Journal articles: 'Non-medical medical staff'

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Rahmanian, Mohammad, Ali Reza Kamali, Hadi Mosalanezhad, Mahdi Foroughian, Navid Kalani, Naser Hatami, Mohammad Heidarnezhad, Esmaeal Rayatdoost, and Samaneh Abiri. "A Comparative Study on Anxiety of Medical and Non-medical Staff due to Exposure and Non-exposure ‎to the Novel Coronavirus Disease." Journal of Arak University Medical Sciences 23, no. 5 (December 1, 2020): 710–23. http://dx.doi.org/10.32598/jams.23.cov.3577.3.

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Background and Aim: The recent Coronavirus Disease 2019 (COVID-19) outbreak has caused a lot of stress and anxiety in the world. Given that health care workers are at the forefront of fighting against COVID-19, they are the first to be exposed to this disease. Methods & Materials: This is a descriptive cross-sectional study conducted on 402 medical and administrative staff working in hospitals and health centers affiliated to Jahrom University of Medical Sciences in 2020. Data collection tools were a demographic form and the Corona Disease Anxiety Scale (CDAS). Ethical Considerations: This study was approved by the Vice-Chancellor for Research of Jahrom University of Medical Sciences (Code: IR.JUMS.REC.1399.046). Results: The mean score of psychological symptoms of anxiety in the medical staff (46.91) was higher than in the administrative staff (42.63). Its physical symptoms were also higher in the clinical staff (12.80) compared to the administrative staff (10.94). There was a significant difference between the clinical and administrative staff in terms of anxiety (P=0.030). Conclusion: Medical staff has higher psychological and physical symptoms of anxiety compared to the non-medical staff during the COVID-19 outbreak. Therefore, in order to reduce the anxiety of medical staff, health policymakers should take the necessary measures to take care of this group.

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Okuda, Yukako, Shinichi Iwasaki, Yasuhiko Deguchi, Tomoko Nitta, Tomoe Mitake, Aya Sakaguchi, Akihiro Niki, and Koki Inoue. "Burnout and occupational stressors among non-medical occupational health staff." Occupational Medicine 70, no. 1 (December 20, 2019): 45–51. http://dx.doi.org/10.1093/occmed/kqz160.

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Abstract Background The work required to assist individuals in improving their mental health is stressful and known to be associated with burnout. In Japanese companies, non-medical occupational health (OH) staff often take the role of maintaining and improving workers’ mental health. However, few studies have examined burnout in this population. Aims To assess the relationship between burnout and occupational stressors among non-medical OH staff. Methods We conducted a cross-sectional study of OH staff who had participated in mental health seminars between 2016 and 2018. Occupational stressors were assessed using the Japanese version of the Job Content Questionnaire. Burnout was assessed using the Japanese version of the Maslach Burnout Inventory. Results We administered the survey to 230 non-medical OH staff, of which 188 completed the questionnaire. According to a hierarchical multiple linear regression analysis, high job demands were associated with greater emotional exhaustion, depersonalization and personal accomplishment. Greater job control was associated only with higher personal accomplishment. Lower job support was associated with greater emotional exhaustion and depersonalization. Conclusions The present study found relationships between occupational stressors and burnout dimensions among OH staff. To avoid burnout among non-medical OH staff, it is important to take measures against occupational stressors, especially job demands and low levels of job support.

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Chiang, Ting-Wei, Si-Yu Chen, Yuan-Chien Pan, and Yu-Hsuan Lin. "Automatic Work-Hours Recorder for Medical Staff (Staff Hours): Mobile App Development." JMIR mHealth and uHealth 8, no. 2 (February 25, 2020): e16063. http://dx.doi.org/10.2196/16063.

