scholarly journals Oxygen therapy practices in the acutely ill medical patients: A social media-based nationwide study of clinicians’ preferences and summary of current recommendations

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
George Karlis ◽  
Dimitrios Barouxis ◽  
Georgios Georgiopoulos ◽  
Panagiota Mitropoulou ◽  
Zafeiria Mastora ◽  
...  
Keyword(s):  
Social Media ◽  
Oxygen Therapy ◽  
Healthcare Professionals ◽  
Background Information ◽  
Medical Patients ◽  
Coronary Syndrome ◽  
Country Study ◽  
Medical Emergencies ◽  
Greek Hospitals ◽  
Doctors And Nurses

Oxygen is the most commonly used drug in emergency medicine. The aim of this study was to identify healthcare professionals’ preferences regarding oxygen therapy in common medical emergencies. An online 9-part-questionnaire was distributed through Facebook to doctors and nurses working in Greek hospitals. The questionnaire included background information of the respondents and addressed individual preferences regarding best oxygenation parameter and oxygen targets in specific acute settings. We received 678 responses and we included 663 in our analysis. We found significant differences between doctors’ and nurses’ attitudes towards oxygenation targets in ARDS, sepsis, acute coronary syndrome, and post cardiac-arrest patients. Nurses preferred a more conservative oxygen strategy compared to doctors. Furthermore, nurses favor SaO2 as the best oxygenation parameter, while doctors prefer PaO2. In our survey, the type of hospital and department of the respondents did not affect the preferred oxygen strategy. Social media-based survey research is feasible and effective. In this single country study, doctors showed a tendency to liberally administer oxygen in acutely ill medical patients. On the other hand, Greek nurses preferred a more conservative approach.

scholarly journals Patterns of use and perceived value of social media for population health among population health stakeholders: a cross-sectional web-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sungwon Yoon ◽  
Sharon Wee ◽  
Vivian S. Y. Lee ◽  
Jing Lin ◽  
Julian Thumboo
Keyword(s):  
Social Media ◽  
Community Engagement ◽  
Population Health ◽  
Preventive Care ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Web Based ◽  
Healthy Behaviors ◽  
Time Investment ◽  
Patterns Of Use

Abstract Background Although existing studies have described patterns of social media use in healthcare, most are focused on health professionals in one discipline. Population health requires a multi-disciplinary approach to ensure diversity and to include diverse stakeholders. To date, what is known about using social media in population health is focused on its potential as a communication tool. This study aims to investigate patterns of use and perceived value of social media usage among stakeholders in population health practice, policy, or research. Methods We conducted a web-based survey of delegates attending the Singapore Population Health Conversations and Workshop. We designed a 24-item questionnaire to assess 1) social media use in terms of type of platform and frequency of use; 2) perceptions of social media relevance and impact on population health; and 3) top three areas in population health that would benefit from social media. We used descriptive and logistic regression analyses to assess the relationships between variables. Results Of the 308 survey respondents, 97.7% reported that they use social media in some form. Messaging (96.8%) was the most dominant activity when using social media. Challenges in implementing social media for population health were time investment by health care professionals (56.2%) and patient adoption (52.9%). The top three population health areas that would benefit most from using social media were the promotion of healthy behaviors (60.7%), community engagement (47.7%), and preventive care (40.6%). Older respondents (> = 40 years) were less likely to view social media as useful for the promotion of healthy behaviors (OR = 0.34; 95% CI: 0.19–0.60). Non-social/healthcare professionals were more likely to consider social media to be useful for community engagement (OR = 1.74; 95% CI: 1.10–2.76). For preventive care, older respondents (OR = 0.51; 95% CI: 0.32–0.82) and non-social/healthcare professionals were less likely to view social media as useful (OR = 0.61; 95% CI: 0.38–0.97). Conclusions Our findings suggest that it may be important to select the specific care areas that would benefit most from using social media. The time investment needed by population health professionals should be fully addressed in planning to maximize the application and potential value of social media.

