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1.
J Dent Educ ; 84(1): 81-87, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977085

RESUMEN

The number of international students coming to the U.S. for post-secondary education has been steadily increasing. Prior research has found that international students encounter many barriers to academic success, but this topic has not been previously studied for the discipline of dental hygiene. The aims of this study were to investigate the barriers and challenges to academic success faced by international students in U.S. dental hygiene programs and to explore the students' thoughts on the value they bring to those programs. The overlapping qualitative methods of semi-structured focus groups and one-on-one interviews with 12 students in three U.S. dental hygiene programs were used for this phenomenological study. In the results, six themes emerged: language proficiency, communication challenges with faculty and patients, ability to adapt to a new educational system, adjusting to cultural differences, feelings of belonging, and the value of diversity. The most significant barrier for the participants was comprehension of the English language. Didactically, these students reported that they needed additional time to study and to process examination questions. This study found that these international students studying dental hygiene in the U.S. had academic challenges similar to international students studying in other disciplines. Dental hygiene educators may need to evaluate their didactic and test-taking strategies to ensure the academic success of international students.


Asunto(s)
Éxito Académico , Higienistas Dentales , Actitud del Personal de Salud , Humanos , Higiene Bucal , Estudiantes
2.
J Dent Educ ; 84(1): 57-61, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977088

RESUMEN

The aims of this study were to describe patient utilization of an urgent care clinic (UCC) in a dental school for one year and to assess dental students' perceptions of the benefits of training in this clinic. Aggregate clinic data from July 3, 2017, through July 6, 2018, were used to determine number of patients, number of new patients, number of new patients who elected to transfer their primary dental care to the university, number who were seen for a follow-up, and service/clinic to which each patient was referred. Student evaluations were used to determine the benefits students perceived in their training in the UCC. Results showed that 1,674 patients were seen in the UCC during the study period. Of these, 67% were new patients, and 53% of these new patients opted to transfer their primary dental care to the university. An average of 7.03 patients were treated per day, and 2.48 new patients per day were generated for the predoctoral student clinic. The most common referrals were to oral surgery (37%), endodontics (30%), and the predoctoral dental clinic (28%). Among these patients, 39% scheduled follow-up appointments, and the attendance rate was 69%. About 80% of eligible students (40/50) completed the questionnaire, and many provided optional comments. Over 80% of the responding students responded favorably regarding the learning experiences and assessments during the UCC rotation. This study found that establishment of the UCC increased the pool of patients and provided students the necessary experiences in triaging and treating dental emergencies.


Asunto(s)
Facultades de Odontología , Estudiantes de Odontología , Instituciones de Atención Ambulatoria , Actitud del Personal de Salud , Educación en Odontología , Humanos
3.
J Dent Educ ; 84(1): 72-80, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977090

RESUMEN

Despite ample opportunity, dental professionals frequently fall short of connecting tobacco-using patients with effective cessation support, often citing lack of training as a barrier. To inform development of training options, the aim of this study was to quantify the preferences of practicing dental hygienists and dentists in California for continuing dental education (CDE) offerings related to tobacco and patient tobacco cessation. Two statewide surveys of California dental hygienists and dentists were conducted. In addition to providing their own and their practice characteristics, in a discrete choice experiment, participants indicated their preferences between pairs of randomly generated hypothetical tobacco cessation CDE offerings that differed in topic, cost, delivery modality, and duration. Ultimately, 641 dental hygienists (20.5% of the total invited minus those with undeliverable emails, n=3,129) and 654 dentists (8.5% of the total invited minus those with undeliverable emails, n=7,669) responded to at least one of the discrete choice items, and their responses were analyzed. The results showed that each CDE attribute was independently associated with preference. Cost and topic were more strongly associated with preference than were delivery modality and duration. Lower cost, shorter duration courses were generally favored. Alternative tobacco products and patient communication were the most popular topics for participating dental hygienists and dentists, respectively. CDE preferences differed according to participant characteristics: live webinars were the least preferred modality for more experienced dental professionals, and shorter courses were not preferred by dentists in non-urban locations. These findings showed that these dental professionals considered multiple attributes in selecting CDE courses. To reach the broadest audience, CDE providers should offer low-cost options across a range of delivery modalities, such as full-day workshops in rural areas and online webinars for earlier career professionals.


