Aims: The aim of this study was to measure the degree of similarity of attitudes on collaboration between nurses and junior doctors (known as residents in the United States) in the ICU.
Background: Existing research shows that nurses and physicians view the amount of teamwork they experience in the ICU differently though the attitudes of junior doctors and critical care nurses on collaboration remain unknown.
Methods: Thirty-one nurses and 46 junior doctors completed a modified version of the Baggs Collaboration and Satisfaction about Care Decisions instrument during 2006-2007 in a 24 bed medical/surgical ICU in the northeastern United States. Score responses of nurses and junior doctors were compared with the Wilcoxon (Mann-Whitney) rank-sum test.
Results/findings: Nurses consistently gave more negative responses on every survey question than junior doctors. While nurses said that the amount of collaboration was inadequate, junior doctors were satisfied and views between groups were most divergent (P < 0.01) on questions about overall satisfaction with team decisions.
Conclusions: Nurses and junior doctors held very different views on the amount of collaborative teamwork that occurs in the ICU. Junior doctors' views are similar to those of more experienced physicians observed in previous studies.
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http://dx.doi.org/10.1111/j.1365-2648.2011.05616.x | DOI Listing |
J Res Nurs
January 2025
Ophthalmologist, Department of Ophthalmology, Westmead Hospital, Westmead, NSW, Australia.
Background: COVID-related clinic shutdowns mandated the use of a day 1 telephone follow-up the day after routine cataract surgery rather than clinic attendance. We investigated to see if this is a safe alternative to standard care.
Methods: Ninety-nine patients who underwent a routine cataract extraction between 22 April 2020 and 19 August 2020 at our Hospital were included in this audit.
J Med Life
December 2024
King Fahad Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia.
Efforts to improve healthcare services have been ongoing, particularly in equipping emergency departments (EDs) to handle pediatric cases. However, many EDs continue to lack specialized equipment and adequately trained personnel, exposing children to significant health risks. This study aimed to identify self-reported barriers among emergency physicians in managing pediatric patients and assess their confidence levels in pediatric care.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Background: Uncertainty in the diagnosis of lung nodules is a challenge for both patients and physicians. Artificial intelligence (AI) systems are increasingly being integrated into medical imaging to assist diagnostic procedures. However, the accuracy of AI systems in identifying and measuring lung nodules on chest computed tomography (CT) scans remains unclear, which requires further evaluation.
View Article and Find Full Text PDFThromb Res
January 2025
Thrombosis Research Group, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; YNHH/Yale Center for Outcomes Research and Evaluation (CORE), New Haven, CT, USA; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:
Background: Isolated subsegmental pulmonary embolism (issPE) is a commonly encountered diagnosis. Although the International Classification of Diseases (ICD)-10 codes are used for research, their validity for identifying issPE is unknown. Moreover, issPE diagnosis is challenging, and the findings from radiology reports may conflict with those from expert radiologists.
View Article and Find Full Text PDFBr J Hosp Med (Lond)
January 2025
Chemical Pathology and Metabolic Medicine, The Lister Hospital, Stevenage, UK.
Advanced life support certification has traditionally been the gold standard of resuscitation training for doctors and has been shown to improve outcomes from cardiac arrest. In 2021, Health Education England removed named courses from mandatory Foundational Programme competencies, which has resulted in capping of reimbursement and reduced access to courses. This represents a drop in educational standards which is particularly concerning when the medical school curriculum has been shown to deliver inconsistent, poor-quality resuscitation training.
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