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Background There are numerous mobile apps for tracking work hours, but only a few of them record work hours automatically instead of relying on manual logging. No apps have been customized for medical staff, whose work schedules are highly complicated as they have both regular hours and on-call duties. Objective The specific aims of this study were to (1) identify the Staff Hours app users’ GPS-defined work hours, (2) examine the overtime work hours from the app-recorded total work hours and the participants’ self-reported scheduled work hours, and (3) compare these app-recorded total work hours among different occupations. Methods We developed an app, Staff Hours, to automatically calculate a user’s work hours via GPS background data. Users can enter their scheduled hours, including regular hours and on-call duties. The app automatically generates overtime reports by comparing the app-recorded total work hours with the user-defined scheduled hours. A total of 183 volunteers (60 females and 123 males; mean age 32.98 years, SD 6.74) were included in this study. Most of the participants (162/183, 88.5%) were medical staff, and their positions were resident physicians (n=89), visiting staff (n=38), medical students (n=10), registered nurses (n=25), and non–health care professionals (non-HCPs; n=21). Results The total work hours (mean 55.69 hours, SD 21.34) of the 183 participants were significantly higher than their scheduled work hours (mean 50.67 hours, SD 21.44; P=.01). Medical staff had significantly longer total work hours (mean 57.01 hours, SD 21.20) than non-HCPs (mean 45.48 hours, SD 20.08; P=.02). Residents (mean 60.38 hours, SD 18.67) had significantly longer work hours than visiting staff (mean 51.42 hours, SD 20.33; P=.03) and non-HCPs (mean 45.48 hours, SD 20.08; P=.004). Conclusions Staff Hours is the first automatic GPS location–based app designed for medical staff to track work hours and calculate overtime. For medical staff, this app could keep complete and accurate records of work hours in real time, reduce bias, and allow for better complying with labor regulations.

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Munn, Matthew B. "First Aid Training and Comfort in Non-Medical Event Staff." Prehospital and Disaster Medicine 32, S1 (April 2017): S137. http://dx.doi.org/10.1017/s1049023x17003806.

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Salmon, Gill. "Educating non-medical staff about the use of psychiatric drugs." Psychiatric Bulletin 18, no. 11 (November 1994): 706–7. http://dx.doi.org/10.1192/pb.18.11.706-a.

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Pearce, Chris, and Helen Winter. "Review of non-medical prescribing among acute and community staff." Nursing Management 20, no. 10 (February 27, 2014): 22–26. http://dx.doi.org/10.7748/nm2014.02.20.10.22.e1165.

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Timinepere, Court Ogele, Emmanuel K. Agbaeze, Ann Ogbo, and Nwadukwe C. Uche. "Organizational Justice and Turnover Intention among Medical and Non-Medical Workers in University Teaching Hospitals." Mediterranean Journal of Social Sciences 9, no. 2 (March 1, 2018): 149–60. http://dx.doi.org/10.2478/mjss-2018-0035.

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AbstractThe purpose of this paper is to establish the difference in organizational justice perceptions and effects organizational justice dimensions on turnover intentions of workers in university teaching hospitals. The study adopted analytic descriptive survey design with quantitative methodology. Data were collected from university teaching hospitals in Nigeria through distribution and retrieval of 503 copies of questionnaire which was designed on a 5- point Likert scale response continuum of strongly agree to strongly disagree with corresponding weights from 5 to 1. Data were analysed with one way analysis of variance, Duncan post hoc test and multiple regression analysis. The findings of this study demonstrated that there was a significant difference in organizational justice perception among junior, senior and management staff in teaching hospitals; there was a significant difference in organizational justice perception among medical doctors, paramedics and supporting staff in teaching hospitals; distributive justice had non-significant positive effect on turnover intention among others. There is dearth of empirical literature in organizational justice and turnover intent in teaching hospitals in the Nigerian context. This research paper bridged the knowledge gaps, demonstrated policy inadequacies in the health sector and proffered possible way forward to mitigate the incidence of industrial unrest.

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Liu, Yanzheng, Jie Zhang, Dwight A. Hennessy, Sibo Zhao, and Haoyi Ji. "Psychological strains, depressive symptoms, and suicidal ideation among medical and non-medical staff in urban china." Journal of Affective Disorders 245 (February 2019): 22–27. http://dx.doi.org/10.1016/j.jad.2018.10.111.

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El-Komy, A. "Medical responsibility in the case of patients referred to non medical staff of a mental health unit or trust directly from non-medical services." Psychiatric Bulletin 17, no. 11 (November 1993): 684. http://dx.doi.org/10.1192/pb.17.11.684.

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Gangaram, Poornima, Neel Halder, and Palanivelu Kumar. "Survey of non-medical professionals on the use of workplace-based assessments." Psychiatrist 36, no. 4 (April 2012): 151–54. http://dx.doi.org/10.1192/pb.bp.110.032979.

