scholarly journals Predictors of nurses’ caring practice for critically ill patients in critical technological environments: A cross-sectional survey study

2021 ◽  
Author(s):  
Yinglan Li ◽  
Waraporn Kongsuwan
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Online Survey ◽  
Demographic Data ◽  
Linear Regression Analysis ◽  
Guizhou Province ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Value

Background: Caring practice for critically ill patients refers to the actions/behaviors/performance of nurses while caring for critically ill adult patients in the intensive care unit (ICU). Although the caring practice is vital in ICUs and complex due to the multitude of availabletechnologies, research on ICU nurses’ caring practice and its predictive factors are lacking. Objective: This study aimed to explore the level of nurses’ caring practice for critically ill patients in critical technological environments in China and its predictors. Methods: This was a cross-sectional online survey study with 218 ICU nurses in 29 tertiary hospitals of Guizhou province, China, from 1st to 30th April 2020. Data were collected by using e-questionnaires made in the Questionnaire Star program, including the Demographic Data Questionnaire (DDQ), Practice of Technological Competency as Caring in Nursing Instrument (P-TCCNI), Influence of Technology Questionnaire (ITQ), and Nurses’ Professional Value Scale (NPVS). The questionnaires were content validated by three experts. Cronbach’s alpha coefficient was 0.96 for the P-TCCNI, 0.70 for the ITQ, and 0.95 for the NPVS. Links to the questionnaires were distributed by research assistants to WeChat groups including target participants. Statistical Package for the Social Science (SPSS) program version 26 (IBM Corporation, Armonk, NY, USA) was used for data analysis. Descriptive and inferential statistics were used to analyze the data. Multiple linear regression analysis using stepwise solution analysis was performed to identify unique predictors of nurses’ caring practice. Results: The level of nurses’ caring practice for critically ill patients was high (mean = 87.30, standard deviation = 13.73). The professional value was a significant predictor of nurses’ caring practice (β = 0.41, p = 0.00). Conclusion: ICU nurses exhibited a high level of caring practice. Professional value was a significant predictor of ICU nurses’ caring practice. Nursing administrators should understand the current situation of caring practice in critical technological environments and design strategies to maintain and improve ICU nurses’ professional value to increase the level of caring practice. Funding: This study was financially supported by a thesis grant from Thailand’s Education Hub for Southern Region of ASEAN Countries (TEH-AC) Scholarship through Prince of Songkla University, Thailand.

scholarly journals The Use of Social Network in Daily Pediatric Practice and Education: Turkish Pediatric Atelier

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Erdem Gönüllü ◽  
Ahmet Soysal ◽  
İlkay Can ◽  
Ercan Tutak ◽  
Turan Tunç ◽  
...  
Keyword(s):  
Online Survey ◽  
Demographic Data ◽  
Personal Data ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Clinical Trial Registration ◽  
Cross Sectional ◽  
Pediatric Hematology ◽  
First Results ◽  
Registration Number

Using social media applications in pediatric education is not outdated, and its effectiveness has not been tested yet. For this reason, we shared the first results of the Pediatric Atelier experience that we realized through telegram application. We make an online survey to investigate the needs, requirements, pleasure, and suggestions of members through a web-based questionnaire. This cross-sectional survey study was delivered only to participants who were members of the workshop via their email addresses. Online questionnaires organized using Google Forms were sent to pediatric workshop members between March and June 2019. The questionnaire consisted of questions that measured the participants’ basic demographic data, the use of the workshop, and the overall impact of the workshop on their professional behavior. While the institutions and positions of the participants were recorded, no other personal data (such as address and telephone) were collected. Among the 997 members, 417 (42%) of them answered the questionnaire. Respondents included 300 (72%) pediatrician, 21 (5%) pediatric subspeciality fellows, and 75 (18%) pediatric subspecialists. Of the 417 respondents, 217 (52%) were working in Istanbul, and 200 (48%) were working in other cities of Turkey. Among the responders, 233 (56%) were working in private hospitals or doctor offices. A total of 520 cases were consulted in 241 days of study period. Most consultations (n=309, %59) were made from the Istanbul metropolitan area, and 203 (40%) consultations were from other cities of Turkey. The most frequently consulted departments were Pediatric infectious diseases: 166 (32%), Pediatric hematology and oncology: 56 (11%), and Neonatology: 43 (8%). Of the 520 consulted cases, 44 (8%) were related to life-threatening events, and 25 of them were hospitalized in the intensive care units, and 6 of them were required surgical operations. Of the 94% of responders thought this platform was useful and 82% of them stated that the case counseling part of the atelier was the most useful part. We think that the development of technology and artificial intelligence may lead to the usage of on-line platforms or systems in clinical medical practice. Clinical Trial Registration (if any). Registry name, registration number, web link to study on registry, and data sharing statement.

