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1.
Pan Afr Med J ; 39: 41, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34422164

RESUMO

Introduction: regular in-service training of healthcare workers within the immunization program is critical to address the program needs created by the introduction of new vaccines and technologies, as well as the expanding scope of immunisation programmes beyond infant immunization and towards a life-course approach. National immunization programs conduct in-service training of health workers depending on program needs and particularly when new program elements are introduced. Methods: we conducted a survey of national and provincial level immunization program staff in 9 countries in the World Health Organization (WHO) African Region to determine the perceived needs and preferred training methods for capacity building in immunisation. Results: nearly all of the respondents (98.3%) stated that there are skill gaps at their respective levels in the immunization program which require training, with 88% indicating that mid-level program management (MLM) training was needed to train new program staff, while 78% indicated program performance gaps and 60% of the respondents stated that refresher training is needed. Program areas identified as top priorities for training included immunisation monitoring and data quality, sustainable immunization financing, adverse events monitoring and community mobilization. More than three quarters of the respondents (78%) think that online MLM training is adequate to address program gaps. Only four of the 9 immunization program managers indicated that they regularly monitor the number of MLM trained staff within their national program. Conclusion: there is a strong need for in-service training of immunization program officers in the countries surveyed, especially at the subnational levels. Program managers should conduct regular monitoring of the training status of staff, as well as conduct detailed training needs assessments in order to tailor the training approaches and topics. Online training provides an acceptable approach for capacity building of immunization program staff.


Assuntos
Pessoal de Saúde/educação , Programas de Imunização/organização & administração , Capacitação em Serviço/métodos , África , Fortalecimento Institucional , Competência Clínica , Pessoal de Saúde/normas , Humanos , Imunização/métodos , Imunização/normas , Inquéritos e Questionários , Vacinas/administração & dosagem
3.
Front Health Serv Manage ; 38(1): 4-13, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34431813

RESUMO

SUMMARY: Across the healthcare landscape, the COVID-19 pandemic has been incredibly challenging. It also has been a catalyst for change. It has ignited a redesign of the US health system and presented opportunities in areas such as caregiver and patient communication, digital practice, telehealth and virtual care, and more. Notably, the pandemic also has shined a new light on caregiver well-being. As executive leaders of Cleveland Clinic's Caregiver Office, our top priority throughout the pandemic has been to support our caregivers professionally and personally-to help them be their best for themselves and for their fellow caregivers, our patients, our organization, and our communities. Today, Cleveland Clinic is realizing the profound impact of many of the strategies put in place during the pandemic and seeing how COVID-19 accelerated our organization's unified vision for caregiver well-being. This article offers insight into Cleveland Clinic's commitment to caregiver well-being, highlights actions we undertook during the pandemic, shares the resulting lessons we learned, and showcases how those lessons are shaping our future caregiver well-being strategy.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , COVID-19 , Cuidadores/normas , Atenção à Saúde/organização & administração , Pessoal de Saúde/normas , Saúde Holística , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ohio , Cultura Organizacional , Objetivos Organizacionais , Pandemias , SARS-CoV-2
5.
J Forensic Leg Med ; 82: 102221, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34325082

RESUMO

According to US Customs and Border Protection, over 473,000 family units and 76,000 unaccompanied children were apprehended in 2019, a multi-fold increase from previous years. Thus, the number of children who may be eligible for humanitarian relief has increased significantly. For those claiming humanitarian relief, forensic medical evaluations performed by health professionals can provide critical evidence to bolster claims. In this cross-sectional, nationwide survey-in which we sought to characterize specialties, forensic training, capacity, and scope of humanitarian relief evaluations for immigrant children under eighteen-years-old-only 28 providers, half of whom were Child Abuse Pediatricians, reported performing humanitarian relief evaluations. The most common reported type of humanitarian relief evaluation conducted was for asylum. We found that the current training for forensic medical evaluations for humanitarian relief in pediatrics is likely varied not well-defined, and not pediatric-specific. In order to protect the rights of children who are eligible for humanitarian relief, pediatric and family medicine forensic medical evaluation training standards and curricula need to be developed; validated humanitarian relief screening tools need to be tested and utilized; and residents and attending physicians, including specialists with expertise in forensic evaluations, need to be actively recruited to perform these evaluations in collaboration with legal aid organizations.


