{"title":"Examining Psychological Well-Being and Predictors of Burnout in Registered Nurses (RNs) Employed in Rural Acute Care Settings.","authors":"Kristy Chunta, Meigan Robb, Riah Hoffman, Michele Gerwick, Nashat Zuraikat","doi":"10.1080/00185868.2024.2422120","DOIUrl":"https://doi.org/10.1080/00185868.2024.2422120","url":null,"abstract":"<p><p>This mixed-methods study examined the psychological well-being of registered nurses (RNs) working in a rural, acute care setting. The study used four instruments that measured anxiety, depression, stress, and burnout to determine psychological well-being. Data collection also included a demographic questionnaire and two open-ended questions. The quantitative findings of this mixed-methods study will be shared. The results found that participants experienced burnout, anxiety, depression, and stress. Using a post-pandemic lens this manuscript will discuss necessary traits that can be used by nurse leaders to initiate change, make improvements, and effectively prepare for the next healthcare crisis.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-15DOI: 10.1080/00185868.2024.2408533
Zerubabbel K Asfaw, Priscilla Loanzon, Joseph P Mathew, Zahraa F Al-Sharshahi, Konstantinos Margetis, Jignesh S Patel, Ernest J Barthélemy
{"title":"Proning for COVID-19 Patients: A Task-Shifting Feasibility Study.","authors":"Zerubabbel K Asfaw, Priscilla Loanzon, Joseph P Mathew, Zahraa F Al-Sharshahi, Konstantinos Margetis, Jignesh S Patel, Ernest J Barthélemy","doi":"10.1080/00185868.2024.2408533","DOIUrl":"https://doi.org/10.1080/00185868.2024.2408533","url":null,"abstract":"<p><p>The COVID-19 crisis severely impacted healthcare centers in the pandemic's epicenter. The shortage of healthcare workers (HCW) frequently utilized for complex interventions in the intensive care unit (ICU), such as proning for acute respiratory distress syndrome (ARDS), inspired a team of ICU professionals to implement a task-shifting initiative. Thirty-three HCW from various departments participated in the training. The interdisciplinary team performed multiple proning sessions on 90 patients with COVID-19-related ARDS. Participants indicated that the training session equipped them with adequate skills to safely prone patients. The training emphasized effective teamwork and communication while also increasing trainees' awareness of proning benefits.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-06DOI: 10.1080/00185868.2024.2410340
Reece Davis, Thomas Shaw
{"title":"Addressing Shortages in Nursing with Male Representation: A Literature Review.","authors":"Reece Davis, Thomas Shaw","doi":"10.1080/00185868.2024.2410340","DOIUrl":"https://doi.org/10.1080/00185868.2024.2410340","url":null,"abstract":"<p><p>The nursing shortage in the US and all over the world continues to skyrocket. An untapped channel of recruitment that some are considering is men in the nursing profession. Currently a large disparity exists in the representation of men in nursing causing issues with quality of care, diversity, and staffing. Research suggests that nursing recruitment should occur before licensure in order to better address gender stereotypes and prejudice. Early exposure is revealed as a defining factor in enticing men into the profession. Further research reveals that issues related to nurse educator staffing must first be considered to include more men into the profession. Without nurse educators, schools are unable to increase class sizes and admit more men into programs.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-01Epub Date: 2022-08-27DOI: 10.1080/00185868.2022.2116375
Serkan Deniz, Mesut Çimen
{"title":"The Mediating Role of Work Alienation in the Effect of Workplace Ostracism on Employee Voice.","authors":"Serkan Deniz, Mesut Çimen","doi":"10.1080/00185868.2022.2116375","DOIUrl":"10.1080/00185868.2022.2116375","url":null,"abstract":"<p><p>The aim of this study was to determine the mediating role of work alienation in the effect of workplace ostracism on employee voice. The research was conducted between 11 December 2020 and 27 April 2021 in Istanbul, Turkey. The research data were collected from employees of private hospitals in Istanbul. The research showed that workplace ostracism has a positive effect on work alienation. It was also determined that both workplace ostracism and work alienation negatively affect employee voice. Finally, it was established that work alienation has a mediating role in the effect of workplace ostracism on employee voice.