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Aims and methodNon-medical staff are eligible to assess trainee doctors through mandatory workplace-based assessments (WPBAs). An anonymous questionnaire was given out to non-medical staff working with trainees in community and in-patient settings at Royal Blackburn Hospital. Our aims were to look at their awareness of and familiarity with assessor guidance, trainee competencies, training needs and assessors' views on completing these assessments.ResultsIn total 118 of 150 (79%) individuals returned a questionnaire and 89 WPBAs had been carried out. Most assessors were Band 6 (or equivalent) or below (53%). Most assessors had neither read any assessor guidelines (75%) nor were familiar with the competencies required of a doctor (76%). Although 79% felt that non-medical staff should be assessing trainee doctors, only 44% felt comfortable doing this. None had been trained and 92% felt this would help. Twenty WPBAs (excluding mini-peer assisted tools) were carried out by staff at Band 6 or below.Clinical implicationsNo respondents received guidance or training on being an assessor. This highlights the need for urgent action and delivery of training. This can easily be adapted from training packages developed for medical staff.

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Worley, Leticia, and Catherine Elder. "Miscommunication in the medical encounter." Australian Review of Applied Linguistics 14, no. 1 (January 1, 1991): 17–34. http://dx.doi.org/10.1075/aral.14.1.02wor.

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Abstract The paper draws upon a study of interaction between staff and non-native speakers of English in the Outpatients Department carried out at the request of a large public hospital. It discusses the nature of communication in the medical setting and the effects of institutionalized models of interaction on patients of both non-English speaking and English-speaking background. An attempt is made to characterize typical language exchanges at various points in patients’ passage through the system and to offer explanations for communication problems arising from selected interactions between patients and hospital staff. Outcomes of these interactions as evidenced by patients’ ability to demonstrate understanding of their medication regimes are also considered. While according cross-cultural factors an important role in communication with non-English speakers, and accepting that NESB patients on account of their limited English may be disadvantaged in the medical encounter, it was concluded that communication difficulties can arise intraculturally as well as cross-culturally and that the differentiated roles of staff and patients constitute the overriding constraint on effective communication. Implications are drawn for the ways in which social interaction between unequal parties is mediated through language.

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McIlroy, P., A. McIntyre, A. Ross, C. Gallagher, and C. Brown. "Breast radiotherapy: a single centre survey of non-medical weekly patient review." Journal of Radiotherapy in Practice 7, no. 01 (March 2008): 19–29. http://dx.doi.org/10.1017/s146039690700622x.

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AbstractAims: Monitoring and reviewing patients during adjuvant radiotherapy for breast cancer is an integral component of care and was until recently a predominantly medical domain. Patients were often reviewed in busy routine breast clinics, for short consultations with a variety of medical staff and with little time to address questions or concerns. Non-medical treatment review clinics, staffed by senior nursing and senior therapy radiographers have been introduced to provide a dedicated, consistent treatment review. This survey was conducted to assess the effectiveness of the non-medical review of these patients.Materials and methods: This was a prospective survey of all patients attending for breast or chest wall radiotherapy, between 1st July 2003 and 30th June 2004. Patients were invited to complete and return a postal questionnaire related to their treatment and treatment review. Review staff collected data on demographic information, clinical history and treatment intent for these patients at first visit. At subsequent weekly review visits, data were recorded relating to patient assessment, interventions and referrals initiated. Skin reactions were graded using Radiation Therapy Oncology Group scoring tool.Results: One thousand and ninety-five patient questionnaires were distributed and 865 (79%) were returned. There were high satisfaction scores with the time spent with review staff (99.7%) and the ability to discuss all aspects of treatment and concerns (99.1%). One hundred and ninety-three patients were referred to non-medical staff for additional support. Five hundred and forty-four were referred to medical staff. The majority (437) were planned referrals to their clinical oncologist to prescribe a ‘boost’ or review endocrine treatment and 107 to their general practitioner for routine visits and employment certificates. Review staff data of 1,067 patients showed 342 referrals for treatment and non-treatment related physical problems, 80 referrals for additional information and emotional support. Majority of skin reactions were grade 1 or 2a.Conclusion: The successful identification of patients’ supportive needs and high patient satisfaction with this service supports the use of this approach.

