scholarly journals Using scenario-based training to promote information literacy among on-call consultant pediatricians

2017 ◽  
Vol 105 (3) ◽  
Author(s):  
Jonas Pettersson ◽  
Emil Bjorkander ◽  
Sirpa Bark ◽  
Daniel Holmgren ◽  
Per Wekell
Keyword(s):  
Clinical Practice ◽  
Information Literacy ◽  
Medical Information ◽  
Continuing Professional Development ◽  
Hospital Staff ◽  
Literacy Skills ◽  
University Hospital ◽  
Attractive Alternative ◽  
Search Methods ◽  
Participant Satisfaction

Background: Traditionally, teaching hospital staff to search for medical information relies heavily on educator-defined search methods. In contrast, the authors describe our experiences using real-time scenarios to teach on-call consultant pediatricians information literacy skills as part of a two-year continuing professional development program.Case Presentation: Two information-searching workshops were held at Sahlgrenska University Hospital in Gothenburg, Sweden. During the workshops, pediatricians were presented with medical scenarios that were closely related to their clinical practice. Participants were initially encouraged to solve the problems using their own preferred search methods, followed by group discussions led by clinical educators and a medical librarian in which search problems were identified and overcome. The workshops were evaluated using questionnaires to assess participant satisfaction and the extent to which participants intended to implement changes in their clinical practice and reported actual change.Conclusions: A scenario-based approach to teaching clinicians how to search for medical information is an attractive alternative to traditional lectures. The relevance of such an approach was supported by a high level of participant engagement during the workshops and high scores for participant satisfaction, intended changes to clinical practice, and reported benefits in actual clinical practice.

scholarly journals Understanding the Dynamics of Staff Reallocation to Clinical Practice During the First Wave of COVID-19 – a Qualitative Study

2022 ◽  
Author(s):  
Rie Laurine Rosenthal Johansen ◽  
Anita Sørensen ◽  
Mads Seit Jespersen ◽  
Kamilla Hesthaven Mikkelsen ◽  
Christina Emme
Keyword(s):  
Clinical Practice ◽  
Hospital Staff ◽  
University Hospital ◽  
Sequential Data ◽  
Actual Behavior ◽  
Contingency Plan ◽  
Work Related ◽  
Moderating Factors ◽  
Contingency Plans ◽  
Set Up

Abstract BackgroundDuring the COVID-19 pandemic, one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how the strategy is executed. Knowledge of potential moderating factors is essential to improve future staff contingency plans. To understand barriers and promoters of staff realloctation, this study explored the dynamics of reallocating staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. MethodsWe used a mixed-methods explanatory design with sequential data collection and analysis. This paper primarily describes the qualitative part of the study, which consisted of six interviews with staff reallocated to clinical practice as part of the staff contingency plan, and seven interviews with leaders of departments that contributed with staff for reallocation. Data was analyzed using inductive content analysis.ResultsThe results showed that the execution of a staff contingency plan during a pandemic is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Although staff felt obligated and motivated to cover shifts, their actual behavior and experience was influenced by factors such as uncertainty about tasks, family obligations, other work-related tasks, the contingency plan set-up, how the contingency plan, roles, and sense of urgency were interpreted by staff and leaders, and how the leaders prioritized tasks and staff time. Introduction to the unit and tasks, the feeling of being needed, voluntary participation, transparency, collegial sparring, and familiarity with the workplace were factors that promoted a positive experience.ConclusionsThis study identified a variety of complex moderating factors, which should be considered when hospital contingency plans are developed. The study highlights the importance of understanding how reallocated staff and leaders experience and make interpretations and adjustments to a given plan, as this may have great significance for how the contingency plan is put into practice. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of a crisis and to improve staff’s experience with reallocation.

Effect of Correctly Using Alcohol-Based Hand Rub in a Clinical Setting

2008 ◽  
Vol 29 (10) ◽  
pp. 954-956 ◽  
Author(s):  
Sussie Laustsen ◽  
Elisabeth Lund ◽  
Bo Martin Bibby ◽  
Brian Kristensen ◽  
Ane Marie Thulstrup ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Setting ◽  
Hospital Staff ◽  
University Hospital ◽  
Clinical Procedure ◽  
Bacterial Counts ◽  
Clinical Procedures ◽  
Hand Antisepsis

