Journal of hospital management and health policy最新文献

{"title":"“We need a little help”: a qualitative study on distress and coping among pediatric medical interpreters","authors":"Paulina S. Lim, Amy Olen, Josie K. Carballido, Brynn M. LiaBraaten, Sheridan R. Sinnen, Kathryn A. Balistreri, Julia B Tager, Charles B Rothschild, M. Scanlon, W. Davies, Kristin Nordness","doi":"10.21037/jhmhp-22-23","DOIUrl":"https://doi.org/10.21037/jhmhp-22-23","url":null,"abstract":"Background: Pediatric medical interpreters facilitate communication among patients, families, and clinicians across linguistic and cultural barriers in high acuity, distressing medical encounters. Few studies explore distress among trauma interpreters, and even less research exists on distress and supports for coping among pediatric medical interpreters. Further research is important given the likely risk of secondary traumatic stress and burnout in this population, especially among interpreters working in high-acuity medical settings. This study explores distress among pediatric medical interpreters, available supports and resources for coping with distress, barriers to accessing support, and further resource needs. Methods: Thirteen Spanish-English interpreters at a midwestern pediatric hospital completed a demographic survey and one-on-one virtual semi-structured interviews. Participants were asked about contributors to distress, experiences accessing resources for coping with distress, coping strategies they employed, and suggestions about resources needed to help manage distress. Interviews were qualitatively coded using inductive thematic analysis. Results: Interpreters described that encounter type, setting, presence of emotional content, interpreter role, feeling uncertain or unprepared, consecutive consults, and consults related to their own life contribute to distress. Resources used for coping with distress were organizational (e.g., training programs), interpersonal (e.g., manager support), and intrapersonal (e.g., focus on interpreting). Interpreters shared challenges to accessing supports (e.g., employment status, exclusion from medical team debriefings). Interpreters suggested resources such as support groups, team debriefs, and training to facilitate coping with distress. four-step cognitive process interpreters use to analyze, retain, convert and render content from one language to another, which often includes visualizing and conveying the emotions of the content in their interpretation (6,15,16). Additionally, identification with the client’s trauma may increase when interpreters use the first-person perspective when interpreting (8,15) and if the patient and the interpreter are from the same community (17). Other strains on interpreters are a lack of boundaries and changing or confusing role expectations among the parties interpreters serve (18); strict expectations of objectivity and neutrality; that interpreters are viewed as tangential to the treating team, leading to feelings of isolation and frustration; and the perception that other clinicians do not believe interpreters are impacted by the stress of working with clients who have experienced trauma (10,15,19). Therefore, there is a clear need to provide interpreters with supports and resources to effectively manage the distress they may experience during and after high-stress encounters. Although studies have empirically noted burnout and secondary traumatic stress among","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48324147","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 COVID micro-areas for asymtomatic or paucisymptomatic patients hospitalized in Azienda Ospedaliera Universitaria Pisana (AOUP, Italy)","authors":"A. Baggiani, M. Cristofano, A. Porretta, M. Totaro, N. Zotti, Chiara Terrenzio, S. Civitelli, Giulia Geminale, David Rocchi, Francesca Di Serafino, E. Lucaccini, G. Gemignani, C. Rizzo, Federico Gelli, G. Luchini, S. Briani","doi":"10.21037/jhmhp-22-82","DOIUrl":"https://doi.org/10.21037/jhmhp-22-82","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44870452","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":"Shaping tomorrow’s healthcare systems: key stakeholders’ expectations and experiences","authors":"S. O’Connor, N. Borkowski, Katherine A Meese","doi":"10.21037/jhmhp-22-60","DOIUrl":"https://doi.org/10.21037/jhmhp-22-60","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44361081","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":"Strategies for enriching the resident, fellow, and faculty physician experience: a system-based approach to physician well-being","authors":"Lauren A. Peccoralo, Michelle S Tong, Sabrina Kaplan, J. Ripp, S. Akhtar","doi":"10.21037/jhmhp-22-47","DOIUrl":"https://doi.org/10.21037/jhmhp-22-47","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42750455","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":"Pragmatic healthcare reform before the next pandemic","authors":"James Maroulis, T. Mackey","doi":"10.21037/jhmhp-22-38","DOIUrl":"https://doi.org/10.21037/jhmhp-22-38","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45297868","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":"Predicting diabetes and ENT emergency department admissions using hospital records","authors":"Adam Ott, B. Zabriskie, Brian Hartman","doi":"10.21037/jhmhp-22-3","DOIUrl":"https://doi.org/10.21037/jhmhp-22-3","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47119686","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":"Understanding the dynamics of non-clinical staff reallocation to clinical practice during the first wave of COVID-19—a qualitative study","authors":"R. L. R. Johansen, Anita Sørensen, Mads S. Langelo, K. H. Mikkelsen, Christina Emme","doi":"10.21037/jhmhp-22-14","DOIUrl":"https://doi.org/10.21037/jhmhp-22-14","url":null,"abstract":"Background: During the coronavirus disease 2019 (COVID-19) pandemic one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how such a strategy is executed and knowledge of potential moderating factors is essential to improve future staff contingency plans. The aim of this study was to explore the dynamics of reallocating non-clinical staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. Methods: This was a qualitative study based on six individual semi-structured interviews with non-clinical staff who were reallocated during the first wave of the COVID-19 pandemic, and eight interviews with leaders from departments reallocating staff. Data was analyzed using inductive content analysis. Results: The results showed that implementation of a staff contingency plan is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Even though staff felt obligated and motivated to work and intended to cover shifts, reallocation was influenced by several other factors related to the contingency plan set-up, how the contingency plan and roles were interpreted by staff and leaders, how the leaders prioritized tasks and staff time, and the feeling of psychological safety. We found that staff and leaders interpreted the contingency plan in a social context, navigated the system, and made individual adjustments. Conclusions: This study sheds light on the dynamics of a reallocation process of non-clinical staff during the first wave of the COVID-19 pandemic. Reallocation is affected by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of crisis and to improve staff experience with reallocation. © 2022 The authors.","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45384534","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":"Analysis of dual degree, gender, and specialty on obtaining leadership positions in academic settings: a multi-institutional study","authors":"Daniel Azzam, Ajay N. Sharma, L. Meller, Brenda Noarbe, Kristi Chin, Jenny Torres, S. N. Sharma, Warren Wiechmann","doi":"10.21037/jhmhp-21-91","DOIUrl":"https://doi.org/10.21037/jhmhp-21-91","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47737229","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":"The impact of Hospital Readmission Reduction Program on chronic obstructive pulmonary disease risk factors: a systematic review","authors":"Aurora Tafili, H. Hamadi, Larry R. Hearld","doi":"10.21037/jhmhp-22-41","DOIUrl":"https://doi.org/10.21037/jhmhp-22-41","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47097903","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":"Addressing financial toxicity in oncology care.","authors":"Steven S Coughlin, Justin Xavier Moore, Jorge E Cortes","doi":"10.21037/jhmhp-20-68","DOIUrl":"10.21037/jhmhp-20-68","url":null,"abstract":"","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":"5 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/ea/nihms-1669853.PMC8452270.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39437739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}