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1.
Int Emerg Nurs ; 61: 101143, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35074715

RESUMO

OBJECTIVES: This study aimed to 1) Assess the effects of implementing the initial assessment and management practices of the Adult Trauma Clinical Practice Guidelines (ATCPGs) on the outcomes of multiple trauma patients and healthcare providers in the emergency department (ED) and hospital; 2) Evaluate the effects of implementing the ATCPGs on missed injuries in ED and hospital Length of Stay (LOS); 3) Examine the effect of implementing initial assessment and management on healthcare providers' compliance with ATCPGs. METHODS: A quasi-experimental design with three months before and three month after implementing ATCPGs was used. A total of 464 patient's files were reviewed in the study. However, 66 patients met the inclusion criteria, with 33 patients in each phase. The second sample was composed of 30 nurses and 13 physicians working at the ED. RESULTS: Using multiple strategies of implementation of ATCPGs decreased the LOS for multiple trauma patients in the ED. Although the missed injuries did not differ significantly in the study's phases; it was lower in the post-intervention than in the pre-intervention phase. The mean of nurses' and physicians' compliance with post intervention was higher than preintervention (p < .001). CONCLUSION: The results will help the decision-makers to facilitate interdisciplinary ATCPGs training sessions, and establish policies and procedures to introduce ATCPGs in the ED to improve multiple trauma patients' outcomes.


Assuntos
Traumatismo Múltiplo , Médicos , Adulto , Serviço Hospitalar de Emergência , Pessoal de Saúde , Humanos , Tempo de Internação , Guias de Prática Clínica como Assunto
2.
PLoS One ; 16(1): e0245192, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33493170

RESUMO

BACKGROUND: High numbers of violence incidents against physicians are reported annually in both developing and developed countries. In Jordan, studies conducted on healthcare workers involved small number of physicians and showed higher percentages of violence exposure when compared to other investigations from the Middle East. This is a large study aiming to comprehensively analyze the phenomenon in the physicians' community to optimize future strategies countering it. METHODS: The study has a cross sectional, questionnaire-based design. It targeted 969 doctors from different types of healthcare Jordanian institutions in Amman, between May to July, 2019. The questionnaire was designed to evaluate properties of reported abuse cases in terms of abusers, timing, and type of abuse, in addition to the consequences of this abuse. RESULTS: Prevalence of exposure to violence in the last year among doctors was 63.1% (611 doctors). 423 (67.2%) of male doctors had an experience of being abused during the last 12 months, compared to 188 (55.3%) of females (p< 0.001). Governmental centers showed the highest prevalence. Among 356 doctors working in governmental medical centers, 268 (75.3%) reported being abused (p< 0.001), and they were more abused verbally (63.5%) and physically (10.4%) compared to other medical sectors (p <0.001). The mean score of how worried doctors are regarding violence at their workplace from 1 to 5 was 3.1 ± 1.3, and only 129 (13.3%) believed that they are protected by law. CONCLUSIONS: The study emphasized on the higher rate of violence against physicians in the governmental sector, in addition to the negative effect of abuse on their performance. Moreover, male physicians had higher incidence of workplace abuse. Therefore, strategies that ease and promote the real application of anti-violence policies should become our future target.


Assuntos
Médicos , Violência no Trabalho , Adulto , Estudos Transversais , Feminino , Humanos , Jordânia , Masculino , Prevalência
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