We evaluated hand antisepsis in clinical practice at Aarhus University Hospital in Skejby, Denmark. The rate of compliance with the correct use of alcohol-based hand rub exceeded 55% of all routine clinical procedures observed. With the correct use of alcohol-based hand rub by hospital staff, bacterial counts were reduced by 90% before and 82% after a clinical procedure; with incorrect use, the bacterial counts were reduced by 60% before and 54% after a clinical procedure.

scholarly journals Information Skills Survey: Its Application to a Medical Course

2007 ◽  
Vol 2 (3) ◽  
pp. 3 ◽  
Author(s):  
Catherine Clark ◽  
Dr. Ralph Catts
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Information Literacy ◽  
Statistical Significance ◽  
Literacy Skills ◽  
Early Years ◽  
Literacy Standards ◽  
Information Literacy Skills ◽  
Information Skills

Objective - To test if the Information Skills Survey(Catts Information Skills Survey for Assessment of Information Literacy in Higher Education) is suitable for the purpose of investigating the information literacy levels of a group of students in medicine. If not, the study was designed to determine the modifications that are necessary to make the Information Skills Survey a reliable instrument for investigating the information literacy levels of a group of students in medicine. Method - Administration of the Information Skills Survey to two groups of medical students. To confirm the validity of the results, follow up questions and interviews were also conducted. Statistical analysis was carried out to determine the internal consistency of the questions in relation to the Information Literacy Standards and also to determine the statistical significance of the results. Results - The two groups of students reported similar results for a number of the tested skills. However, several areas of difference were also identified. The main areas of difference between the two groups were the questions that can be interpreted as being related to clinical practice. This was also emphasised in the interviews. Conclusions - The Information Skills Survey is a useful tool to investigate the information literacy skills of groups of medical students who are in their early years of study. Further research needs to be done to develop valid questions for medical students in the clinical years. This would reflect the different information resources that are used in clinical practice.

scholarly journals SAT0093 CDAI AND DAS28 IN THE MANAGEMENT OF RHEUMATOID ARTHRITIS IN CLINICAL PRACTICE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 980.1-980
Author(s):  
S. Takanashi ◽  
Y. Kaneko ◽  
T. Takeuchi
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Practice ◽  
Disease Activity ◽  
Medical Information ◽  
Task Force ◽  
University Hospital ◽  
Expert Committee ◽  
Chugai Pharmaceutical ◽  
Patient Reported ◽  
Remission Criteria

