s): The interviews were audio recorded and transcribed verbatim. Member checking was completed to ensure trustworthiness of the data. Next, the data were analyzed using a multi-phased process and a 3-member coding team following the consensual qualitative research tradition. The coding team analyzed the transcripts for domains and categories. The final consensus codebook and coded transcripts were audited by a member of the research team for credibility. Results: Four main domains were identified: 1) perceived deficiencies, 2) misconceptions, 3) concerns, and 4) creating safety. Participants described knowledge deficiencies in themselves, health care providers within their unit, and providers able to provide safe transition care. Participants demonstrated misconceptions when characterizing the definitions of transgender and transitioning and when describing how the body responds to hormone replacement therapy. Participants expressed concern for the mental health and wellness, self-image of transgender student-athletes, and potential cost of transgender health care. However, participants also described efforts to create safety within their unit by validation, instilling trust, adjusting the physical environment, and by engaging in professional development to improve their knowledge. Conclusions: Athletic trainers want to create a safe space for transgender student-athletes but lack the necessary knowledge to treat transgender patients. Professional resources to improve athletic trainer knowledge, skills, and abilities in caring for transgender patients are a continued need. Key Points

scholarly journals Provision of Virtual Outpatient Care during the COVID-19 Pandemic and Beyond: Enabling Factors and Experiences from the UBC Pharmacists Clinic

2020 ◽  
Vol 11 (4) ◽  
pp. 7
Author(s):  
Jillian Reardon ◽  
Jamie Yuen ◽  
Timothy Lim ◽  
Richard Ng ◽  
Barbara Gobis
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Lessons Learned ◽  
Ease Of Use ◽  
Care Providers ◽  
Enabling Factors ◽  
High Satisfaction ◽  
Technological Barriers

The COVID-19 pandemic has generated an unprecedented level of interest in, and uptake of, technology-enabled virtual health care delivery as clinicians seek ways to safely care for patients with physical distancing. This paper describes the UBC Pharmacists Clinic’s technical systems and lessons learned using enabling technology and the provision of virtual patient care by pharmacists.    Of 2036 scheduled appointments at the clinic in 2019, only 1.5% of initial appointments were conducted virtually which increased to 64% for follow-up appointments. Survey respondents (n = 18) indicated an overall high satisfaction with the format, quality of care delivery, ease of use and benefits to their overall health. Other reports indicate that the majority of patients would like the option to book appointments electronically, email their healthcare provider, and have telehealth visits, although a small minority (8%) have access to virtual modes of care. The Clinic team is bridging the technology gap to better align virtual service provision with patient preferences. Practical advice and information gained through experience are shared here.  As the general population and health care providers become increasingly comfortable with video conferencing as a result of COVID-19, it is anticipated that requests for video appointments will increase, technological barriers will decrease and conditions will enable providers to increase their virtual care capabilities. Lessons learned at the Clinic have application to pharmacists in both out-patient and in-patient care settings.   Article Type: Clinical Experience

scholarly journals A Comparison of Tertiary Drug Resources’ Consistency Regarding Drug-Drug Interactions of Adjunctive Analgesics

2020 ◽  
pp. 875512252095133
Author(s):  
Andrew Lang ◽  
Michael A. Veronin ◽  
Justin P. Reinert
Keyword(s):  
Health Care ◽  
Drug Interaction ◽  
Drug Interactions ◽  
Patient Care ◽  
Health Care Providers ◽  
Drug Information ◽  
Interaction Analysis ◽  
Information Resources ◽  
Care Providers ◽  
Drug Drug Interaction