Asunto(s)
Higienistas Dentales , Cese del Uso de Tabaco , Actitud del Personal de Salud , California , Odontólogos , Educación Continua en Odontología , Humanos , Encuestas y Cuestionarios
4.
J Dent Educ ; 84(1): 88-93, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977100

RESUMEN

Human Papilloma Virus (HPV)-related oropharyngeal cancers (OPC) have increased significantly despite availability of the HPV vaccine. HPV-positive oropharyngeal cancer is becoming more prevalent than tobacco-related OPC. Dental professionals screen for OPC and risk factors, but many are not prepared to address HPV immunization and prevention with patients. The aim of this study was to implement and assess a training module on HPV to increase dental providers' knowledge, promote confidence in their ability to provide effective prevention interventions, and instill a positive attitude about recommending HPV immunization to their patients. The study used a pretest-posttest design. Participants were dental hygiene students in one U.S. dental hygiene program in 2017. The students completed the pretest, then viewed the online training module, and completed the posttest one week later. Of the 40 students who participated in the module, 37 completed both pretest and posttest, for a response rate of 93%. From pretest to posttest, the respondents showed a significant increase (CI=0.5, p<0.001) in knowledge of HPV prevention with mean scores increasing from 8.75 to 13.32 on a 15-point scale. The students demonstrated an increase (p<0.05) in confidence and comfort in providing HPV immunization counseling on the posttest, as well as an increase (p<0.05) in positive attitudes about recommending HPV immunization. This study found that the participants' knowledge and confidence regarding HPV, HPV-related OPC, and HPV immunization increased after the module, suggesting that effective education and preparation for HPV counseling can be accomplished through modular-based education. This education would be beneficial in an institutional or professional setting.


Asunto(s)
Papillomaviridae , Infecciones por Papillomavirus , Vacunas contra Papillomavirus , Actitud del Personal de Salud , Higienistas Dentales , Humanos , Inmunización , Higiene Bucal
5.
J Nurs Adm ; 50(2): 109-114, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929346

RESUMEN

OBJECTIVE: Evaluate the use of the Innovation Studio on interprofessional collaboration and attitudes toward interprofessional learning, job satisfaction, and intent to stay. BACKGROUND: The healthcare workforce is experiencing high burnout rates, and providers are unsatisfied with their work. Evidence supports that interprofessional collaboration is a key strategy to increase job satisfaction and intent to stay in healthcare professionals. The Innovation Studio is a tool to engage healthcare providers in interprofessional collaboration. METHODS: A pretest/posttest evaluation of the Innovation Studio with 14 healthcare professionals was conducted with self-reported scores on job satisfaction, readiness for interprofessional learning, and intent to stay as outcomes. RESULTS: Positive effects were found on interprofessional learning and intent to stay, but not job satisfaction. Eleven interprofessional projects were developed. Responses to open-ended questions indicated satisfaction with the Innovation Studio. CONCLUSIONS: The Innovation Studio was successful in stimulating numerous interprofessional projects and had a positive effect on interprofessional learning and intent to stay.


Asunto(s)
Actitud del Personal de Salud , Agotamiento Profesional/psicología , Personal de Salud/psicología , Relaciones Interprofesionales , Satisfacción en el Trabajo , Personal de Enfermería en Hospital/psicología , Reorganización del Personal , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
6.
J Nurs Adm ; 50(2): 78-84, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977944

RESUMEN

OBJECTIVE: To examine factors that influence nurses' perceptions of organizational compassion and their engagement with the organization. BACKGROUND: Despite agreement about the importance of compassionate healthcare, it is difficult for employees to consistently act compassionately when organizational leaders, managers, and systems of care fail to support compassion as a value. METHODS: The study used a cross-sectional design, and quantitative and qualitative data were collected through an online survey of nurses. RESULTS: Higher individual compassion and team compassion were associated with higher perceived organizational compassion, and higher organizational compassion was associated with greater engagement with the hospital. In contrast, high turnover rates and inadequate staffing were associated with lower perceived organizational compassion and lower engagement with one's organization. CONCLUSIONS: Adequate staffing, resource allocation, and practices that contribute to the sense that one is a supported member of a caring team focused on addressing patients' needs build the capacity for compassion within an organization.


Asunto(s)
Actitud del Personal de Salud , Empatía , Personal de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
7.
J Nurs Adm ; 50(2): 85-89, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977945

RESUMEN

OBJECTIVE: The aim of this study was to examine program effectiveness in changing Caritas leadership, self-caring behaviors, and perceptions of coworkers of participants who completed the Caritas Coach Education Program (CCEP). BACKGROUND: The CCEP has been a highly successful education program for individuals who wish to intellectually and experientially learn to teach, live, and practice human caring theory. METHODS: A pretest-posttest descriptive design was used to evaluate changes in perceptions of self-caring, caritas leadership, and coworker behaviors after completion of CCEP. RESULTS: The mean scores of all measures improved significantly. CONCLUSIONS: After completion of CCEP, participants demonstrated statistically significant changes in 3 caritas measures: leadership, coworker, and self-rating. Caritas Coach participants exhibited the greatest change in their self-caring scores.