scholarly journals The COVID-19 Outbreak and Its Emotional Consequences: A Web-Based Cross-Sectional Survey at the Peak of the Pandemic in Iran

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Ali Fardin ◽  
Mahmoud Shirazi ◽  
Sophia Khaneghahi
Keyword(s):  
Online Survey ◽  
Emotional State ◽  
Demographic Data ◽  
Middle Eastern ◽  
Linear Regression Analysis ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Event Scale ◽  
The Impact

Background: Since the onset of the COVID-19 outbreak, which has exponentially spread across the world, the number of cases and deaths in Iran has been higher than in other Middle Eastern countries. This has brought about and will lead to unprecedented psychological and emotional consequences. Objectives: This study aimed to investigate the psychological impacts of COVID-19 on the general public's emotional state in Iran. Methods: An online survey was conducted from March 24-26. Participants were selected using a snowball sampling technique. The online survey collected information on demographic data. The Impact of Event Scale-Revised (IES-R) and the Positive and Negative Affect Schedule (PANAS) were used to collect data. Results: In total, 428 respondents from 62 cities participated in this study. The linear regression analysis showed a significant association between the COVID-19 outbreak and the negative general public's emotional state in Iran, indicating that the COVID-19 outbreak increased negative states (P < 0.05). Conclusions: The COVID-19 outbreak has caused a direct and effective impact on all aspects of life. Negative emotions are the main consequence of the outbreak. So mental health teams should be formed in the media to improve the emotions of the general public by providing online or in-person psychological services with complete and updated treatment information and programs.

Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Khanh Ngoc Cong Duong ◽  
Tien Nguyen Le Bao ◽  
Phuong Thi Lan Nguyen ◽  
Thanh Vo Van ◽  
Toi Phung Lam ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Psychological Health ◽  
Online Survey ◽  
Survey Study ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Event Scale ◽  
The Impact

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged &lt;18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL

scholarly journals Doctors’ perception of support and the processes involved in complaints investigations and how these relate to welfare and defensive practice: a cross-sectional survey of the UK physicians

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017856 ◽  
Author(s):  
Tom Bourne ◽  
Bavo De Cock ◽  
Laure Wynants ◽  
Mike Peters ◽  
Chantal Van Audenhove ◽  
...  
Keyword(s):  
Online Survey ◽  
Well Being ◽  
Adverse Outcomes ◽  
Perceived Support ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Final Sample ◽  
Perception Of Support ◽  
The Uk