Assuntos
Medicina Legal/normas , Pessoal de Saúde/normas , Pediatras/normas , Exame Físico , Socorro em Desastres , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estudos Transversais , Definição da Elegibilidade , Emigrantes e Imigrantes , Feminino , Medicina Legal/educação , Pessoal de Saúde/educação , Humanos , Masculino , Pessoa de Meia-Idade , Menores de Idade , Pediatras/educação , Refugiados , Estados Unidos
6.
J Manipulative Physiol Ther ; 44(4): 280-288, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34090548

RESUMO

OBJECTIVES: The purpose of this study was to assess the status, supply, demographics, and characteristics of chiropractic practice in the continent of Africa. METHODS: A survey consisting of questions on demographics, clinical practice, and patient profile was administered to 608 chiropractors practicing in the different countries of the African continent. Chiropractic association officers of each country were contacted via e-mail for assistance in the distribution of the survey link to chiropractors in their country. The initial questionnaire was pretested with a small group of chiropractors from 2 African countries-4 from Ethiopia and 6 from Botswana-to assess the validity of the questions. The legal status of the chiropractic practice was obtained from online resources. Descriptive statistics were conducted in Microsoft Excel. RESULTS: Of the 54 countries in the continent of Africa, 23 countries were identified to have chiropractors. One hundred twenty-four surveys were returned from 15 countries with an overall response rate of 20.3% by clinicians with varying years in clinical practice. Nearly 84% of the chiropractors were between ages 26 and 50. More than 69% reported being a graduate of 1 of the 2 academic institutions located in Africa. Most chiropractors practice in South Africa. Most chiropractors practice in privately owned clinics, and 38% practice in multidisciplinary clinics. Nearly 92% reported using diversified technique and 27% used McKenzie exercises for treatment. Patients presented with a variety of conditions, predominantly chronic pain (59%). CONCLUSIONS: This study provides a general overview on the status, supply, demographics, and characteristics of chiropractic practice in the continent of Africa. The supply of chiropractors in Africa is scarce and unevenly distributed. Although in the early stages of recognition, chiropractors in Africa are contributing to the care of people with musculoskeletal and spine-related disorders. Considering the high burden of spine pain, there appears to be potential for growth for chiropractic in the continent of Africa.


Assuntos
Atitude do Pessoal de Saúde , Quiroprática/estatística & dados numéricos , Manipulação Quiroprática/estatística & dados numéricos , Doenças Musculoesqueléticas/terapia , Padrões de Prática Médica/estatística & dados numéricos , Adulto , Pessoal de Saúde/normas , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , África do Sul , Inquéritos e Questionários
7.
Maturitas ; 149: 34-36, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34134888

RESUMO

Nosocomial COVID-19 in older patients has a high mortality rate. We describe an outbreak of COVID-19 in a geriatric acute care unit (GACU) in March/April 2020 and the lessons learnt regarding prevention. Thirty-six patients were diagnosed with COVID-19 during that 2-month period, in France's "first wave" of SARS-CoV-2 infections. Thirty (83.3%) were considered nosocomial. Attributable mortality reached 33.3% in these patients. Healthcare workers (HCW) were not spared, with an overall attack rate of 36.8%, but the rate was especially high among nurse assistants (68.2%). Repeated testing, single rooms, hand hygiene, and good use of personal protective equipment are paramount in GACUs to prevent in-hospital COVID-19 outbreaks.


Assuntos
COVID-19/transmissão , Infecção Hospitalar/virologia , Pessoal de Saúde/normas , Hospitais/normas , Controle de Infecções/organização & administração , Equipamento de Proteção Individual/estatística & dados numéricos , SARS-CoV-2/isolamento & purificação , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/virologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Feminino , Humanos , Controle de Infecções/normas , Masculino
8.
Maturitas ; 150: 49-60, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34112552