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Donnelly, Leigh, Barbara Bone, and Trudi Kennair. "Accelerated non-medical endoscopy training: one trust's experience." Gastrointestinal Nursing 17, no. 7 (September 2, 2019): 32–35. http://dx.doi.org/10.12968/gasn.2019.17.7.32.

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Endoscopy services are under considerable pressure to meet the increasing demand expected by 2020. A large hospital foundation trust was offered the opportunity to develop its endoscopy workforce by two of its endoscopy nurses obtaining a place on Health Education England's accelerated non-medical endoscopy training programme. The training took place over a period of 7 months and combined comprehensive endoscopy training supported by a robust academic component. A thematic analysis was carried out on the trainees' reflective journals kept during the course, and this highlighted the frequently occurring themes. The trust has benefited greatly from the experience, and, although challenging, the rewards can be far-reaching and have a positive impact on staff and patients.

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Kobyakova, О. S., E. S. Kulikov, I. A. Deev, A. A. Almikeeva, I. D. Pimenov, and E. A. Starovoytova. "THE PREVALENCE OF CHRONIC NON-COMMUNICABLE DISEASES RISK FACTORS AMONG MEDICAL STAFF." Cardiovascular Therapy and Prevention 17, no. 3 (June 20, 2018): 96–104. http://dx.doi.org/10.15829/1728-8800-2018-3-96-104.

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In the review, the results provided of clinical and epidemiological trials confirming high prevalence of the risk factors of chronic noncommunicable diseases among medical workers, common comorbidity and hence adverse influence on the health. Analysis of literature data underscores the necessity of further long term populational studies of epidemiology, age range, relation to occupation positions, for the main risk factors. Organization of various preventive events is required, that obviously will impact not only health state and life quality, but furthermore, will increase medical care in general.

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Jaiswal, J., K. Dunlap, M. Griffin, A. Cox, S. N. Singer, K. Hascher, C. LoSchiavo, S. M. Walters, and M. Mumba. "Pre-exposure prophylaxis awareness, acceptability and potential stigma among medical and non-medical clinic staff in methadone treatment settings in northern New Jersey: The key role of non-medical staff in enhancing HIV prevention." Journal of Substance Abuse Treatment 129 (October 2021): 108371. http://dx.doi.org/10.1016/j.jsat.2021.108371.

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Hebbar, Sahana K., Nalini G. K., Deepak P., Sahana G. N., and Jayashree V. Nagaral. "Assessment of awareness on generic drugs among health care professionals and laypersons." International Journal of Basic & Clinical Pharmacology 6, no. 3 (February 24, 2017): 680. http://dx.doi.org/10.18203/2319-2003.ijbcp20170836.

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Background: In the present day world the expenditure on medicines is very high. Most of the people in developing countries find it difficult to afford expensive medicines. One of the measures to cut down the expenditure on medicines is to use generic drugs. Hence the study was taken up to know the awareness, attitude and preference for generic drugs among medical and non medical persons.Methods: The study was done on 290 participants. 60 medical interns, 30 doctors, 50 nurses, 50 non medical staff (clerks and attenders) and 100 patients were included. They were given a questionnaire to know the awareness and knowledge on generic drugs, willingness to prescribe (among doctors) and use it (non medical staff and patients).Results: This study showed that all medical persons- doctors, interns and nurses knew about generic drugs whereas 60% of non medical staff and 95% of the patients were not aware about it. All doctors had good knowledge about generic drugs and 80% prescribed it always. 70% of the patients depended on what doctors prescribed for them and never asked for generic/ branded drugs in particular. 70% non medical staff preferred it only sometimes.Conclusions: The awareness among non medical persons is poor than medical persons among the surveyed population. Hence adequate measures should be taken to increase awareness and knowledge among public so that they become imperative enough to ask their doctors to prescribe generic drugs.

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Lemeshkin, R. N., V. D. Bigunets, V. S. Belousov, and A. V. Sinkiewicz. "Problematic issues of regulatory support of training and performance of non-staff healthcare professionals of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 1 (April 26, 2019): 63–71. http://dx.doi.org/10.25016/2541-7487-2019-0-1-63-71.