ObjectiveHow adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support, behaviour of colleagues and process issues regarding how complaints investigations are carried out.DesignA survey study. Respondents were classified into three groups: no complaint, recent/current complaint (within 6 months) or past complaint. Each group completed specific surveys.SettingBritish Medical Association (BMA) members were invited to complete an online survey.Participants95 636 members of the BMA were asked to participate. 7926 (8.3%) completed the survey, of whom 1780 (22.5%) had no complaint, 3889 (49.1%) had a past complaint and 2257 (28.5%) had a recent/current complaint. We excluded those with no complaints leaving 6144 in the final sample.Primary outcomes measuresWe measured anxiety and depression using the Generalised Anxiety Disorder Scale 7 and Physical Health Questionnaire 9. Defensive practice was assessed using a new measure for avoidance and hedging.ResultsMost felt supported by colleagues (61%), only 31% felt supported by management. Not following process (56%), protracted timescales (78%), vexatious complaints (49%), feeling bullied (39%) or victimised for whistleblowing (20%), and using complaints to undermine (31%) were reported. Perceived support by management (relative risk (RR) depression: 0.77, 95% CI 0.71 to 0.83; RR anxiety: 0.80, 95% CI 0.74 to 0.87), speaking to colleagues (RR depression: 0.64, 95% CI 0.48 to 0.84 and RR anxiety: 0.69, 95% CI 0.51 to 0.94, respectively), fair/accurate documentation (RR depression: 0.80, 95% CI 0.75 to 0.86; RR anxiety: 0.81, 95% CI 0.75 to 0.87), and being informed about rights (RR depression 0.96 (0.89 to 1.03) and anxiety 0.94 (0.87 to 1.02), correlated positively with well-being and reduced defensive practice. Doctors worried most about professional humiliation following a complaint investigation (80%).ConclusionPoor process, prolonged timescales and vexatious use of complaints systems are associated with decreased psychological welfare and increased defensive practice. In contrast, perceived support from colleagues and management is associated with a reduction in these effects.

scholarly journals A survey of clinical opinions and preferences on the non-surgical management of intermittent exotropia in China

2021 ◽  
Author(s):  
Yidong Wu ◽  
Tingting Peng ◽  
Jinjing Zhou ◽  
Meiping Xu ◽  
Yi Gao ◽  
...  
Keyword(s):  
Surgical Management ◽  
Online Survey ◽  
Randomized Clinical Trials ◽  
Treatment Guidelines ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Intermittent Exotropia ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Surgical Options

Purpose: Intermittent exotropia (IXT) is the most common form of childhood exotropia. Currently, controversies exist regarding its management and non-surgical options in particular. This study reports clinical opinions and preferences on the non-surgical management among practitioners in China. The opinions within and between ophthalmologists and optometrists were also compared. Design: Cross-sectional survey study. Methods: An online survey was developed and distributed through professional bodies. The study was conducted from July 25th to August 3rd, 2019. A total of 300 ophthalmologists and 188 optometrists responded. Results: Of 488 participants, 257 (53%) considered fusion defects as the main cause of IXT, and 299 (61%) took IXT as a progressive disorder. Two hundred and seventy-one (56%) participants considered orthoptic exercises as the most effective non-surgical intervention for IXT. Likewise, 245 (50%) participants reported that orthoptic exercises was their most frequent non-surgical option, followed by observation (178, 37%). There are discrepancies between ophthalmologists and optometrists. A greater proportion of ophthalmologists (201, 67%) shared the view that IXT worsens over time compared with optometrists (98, 52%) (p = 0.001). Additionally, ophthalmologists (121, 40%) tended to prefer observation compared with optometrists (57, 30%) (p = 0.021). Conclusions: This study shows that there is no general consensus on the non-surgical management of IXT in China. Given the lack of robust evidence, the findings from this study not only show the current clinical opinions but also highlight the need for future randomized clinical trials to validate the effectiveness of non-surgical interventions, orthoptic exercises in particular, and to establish treatment guidelines accordingly.

The characteristics of Queensland private physiotherapy practitioners’ interprofessional interactions: a cross-sectional survey study

2020 ◽  
Vol 26 (6) ◽  
pp. 500
Author(s):  
Jack A. Seaton ◽  
Anne L. Jones ◽  
Catherine L. Johnston ◽  
Karen L. Francis
Keyword(s):  
Private Practice ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
Cost Efficient ◽  
High Level