RESUMO

This systematic review summarises the available evidence about how migrant women perceive and manage their menopausal and postmenopausal health and their experiences with healthcare services; and healthcare providers' views about delivering menopause-related healthcare to migrant women. Medline, PsychInfo, Embase and Cinahl were searched for peer-reviewed papers published in English. Thirty-one papers were identified reporting on 25 studies. Twenty-three studies reported on investigations examining migrant women's perceptions about menopause, their self-care strategies and their experiences with menopause-related healthcare. Only two papers reported on healthcare providers' views about providing menopause-related healthcare to migrant women. Most studies with migrant women found that their experiences of menopause and self-care strategies were culturally informed; that migrant women are unlikely to seek out menopause-related healthcare or to initiate conversations about menopause with their healthcare providers; and that most of those who seek menopause-related healthcare are disappointed with the care they receive. Studies assessing menopause-related knowledge found that many migrant women have limited knowledge about menopause and postmenopausal health, and that family and friends are their most common sources of information about menopause. Although healthcare providers were aware that migrant women use traditional remedies to manage their menopausal health and are likely to source menopause-related information from within their communities, they were reluctant to actively promote menopause-related health information due to consultation time constraints and lack of confidence in culturally competent communication. More research with healthcare providers is needed to improve understanding about barriers and facilitators to provide comprehensive menopause-related care to migrant women.


Assuntos
Atenção à Saúde/normas , Emigrantes e Imigrantes/psicologia , Pessoal de Saúde/normas , Menopausa , Feminino , Humanos
9.
Indian J Med Ethics ; VI(1): 1-6, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34081001

RESUMO

The Covid-19 pandemic has dominated people's lives since late 2019, for more than nine months now. Healthcare resources and medicine have been completely consumed by the Covid 19 illness globally. This is a particularly difficult time for health systems because of the onerous responsibility to care for large numbers of sick people, protecting populations from contracting the infection by effective quarantine, isolation, and containment measures. In addition to this burden of work, healthcare providers are also overcome by fear of contracting the infection and transmitting it to their loved ones. It is during such difficult times that the integrity of healthcare providers is challenged. In this paper I will describe some challenges that a healthcare provider in a typical low resource setting faces during this pandemic time, and will propose the idea of "flexible adamancy" to address these challenges to the health system's integrity.


Assuntos
COVID-19/enfermagem , COVID-19/psicologia , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Obrigações Morais , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias/ética , Pandemias/prevenção & controle , Guias de Prática Clínica como Assunto , Quarentena/ética , SARS-CoV-2
10.
CMAJ Open ; 9(2): E482-E490, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33990362

RESUMO

BACKGROUND: Young adult sex workers may benefit from sexual and reproductive health care services; however, little research has examined their access experiences. This study aimed to assess barriers to and facilitators of access to sexual and reproductive health care among young adult sex workers, and identify practices suggested by participants to improve services. METHODS: This was a community-based mixed-methods study of adults aged 18-29 years who were currently or had previously been engaged in sex work, conducted in Toronto in 2017-2018. The study was guided by a Youth Advisory Committee of 4 youth with lived experience of sex work. Participants completed an online survey, or participated in a focus group or a one-on-one interview; all 3 modalities included parallel questions about barriers to and facilitators of access to sexual and reproductive health care. We summarized quantitative data using descriptive statistics and identified qualitative themes using thematic analysis, followed by triangulation of the 2 strands. RESULTS: There were 54 survey respondents (response rate 48%) and 17 participants in the qualitative phase (14 in focus groups and 3 in interviews), for a total sample size of 71. Survey respondents reported suboptimal access to sexual and reproductive health care, with 8 (15%) reporting no regular source of care, and only 6 (11%) reporting that they disclose their sex work experience to providers. Actual or expected stigma regarding sex work on the part of providers was the dominant barrier to care, whereas nonjudgmental providers, particularly those who themselves have sex work experience, was a key facilitator. Participants suggested 7 practices to improve access to sexual and reproductive health care. INTERPRETATION: Young adult sex workers face many barriers to accessing sexual and reproductive health care. Including people with sex work experience in the development of solutions will maximize the capacity to address the needs of this underserved population.


Assuntos
Acesso aos Serviços de Saúde , Profissionais do Sexo/estatística & dados numéricos , Saúde Sexual , Estigma Social , Serviços de Saúde da Mulher/provisão & distribuição , Adulto , Atitude do Pessoal de Saúde , Barreiras de Comunicação , Feminino , Grupos Focais , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Ontário/epidemiologia , Pesquisa Qualitativa , Melhoria de Qualidade , Serviços de Saúde Reprodutiva/provisão & distribuição , Populações Vulneráveis
11.
Cutan Ocul Toxicol ; 40(3): 207-213, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34047217

