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1.
Artículo en Inglés | MEDLINE | ID: mdl-32370275

RESUMEN

The number of COVID-19 (Coronavirus Disease of 2019) cases in Jordan is rising rapidly. A serious threat to the healthcare system appears on the horizon. Our study aims to evaluate preparedness of Jordanian frontline doctors to the worsening scenario. It has a questionnaire-based cross-sectional structure. The questionnaire was designed to evaluate preparedness according to knowledge about virus transmission and protective measures, adherence to protection guidelines, and psychological impacts affecting doctors. Institutional factors affecting doctors' readiness like adopting approach protocols and making protection equipment available were investigated; 308 doctors from different healthcare facilities participated (response rate: 53.9%). Approximately 25% of doctors (n = 77) previously took care of COVID-19 patients, and 173 (56.2%) have institutional COVID-19 approach protocols. Only 57 doctors (18.5%) reported all PPE (Personal Protective Equipment) available. The self-reported score of preparedness to deal with COVID-19 patients was 4.9 ± 2.4. Doctors having institutional protocols for dealing with COVID-19 cases and those with sustained availability of PPE reported higher scores of preparedness (5.5 ± 2.3 and 6.2 ± 2.1 with p < 0.001, respectively). Correlations with knowledge score, adherence to PPE score, and psychological impacts were investigated. The study revealed multiple challenges and insufficiencies that can affect frontline doctors' preparedness. Policy makers are urged to take these findings into consideration and to act promptly.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/terapia , Brotes de Enfermedades , Conocimientos, Actitudes y Práctica en Salud , Médicos/psicología , Neumonía Viral/epidemiología , Neumonía Viral/terapia , Adulto , Estudios Transversales , Femenino , Instituciones de Salud , Humanos , Jordania/epidemiología , Masculino , Pandemias , Equipo de Protección Personal/provisión & distribución , Médicos/estadística & datos numéricos , Encuestas y Cuestionarios
4.
Med Clin North Am ; 104(3): 561-572, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32312415

RESUMEN

Burnout is common in physicians who care for patients with serious illness, with rates greater than 60% in some studies. Risk factors for burnout include working on small teams and/or in small organizations, working longer hours and weekends, being younger than 50 years, burdensome documentation requirements, and regulatory issues. Personal factors that can protect against burnout include mindfulness, exercise, healthy sleep patterns, avoiding substance abuse, and having adequate leisure time. Institutional and work factors that can buffer against burnout include working on adequately staffed teams, having a manageable workload, and minimally burdensome electronic health record documentation.


Asunto(s)
Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Médicos/psicología , Adulto , Agotamiento Profesional/economía , Agotamiento Profesional/epidemiología , Depresión/etiología , Empatía/fisiología , Ejercicio Físico/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena/métodos , Cuidados Paliativos/métodos , Cuidados Paliativos/estadística & datos numéricos , Calidad de Vida , Factores de Riesgo , Autocuidado/métodos , Sueño/fisiología , Trastornos Relacionados con Sustancias/etiología , Suicidio/psicología , Suicidio/estadística & datos numéricos , Estados Unidos/epidemiología , Carga de Trabajo
5.
Emerg Med Clin North Am ; 38(2): 297-310, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32336326

RESUMEN

Burnout is a work-related condition. Although stress may be a part of emergency medicine, excessive levels of chronic stress can lead to maladaptive behaviors and burnout. Burnout can lead to decreased physician longevity and performance and poorer patient outcomes. The first step is recognizing burnout in providers. Efforts can then be made to identify modifiable or unnecessary sources of stress to help reduce chronic stress and burnout. Solutions should be found to eliminate or ameliorate individual-level and system-level sources of stress.


Asunto(s)
Agotamiento Profesional/prevención & control , Medicina de Emergencia , Médicos/psicología , Agotamiento Profesional/etiología , Agotamiento Profesional/psicología , Humanos
6.
Emerg Med Clin North Am ; 38(2): 539-548, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32336339

RESUMEN

Being named in a medical malpractice case is one of the most stressful events in a physician's career. This article reviews the legal system and the medical malpractice process. It details the steps a physician experiences during a medical malpractice case, from being served to the deposition and then to trial and appeals if the physician loses. This article also reviews necessary steps to take in order to proactively participate in one's own defense.


