scholarly journals The Effect of Professional Ethics Program (in-Personal and E-learning) on Nurses’ Performance and Satisfaction of Patients Referring to Emergency Department of Hospitals Affiliated to Armed Forces

2019 ◽  
Vol 6 (2) ◽  
pp. 136-147
Author(s):  
Foroughi. L ◽  
Zareiyan. A ◽  
Sharififar. S ◽  
◽  
◽  
...  
Keyword(s):  
Emergency Department ◽  
Professional Ethics ◽  
Armed Forces ◽  
Ethics Program ◽  
E Learning

scholarly journals The Meaning of Boarding in a Swedish Accident & Emergency Department: A Qualitative Study on Patients’ Experiences of Awaiting Admission

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Andreas Rantala ◽  
Sören Nordh ◽  
Mergime Dvorani ◽  
Anna Forsberg
Keyword(s):  
Emergency Department ◽  
European Union ◽  
Structural Analysis ◽  
Professional Ethics ◽  
Healthcare Professionals ◽  
The European Union ◽  
Accident And Emergency ◽  
Number Of Patients ◽  
Hospital Beds ◽  
Hermeneutic Approach

The number of in-hospital beds in Sweden has decreased during recent decades, resulting in the smallest number (2.2 available beds/1000 inhabitants) within the European Union. At the same time, the number of patients attending Accident and Emergency (A&E) departments has increased, resulting in overcrowding and boarding. The aim of this study was to explore the meaning of being subjected to boarding at an A&E department, as experienced by patients. A phenomenological-hermeneutic approach was chosen to interpret and understand the meaning of boarding at A&E. The study was carried out at a hospital in the south of Sweden. Seventeen participants with a mean age of 64 years (range: 35–86 years) were interviewed. The thematic structural analysis covers seven themes: Being in a state of uncertainty, Feeling abandoned, Fearing death, Enduring, Adjusting to the circumstances, Being a visitor in an unsafe place, and Acknowledging the staff, all illustrating that the participants were in a state of constant uncertainty and felt abandoned with no guidance or support from the clinicians. The conclusion is that the situation where patients are forced to wait in A&E, i.e., boarding, violates all conditions for professional ethics, presumably causing profound ethical stress in the healthcare professionals involved. Thus, boarding should be avoided.

scholarly journals Contributions to Operational Psychology: Psychological Training Model in the Context of Stress Management for Specialized German Military Police Personnel and Specialized Police Personnel

2021 ◽  
Author(s):  
Anne-Marie Steingräber ◽  
Nick Tübben ◽  
Niels Brinkmann ◽  
Felix Finkeldey ◽  
Slava Migutin ◽  
...  
Keyword(s):  
Stress Management ◽  
High Stress ◽  
Armed Forces ◽  
Training Model ◽  
Military Police ◽  
Diverse Range ◽  
Police Personnel ◽  
E Learning ◽  
The Individual ◽  
Expert Ratings

AbstractThe service of specialized and special forces of the Federal Armed Forces and police is characterized by complex situations. Such personnel often face numerous difficulties and extreme danger and experience periods of high stress when fulfilling their tasks. In the context of social and technological changes, it is necessary to explore the individual components of stress management in further detail, i.e., stress prevention, stress control, and stress coping mechanisms, and furthermore to consider these elements in the fields of training and service. For this purpose, a stress management model was created based on participant observations, expert ratings, and problem-centered interviews with specialized members of military police and special police forces. The results of the validation can be interpreted as suggesting that effective stress management requires a diverse range of techniques and methods, including the use of digital means such as e-learning, digital reality, and eye tracking, in order to be able to address new demands appropriately.

scholarly journals Effectiveness of a Training Course on Accuracy of Triaging of Pediatric Patients

2019 ◽  
Vol 7 (15) ◽  
pp. 2533-2537
Author(s):  
Mona Azzam ◽  
Enas Elngar ◽  
Ayman A. Gobarah
Keyword(s):  
Emergency Department ◽  
Health Care Professionals ◽  
Pediatric Patients ◽  
Surrogate Marker ◽  
Armed Forces ◽  
Pediatric Emergency ◽  
Training Course ◽  
Admission Rates ◽  
Significant Difference ◽  
Correct Determination

BACKGROUND: In the context of a new but busy Pediatric Emergency Department, the risk of missing patients who need more emergent care can be reduced by timely and accurate triaging. In the emergency department of King Fahad Armed Forces Hospital, the Canadian Triage and Acuity Scale had already been implemented, including the pediatric version (PaedCTAS). However, a common observation remained that critical patients did not always receive priority with subsequent delays in management. To improve this accuracy, a training course was administered to health care professionals responsible for triaging of pediatric patients. AIM: To determine the effectiveness of a training course on accuracy of triaging of Pediatric Patients. METHODS: A triage training course was conducted over two months, with patient encounter sheets reviewed before the course for 6 months and after the course for 12 months. Accuracy was calculated by comparing it to level as determined by two pediatric emergency physicians. Also, admission rates were used as a surrogate marker to also determine accuracy. RESULTS: A total of 31 053 patient sheets were reviewed. There was a considerable improvement in the correct determination of all triage levels, with accuracy ranging from 56.5% to 78.3% before the course, and reaching from 79.1% to 90.8% after the course with a statistically significant difference. Triaging errors still present were mainly in the form of down-triage. CONCLUSION: Our training course in triage has a significant impact on the accuracy of triaging of ill pediatric patients. Further improvement can be obtained by repeated courses and direct feedback with debriefing sessions on challenges to triage level determination.

scholarly journals Perception of Dental Undergraduates and Interns towards E-Learning in Gaining Clinical Skills: A Cross-Sectional Survey

2021 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Vasiqa Bano ◽  
Ali Hassan Syed ◽  
Hashmat Gul ◽  
Nadia Mansoor
Keyword(s):  
Clinical Skills ◽  
Test Preparation ◽  
Armed Forces ◽  
Categorical Variables ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
General Physical Examination ◽  
E Learning

Objective: To evaluate the level of acceptance of e-learning among dental interns and undergraduates of Armed Forces Institute of Dentistry (AFID).Study Design: Cross-sectional study.Place and Duration of Study: The study was carried out at Armed Forces Institute of Dentistry, Rawalpindi from March 2018 to September 2018.Materials and Methods: Cross-sectional quantitative survey was conducted in 174 participants   including dental interns and undergraduates. A fourteen-item questionnaire was designed and piloted. Data was tabulated and analyzed statistically using SPSS version 24.0. Categorical variables were presented as percentages. Post-stratification Fisher’s exact test and chi-square test were applied. p<0.05 was taken as significant.Results: Among clinical skills learning tools, more than half (54.6%) of the participants considered hospital attachments as most effective.  E-learning was considered a supportive tool for ward test preparation. Three quarters (75.3%) stated that e-learning has improved teaching standards and enhanced student-teacher interaction. There was significant association between level of education and messenger apps (p=.027), gender with accuracy in technique (p=.027) and with supervised discussion session regarding e-videos (p=.038).Conclusion: E-learning is beneficial for ward test preparation as it develops interest in clinical attachment and helps in learning general physical examination of patients.

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