RESUMO

INTRODUCTION: Coronavirus disease-2019 (COVID-19) is a highly contagious infectious disease that first appeared in Wuhan, China, in December 2019. Health care workers (HCWs) are at increased risk of infection because the virus is highly contagious and can be transmitted by a variety of routes. Health care workers are required to use a variety of personal protective equipment (PPE) for prolonged hours and, as a result, they face varying degrees of cutaneous complications. METHODS: We conducted a cross-sectional online questionnaire survey to investigate skin problems caused by the use of PPE and personal hygiene measures. We developed a survey with 32 questions using Google forms and distributed it via WhatsApp and Facebook groups. RESULTS: A total of 1142 responses were obtained. Among the respondents, 88.1% reported adverse skin reactions due to PPE and personal hygiene measures. Female sex, working as a nurse, wearing PPE more than 6 h/day, and working more than 3 days/week increase the risk of PPE-related skin problems. CONCLUSION: In this study, we highlighted skin problems related to PPE and found out risk factors for PPE-related skin problems.


Assuntos
COVID-19/prevenção & controle , Dermatite Ocupacional/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Equipamento de Proteção Individual/efeitos adversos , Adulto , Idoso , COVID-19/epidemiologia , COVID-19/transmissão , Controle de Doenças Transmissíveis/instrumentação , Controle de Doenças Transmissíveis/normas , Estudos Transversais , Dermatite Ocupacional/etiologia , Feminino , Pessoal de Saúde/normas , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas , Fatores de Risco , Fatores Sexuais , Inquéritos e Questionários/estatística & dados numéricos , Fatores de Tempo , Adulto Jovem
13.
Turk J Gastroenterol ; 32(2): 113-115, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33960933

RESUMO

In the midst of Coronavirus-19 (COVID-19) pandemic, endoscopic procedures have been separated for only urgent and semi-urgent cases for the last few months to prevent transmission in endoscopy units. This approach will perhaps resolve the burden of elective procedures in the months ahead of us. As we observe a downtrend in new cases of COVID-19 in Turkey, a strategy for reopening endoscopy units is required. We are stepping into a time period where we should not only re-provide the essential services to our patients but also maintain the safety of healthcare workers and preserve the valuable personal protective equipment as well. Herein, we aim to share the available knowledge in performing endoscopy during the pandemic and the set-up plan of a tertiary center in Istanbul for reopening the endoscopy unit in the era of the COVID-19 pandemic.


Assuntos
COVID-19/prevenção & controle , Endoscopia/normas , Controle de Infecções/normas , Centros de Atenção Terciária/normas , Pessoal de Saúde/normas , Humanos , Controle de Infecções/métodos , Equipamento de Proteção Individual/normas , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2 , Turquia
14.
Medicine (Baltimore) ; 100(18): e25810, 2021 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-33950984

RESUMO

ABSTRACT: Research that focuses on transfers to and from the intensive care unit (ICU) could highlight important patients' safety issues. This study aims to describe healthcare workers' (HCWs) practices involved in patient transfers to or from the ICU.This cross-sectional study was conducted among HCWs during the Saudi Critical Care Society's annual International Conference, April 2017. Responses were assessed using Likert scales and frequencies. Bivariate analysis was used to evaluate the significance of different indicators.Overall, 312 HCWs participated in this study. Regarding transfer to ICUs, the most frequently reported complications were deterioration in respiratory status (51.4%), followed by deterioration in hemodynamic status (46.5%), and missing clinical information (35.5%). Regarding transfers from ICUs to the general ward, the most commonly reported complications were changes in respiratory status (55.6%), followed by incomplete clinical information (37.9%), and change in hemodynamic conditions (29%). The most-used models for communicating transfers were written documents in electronic health records (69.3%) and verbal communication (62.8%). One-fourth of the respondents were not aware of the Situation, Background, Assessment, Recommendation (SBAR) method of patients' handover. Pearson's test of correlation showed that the HCW's perceived satisfaction with their hospital transfer guidelines showed significant negative correlation with their reported transfer-related complications (r = -0.27, P < .010).Hemodynamic and respiratory status deterioration is representing significant adverse events among patients transferred to or from the ICU. Factors controlling the perceived satisfaction of HCWs involved in patients, transfer to and from the ICU need to be addressed, focusing on their compliance to the hospital-wide transfer and handover policies. Quality improvement initiatives could improve patient safety to transfer patients to and from the ICU and minimize the associated adverse events.