Background: Health care providers routinely rely on tertiary drug information resources to affirm knowledge or proactively verify the safety and efficacy of medications. Though all patient care areas are affected, the reliability of these resources is perhaps nowhere as poignant as it is in high-acuity settings, including the emergency department and the intensive care unit. As providers seek to identify adjunctive analgesics for acute pain in these areas, they must be able to rely on the integrity to whichever resource their institution has granted access. Objective: To determine the congruency of drug-drug interaction information found on 3 tertiary drug resources. Methods: A drug-drug interaction analysis was conducted on Micromedex, Lexicomp, and Medscape. Adjunctive analgesics included dexmedetomidine and ketamine, which were compared with the intravenous opioid products morphine, fentanyl, and hydromorphone. Results: Significant discrepancies were appreciated with regard to the severity of drug-drug interactions. In addition, the heterogeneity in which reaction severity and likelihood are described by each respective resource makes direct comparisons difficult. Interaction warnings for dexmedetomidine and fentanyl included a “major interaction” from Micromedex, whereas Lexicomp did not identify a risk and Medscape only recommended increased monitoring on the grounds of respiratory and central nervous system depression. Conclusions: Health care providers must remain vigilant when reviewing tertiary drug information resources. Pharmacists possess the training and skills necessary to assist interdisciplinary medical teams in providing optimal patient care through evaluating and applying the information gleaned from these resources.

scholarly journals Motivators and Barriers to Prenatal Supplement Use Among Women in Northern Ghana

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 220-220
Author(s):  
Clement Kubreziga Kubuga ◽  
Jeremiah Asangalisa ◽  
Caroline Boahen ◽  
Sawudatu Mohammed ◽  
Eugenia Akoto-Mensah ◽  
...  
Keyword(s):  
Health Care ◽  
Social Network ◽  
Adverse Effects ◽  
Focus Groups ◽  
Family Support ◽  
Health Care Providers ◽  
Northern Region ◽  
Care Providers ◽  
Network Support ◽  
Social Network Support

Abstract Objectives In developing countries, the benefits of using prenatal supplements on birth outcomes have been well established. The rate of prenatal supplement (iron-folic acid) use compliance is low (52.8%) in northern region of Ghana even though the supplements are provided free to all pregnant women by the government. Little is known about the reasons for the non-compliance. We aimed to investigate through focus groups the barriers and motivators for taking the supplement among subjects who attend health facilities located in northern region of Ghana. Methods We conducted six focus groups with lactating women with toddlers (0–23 months) as they were expected to reflect a complete experience of pregnancy cycle. Results We identified five common themes: a) knowledge on supplement benefits, b) family support, c) social network support, d) reinforcement by health care providers, and e) different views on benefits of prenatal supplements. Key motivators were knowledge on supplement benefits, family support, social network support, and reinforcement by health care providers. Common barriers were adverse effects, inadequate knowledge on supplements, and disrespectful communication from health care providers. Conclusions Motivators/barriers for prenatal supplements usage/non-usage is a complex web. Adherence may be enhanced by reducing barriers related to communication of health care providers and adverse effects, improving social network support, improving family support, and improving health care provider interactions. Funding Sources None.

scholarly journals The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting

2020 ◽  
Vol 7 (6) ◽  
pp. 1627-1633
Author(s):  
Courtney Caminiti ◽  
Lily Deng ◽  
Patricia Greenberg ◽  
Anthony Scolpino ◽  
Catherine Chen ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Patient Care ◽  
Health Care Providers ◽  
Cell Phone ◽  
Cell Phones ◽  
Hospital Setting ◽  
University Hospital ◽  
Care Providers ◽  
Cell Phone Use

Objective: To evaluate perceptions regarding cell phone use in a teaching hospital setting among health care providers, residents, medical students, and patients. Methods: Fifty-three medical students, 41 resident physicians, 32 attending physicians, and 46 nurses working at University Hospital completed a questionnaire about cell phone use practices and their perceptions of cell phone use in the hospital. Forty-three inpatients admitted to medical/surgical units at University Hospital were surveyed at bedside about their perceptions regarding physicians’ cell phone use. Results: All health care providers identified cell phones as a risk to patient confidentiality with no specific group significantly more likely to attribute risk than another. Practitioners were identified as either primarily as inpatient or outpatient practitioners. Inpatient practitioners were significantly more likely to rate cell phones as beneficial to patient care than outpatient practitioners. Physicians were statistically more likely to rate mobile phones as beneficial to patient care as compared to nurses. Among the patient population surveyed, one quarter noted that their physician had used a cell phone in their presence. The majority of those patients observing practitioner cell phone use had reported a beneficial or neutral impact on their care. Significance: Perceived risk of cell phones to patient confidentiality was equal across health care providers surveyed. Physician and medical students were significantly more likely to rate cell phones as beneficial to patients’ care than nurse providers. Patients indicated that their physicians used cell phones in their presence at low rates and reported that the use was either neutral or beneficial to the care they received.

