Assuntos
Antitrombinas/administração & dosagem , Asparaginase/administração & dosagem , Polietilenoglicóis/administração & dosagem , Leucemia-Linfoma Linfoblástico de Células Precursoras , Trombose Venosa , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Estudos Retrospectivos , Trombose Venosa/tratamento farmacológico , Trombose Venosa/etiologiaRESUMO
As health IT has become overloaded with patient information, provider burnout and stress has accelerated. Studies have shown that EHR usage leads to heightened cognitive workload for nurses, and increases in cognitive workload can result in stronger feelings of exhaustion and burnout. We conducted a time motion study in an oncology division to examine the relationships between nurses' perceived workload, stress measured by blood pulse wave (BPw), and their time spent on nursing activities, and to identify stress associated with EHR use. We had a total of 33 observations from 7 nurses. We found that EHR-related stress is associated with nurses' perceived physical demand and frustration. We also found that nurses' perceived workload is a strong predictor of nurses' stress as well as how they spent time with their patients. They also experienced higher perceived mental demand, physical demand, and temporal demand when they were assigned to more patients, regardless of patient acuity. Our study presents a unique data triangulation approach from continuous stress monitoring, perceived workload, and a time motion study.
Assuntos
Registros Eletrônicos de Saúde , Recursos Humanos de Enfermagem Hospitalar/psicologia , Estresse Ocupacional/etiologia , Carga de Trabalho , Adulto , Pressão Sanguínea , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Serviço Hospitalar de Oncologia , Estudos de Tempo e Movimento , Carga de Trabalho/psicologiaRESUMO
To date, there are no broad-based studies defining the standard of care for pediatric neurosurgeons in the area of cranial fixation. Thus, the techniques for cranial fixation remain largely surgeon dependent. Over the past few years, there have been several new cranial fixation devices approved for use in the United States. To gain insights into techniques currently in use by pediatric neurosurgeons, we polled all pediatric neurosurgeons listed in either the American Society of Pediatric Neurosurgeons or the International Society of Pediatric Neurosurgeons regarding their techniques for cranial fixation in a variety of age groups. These survey findings may provide a basis for establishing recommendations and lead to a standard of care for cranial fixation techniques among pediatric neurosurgeons.