Assuntos
Deterioração Clínica , Cuidados Críticos/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Transferência de Pacientes/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Cuidados Críticos/normas , Estado Terminal/terapia , Estudos Transversais , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva/normas , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Transferência da Responsabilidade pelo Paciente/normas , Transferência da Responsabilidade pelo Paciente/estatística & dados numéricos , Transferência de Pacientes/normas , Guias de Prática Clínica como Assunto , Padrões de Prática Médica/normas , Arábia Saudita , Inquéritos e Questionários/estatística & dados numéricos
15.
Lancet Diabetes Endocrinol ; 9(6): 393-405, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34022157

RESUMO

China has one of the largest populations with obesity in the world, and obesity has become a major challenge for the country's health-care system. Current guidelines for obesity management are not adequately supported by evidence from clinical studies in Chinese populations. Effective lifestyle interventions suitable for Chinese populations are scarce, insufficient weight-loss medications have been approved by regulatory bodies, and there is low acceptance of non-lifestyle interventions (ie, medications and surgery) among both health-care providers and the general public. Large, well designed, and well implemented clinical trials are needed to strengthen the evidence base for the clinical management of obesity in China. Obesity management can be improved through use of a tiered system involving health management centres, integrated lifestyle interventions and medical treatments, strengthened obesity education and training, and use of advanced electronic health technologies. Resource mobilisation, support from major stakeholders for people with overweight or obesity, and education and changes to social norms among the wider public are also needed. National health policies should prioritise both obesity prevention and improvement of the treatment and management of obesity.


Assuntos
Obesidade/terapia , China/epidemiologia , Atenção à Saúde/normas , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Humanos , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Sobrepeso/terapia , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Padrões de Prática Médica/normas , Padrões de Prática Médica/estatística & dados numéricos , Programas de Redução de Peso/métodos , Programas de Redução de Peso/estatística & dados numéricos , Programas de Redução de Peso/provisão & distribuição
16.
J Marital Fam Ther ; 47(3): 551-565, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33818791

RESUMO

As a response to the COVID-19 global crisis, many in the couple/marital and family therapy (CMFT) professional community quickly met the challenge of providing services to clients via telebehavioral health (TBH) services. As this public health emergency endures, family therapists must continue to engage in TBH practice professionally and ethically. The rapid adoption of TBH with minimal training and experience during this public health emergency can result in crises for both individual therapists as well as for the profession in implementing electronic record-keeping, conducting virtual sessions, and communicating online with various clinical populations. The risk of insufficient training and supervision create a challenge to new and experienced family therapists. This article summarizes the work done by the profession thus far to respond to this public health emergency and presents a roadmap of recommendations for navigating those challenges into the future and offers ideas about how to sustain quality TBH practice.


Assuntos
Terapia de Casal , Terapia Familiar , Guias como Assunto , Pessoal de Saúde , Serviços de Saúde Mental , Prática Profissional , Telemedicina , Terapia de Casal/organização & administração , Terapia de Casal/normas , Terapia Familiar/organização & administração , Terapia Familiar/normas , Guias como Assunto/normas , Pessoal de Saúde/educação , Pessoal de Saúde/normas , Humanos , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Prática Profissional/organização & administração , Prática Profissional/normas , Telemedicina/organização & administração , Telemedicina/normas
17.
PLoS One ; 16(4): e0249576, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33886580

RESUMO

BACKGROUND: Effective teamwork is critical for safe, high-quality care in the operating room (OR); however, teamwork interventions have not consistently resulted in the expected gains for patient safety or surgical culture. In order to optimize OR teamwork in a targeted and evidence-based manner, it is first necessary to conduct a comprehensive, theory-informed assessment of barriers and enablers from an interprofessional perspective. METHODS: This qualitative study was informed by the Theoretical Domains Framework (TDF). Volunteer, purposive and snowball sampling were conducted primarily across four sites in Ontario, Canada and continued until saturation was reached. Interviews were recorded, transcribed, and de-identified. Directed content analysis was conducted in duplicate using the TDF as the initial coding framework. Codes were then refined whereby similar codes were grouped into larger categories of meaning within each TDF domain, resulting in a list of domain-specific barriers and enablers. RESULTS: A total of 66 OR healthcare professionals participated in the study (19 Registered Nurses, two Registered Practical Nurses, 17 anaesthesiologists, 26 surgeons, two perfusionists). The most frequently identified teamwork enablers included people management, shared definition of teamwork, communication strategies, positive emotions, familiarity with team members, and alignment of teamwork with professional role. The most frequently identified teamwork barriers included others' personalities, gender, hierarchies, resource issues, lack of knowledge of best practices for teamwork, negative emotions, conflicting norms and perceptions across professions, being unfamiliar with team members, and on-call/night shifts. CONCLUSIONS: We identified key factors influencing OR teamwork from an interprofessional perspective using a theoretically informed and systematic approach. Our findings reveal important targets for future interventions and may ultimately increase their effectiveness. Specifically, achieving optimal teamwork in the OR may require a multi-level intervention that addresses individual, team and systems-level factors with particular attention to complex social and professional hierarchies.


