Journal of the Royal Society of Medicine, Год журнала: 2023, Номер 116(12), С. 433 - 436
Опубликована: Дек. 1, 2023
Язык: Английский
Infection Control and Hospital Epidemiology, Год журнала: 2025, Номер unknown, С. 1 - 2
Опубликована: Янв. 2, 2025
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Язык: Английский
Процитировано
0
Infection Control and Hospital Epidemiology, Год журнала: 2025, Номер unknown, С. 1 - 7
Опубликована: Фев. 14, 2025
Abstract Objective: Resilience of the healthcare system has been described as ability to absorb, adapt, and respond stress while maintaining provision safe patient care. We quantified impact that stressors associated with COVID-19 pandemic had on safety, measured by central line-associated bloodstream infections (CLABSIs) reported Centers for Disease Control Prevention’s National Healthcare Safety Network. Design: Acute care hospitals were mandated report markers resource availability (staffing hospital occupancy inpatients) federal government between July 2020 June 2021. These data used community levels develop a statistical model assess factors influencing rates CLABSIs among inpatients during pandemic. Results: After risk adjustment characteristics, increased CLABSIs. Staff shortages more than 10% days per month statistically significant increase 2 10,000 line versus reporting staff less month. higher inpatient rate; when was 20% or more, there 5 referent (less 5%). Conclusions: Reporting pertaining operations afforded an opportunity evaluate resilience US hospitals. demonstrate how staffing high numbers patients negatively impacted demonstrating poor resilience. Understanding in may allow development policies support drive
Язык: Английский
Процитировано
0
Cureus, Год журнала: 2025, Номер unknown
Опубликована: Март 19, 2025
Purpose: To explore the association between leadership styles and resilience of anesthetists in roles. Methodology: This prospective study all roles within a university teaching hospital Melbourne, Australia, employed three validated, anonymous questionnaires (Multifactor Leadership Questionnaire, Authentic Resilience Scale). Questionnaire data were summarized using descriptive statistics presented as counts proportions. Spearman's rank correlation was used to evaluate quantitative continuous variables identify linear relationships. Results: Of 14 roles, completed (response rate 100%). Ten participants (71.5%) displayed behaviors consistent with transformational leadership. Three (21.4%) typically associated transactional leadership, one (7.1%) exhibited characteristics passive-avoidant Anesthetists significantly higher scores than those or styles. Those qualities also had increased job satisfaction overall. Conclusion: who exhibit authentic are likely be more resilient Higher levels greater role effectiveness experiencing satisfaction.
Язык: Английский
Процитировано
0
Oral Surgery Oral Medicine Oral Pathology and Oral Radiology, Год журнала: 2024, Номер 138(1), С. e1 - e12
Опубликована: Фев. 12, 2024
PurposeThis article outlines the management of a rare and severe nasoorbital injury resulting from chainsaw kickback accident in 60-year-old male. A meta-narrative review English, French, German literature indexed PubMed, Embase, Cochrane Library up to January 8, 2024, accompanies case report.MethodsThis was report combined with comprehensive based on 2011 Oxford Centre for Evidence-Based Medicine's highest most recent level evidence (LoE) recommendation grade (RG). Rigorous selection criteria were applied.ResultsThe patient had an open nasal fracture, complex lacerations, avulsion left eyelid, lateral orbital wall rectus muscle. Staged surgical interventions comprised repositioning fixation fractured nose, buccal mucosal grafting mucosa conjunctiva repair, titanium mesh polydioxanone sheet reconstruction, subsequent muscle eyelid repair. The second intervention three months post-surgery addressed ectropion, dorsal hump, nasolacrimal system issues. Despite rarity such injuries, evidence-based discussions conducted.ConclusionsComplex trauma necessitates meticulous, staged approach. inside-out technique proved effective addressing various challenges. This concludes recommendations, highlighting importance adapting established principles unique nature these injuries.