scholarly journals Preserving professional identities, behaviors, and values in digital professionalism using social networking sites; a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shaista Salman Guraya ◽  
Salman Yousuf Guraya ◽  
Muhamad Saiful Bahri Yusoff
Keyword(s):  
Systematic Review ◽  
Social Media ◽  
Social Networking ◽  
Health Professionals ◽  
Social Networking Sites ◽  
Healthcare Professionals ◽  
Professional Identities ◽  
Professional Behaviors ◽  
Digital Era ◽  
Use Of Social Media

Abstract Background Despite a rapid rise of use of social media in medical disciplines, uncertainty prevails among healthcare professionals for providing medical content on social media. There are also growing concerns about unprofessional behaviors and blurring of professional identities that are undermining digital professionalism. This review tapped the literature to determine the impact of social media on medical professionalism and how can professional identities and values be maintained in digital era. Methods We searched the databases of PubMed, ProQuest, ScienceDirect, Web of Science, and EBSCO host using (professionalism AND (professionalism OR (professional identity) OR (professional behaviors) OR (professional values) OR (professional ethics))) AND ((social media) AND ((social media) OR (social networking sites) OR Twitter OR Facebook)) AND (health professionals). The research questions were based on sample (health professionals), phenomenon of interest (digital professionalism), design, evaluation and research type. We screened initial yield of titles using pre-determined inclusion and exclusion criteria and selected a group of articles for qualitative analysis. We used the Biblioshiny® software package for the generation of popular concepts as clustered keywords. Results Our search yielded 44 articles with four leading themes; marked rise in the use of social media by healthcare professionals and students, negative impact of social media on digital professionalism, blurring of medical professional values, behaviors, and identity in the digital era, and limited evidence for teaching and assessing digital professionalism. A high occurrence of violation of patient privacy, professional integrity and cyberbullying were identified. Our search revealed a paucity of existing guidelines and policies for digital professionalism that can safeguard healthcare professionals, students and patients. Conclusions Our systematic review reports a significant rise of unprofessional behaviors in social media among healthcare professionals. We could not identify the desired professional behaviors and values essential for digital identity formation. The boundaries between personal and professional practices are mystified in digital professionalism. These findings call for potential educational ramifications to resurrect professional virtues, behaviors and identities of healthcare professionals and students.

scholarly journals Involving clinicians in management: assessing views of doctors and nurses on hybrid professionalism in clinical directorates

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Prenestini ◽  
Marco Sartirana ◽  
Federico Lega
Keyword(s):  
Management Practices ◽  
Healthcare Professionals ◽  
Clinical Work ◽  
Local Health Authority ◽  
Local Health ◽  
Policy Makers ◽  
Polarity Index ◽  
Validated Questionnaire ◽  
Clinical Directorates ◽  
Doctors And Nurses

Abstract Background Hybrid professionalism is one of the most effective ways to involve clinicians in management practices and responsibilities. With this study we investigated the perceptions of doctors and nurses on hybridization in clinical directorates (CDs) in hospitals. Methods We investigated the attitudes of healthcare professionals (doctors and nurses) towards eight hospital CDs in the Local Health Authority (LHA) of Bologna (Emilia Romagna, Italy) 6 years after their implementation. We used a validated questionnaire by Braithwaite and Westbrook (2004). Drawing on Palmer et al. (2007), we added a section about the characteristics of department heads. In all, 123 healthcare professionals in managerial roles completed and returned the questionnaire. The return rate was 47.4% for doctors and 31.6% for nurses. Results Doctors reported an increase in clinical governance, interdisciplinarity collaboration, and standardization of clinical work. Hybridization of practices was noted to have taken place. While doctors did not see these changes as a threat to professional values, they felt that hospital managers had taken greater control. There was a large overlap of attitudes between doctors and nurses: inter-professional integration in CDs fostered alignment of values and aims. The polarity index was higher for responses from the doctors than from the nurses. Conclusion The study findings have implications for policy makers and managers: mission and strategic mandate of CDs; governance of CDs, leadership issues; opportunities for engaging healthcare professionals; changes in managerial involvement during the COVID-19 pandemic. We also discuss the limitations of the present study and future areas for research into hybrid structures.