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Relevance. The available unique experience of elimination of medical and sanitary consequences of emergency situations of natural, technogenic and social nature proves that the effectiveness of rendering medical care within or on the border of emergency area depends on timely arrival and actions of non-staff healthcare professionals of the All-Russian service for disaster medicine – crews for specialized medical care, physician-and-nurse crews. Directly during training and practical activities non-staff healthcare professionals face problematic issues affecting their readiness and quick response.Intention. To define the most significant problematic issues influencing work of non-staff healthcare professionals of the Service for disaster medicine of the Ministry of Defense of the Russian Federation on elimination of medical and sanitary consequences of emergency situations.Methodology. Content analysis of the facts and trends in the documents regulating activities of non-staff healthcare professionals of emergency formations was performed. Non-staff physicians were surveyed on problematic issues of training, practical activities and professional competence and importance of these issues ranked: “not important” – 1, “important” – 2, “very important” – 3 with assigning respective points.Results and Discussion. In the military-medical organizations of the central subordination, including the Kirov Military Medical Academy, emergency formations of Service for disaster medicine of the Ministry of Defense of the Russian Federation exist to strengthen (special-purpose) medical groups and medical institutions responsible for admitting casualties from emergency areas. An “average portrait” of a non-staff healthcare professional was as follows: male surgeon of 38.7±1.1 after a clinical internship, with an academic degree and experience in subject domain of 13.4 years. He has served (worked) at the Kirov Military Medical Academy and carried out functional duties on a constant basis, with experience more than two years as a part of physician-nurse or specialized medical care (thoracoabdominal) crew, with sufficient experience in elimination of medical and sanitary consequences of emergencies. At the same time during training and practical activities he faces a number of issues, such as labor relations and quality assessment of performance during elimination of medical and sanitary consequences of emergency situations, unsatisfactory resource and organizational support and also low readiness of all the non-staff members of the crew.Conclusion. Besides problematic issues of labor relations in emergency formations, the factors influencing training, performance and professional competence of non-staff healthcare professionals were defined, i.e. special equipment for medical evacuation (sanitary aviation); unsatisfactory facilities intended for elimination of medical and sanitary consequences of emergencies; medical equipment in emergency areas. As a result of the analysis, all the problematic issues were limited to 3 fundamental internal (hidden) factors influencing training, performance and professional competence of healthcare professionals at the Kirov Military Medical Academy: “Basic resources” (22.05%), “Shortcomings in daily activities” (11.9%), “Readiness for actions” (10.4%). To minimize the specified problematic issues, various (alternative) options are suggested.

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Spurgeon, David. "Non-medical staff play key role in healthcare access for uninsured patients." BMJ 328, no. 7450 (May 20, 2004): 1220.5. http://dx.doi.org/10.1136/bmj.328.7450.1220-d.

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Okey, Chris Okoroji, Velu Chantheney, Ch, and Sekaran ra. "Exploring Knowledge Sharing Among Medical and Non-Medical Staff: A Case Study Of An Ophthalmology Hospital In Malaysia." African Journal of Business Management 7, no. 35 (September 21, 2013): 3545–58. http://dx.doi.org/10.5897/ajbm2013.7151.

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Ruvalcaba-Ledezma, Jesús Carlos, Gloria Vargas-Sánchez, Josefina Reynoso-Vázquez, and Lydia López-Pontigo. "Case Report: Coxa-osteoarthritis and quality of poor medical care with traumatic iatrogenesis due to non-specialized medical disability." Mexican Bioethics Review ICSA 1, no. 1 (July 5, 2019): 12–16. http://dx.doi.org/10.29057/mbr.v1i1.4854.

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Objective. To describe the beginnings and evolution of this condition, as well as to generate a proposal in the medical practice for the trauma service in order to avoid complications due to inadequate patient care derived from the intervention of resident doctors; not yet defined as traumatologists as the main axis of disability and complications generated in the patient with coxa-osteoarthritis. Material and methods. A case of coxa-osteoarthritis with disabling complications derived from non-specialized care with traumatic and disabling consequences for the patient was analyzed based on laboratory tests and what the patient refers. Results. The patient is on sick leave and her life quality has been affected because of a femoral fracture caused by a physician who was not specialized in traumatology. This showed quality deficiency in medical care, diagnostic errors, poor professional capacity of the health care staff, delay in scheduled X-Ray studies, poor imaging technique hampering a timely diagnosis, and the health care staff being indifferent to the pain of others. Conclusion. The patient is on permanent disability from work, with a left femur prosthesis derived from the fracture caused by a medical resident who was not specialized in trauma.