Язык: Английский
Процитировано
2
BMC Medical Education, Год журнала: 2024, Номер 24(1)
Опубликована: Июль 2, 2024
Abstract Background Point-of-Care Ultrasound (POCUS) consists of a range increasingly important imaging modalities across variety specialties. Despite accreditation pathways available in the UK, lung POCUS training remains difficult to deliver and rates remain suboptimal. We describe multidisciplinary, multi-centre, multi-pronged approach education within region. Methods A survey was conducted From these results, bottlenecks were identified for improvement. utilised key stages an established pathway, Action Learning process. Analysing participant feedback, consensus amongst team, regional educational needs, leveraging expertise faculty, we implemented several solutions which multi-pronged. also set up database facilitate supervision assessment rotational trainees. Results Utilising process, improvements at elements ultrasound pathways. An initial barriers accreditation: lack courses (52%), mentors (93%), difficulty arranging directly supervised scans (73%). multidisciplinary team trainers assembled. Regular organised altered based on feedback anecdotal needs Courses continuing professional development exchange knowledge ideas trainers. The barrier removed through organisation regular sessions, facilitating fifty per half day trainer. collected from optimised them. Remote mentoring platforms encourage asynchronous supervision. collated triggered assessments. These approaches promoted conducive environment commitment learning. Repeat results support this. Conclusion Lung complex pathway. framework, recruiting ensuring approach, fostering learning can improve success.
Язык: Английский
Процитировано
2
International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(11), С. 1409 - 1409
Опубликована: Окт. 24, 2024
This study enhances the understanding of resilience in forced migration through a psychological lens, highlighting importance identifying determinants and evidence-based interventions. By fostering resilience, policymakers practitioners can support well-being adaptive capacities forcibly displaced Ukrainians, promoting recovery, social integration, positive long-term outcomes for affected individuals communities. To determine key indicators, survey data were collected 2023 from
Язык: Английский
Процитировано
1
BMJ Open, Год журнала: 2024, Номер 14(11), С. e089054 - e089054
Опубликована: Ноя. 1, 2024
Introduction Hospitals are vital infrastructures that provide health services during emergencies and disasters. However, in recent years, disasters have led to hospital losses interruptions medical services. Consequently, the concept of resilience has garnered significant attention. Despite extensive research, lack clarity explaining poses challenges effective assessment identifying key priorities for enhancing disaster risk management. Recently, WHO’s Eastern Mediterranean Regional Office (EMRO) introduced a conceptual framework conceptualisation resilience, defining it through six interconnected components four capacities. Identifying specific indicators characteristics based on EMRO framework. This protocol outlines method conducting scoping review identify such develop comprehensive tool. Methods analysis will adhere six-step proposed by Arksey O’Malley. It aims comprehensively understand current knowledge about resilient assessing resilience. The encompass available articles indexed PubMed, Scopus Web Science. Additionally, searches explore grey literature Google Scholar, website regional offices. There be no publication date restrictions applied search. Quantitative qualitative content analyses assess categorise study results. Our was drafted using Preferred Reporting Items Systematic Reviews Meta-analysis Protocols extension reviews. Ethics dissemination describes within doctoral thesis focused disasters, specifically study, associated with ethics code number (IR.USWR.REC.1402.120), tool Once peer-reviewed published, findings inform experts, policymakers relevant organisations emergency
Язык: Английский
Процитировано
1
Journal of Health Organization and Management, Год журнала: 2024, Номер 39(9), С. 1 - 15
Опубликована: Дек. 17, 2024
Purpose Local health systems form the basis for system resilience. Leaders’ standpoints are crucial in advancing resilience capacities and change. This study analysed how local leaders’ approaches to change reflect capacities. Furthermore, we explored what triggers hinders during a crisis. Design/methodology/approach The data consist of purposively sampled interviews with 14 Finnish leaders COVID-19 pandemic. Using abductive content analysis, examples resisting, absorbing, adapting transforming were identified. Contextual hindrances initiation processes support understanding at level. Findings Resilience manifested by doing standard things faster (absorption), engaging collaborative reflections (adaptation) reforming organisational boundaries services (transforming). “Resisting” leaned on varied levels reflection, mixed responses. Triggers situationally highlighted roles changing operational environment, existing practices social dimension (e.g. building shared understanding). Originality/value their rarely focus attention system-centred conceptualisations awareness can affect responses should be more clearly acknowledged theoretical frameworks, leadership training, preparedness planning crisis governance. Health intertwined, nonlinear that reshaped throughout Analysis resistance enrich local-level processes.
Язык: Английский
Процитировано
0
Journal of the Royal Society of Medicine, Год журнала: 2023, Номер 116(12), С. 433 - 436
Опубликована: Дек. 1, 2023
Язык: Английский
Процитировано
1