Asunto(s)
Actitud del Personal de Salud , Educación en Enfermería/organización & administración , Empatía , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Filosofía en Enfermería , Adulto , Arizona , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud
8.
J Nurs Adm ; 50(2): 90-94, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977946

RESUMEN

As the role of nursing grows in healthcare, the engagement of frontline nurses in evidence-based practice, quality improvement, and research is becoming the expectation and no longer the exception. Clinical nurses are in a unique position to inform and implement scholarly projects. The purpose of this staff development and capacity-building project was to increase the output of scholarly work among frontline nurses through the formalization of nursing inquiry support via designated nursing inquiry project coordinators.


Asunto(s)
Educación Continua en Enfermería/organización & administración , Rol de la Enfermera , Investigación en Enfermería/organización & administración , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Desarrollo de Personal/organización & administración , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad
10.
J Nurs Adm ; 50(2): 72-77, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929345

RESUMEN

OBJECTIVE: To examine whether end-of-life care quality is superior in Magnet hospitals, a recognition designating nursing excellence. BACKGROUND: Considerable research shows better patient outcomes in hospitals with excellent nurse work environments, but end-of-life care quality has not been studied in Magnet hospitals. METHODS: An analysis of cross-sectional data was completed using surveys of nurses and hospitals. Multivariate logistic regression models were used to determine the association between Magnet hospitals and measures of end-of-life care quality. RESULTS: Overall, nurses report poor quality of end-of-life care in US hospitals. In Magnet hospitals, nurses were significantly less likely to give their hospital an unfavorable rating on end-of-life care. CONCLUSIONS: Hospital Magnet status may signal better quality in end-of-life care. Administrators looking to improve the quality of end-of-life care may consider improving aspects of nursing that distinguish Magnet hospitals.


Asunto(s)
Hospitales/estadística & datos numéricos , Personal de Enfermería en Hospital/psicología , Personal de Enfermería en Hospital/normas , Calidad de la Atención de Salud/estadística & datos numéricos , Calidad de la Atención de Salud/normas , Cuidado Terminal/psicología , Cuidado Terminal/normas , Adulto , Actitud del Personal de Salud , Estudios Transversales , Femenino , Encuestas de Atención de la Salud , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Cultura Organizacional , Cuidado Terminal/estadística & datos numéricos , Estados Unidos
11.
Medicine (Baltimore) ; 99(1): e18470, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31895779

RESUMEN

The appropriate approach to dental patients, developed during the course of dentists' training, is a prerequisite for the holistic treatment of patients. Empathy is an important component of such an approach. This study aimed to determine the levels of empathy among students of dentistry at different stages in their training.The Jefferson Scale of Empathy - Health Profession Students Version was used to conduct the research, and 100 dental students (66 female and 34 male) ranging from first to fifth year participated in the survey. The scale contained 20 questions, with a possible score interval between 20 and 140. A higher score indicates increased ability to express empathy.The level of empathy among dentistry students increased from the first and second to fourth years, where it reached its maximum. During the fifth year, a decrease in levels of empathy was observed.The increase in empathy during the dental course may be correlated with the growth of clinical practice during the subsequent years of study. A slight decrease in empathy in the fifth-year students may be due to the curricular focus on performing procedures, with students having to meet a set target in order to finish the course.


Asunto(s)
Actitud del Personal de Salud , Empatía , Estudiantes de Odontología/psicología , Adulto , Educación en Odontología , Femenino , Humanos , Masculino , Atención Dirigida al Paciente/métodos , Polonia , Distribución por Sexo , Encuestas y Cuestionarios
12.
Isr Med Assoc J ; 22(1): 5-7, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31927797

RESUMEN

BACKGROUND: Many procedures requiring sedation in the pediatric emergency department are performed by consultants from outside the department. This team usually includes orthopedic surgeons and general surgeons. As sedation is now a standard of care in such cases, we evaluated consultants' views on sedation. OBJECTIVES: To evaluate consultants' views on sedation. METHODS: A questionnaire with both open-ended questions and Likert-type scores was distributed to all orthopedic surgeons and general surgeons performing procedures during the study period. The questionnaire was presented at three medical centers. RESULTS: The questionnaire was completed by 31 orthopedic surgeons and 16 general surgeons. Although the vast majority (93-100%) considered sedation important, a high percentage (64-75%) would still perform such procedures without sedation if not readily available. CONCLUSIONS: Sedation is very important for patients and although consultants understand its importance, the emergency department staff must be vigilant in both being available and not allowing procedures to "escape" the use of sedation.