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"213-222"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33445471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disease Severity in Vaccinated Adults Hospitalized with Breakthrough COVID-19.","authors":"Arkadiy Finn, Vijairam Selvaraj, Atin Jindal, Joshua R Tanzer, Amos Lal, Kwame Dapaah-Afriyie","doi":"10.1080/00185868.2022.2118093","DOIUrl":"10.1080/00185868.2022.2118093","url":null,"abstract":"<p><p><b>Background:</b> Vaccination against SARS-CoV-2 is widely used and confers protection against morbidity and mortality in COVID-19. Little is known about disease severity and outcomes in fully vaccinated patients during hospitalization for COVID-19. <b>Aim:</b> To determine whether vaccination status and time from vaccination-to-hospitalization impacted disease severity in patients admitted with COVID-19. <b>Methods:</b> A multicenter retrospective cohort study was conducted on hospitalized adults with COVID-19 between January 1 and September 8, 2021, in Rhode Island, USA. Vaccination status and markers of disease severity, including C-reactive protein, D-Dimer values, and supplemental oxygen use during hospitalization, were obtained. <b>Results:</b> Two thousand three hundred forty-four patients were included. For every vaccinated patient, three unvaccinated patients were matched for a total of 424 patients in the analytic sample. Vaccinated patients had lower peak C-reactive protein (beta = -39.10, 95% CI [-79.10, -0. 65]) and supplemental oxygen requirements (beta = -38.14, 95% CI [-61.62, -9.91]) compared to unvaccinated patients. Patients who had a greater discrepancy between date of vaccination and admission had higher C-reactive protein (beta = 0.37, 95% CI [0.02, 0.71]) and supplemental oxygen requirements (beta = 0.44, 95% CI [0.15, 0.75]. <b>Conclusion:</b> Vaccination against SARS-CoV-2 was associated with a protective effect on disease severity during hospitalization for breakthrough COVID-19. Time elapsed since vaccination was associated with indicators of greater disease severity suggestive of waning protection over time.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"223-230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33468156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-01Epub Date: 2022-08-25DOI: 10.1080/00185868.2022.2114966
Amin Reza Tabatabaei, Elham Moazam, Asal Sadat Niaraees Zavare
{"title":"Implementation of the Hospital Incident Command System during COVID-19 Pandemic; Experience from an Iranian Reference Hospital.","authors":"Amin Reza Tabatabaei, Elham Moazam, Asal Sadat Niaraees Zavare","doi":"10.1080/00185868.2022.2114966","DOIUrl":"10.1080/00185868.2022.2114966","url":null,"abstract":"<p><p><b>Introduction:</b> There is growing popularity of the Hospital Incident Command System (HICS) as an organizational tool for hospital management in the COVID-19 pandemic. We specifically describe implementation of HICS at the Isfahan province reference hospital (Isabn-e-Maryam) during the COVID-19 pandemic and try to explore performance of it. <b>Methods:</b> To document the actions taken during the COVID-19 pandemic, standard, open-ended interviews were conducted with individuals occupying activated HICS leadership positions during the event. A checklist based on the job action sheets of the HICS was used for performance assessment. <b>Results:</b> With the onset of the pandemic, hospital director revised ICS structure that adheres to span of better control of COVID-19. Methods of expanding hospital inpatient capacity to enable surge capacity were considered. The highest performance score was in the field of planning. Performance was intermediate in Financial/Administration section and good in other fields<b>. Discussion:</b> In the current COVID-19 pandemic, establishing HICS with some consideration about long-standing events can help improve communication, resource use, staff and patient protection, and maintenance of roles.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-01Epub Date: 2022-11-08DOI: 10.1080/00185868.2022.2140092
Silvia Surrenti
{"title":"Observing the Outpatient-Waiting Experience in a Day Hospital Setting: Qualitative Exploration.","authors":"Silvia Surrenti","doi":"10.1080/00185868.2022.2140092","DOIUrl":"10.1080/00185868.2022.2140092","url":null,"abstract":"<p><p>The space-time design of hospital care services is still an underdeveloped topic in sociological and medical literature. The article explores the social affordances inscribed in the space-time design of a hospital outpatient waiting room in relation to people care engagement and emotional comfort. The aim is to extend considerations to the broader context of relational and person-centered care. Observations employed of participants in the field study have a two-fold focus. One is 'waiting' for a service or a person, and the other is 'expecting' something or someone from a service. 'Multisensory-scape' and 'Self-less subject' are two metaphors I have adopted to describe the in field patient waiting experience. In the first case, people's perception of hospital staff seeing and hearing them is central to observation in the care path. The second case is instead the result of people feeling a loss of identity when there is a time-mismatch between daily life routines and hospital organization rules. It is fundamental to consider the impact on people's waiting experience because citizens and patients trace their feelings of 'being taken into charge' and 'continuity of care' back to the emotional comfort experienced the first moment they accessed the space-time design of hospital services.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"250-260"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10631285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-01Epub Date: 2022-09-06DOI: 10.1080/00185868.2022.2118094