Asunto(s)
Medicina de Emergencia/legislación & jurisprudencia , Mala Praxis , Médicos/legislación & jurisprudencia , Testimonio de Experto/legislación & jurisprudencia , Humanos , Responsabilidad Legal , Mala Praxis/legislación & jurisprudencia , Médicos/psicología , Estados Unidos
7.
Psychiatry Res ; 288: 112972, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32302817

RESUMEN

BACKGROUND: The fact that COVID-19 is transmissible from human to human and associated with high morbidity and potentially fatality can intensify the perception of personal danger. In addition, the foreseeable shortage of supplies and an increasing flow of suspected and real cases of COVID-19 contribute to the pressures and concerns of health professionals. METHOD: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers. RESULTS: Work-related stress is a potential cause of concern for health professionals. It has been associated with anxiety including multiple clinical activities, depression in the face of the coexistence of countless deaths, long work shifts with the most diverse unknowns and demands in the treatment with patients with COVID-19. Therefore, it is an important indicator of psychic exhaustion. CONCLUSIONS: As coronavirus cases increase and deaths surge in Italy, new figures show an "enormous" level of contagion among the country's medical personnel. At least 2,629 health workers have been infected with coronavirus since the outbreak onset in February, representing 8.3% of total cases. The percentage of infected health workers has almost doubled the number registered in China throughout the epidemic. Intensive care unit physicians are on their stress limit, especially when dealing with older patients and with death prospects. Doctors, not a relative, are inevitably the last people a dying COVID-19 patient will see.


Asunto(s)
Infecciones por Coronavirus , Depresión , Personal de Salud , Salud Mental , Pandemias , Relaciones Médico-Paciente , Neumonía Viral , Adulto , Ansiedad , Betacoronavirus , China/epidemiología , Coronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Muerte , Brotes de Enfermedades , Personal de Salud/psicología , Humanos , Transmisión de Enfermedad Infecciosa de Profesional a Paciente , Italia/epidemiología , Médicos/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Neumonía Viral/transmisión , Cuidado Terminal
11.
Acta Med Port ; 33(4): 252-260, 2020 Apr 01.
Artículo en Portugués | MEDLINE | ID: mdl-32238239

RESUMEN

INTRODUCTION: Transgenic (genetically modified) foods are being grown, sold and eaten in Portugal. As such it is important that physicians stay up to date on any negative health consequences of such foods. This study aimed to identify their opinion, knowledge and training needs regarding transgenic foods. MATERIAL AND METHODS: A total of 278 physicians responded to a survey Results: In terms of opinion, 85.8% of physicians had a neutral position, 12.5% had a negative view and a minority (1.7%) was positive. However, 79.8% had a low level of knowledge, 17.7% had an average level of knowledge and only 2.5% showed a high level of knowledge regarding the subject. It should be noted that 91.4% of physicians consider that it is useful to carry out some kind of training during their university education and 65.1% said that it would be very useful during the professional life to have continuing education concerning the issue. Most physicians (83%) could be grouped together according to their interest in learning more. The other group (17%) showed lack of interest. DISCUSSION: Physicians are considered reliable sources, to whom the general population can turn to in order to access valuable health information, which suggests the need to stay up-to-date regarding transgenic foods. CONCLUSION: This is a pioneering study on Portuguese physicians and transgenic foods. Results point to a need for specific training concerning this issue.


Asunto(s)
Alimentos Modificados Genéticamente , Conocimientos, Actitudes y Práctica en Salud , Evaluación de Necesidades , Médicos/psicología , Adulto , Actitud del Personal de Salud , Educación Médica Continua , Femenino , Humanos , Masculino , Persona de Mediana Edad , Médicos/estadística & datos numéricos , Portugal , Encuestas y Cuestionarios
12.
BMC Infect Dis ; 20(1): 203, 2020 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-32143641

RESUMEN

BACKGROUND: Rabies is endemic in southern Bhutan, associated with 1-2 human deaths and high post exposure prophylaxis (PEP) costs annually. Evaluation of clinicians' management of human cases potentially exposed to rabies could contribute to improving PEP prescribing practices to both reduce unnecessary costs associated with PEP and reach the target of zero human deaths due to rabies by 2023. METHODS: A cross-sectional survey of 50 clinicians' management of human cases potentially exposed to rabies was conducted in 13 health centers in high-rabies-risk areas of Bhutan during February-March 2016. RESULTS: Data were collected on clinicians' management of 273 human cases potentially exposed to rabies. The 50 clinicians comprised health assistants or clinical officers (55%) and medical doctors (45%) with a respective median of 19, 21 and 2 years' experience. There was poor agreement between clinicians' rabies risk assessment compared with an independent assessment for each case based on criteria in the National Rabies Management Guidelines (NRMG). Of the 194 cases for which clinicians recorded a rabies risk category, only 53% were correctly classified when compared with the NRMG. Clinicians were more likely to underestimate the risk of exposure to rabies and appeared to prescribe PEP independently of their risk classification.. Male health assistants performed the most accurate risk assessments while female health assistants performed the least accurate. Clinicians in Basic Health Units performed less accurate risk assessments compared with those in hospitals. CONCLUSIONS: This study highlights important discrepancies between clinicians' management of human cases potentially exposed to rabies and recommendations in the NRMG. In particular, clinicians were not accurately assessing rabies risk in potentially exposed cases and were not basing their PEP treatment on the basis of their risk assessment. This has significant implications for achieving the national goal of eliminating dog-mediated human rabies by 2030 and may result in unnecessary costs associated with PEP. Recommendations to improve clinician's management of human cases potentially exposed to rabies include: reviewing and updating the NRMG, providing clinicians with regular and appropriately targeted training about rabies risk assessment and PEP prescription, and regularly reviewing clinicians' practices.