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Beer, H. L., S. Duvvi, C. J. Webb, and S. Tandon. "Blood loss estimation in epistaxis scenarios." Journal of Laryngology & Otology 119, no. 1 (January 2005): 16–18. http://dx.doi.org/10.1258/0022215053222752.

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Thirty-two members of staff from the Ear, Nose and Throat Department at Warrington General Hospital were asked to estimate blood loss in commonly encountered epistaxis scenarios. Results showed that once the measured volume was above 100 ml, visual estimation became grossly inaccurate. Comparison of medical and non-medical staff showed under-estimation was more marked in the non-medical group. Comparison of doctors versus nurses showed no difference in estimation, and no difference was found between grades of staff.

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Boyle, G., M. Cain, and L. Hughes. "EP-1611 IMPLEMENTING NEW ROLES: RADIOGRAPHER LED ON TREATMENT REVIEW – DELIVERY OF A MEDICAL MODEL BY NON MEDICAL STAFF." Radiotherapy and Oncology 103 (May 2012): S617. http://dx.doi.org/10.1016/s0167-8140(12)71944-8.

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Lyman, Karen A. "Staff stress and treatment of clients in Alzheimer's care: A comparison of medical and non-medical day care programs." Journal of Aging Studies 4, no. 1 (March 1990): 61–79. http://dx.doi.org/10.1016/0890-4065(90)90020-9.

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de Silva, Prasanna. "Is the General Medical Council in need of revalidation?" British Journal of Hospital Medicine 80, no. 12 (December 2, 2019): 726–29. http://dx.doi.org/10.12968/hmed.2019.80.12.726.

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The General Medical Council was originally set up to ‘protect, promote and maintain the health and safety of the public’. In 2012, the Privy Council instructed the General Medical Council to set up and run a licensing and revalidation system for all practicing doctors in the UK, to protect patients from actions of medical staff. Despite this mandate, the General Medical Council has been a bystander in a series of regulatory failures. Without these episodes having been highlighted by family members, public investigations would not have been carried out. The maintenance of medical performance is delegated to NHS employers, which could cause conflicts of interests when employers have to investigate doctors as part of a team. The other responsibility of the General Medical Council is to monitor teaching standards and curricula of medical schools in the UK, which it does by eliciting feedback from students and trainees. The General Medical Council has not responded to ‘new ways of working’ (especially in England) involving non-medical staff undertaking tasks previously carried out by doctors. Furthermore, the General Medical Council has not updated its description of the role of the future doctor in light of increasing use of technology, use or non-use of which could both be considered to be evidence of poor practice.

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Larroque, Marion, Carine Arnaudguilhem, Brice Bouyssiere, François Quenet, Nabila Bouazza, Marta Jarlier, Sonia Boulabas, Sandra Mounicou, and Olivia Sgarbura. "Evaluation of the environmental contamination and exposure risk in medical/non-medical staff after oxaliplatin-based pressurized intraperitoneal aerosol chemotherapy." Toxicology and Applied Pharmacology 429 (October 2021): 115694. http://dx.doi.org/10.1016/j.taap.2021.115694.

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Mahapatra, Dr Nancy Namrata, and Dr Tarachand Kadtuji Kamble. "Myocardial Performance Index In Prediabetes In Medical Staff." International Journal of Medical Science and Clinical invention 6, no. 07 (July 9, 2019): 4513–17. http://dx.doi.org/10.18535/ijmsci/v6i7.01.

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Background: To study myocardial performance index in prediabetes in medical staff. To correlate MPI with cardiovascular risk factors. Methods: After subject selection, informed consent was taken from the cases and controls. Detailed history was taken and physical examination was done which included weight, height, body mass index (BMI), waist circumference, hip circumference, waist-hip ratio (WHR) and blood pressure measurement. After physical examination, biochemistry measurements including fasting blood sugar (FBS), post-meal blood sugar (PMBS), serum total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL) and very low-density lipoprotein (VLDL) were done. Myocardial performance index (MPI) was calculated by 2D-ECHO. Results: BMI, male WHR, serum cholesterol, TG, LDL and MPI was significantly higher in cases (prediabetics) as compared to controls while serum HDL was lower in cases as compared to controls, which was non-significant. Out of 50 prediabetics, 32 (64%) had abnormal MPI with p=0.0001. There was no correlation of MPI with cardiovascular risk factors like BMI, WHR and fasting lipid profile. Conclusion: BMI, male WHR, serum cholesterol, TG, LDL and MPI was significantly higher in cases as compared to controls. However, there was no significant correlation between MPI and other cardiovascular risk factors.