Background:The primary therapeutic target for rheumatoid arthritis (RA) is remission, assessed using validated composited measures. Currently, index-based remission frequently used in clinical practice are disease activity (CDAI) and disease activity score for 28 joints (DAS28). Generally, CDAI is believed more stringent than DAS28 in assessing clinical remission, however, this confirmation was mainly derived from trial results.Objectives:To investigate the real-world performance of CDAI and DAS28 -erythrocyte sedimentation rate (ESR) in RA.Methods:We reviewed consecutive RA patients who are receiving any disease modifying anti-rheumatic drug (DMARDs) in Keio University Hospital between 2016 and 2017 and collected medical information. We focused on the patients in CDAI remission and/or DAS28-ESR remission at the time of last visit, and analyzed their clinical characteristics.Results:A total of 1585 patients with RA were reviewed. Their characteristics were mean age of 64 years old, female of 84% and mean disease duration of 12.0 years. Current treatments were conventional synthetic (cs) DMARDs alone, TNF inhibitors (TNFi), IL-6 receptor inhibitors (IL-6i), CTLA-4Ig, and JAK inhibitors (JAKi) in 39.2%, 29.0%, 22.8%, 7.1%, and 1.8% patients, respectively. Of them, 62.7% were in CDAI remission and 64% were in DAS28-ESR remission. Among patients in CDAI remission, the proportion of DAS28-ESR non-remission was 19.4% in those treated with csDMARDs, 18.2% treated with TNFi, 4.2% treated with IL-6i, 27.6% treated with CTLA-4Ig, and 33.3% treated with JAKi (Figure). In contrast, among patients in DAS28 remission, the proportion of CDAI non-remission was 11.7% in those treated with csDMARDs, 15.4% treated with TNFi, 29.5% treated with IL-6i, 16.0% treated with CTLA-4Ig, and 14.3% treated with JAKi. Venn diagrams of CDAI remission and DAS28-ESR remission demonstrated that more patients satisfied the CDAI remission criteria without satisfying the DAS28-ESR remission criteria than vice versa, except for those treated with IL-6i (Figure). Patients in CDAI remission and DAS28-ESR non-remission had higher C-reactive protein, ESR and comorbidity rates (0.37 vs 0.07 mg/dL, p<0.001; 45.7 vs 8.0 mm/h, p<0.001; 26.4 vs 18.0%, p=0.07, respectively), and those in CDAI non-remission and DAS28-ESR remission had worse patient-reported outcomes including patient global assessment and health assessment questionnaire-disability index (31.1 vs 9.5 mm, p<0.001; 0.82 vs 0.41, p<0.001, respectively). Patients in both CDAI and DAS28-ESR remission were apparently in better disease activity than those who met either criteria.Conclusion:Assessing patients with two composite measures simultaneously is important to evaluate patients’ condition from view points of RA itself and comorbidities and adjust treatment appropriately.References:[1] Smolen JS et al. T2T Expert Committee. Treating rheumatoid arthritis to target: recommendations of an international task force. Ann Rheum Dis. 2010;69(4):631-7.Disclosure of Interests:Satoshi Takanashi: None declared, Yuko Kaneko Speakers bureau: Dr. Kaneko reports personal fees from AbbVie, personal fees from Astellas, personal fees from Ayumi, personal fees from Bristol-Myers Squibb, personal fees from Chugai, personal fees from Eisai, personal fees from Eli Lilly, personal fees from Hisamitsu, personal fees from Jansen, personal fees from Kissei, personal fees from Pfizer, personal fees from Sanofi, personal fees from Takeda, personal fees from Tanabe-Mitsubishi, personal fees from UCB, Tsutomu Takeuchi Grant/research support from: Eisai Co., Ltd, Astellas Pharma Inc., AbbVie GK, Asahi Kasei Pharma Corporation, Nippon Kayaku Co., Ltd, Takeda Pharmaceutical Company Ltd, UCB Pharma, Shionogi & Co., Ltd., Mitsubishi-Tanabe Pharma Corp., Daiichi Sankyo Co., Ltd., Chugai Pharmaceutical Co. Ltd., Consultant of: Chugai Pharmaceutical Co Ltd, Astellas Pharma Inc., Eli Lilly Japan KK, Speakers bureau: AbbVie GK, Eisai Co., Ltd, Mitsubishi-Tanabe Pharma Corporation, Chugai Pharmaceutical Co Ltd, Bristol-Myers Squibb Company, AYUMI Pharmaceutical Corp., Eisai Co., Ltd, Daiichi Sankyo Co., Ltd., Gilead Sciences, Inc., Novartis Pharma K.K., Pfizer Japan Inc., Sanofi K.K., Dainippon Sumitomo Co., Ltd.

scholarly journals Telework and Psychological Health in Hospital Staff during the First Wave of the COVID-19 Epidemic in France

2021 ◽  
Vol 18 (19) ◽  
pp. 10433
Author(s):  
Carole Pelissier ◽  
Joelane Paredes ◽  
Martine Moulin ◽  
Thierry Bitot ◽  
Eric Fakra ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Anxiety Disorder ◽  
Psychological Health ◽  
Depressive Disorders ◽  
Medical Information ◽  
Univariate Analysis ◽  
Hospital Staff ◽  
University Hospital ◽  
Medical Monitoring ◽  
Personal Stress

Background: The COVID-19 pandemic led to a change in work organization with the development of telework. The purpose of this study was to assess the prevalence of anxiety and depressive symptoms in teleworking staff in a university hospital center in France during the first lockdown, and to identify personal, medical and occupational factors associated with anxiety disorder. Methods: A cross-sectional observational study was conducted in 474 hospital staff working from home during the first lockdown. The sociodemographic, occupational and medical information (anxiety and depressive disorders measured on the Hospital Anxiety and Depression (HAD) scale) was collected by an anonymous online self-administered questionnaire. The variables associated with anxiety disorder were investigated by a univariate analysis (chi² and Fisher tests) and a multivariate analysis (logistic regression model). Results: Three hundred and forty hospital staff participated in the study (72% response rate). Of the participants, 106 subjects (32.1%) showed signs of an anxiety disorder and 26 (7.65%) of a depressive disorder. An anxiety disorder was significantly associated with mental workload, changes in working hours, difficulties in teleworking due to issues of internet connection or due to noise, difficulties in combining family and occupational life, sleep disturbance, worry about media information and worry about the health of a loved one. An anxiety disorder remained associated with occupational stress and personal stress during lockdown after a multivariate logistic regression. Conclusions: This study highlighted the association between an anxiety disorder and perceived occupational and personal stress levels in hospital staff teleworking during the first lockdown. Stress management workshops could be proposed to hospital staff. Prevention of anxiety requires reinforced medical monitoring and reduced stress.