Asunto(s)
Análisis Costo-Beneficio , Rabia/diagnóstico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Bután/epidemiología , Mordeduras y Picaduras , Niño , Preescolar , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Médicos/psicología , Profilaxis Posexposición , Prescripciones , Rabia/economía , Rabia/epidemiología , Rabia/prevención & control , Vacunas Antirrábicas/inmunología , Derivación y Consulta , Medición de Riesgo , Adulto Joven
16.
West Afr J Med ; 37(2): 145-151, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32150633

RESUMEN

BACKGROUND: Medical doctors are prone to stress and utilize a variety of coping strategies. This study aims to measure the level of perceived stress and its relationship with coping strategies among doctors working in a tertiary hospital in Ile-Ife, Nigeria. METHODS: A cross-sectional, descriptive study using a self-administered questionnaire containing Perceived Stress Scale (PSS) and Brief COPE Scale to assess perceived stress and coping strategies among different cadres of doctors. Out of the 217 questionnaires distributed, 185 completed copies were analysed. RESULTS: Most of the respondents were less than 35 years (mean = 33.6 ±6.21) and the rate of perceived stress was 43.2%. The mean scores of Perceived Stress Scale and Brief COPE were 23.08 (±6.58) and 59.46 (±12.05). Socio-demographic factors significantly associated with perceived stress were age less than 35 years, being single, working in the hospital and years of practice less than 5 years and being house-officer or registrar (p< .001). Respondent that were not stressed reported significant higher mean scores in active coping and positive reframing but lower mean scores in humor (p< .05). Also, they reported significant lower mean scores in maladaptive coping and its subscales (p<.003). Perceived stress had a significant negative correlation with active coping (p=.017) and positive correlation with maladaptive coping and all its subscales (p< .006). Only age of respondents significantly predicted perceived stress among respondents (p = .003). CONCLUSION: There is high level of stress among a sample of Nigerian doctors. Hence, there is a need for stress management program among them.


Asunto(s)
Adaptación Psicológica , Estrés Laboral , Médicos/psicología , Estrés Psicológico/psicología , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria , Encuestas y Cuestionarios , Centros de Atención Terciaria
18.
PLoS One ; 15(2): e0228372, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32027686

RESUMEN

Social media is increasingly utilized as a resource in healthcare. We sought to identify perceptions of using social media as an educational tool among healthcare practitioners. An electronic survey was distributed to healthcare administrators, nurses, nurse practitioners, pharmacists, physicians, and physician assistants f hospital systems and affiliated health science schools in Georgia, Maryland, South Carolina, and Wisconsin. Survey questions evaluated respondents' use and views of social media for educational purposes and workplace accessibility using a Likert scale (1 = strongly disagree, 5 = strongly agree). Nurses (75%), pharmacists (11%), and administrators (7%) were the most frequent respondents. Facebook® (27%), Pinterest® (17%), and Instagram® (17%) were the most frequently accessed social media platforms. Nearly 85% agreed or strongly agreed that social media can be an effective tool for educational purposes. Among those who had social media platforms, 43.0% use them for educational purposes. Pinterest® (30%), Facebook® (22%), LinkedIn® (16%), and Twitter® (14%) were most frequently used for education. About 50% of respondents had limited or no access to social media at work. Administrators, those with unlimited and limited work access, and respondents aged 20-29 and 30-39 years were more likely to agree that social media is an educational tool (OR: 3.41 (95% CI 1.31 to 8.84), 4.18 (95% CI 2.30 to 7.60), 1.66 (95% CI 1.22 to 2.25), 4.40 (95% CI 2.80 to 6.92), 2.14 (95% CI 1.53 to 3.01) respectively). Residents, physicians, and those with unlimited access were less likely to agree with allowing social media access at work for educational purposes only. Healthcare practitioners frequently utilize social media, and many believe it can be an effective educational tool in healthcare.


Asunto(s)
Educación Continua/métodos , Personal de Salud , Percepción , Medios de Comunicación Sociales , Adulto , Femenino , Georgia/epidemiología , Personal de Salud/educación , Personal de Salud/psicología , Personal de Salud/estadística & datos numéricos , Humanos , Difusión de la Información/métodos , Internado y Residencia/estadística & datos numéricos , Masculino , Maryland/epidemiología , Enfermeras Practicantes/educación , Enfermeras Practicantes/psicología , Enfermeras Practicantes/estadística & datos numéricos , Farmacéuticos/psicología , Farmacéuticos/estadística & datos numéricos , Asistentes Médicos/educación , Asistentes Médicos/psicología , Asistentes Médicos/estadística & datos numéricos , Médicos/psicología , Médicos/estadística & datos numéricos , Medios de Comunicación Sociales/normas , South Carolina/epidemiología , Encuestas y Cuestionarios , Wisconsin/epidemiología , Adulto Joven
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