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Andari, Nadia Zenni, Sri Lestari Ramadhani Nasution, Ali Napiah Nasution, and Ermi Girsang. "Improving Methods Work Productivity of Medical Record Room Staff in Hospital Management Information a Regional General Hospital of Padang Sidempuan." Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences 4, no. 2 (April 20, 2021): 1666–76. http://dx.doi.org/10.33258/birci.v4i2.1828.

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This study aims to determine and describe the work productivity of staff in the medical record room in the implementation of HMIS in Padangsidimpuan City Hospital and what factors influence it. This research is a kind of survey research with a descriptive non hypothesis qualitative approach. The population in this study was the staff in the medical record room at Padangsidimpuan City Hospital with a sample size of 20 staff (total population units). Research data were collected through interviews and questionnaires. The data analysis technique used is descriptive analysis with percentages. The findings of the study showed that the majority of staff in the medical record room had a high work productivity category in the implementation of HMIS activities in Padangsidimpuan City Hospital, as many as 60% while 40% of staff had low work productivity. The analysis shows that work motivation, ability, wages, work environment, and staff work discipline are factors that influence the work productivity of staff in the medical record room in the implementation of HMIS. Thus, it was concluded that the majority of staff in the medical records room at Padangsidimpuan City Hospital had high category productivity and factors affecting the work productivity of staff in the medical record room in the implementation of HMIS activities at the Padangsidimpuan City Hospital, including work motivation, staff ability, wages, work environment, and work discipline.

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Kenar, L., M. Ortatatli, Z. I. Kunak, A. Oztuna, and I. Arziman. "(P1-73) Medical CBRN Training for Military Health Staff and Its Benefits." Prehospital and Disaster Medicine 26, S1 (May 2011): s122. http://dx.doi.org/10.1017/s1049023x11004055.

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ObjectiveThe increasing threat of the use of chemical, biological, radiological, and nuclear (CBRN) agents requires significant military medical preparedness and response, including training. The initiatives for CBRN training by Gulhane Military Medical Academy, which is under the Health Command of the Turkish Armed Forces, will be discussed, and the training program and educational model for medical CBRN defense will be highlighted.MethodThe training is given to military hospital staff once or twice a year. Hospital staff is trained over a period of five days, with practical issues regarding medical CBRN defense covered during the last two days. A questionnaire is given to trainees at the beginning and at the end to ascertain the adequacy of the course.ResultsSo far, this medical CBRN training has been given to 150 military health staff including physicians, nurses, and medical non-commissioned officers. According to the survey, they benefited greatly from this training, and there was a statistically significant increase in CBRN knowledge when the initial and final scores of the survey were compared (x2 = 3.089; p = 0.002).ConclusionThrough this planned trainings, staff are trying to become well-trained in detection, personal protection, decontamination, and the organization aspects of CBRN defense to apply the proper prophylactic measures, diagnosis, and treatment. Feedback suggests this program also helped “train the trainers”, providing extensive information to other staff working in military hospitals.

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Tadia, Vijay Kumar, and Harikant Singh. "Employee recognition policies and programs for medical and non medical staff in a public and a private hospital in a metropolitan city of India: a comparative study." International Journal of Research in Medical Sciences 8, no. 3 (February 26, 2020): 1061. http://dx.doi.org/10.18203/2320-6012.ijrms20200782.