scholarly journals Use of Standardized Patients in Endocrinology Fellowship Programs to Teach Competent Transgender Care

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Mary O Stevenson ◽  
R Craig Sineath ◽  
J Sonya Haw ◽  
Vin Tangpricha
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Clinical Care ◽  
Medical Knowledge ◽  
Standardized Patients ◽  
Standardized Patient ◽  
Care Providers ◽  
Patient Encounter ◽  
Self Assessment

Abstract Purpose Transgender and gender-nonconforming individuals have unique health care needs and have difficulty accessing health care services because of a lack of qualified health care providers, insurance coverage, mistreatment, and bias by the medical community. Medical trainees and physicians report a lack of education in, and exposure to, the clinical care and unique aspects of this field. We assessed the use of a standardized patient as a tool to evaluate 4 core medical competencies (patient care, medical knowledge, professionalism, and interpersonal communication) of endocrinology fellows at a single training program. Methods Endocrine fellows were evaluated by faculty in different aspects of transgender care and completed a self-assessment before and after the exercise. Faculty viewed the fellows during the Objective Clinical Structured Examination. Fellows were provided feedback by a faculty member and the standardized patient after the exercise. Results Deficits were found in patient care and professionalism. Fellows scored well in medical knowledge. Fellows did not report an improvement in comfort and communication skills after the exercise. Interestingly, fellows’ self-assessment scores in several domains declined after the standardized patient encounter, highlighting an occasion for self-reflection and growth within the realms of cultural competency and medical knowledge. Main conclusions We conclude that use of standardized patients to teach medical competencies in transgender medicine may be one approach to improve exposure to, and training in, transgender medicine. Endocrine fellows still had discomfort treating transgender individuals after the standardized patient encounter and require other training activities that may include didactics and clinical case discussions.

scholarly journals Identifying Barriers That Prevent the Usage of Health Information Exchange in Ohio

2020 ◽  
Vol 36 (4) ◽  
pp. 148-156
Author(s):  
Aaron J. Lengel ◽  
Elise M. L. Carpenter ◽  
Andrew G. Azzi ◽  
Kristen L. DiDonato
Keyword(s):  
Health Care ◽  
Community Pharmacy ◽  
Patient Care ◽  
Health Information ◽  
Health Care Providers ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Grocery Store ◽  
Clinical Services ◽  
Care Providers

Background: As clinical services expand in community pharmacies, access to patient information through a health information exchange (HIE) may be of increased benefit to patient care. Objectives: To identify perceptions and barriers to the use of HIE by high-performing clinical pharmacists within a grocery store chain and collect other health care provider perceptions of using HIE. Methods: Two web-based surveys consisting of multiple choice, select all that apply, and 5-point Likert-type scale questions were administered via email to Ohio pharmacists working in high clinical performing pharmacies and Ohio health care providers utilizing CliniSync, an Ohio-based HIE program. Outcomes measured included pharmacist perceptions of preparedness to participate in HIE, their relationship with patients and health care providers, and barriers to utilizing HIE. Provider outcomes included perceptions of relationships with patients, awareness of community pharmacy services, referral habits, and perceived benefit of a HIE. Results: Pharmacists tend to believe they have the skill (median 5, interquartile range [IQR] 1) and desire (median 5, IQR 1) to be a part of the HIE network. Pharmacists appear confident in their abilities to provide patient care as a part of HIE networks (median 4, IQR 1). While 66% of providers surveyed are aware of services provided by community pharmacists, 75% state that they do not refer patients to a pharmacy for those services. Conclusion: Implementing HIE into clinical pharmacy workflow and encouraging providers to use it to make patient health information available to pharmacists would provide additional information for pharmacists to review when providing clinical services in the community pharmacy setting, ultimately benefiting patient care.

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