Asunto(s)
Sedación Consciente , Consultores/estadística & datos numéricos , Servicio de Urgencia en Hospital , Actitud del Personal de Salud , Niño , Sedación Consciente/métodos , Sedación Consciente/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Humanos , Cirujanos Ortopédicos/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , Cirujanos/estadística & datos numéricos , Encuestas y Cuestionarios
13.
Orv Hetil ; 161(2): 56-66, 2020 Jan.
Artículo en Húngaro | MEDLINE | ID: mdl-31902233

RESUMEN

Introduction: The stigmatization of mental patients is a priority topic in both domestic and international research. In addition to social prejudices, people living with mental illness must also struggle with the stigmatizing attitude of health professionals. Aim: It was a survey of attitudes of nursing health care professionals towards psychiatric patients and mental illnesses. We also aimed to assess mental health knowledge among the nursing staff. In the light of the results, our aim was to make proposals for the reform of nursing education. Method: We performed the survey among members of the Hungarian Chamber of Health Care Professionals, in 4 sections (paramedics, emergency nurses, psychiatric nurses and adult nurses). We analyzed the results of the online quantitative survey with multiple variables descriptively. Results: 495 of the completed questionnaires were evaluable (n = 495). Psychiatric nurses are characterized by a less stigmatizing attitude towards rescue and emergency carers and other adult nurses. Less stigmatizing attitudes are characterized by BSc and MSc graduates than those who have secondary education. Almost half of all nurses (47%) in the study feel they have a lack of preparedness about mental illnesses. The rate is 49% for rescue and emergency workers, and 55% for members of the adult care section. There is also a relatively high proportion (28%) of psychiatric nurses, who consider their skills to be inadequate. At the same time, of course, this group replied in the highest proportion (37%) that his knowledge is adequate. Conclusion: Psychiatric education should be made more effective at all levels of nursing training. It would also be important to incorporate sensitizing and anti-stigma methods and to develope empathy. Orv Hetil. 2020; 161(2): 56-66.


Asunto(s)
Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/psicología , Trastornos Mentales/psicología , Estigma Social , Adulto , Humanos
14.
Br J Nurs ; 29(1): 28-34, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31917951

RESUMEN

A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (r= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (R2=0.322, F=6.117, P<0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.


Asunto(s)
Actitud del Personal de Salud , Enfermería de Cuidados Críticos/organización & administración , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Seguridad del Paciente , Adulto , Agotamiento Profesional/epidemiología , Estudios Transversales , Fatiga/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/estadística & datos numéricos , Omán/epidemiología , Carga de Trabajo , Lugar de Trabajo , Adulto Joven
15.
Ann R Coll Surg Engl ; 102(1): 49-53, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31755741

RESUMEN

INTRODUCTION: Testicular torsion treatment rests on the horns of a dilemma, with widespread national variation in whether the responsible surgical specialty is general surgery or urology, even in hospitals with both general surgery and urology emergency service assets. This study aimed to quantify higher surgical trainee operative experience and confidence in managing suspected testicular torsion in a single UK deanery (Wales). MATERIALS AND METHODS: Anonymised logbook data were obtained via the Intercollegiate Surgical Curriculum Programme version 10 using the head of school report function for all general surgery (n=53) and urology (n=15) higher surgical trainees, which were combined with the distribution of an electronic self-administered questionnaire. RESULTS: Median operative scrotal explorations recorded for all general surgery higher surgical trainees and senior general surgery higher surgical trainees (ST7+) was 7 (range 1-22) and 10 (range 1-22), compared with 21 (range 9-64, p=0.00104) and 24 (19-64, p<0.001) for urology higher surgical trainees. The questionnaire response rate was 64.6% (general surgery 31/50, urology 11/15). Confidence levels in assessing adult and paediatric patients were lower in general surgery when compared with urology higher surgical trainees: median adult confidence rate 7/10 compared with 9/10, and paediatric confidence rate 7/10 compared with 8/10 (p<0.001 and p=0.053, respectively). All higher surgical trainees preferred urology as the accountable hospital specialty when both assets were available. DISCUSSION AND CONCLUSION: General surgery higher surgical trainees receive less than 50% of the operative exposure of urology higher surgical trainees in emergency scrotal surgery, which has important implications for curriculum competence development and patient safety.