Effective interprofessional collaboration (IPC) contributes to superior patient outcomes, facilitates cost-efficient health care, and increases patient and practitioner satisfaction. However, there is concern that IPC may be difficult to implement in clinical settings that do not conform to formal team-based processes, such as mono-professional physiotherapy private practice facilities. The aim of this study was to describe the characteristics of private physiotherapy practitioners’ interprofessional interactions, including their experiences and perceptions regarding IPC. A custom developed cross-sectional online survey instrument was used to collect data from physiotherapists employed in private practice facilities in Queensland, Australia. In all, 49 (20% response rate) physiotherapists completed the survey. Only a small proportion (14%) indicated that their interprofessional interactions were a daily occurrence, and less than one-third of all respondents (31%) participated in formal, multi-professional face-to-face planned meetings. Most participants (76%) reported a moderate-to-high level of satisfaction regarding their interprofessional interactions. Despite low self-reported levels of interprofessional activity and other data indicating that IPC is necessary for holistic patient care, this study shows that physiotherapists were predominately satisfied when interacting with health practitioners from various professional backgrounds. Further research is required to inform the implementation of robust strategies that will support sustainable models of IPC in physiotherapy private practice.

scholarly journals Expectations and needs of relatives of critically ill patients in the emergency department

2018 ◽  
Vol 26 (6) ◽  
pp. 328-335
Author(s):  
Umut Ocak ◽  
Levent Avsarogullari
Keyword(s):  
Emergency Department ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
University Hospital ◽  
Family Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Family ◽  
Meaning Category

Background:The care of critically ill patients is a strong indicator of service quality provided in the emergency department. Since families are the major social support sources, assessing the family members’ needs may reduce their anxiety and depression owing to the acute situation of their loved ones while improving the patients’ recovery.Objective:We aimed to evaluate the expectations and needs of relatives of critically ill patients to formulate solutions to improve the quality of emergency department service.Methods:We conducted a prospective, cross-sectional survey of 873 relatives of nontraumatic, critically ill patients who completed the Turkish version of the Critical Care Family Needs Inventory in the emergency department of a university hospital in Turkey. The needs statements were evaluated under five subheadings: meaning, proximity, communication, comfort, and support.Results:In total, 249 (28.5%) participants were females and 624 (71.5%) were males (mean age, 41.79 years). The “meaning” category was given the highest priority, followed by “communication,” with average points of 3.75 and 3.57, respectively. The most important needs were being informed regularly about the patient’s condition and being assured that the patient is under the best possible care, whereas personal, physical, and emotional needs were the least important.Conclusion:Relatives of critically ill patients primarily focus on the quality of patients’ care. Creating a positive rapport based on trust and providing a healthcare environment where the expectations and needs of relatives are met should be prioritized by emergency department physicians, nurses, and other staff while caring for critically ill patients.

scholarly journals What medical students think about measurement of their wellbeing and the implications for pastoral support: cross sectional survey and qualitative interviews

2021 ◽  
Author(s):  
Gemma Simons ◽  
Raymond Effah ◽  
David Baldwin
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Online Survey ◽  
Demographic Data ◽  
Qualitative Interviews ◽  
Teaching Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Medical ◽  
The Individual

Objectives To find out how, why and when medical students think wellbeing should be measured. Design A mixed methods study comprising a cross-sectional online survey (November 2020-March 2021) and semi-structured on-line interviews. Views on the frequency of availability for measurement, the format, type and purpose of measurement, and with whom wellbeing should be discussed were measured. When an outcome was scored 7-9 on a 9-point Likert scale of agreement by ≥75% of participants it was considered critical, in line with COMET and GRADE processes for rating recommendations. Inductive thematic analysis was undertaken on the interview transcripts by two independent researchers. Setting All Medicine programmes at University of Southampton. Participants Medical students from all years took part in the survey (n=118) and interviews (n=16). Results Participant demographics were similar to national medical student demographics. Most participants (94%) felt able to give 5 minutes to measure their wellbeing at least once a month. No single format of measurement was rated critical. Research, governance and individual feedback all reached the 75% threshold for the purpose being considered critically important. Only subjective assessments undertaken by the individual in real-time were rated as critically important (78.1%) measurement tools. Students selected that they would discuss their wellbeing with other medical students (n=87) nearly as often as they selected a member of the Faculty (n=104). Top determinants of wellbeing picked by medical students were energy, ability to do activities of daily living, and negative feelings. Five interview themes further explained these findings. Conclusions Five recommendations about self-care teaching, quality-assured pastoral and peer support, proactive wellbeing check-ins and demographic data are discussed in light of these findings. Methods to achieve them are suggested, which are medical student-centred, and which make use of existing resources.