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 Impact of oxygen therapy to ameliorate contrast-induced nephropathy in patients with acute coronary syndrome undergoing emergency angiography; a double-blinded clinical trial

2019 ◽  
Vol 8 (4) ◽  
pp. 283-288
Author(s):  
Tahere Zarouk Ahimahalle ◽  
Abdollah Amirfarhangi ◽  
Mosadegh Jabbari ◽  
Aria Jenabi ◽  
Hadia Bagherzadegan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Acute Coronary Syndrome ◽  
Serum Creatinine ◽  
Oxygen Therapy ◽  
Female Gender ◽  
Contrast Induced Nephropathy ◽  
Coronary Syndrome ◽  
Arterial Blood ◽  
History Of ◽  
Double Blinded

Introduction: Contrast-induced nephropathy (CIN) is one of the major causes of acute kidney injury. Objectives: Regarding an increase in mortality and morbidity in patients with CIN, this study aimed to evaluate the effect of oxygen therapy in prevention of the CIN in individuals with acute coronary syndrome undergoing emergent angiography. Patients and Methods: This study was a double-blinded clinical trial with control group (parallel design), randomized, and with a sample size of 204 individuals conducted on male or female patients over 35 years old and suspected of coronary artery disease undergoing emergent angiography refereed to Rasoul Akram hospital in 2018. Participants were divided into 2 groups (supplementary oxygen and oxygen-free groups). The first group received two to three liters of oxygen per minute from 10 minutes before the start of the procedure until the end of the procedure, and the second group inhaled the oxygen in the room air. Arterial blood gas (ABG) was taken prior to receiving oxygen and at the end of the procedure. Serum creatinine level was tested for all individuals before and 48 hours after the procedure. Results: The mean age in intervention and control groups was 61.66 ± 14.64 years and 60.49 ± 11.59 years, respectively (P=0.54). Mean glomerular filtration rate (GFR) and serum creatinine before and after angiography was not significantly different (P>0.05). There was a significant difference between the two genders regarding the development of CIN (P=0.002), which was higher in women from that of men. Female gender was a strong risk factor and approximately increased four times the risk of CIN (OR = 4.1; (P=0.001). History of chronic kidney disease (CKD) and hypertension (HTN) also produced such a situation (OR = 22.37; P=0.007). Conclusion: According to the results, oxygen therapy has no effect on the occurrence of CIN. It is also found that female gender, history of CKD and hypertension are risk factors for CIN.

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.

Physical Activity Frequency on the 10-Year Acute Coronary Syndrome (ACS) Prognosis; The Interaction With Cardiovascular Disease History and Diabetes Mellitus: The GREECS Observational Study

2016 ◽  
Vol 24 (4) ◽  
pp. 624-632 ◽  
Author(s):  
Evangelos Papataxiarchis ◽  
Demosthenes B. Panagiotakos ◽  
Venetia Notara ◽  
Matina Kouvari ◽  
Yannis Kogias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Acute Coronary Syndrome ◽  
Protective Effect ◽  
Protective Factor ◽  
Monthly Basis ◽  
Coronary Syndrome ◽  
Activity Frequency ◽  
Patients With Diabetes ◽  
Greek Hospitals

The association between physical activity, diabetes mellitus (DM), and long-term acute coronary syndrome (ACS) prognosis was evaluated. The GREECS study included 2,172 consecutive ACS patients from six Greek hospitals (2003–2004). In 2013–2014, a 10-year follow up was performed with 1,918 patients. Physical activity was categorized in never, rarely (monthly basis), 1–2 and ≥ 3 times/week. Multi-adjusted analysis revealed that 1–2 and ≥ 3 times/week vs. no physical activity had a protective effect on ACS incidence (OR = 0.63 95% CI 0.38, 1.05) and (OR = 0.63 95% CI 0.40, 0.99) respectively, only in patients without prior baseline CVD event. In a subgroup analysis, with DM as strata in these patients, engagement in physical activity (i.e., 1–2 times/week) had a significant protective effect among patients with diabetes (OR = 0.51, 95% CI 0.27, 0.96, p = .037). These findings revealed the beneficial role of exercise in secondary ACS prevention, even in DM patients. Public health-oriented policies should incorporate regular physical activity as a key protective factor in disease prognosis.

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