scholarly journals COVID-19 Pandemic: An Urgent need for practical and Validated Medical Information for Health Professionals. A Focus on the Experience of the Strasbourg University Hospital

2020 ◽  
pp. 1-3
Author(s):  
Andrès E ◽  
◽  
Gottenberg JE ◽  
Lorenzo-Villalba N ◽  
◽  
...  
Keyword(s):  
Social Networks ◽  
Clinical Practice ◽  
Health Professionals ◽  
Direct Contact ◽  
Medical Information ◽  
Scientific Information ◽  
University Hospital ◽  
False Information ◽  
The Public ◽  
On Line

Critical reading is crucial to update clinical management of Covid-19, which remains a largely unknown disease. In this setting, too much information may “kill” valuable information, in particular for health professionals in direct contact with patients. This is particularly the case on social networks (LinkedIn, Facebook, Twitter, etc.) where scientific information and false information are put online and shared with the public, without any differentiation. In this setting, we briefly report here how we have organized a pragmatic free on-line repository, as a website (https://www.groupedeveillecovid.fr/), designed for health professionals, in order to incorporate validated medical information in clinical practice as quickly as possible

Meeting the Information Literacy Skills of Diverse Primary School Pupils Through the School Libraries

2011 ◽  
Vol 4 (3) ◽  
pp. 117-122 ◽  
Author(s):  
Nwachukwu V. N. Nwachukwu V. N. ◽  
◽  
ESKAY, M. Eskay, M. ◽  
Ifeanyichukwu, J.N. Ifeanyichukwu, J.N.
Keyword(s):  
Primary School ◽  
Information Literacy ◽  
School Libraries ◽  
Literacy Skills ◽  
Information Literacy Skills ◽  
Primary School Pupils

scholarly journals P005 Rheumatology virtual clinics during COVID-19: are our patients satisfied?

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Fajer A Altamimi ◽  
Una Martin
Keyword(s):  
Medical Information ◽  
Worker Safety ◽  
University Hospital ◽  
Free Text ◽  
Risk Of Infection ◽  
Further Training ◽  
Return Envelope ◽  
The Right ◽  
Reduced Risk

Abstract Background/Aims  Telemedicine can be broadly defined as the use of telecommunication technologies to provide medical information and services. It can be audio, visual, or text. Its use has increased dramatically during the COVID-19 pandemic to ensure patient and healthcare worker safety. Any healthcare professional can engage with it. It carries benefits like reduced stress and expense of traveling, maintenance of social distancing, and reduced risk of infection. There are some potential drawbacks such as lack of physical examination, liability and technological issues. Methods  A questionnaire was sent to 200 patients, selected from different virtual clinics (new and review, doctor and ANP led) run between March and May 2020 in the rheumatology department of University Hospital Waterford. We formulated 14 questions to cover the following aspects: demography, the purpose of the consult, punctuality, feedback, medico-legal concerns, and free text for comments. A self-addressed return envelope was included. Results  83 responses were received. 2 were excluded. The ratio of females to male respondents was 59: 41, with the majority over 60 years old. The main appointment type was review 67 (83%). 80% of patients were called either before or at the time of their scheduled appointment. The vast majority (98.8%) of our patients had confidence in our data protection and trusted our system to maintain their confidentiality. 95% stated that they felt comfortable, were given enough time to explain their health problem and felt free from stress. The respondents who preferred attending the clinic in person (17 in total) compared to the virtual were mostly follow up patients- 12 vs. 5 new. Conclusion  Patient satisfaction among those surveyed was high, despite having to introduce the service abruptly during the COVID-19 pandemic. There are many improvements we can adopt to improve our service and even maintain after the pandemic as a way of communicating with our stable patients. As we are covering a large geographical catchment, we can continue to implement the virtual clinic for some appointments. We should prioritize our efforts on identifying the right patient and the type of service we can offer, further training of staff, and increasing awareness of the patients as to how to get the most out of a virtual appointment. Disclosure  F.A. Altamimi: None. U. Martin: None. C. Sheehy: None.

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