Hengameh Hosseini
{"title":"Optimizing Falls-related Planning and Intervention for Nursing Facilities by Ownership Type.","authors":"Hengameh Hosseini","doi":"10.1080/00185868.2022.2118094","DOIUrl":"10.1080/00185868.2022.2118094","url":null,"abstract":"<p><p>Falls among older adults are a major public health concern: They result in $30 billion in direct US healthcare costs annually and take an immense psychological and physical toll on older adults. Particularly concerning are falls in nursing home settings, which account for three times as many falls in adults over 65 than in any other setting. <b>Objectives:</b> We hypothesized that tailoring falls prevention and response plans to nursing home profit model (for- or nonprofit) and ownership type (public, private, franchise) would greatly improve effectiveness of general plans. <b>Methods:</b> To this end, we extracted data from existing government databases, collected qualitative data through structured interviews with home employees, and collected novel quantitative data through web surveys from a representative sample of 40 Pennsylvania nursing homes about prevention and mitigation protocols, population, and facility characteristics, and falls outcome metrics. We analyzed fall-related risk factors that we scored and used to build multivariate logistic regression models to predict falls rates, and subsequently used to build multilevel logistic regression multivariate models to pinpoint the influence of facility type. <b>Results:</b> We found a significant correlation between facility ownership and profit type and falls rates and outcomes. <b>Conclusions:</b> Armed with these analytical insights, we formulated improved falls prevention plans targeted to home types to achieve better falls outcomes as predicted by the models. Finally, we quantify the predicted impact of implementing these targeted plans on fall rates and outcomes in the homes in our study.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"231-236"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40354194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital TopicsPub Date : 2024-10-01Epub Date: 2023-03-02DOI: 10.1080/00185868.2022.2121796
Suzanne J Wood, Douglas Conrad, David Grembowski, Norma B Coe, Paul Fishman, Elin Teutsch
{"title":"Medicaid Integrated Purchasing for Physical and Behavioral Health: Early Adopters' Perceptions of Payment Reform Implementation in Washington State.","authors":"Suzanne J Wood, Douglas Conrad, David Grembowski, Norma B Coe, Paul Fishman, Elin Teutsch","doi":"10.1080/00185868.2022.2121796","DOIUrl":"10.1080/00185868.2022.2121796","url":null,"abstract":"<p><p>The Centers for Medicare and Medicaid Innovation (CMMI) gave rise to the State Innovation Models (SIMs). Medicaid Integrated Purchasing for Physical and Behavioral Health, referred to as Payment Model 1 (PM1), was a core payment redesign area of the Washington State SIM project under which our research team was contracted to provide an evaluation. In doing so, we leveraged an open systems conceptual model to assess qualitatively Early Adopter stakeholders' perceived effects of implementation. Between 2017 and 2019, we conducted three rounds of interviews, examining themes of care coordination, common facilitators and barriers to integration, and potential concerns for sustaining the initiative into the future. Further, we noted the initiative's complexity may require the establishment of enduring partnerships, secure funding sources, and committed regional leadership to ensure longer-term success.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"237-249"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9380190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Nursing Resource during the Covid 19 Pandemic: Lessons on the Ground.","authors":"Navneet Dhaliwal, Ashok Kumar, Ranjit Pal Singh Bhogal, Shweta Talati, Pankaj Arora","doi":"10.1080/00185868.2022.2111983","DOIUrl":"10.1080/00185868.2022.2111983","url":null,"abstract":"<p><p>During the covid 19 pandemic, management of nursing resource which forms the crux of patient care emerged as one of the major challenges amongst many. The strategies for staff mobilization, redeployment and recruitment, along with laying down standard operating procedures evolved as the pandemic progressed. The safety of the staff has to be a major focus area. Guidelines for covid duty exemption, orientation and training of staff must be drafted, reviewed and revised as required. Issues related to accommodation, psychosocial support and wellbeing have to be addressed. It is very important to adapt to the ever changing needs for nursing resource and be vigilant for emerging issues for an effective response to the pandemic.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"201-205"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}