Assuntos
Comunicação , Comportamento Cooperativo , Pessoal de Saúde/psicologia , Relações Interprofissionais , Modelos Teóricos , Salas Cirúrgicas/normas , Equipe de Assistência ao Paciente/organização & administração , Adulto , Atitude do Pessoal de Saúde , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Segurança do Paciente , Papel Profissional , Pesquisa Qualitativa
18.
PLoS One ; 16(4): e0249048, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33886553

RESUMO

Suicide occurs in people of all ages and backgrounds, which negatively affects families, communities, and the health care providers (HCPs) who care for them. The objective of this study was to better understand HCPs' perspectives of everyday ethical issues related to caring for suicidal patients, and their perceived needs for training and/or support to address these issues. We conducted a mixed methods survey among HCPs working in mental health in Québec, Canada. Survey questions addressed their perspectives and experiences of everyday ethical challenges they encounter in their practice with people who are suicidal, and their perceived needs for training and/or support therein. 477 HCPs completed the survey. Most participants mentioned encountering ethical issues when caring for people who are suicidal. The challenges HCPs encounter in their practice with people who are suicidal are numerous, including issues related to maintaining privacy, confidentiality, freedom and the therapeutic relationship. The lack of time, resources and professional support to address these issues was emphasized. Most HCPs reported that the training or education they have received does not allow them to address everyday ethical issues related to suicide care. In sum, there is a clear reported need for better training and support for HCPs who are offering care to people who are suicidal in relation to everyday ethical issues they encounter. Implications for practice include providing greater access to training, including access to specialists in ethics to address specific issues. This additional support could alleviate morally distressing situations for HCPs.


Assuntos
Ética Médica , Pessoal de Saúde/ética , Suicídio/ética , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Humanos , Serviços de Saúde Mental/ética , Serviços de Saúde Mental/normas , Inquéritos e Questionários
19.
AMA J Ethics ; 23(3): E265-270, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33818379

RESUMO

Increasing focus on health equity is placing a spotlight on health professionals' roles. Recent public health crises-the opioid epidemic, maternal mortality, and the COVID-19 pandemic-have renewed focus on racial and ethnic inequity and underscored that trust is foundational to public health and health professionalism. Organizational, system, and policy reform demand that professionalism be redefined in terms of its capacity to motivate equity in health professions education and clinical practice.


Assuntos
Equidade em Saúde , Pessoal de Saúde/normas , Profissionalismo/ética , Saúde Pública/ética , Humanos , Papel (figurativo) , Responsabilidade Social
20.
Healthc Q ; 24(1): 44-49, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33864440

RESUMO

Pandemics are associated with heightened distress among healthcare workers (HCWs). We report qualitative findings from a two-stage survey administered to HCWs at a large acute care hospital in Ontario during the COVID-19 pandemic to identify their concerns and wellness needs. Responses reflected HCWs' desires to be heard, protected, prepared, supported and cared for by the organization. HCWs' concerns were diverse and dynamic, reflecting the specific circumstances of their work and personal lives as well as the shifting landscape of the pandemic. We discuss implications for organizations seeking to promote and protect HCWs' psychological well-being and resilience during pandemics.


Assuntos
COVID-19/epidemiologia , Pessoal de Saúde/psicologia , COVID-19/prevenção & controle , COVID-19/terapia , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Humanos , Doenças Profissionais/prevenção & controle , Doenças Profissionais/psicologia , Recursos Humanos em Hospital/psicologia , Recursos Humanos em Hospital/normas , Recursos Humanos em Hospital/estatística & dados numéricos , Inquéritos e Questionários
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