scholarly journals Association of Colours and Mood Tones That Could Define Stress among International School Students in Bangkok

2021 ◽  
Vol 04 (03) ◽  
Author(s):  
Jiraporn Jensuriyarkun ◽  
Keyword(s):  
Online Survey ◽  
International School ◽  
Situational Factors ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Daily Lives ◽  
Stress Levels ◽  
Different Cultures

Have you ever wondered how colours perceiving through the lens of our eyes influence our emotions or why some objects in different colours dissimilarly affect the mood we experience in our daily lives? The purpose of this study is to determine the correlation between colours and stress levels of international school teenagers. The rationale behind this topic is from theGoethe’s Theory of Colours. To test whether two variables correlate, we conducted a cross-sectional survey study. Our questionnaire contains 28 questions, all of which have been approved by 4 experts. Data were collected from Mahidol University International Demonstration School (MUIDS) students who aged between 15 and 18 years old using an online survey, Google Forms. A total of 245 students participated in the study and completed the survey. To determine the correlation between colours and stress levels, we used Statistical Product and Service Solutions version 27.0 (SPSS) for data analysis. Pearson’s correlation test revealed that there is no significant correlation between colours and stress levels. Although we did not find any correlation, we suspected that there might be other possible factors such as cultures, personality and situational factors that play a significant role in developing stress. Moreover, colours also have different meanings in different cultures. Therefore, more scientific research is required to gain a better understanding of colour psychology.

scholarly journals Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross-sectional survey

2021 ◽  
Author(s):  
kristin graham ◽  
Lisa Matricciani ◽  
Helen Banwell ◽  
Saravana Kumar ◽  
Ryan Causby ◽  
...  
Keyword(s):  
Health System ◽  
Online Survey ◽  
Demographic Data ◽  
Public Funding ◽  
Local Anaesthetics ◽  
Cross Sectional Study ◽  
Barriers And Facilitators ◽  
Prescribing Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract BackgroundNon-medical prescribing is one healthcare reform strategy that has the potential to create savings in the health system as well as offer equitable and timely access to scheduled medicines. Currently there is a lack of information about prescribing practices of Australian podiatrists, making it difficult to assess if endorsement for scheduled medicines (endorsement) for podiatrists provides health system efficiencies or improved patient access and outcomes. Further, the uptake for endorsement remains low among Australian podiatrists. The aim of this research was to investigate the prescribing practices among Australian podiatrists as well as to explore barriers and facilitators that influence participation in endorsement. MethodsParticipants in this quantitative, cross-sectional study were registered and practicing Australian podiatrists and podiatric surgeons who were recruited through a combination of professional networks, social media, and personal contacts. Respondents were invited to complete a customised self-reported online survey. The survey was developed using previously published research, research team’s expertise and piloted with podiatrists. The survey contained three sections: demographic data including clinical experience, questions pertaining to prescribing practices, and barriers and facilitators of the endorsement pathway. ResultsRespondents (n = 225) were predominantly female, aged 25-45, working in the private sector. Approximately one quarter were endorsed (15%) or in training to become endorsed (11%). Of the 168 non-endorsed respondents, 66% reported that they would like to undertake training to become an endorsed prescriber. The medications most frequently prescribed include local anaesthetics, antimycotics, antibacterial agents, and analgesia. The most common indications reported for prescribing these medications include nail surgery (71%), foot infections and ulcerations (88%), post-operative pain (67%), and mycosis (95%). The most prescribed Schedule 2 medications were ibuprofen, paracetamol, and topical terbinafine. The most prescribed Schedule 4 medicines among endorsed podiatrists included lignocaine (84%), Cephalexin (68%), Flucloxacillin (68%), and Amoxicillin with Clavulanic acid (61%). ConclusionWhile podiatrists predominantly prescribe to assist pain, inflammatory, or infectious conditions, lack of public funding and pathology testing access limit podiatrists’ ability to maximise prescribing opportunities. Many barriers exist in the current endorsement for podiatrists, particularly related to training processes, including mentor access and supervised practice opportunities, requiring targeted enabling strategies.

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