Asunto(s)
Cirugía General/educación , Torsión del Cordón Espermático/cirugía , Urología/educación , Adulto , Actitud del Personal de Salud , Niño , Competencia Clínica/normas , Educación de Postgrado en Medicina/estadística & datos numéricos , Cirugía General/estadística & datos numéricos , Hospitales de Enseñanza/estadística & datos numéricos , Humanos , Masculino , Pediatría/educación , Pediatría/estadística & datos numéricos , Encuestas y Cuestionarios , Urólogos/educación , Urólogos/normas , Urología/estadística & datos numéricos , Gales
16.
Eur J Dent Educ ; 24(1): 126-133, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31643122

RESUMEN

INTRODUCTION: Strong dentist communication skills (CS) are necessary for patient-centred care and oral health promotion. CS are imparted through the dental education experience, which can be optimised in part by incorporating student perceptions and needs into curricular development. The current study assessed student attitudes towards communication skills learning (CSL) in a Canadian university. METHODS: A 20-item questionnaire adapted from the Dental Communication Skills Attitude Scale and qualitative survey questions were completed by students (n = 124). RESULTS: Questionnaire findings indicate that attitudes towards CSL are generally favourable, with significant variation based on year of study, gender and ethnicity. Students understood the importance of CS for dental practice and patient-centred care. Whilst they appreciated the value of CSL, students described that challenges such as demanding programme schedules would preclude the utility of more formalised CSL activities. CONCLUSION: These findings may be useful for institutions seeking to implement or refine a CSL curriculum.


Asunto(s)
Estudiantes de Odontología , Universidades , Actitud , Actitud del Personal de Salud , Canadá , Comunicación , Curriculum , Humanos
17.
Eur J Dent Educ ; 24(1): 145-153, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31677206

RESUMEN

INTRODUCTION: The purpose of this study was to evaluate the perceptions of dentists and dental hygienists regarding their own and each other's roles in interprofessional collaboration following a clinical interprofessional educational programme (CIEP) as part of their graduate programme at Radboud university medical center (Radboudumc) and HAN University of Applied Sciences (HAN UAS), Nijmegen, the Netherlands, respectively. Perceptions were obtained at the end of their study (2014) and two years after their graduation (2016). METHODS: A qualitative study was conducted using a questionnaire with open-ended questions. Sixty-two dentists and thirty-eight dental hygienists were invited. Theory-based analyses were applied in combination with principles of Grounded Theory to analyse and synthesise the collected data from the open-ended questions. RESULTS: At baseline, 100% responded. At follow-up, thirty-two dentists (51.6%) and twenty-six dental hygienists (68.4%) responded; twenty-seven dentists (43.5%) and eighteen dental hygienists (47.4%) were included. Many similarities were found between baseline and follow-up regarding perceptions of each other's expertise and responsibility, learning from and with each other, and the behaviour of students and the "novice" professionals in interprofessional collaboration. Both dentists and dental hygienists experienced the CIEP as useful for interprofessional collaboration. The "novice" dentists and dental hygienists indicated that in dental practices interprofessional collaboration was less common. CONCLUSION: The CIEP resulted in more understanding amongst dentists and dental hygienists with regard to interprofessional roles, but in practice the "novice" dentists and dental hygienists face difficulties in applying the interprofessional roles.


Asunto(s)
Actitud del Personal de Salud , Higienistas Dentales , Odontólogos , Humanos , Relaciones Interprofesionales , Países Bajos , Investigación Cualitativa , Encuestas y Cuestionarios
18.
Vasc Endovascular Surg ; 54(2): 118-125, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31690248

RESUMEN

BACKGROUND: Expanded applications and increasing volumes of complex endovascular procedures have increased the risk of unintended intraoperative fragmentation and retention of catheters and sheaths. We describe a series of retained or fragmented endovascular devices, a quality improvement program to address this unmet need for improved detection of catheter fragmentation, and the results of this program. METHODS: Cases utilizing endovascular devices that resulted in a retained catheter fragment were identified and analyzed during divisional quality improvement review. One consistent area of concern was operating room (OR) staff unfamiliarity with verifying the integrity of an endovascular device. In response, a slide-based training protocol of focused, endovascular nursing education was implemented. Following perceived lack of improvement after this approach, we developed a handheld visual reference display of the tips of common catheters and sheaths. Staff was surveyed before and after intervention to assess the educational value of the display and the impact on staff device familiarity. RESULTS: All 4 described cases resulted in an unplanned return to the OR for retrieval of the fragmented catheter or sheath. No thromboembolic complications were observed, although associated intra-arterial thrombus was noted in 2 cases. Thirty-four OR nurses were polled to trial the visual reference display initiative, with 70% of those reporting primary surgical assignments outside of cardiovascular ORs. Introduction of the new visual reference display improved staff confidence in their ability to identify a broken device (2.4-3.7, P < .001). This improvement was most significant in OR staff with primary assignments in noncardiovascular services. CONCLUSION: Current OR standard operating procedures fail to address the potential for unintentionally retained catheters and wires during endovascular procedures. Our novel visual reference display of common endovascular items rather than conventional in-service training improved the ability of staff to identify device fragmentation at the time of the index procedure.


Asunto(s)
Remoción de Dispositivos , Procedimientos Endovasculares/efectos adversos , Procedimientos Endovasculares/instrumentación , Falla de Equipo , Cuerpos Extraños/cirugía , Dispositivos de Acceso Vascular , Adulto , Anciano , Actitud del Personal de Salud , Competencia Clínica , Diseño de Equipo , Femenino , Cuerpos Extraños/diagnóstico por imagen , Cuerpos Extraños/etiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital , Enfermería de Quirófano , Reoperación , Resultado del Tratamiento
19.
Eur J Dent Educ ; 24(1): 95-102, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31584729

RESUMEN

OBJECTIVES: This study investigated the perception of dental students on becoming innovative healthcare professionals. The specific objective was to identify aspects of innovative healthcare development that could spur their interest in becoming more involved in healthcare research and new product development. METHODS: Survey research was conducted via questionnaires using a five-point Likert scale response. Based on the innovation science literature, each questionnaire comprised three sets of questions that might foster dental students' interest in healthcare innovation development. Data were obtained from 265 students from years 2, 4 and 6. RESULTS: Three critical dimensions of dental student's preferences were revealed. First, socially related goals were identified as important for developing healthcare innovation. Second, non-traditional learning activities, especially lectures from experienced innovators or an industrial trip were suggested to foster interest in healthcare innovation. Third, the students thought it was important to learn about the research process that translates scientific findings into healthcare innovation. CONCLUSIONS: This study identifies potential ways to develop dental clinicians' interest in becoming innovative professionals who are involved in healthcare product development. This is especially true for Thailand where commercially based innovation has not yet flourished.


Asunto(s)
Personal de Salud , Estudiantes de Odontología , Actitud del Personal de Salud , Humanos , Aprendizaje , Encuestas y Cuestionarios , Tailandia
20.
World Neurosurg ; 133: 104-111, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31568917

RESUMEN

OBJECTIVE: To investigate the extent to which restraint is used in neurosurgical care, under what circumstances, and how it is documented. METHODS: A cross-sectional study with a mixed-methods approach was used to identify neurosurgical inpatients subjected to restraint. The data were collected in 2 phases: (1) a study-specific questionnaire was distributed to nurses in which they identified if restraints had occurred during their shifts, and if so, which restraint and to which patient; and (2) scrutinizing of electronic medical records of patients identified by the questionnaires. Numeric data were analyzed using descriptive and analytic statistical methods, and textual data were analyzed using qualitative content analysis. The findings from the different data sources were compared and merged. RESULTS: Of the 517 patients admitted to the studied department during the study period, 58 (11%) were reported to have been subjected to restraint and most of the restraining events occurred in the neurointensive care unit. Most restraint measures were not documented in the electronic medical records. The identified patients were predominantly diagnosed with traumatic brain injury or subarachnoid hemorrhage. The qualitative content analysis showed the circumstances when restraints were used: when patients were considered a danger to self or others (theme) and which symptoms and behaviors (categories) were observed in relation to the use of restraint. CONCLUSIONS: Restraint in neurosurgical care is mostly used to prevent patients from harming themselves or others. Because of the lack of documentation, restraint measures cannot be openly assessed, thus putting patients' safety at risk.


Asunto(s)
Neurocirugia , Seguridad del Paciente , Pautas de la Práctica en Medicina , Restricción Física , Adulto , Anciano , Anciano de 80 o más Años , Actitud del Personal de Salud , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Adulto Joven
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