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Background: Employee recognition has been linked to such positive outcomes as job satisfaction, organizational and career commitment, cohesion and collaboration, and perceived organizational support. A lack of meaningful recognition has been linked to negative outcomes such as absenteeism and turnover, stress and burnout, and decreased quality of patient care.Methods: A comprehensive descriptive and comparative cross-sectional study on employee recognition policies and programs for medical and non-medical staff in a public and a private hospital in India was conducted from April 2012 to October 2012. A 200 bedded public hospital with the staff strength of 140 and a 110 bedded private hospital with total staff strength of 160 participated in the study.Results: There were no doctors or technicians who did not enjoy their job. There were small number of nurses who didn’t enjoy the job (8% and 10% in public and private hospital respectively). For housekeeping staff, there was much variability in the option for, “Somewhat Enjoy” from 14% to 45% in public and private hospital respectively. Majority of doctors (87.5% and 80%) in public and private hospital respectively, were unhappy with the workload of their job. Also, significant number of nurses (44% and 27.5%) and technicians (20% and 20%) in public and private hospital respectively, were unhappy with the workload of their job.Conclusions: It is well established that good salary structure, good promotion opportunities and good training is important for employee satisfaction, but employee recognition also plays an important role.

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Ilic, N., and V. Ilic. "566 – Depression- self estimation at the health center of niš non-medical staff." European Psychiatry 28 (January 2013): 1. http://dx.doi.org/10.1016/s0924-9338(13)75850-4.

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Rahmanian, Mohammad, Ali Reza Kamali, Mahdi Foroughian, Navid Kalani, Nafiseh Esmaealpour, Naser Hatami, and Esmaeal Rayat Dost. "Knowledge, Attitude and Practice of Medical and Administrative Staff in Exposure and Non-exposure to Covid 19 Virus in Jahrom: A Cross-sectional Descriptive Study in 2020." Journal of Arak University Medical Sciences 23, no. 5 (December 1, 2020): 750–65. http://dx.doi.org/10.32598/jams.23.cov.3577.4.

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Background and Aim: The COVID-19 pandemic is capable of severely affecting the mental health of health care workers, who are at the forefront of this crisis; while the official staff of health organizations is facing the same danger. Therefore, monitoring awareness and other mental health issues to understand the mediating factors and awareness of appropriate interventions is a necessary priority. Therefore, the purpose of this study was to compare the level of knowledge, attitude, and practice of medical and administrative staff in facing the COVID-19 virus. Methods & Materials: This cross-sectional descriptive study was performed on 160 medical and administrative staff of Jahrom hospitals in 2020. Demographic information questionnaire and researcher-made questionnaire of knowledge, attitude and practice of medical personnel about coronavirus (Covid 19) were used to collect information. Data were analyzed using SPSS software version 21 and descriptive and inferential statistical tests. Results: 65% of subjects were women and the rest were men. In most of the answers given to each item in both groups, the medical and administrative staff’s answers were close to each other. In the case of the statement "I am more likely to get a corona", 54.4% of the medical staff chose the strongly agreed option, while this percentage is 16.5% for the administrative staff. This indicates that the medical staff is very afraid of getting COVID-19. According to the results, the mean knowledge scores of the medical staff (with an average of 94.35) were significantly higher than the administrative staff (with an average of 87.75) (t=5.96, p<0.001). But the performance of administrative staff (with an average of 93.14) is significantly higher than medical staff (with an average of 87.17) (t=-2.710, p=0.007). No significant difference was observed between the mean scores of the attitude scores of both groups (p=0.438). Conclusion: The results of this study showed that the level of awareness in the face of corona virus in the administrative staff is significantly lower than the medical staff, but the administrative staff has a better performance in facing of the corona virus than the medical staff. It seems that educational measures are necessary to increase the awareness of these people.

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Rippon, Daniel, Koen Milisen, Elke Detroyer, Elizabeta Mukaetova-Ladinska, Beth Harrison, Marieke Schuurmans, Claire Pryor, and Andrew Teodorczuk. "Evaluation of the delirium early monitoring system (DEMS)." International Psychogeriatrics 28, no. 11 (July 22, 2016): 1879–87. http://dx.doi.org/10.1017/s1041610216000983.

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ABSTRACTBackground:Despite awareness of the negative health and financial outcomes of delirium, systems to routinely assess and manage the condition are absent in clinical practice. We report the development and pilot evaluation of a Delirium Early Monitoring System (DEMS), designed to be completed by non-medical staff to influence clinical processes within inpatient settings. Two versions of the DEMS are described based on a modified Confusion Assessment Method (DEMS-CAM) and Delirium Observation Screening Scale (DEMS-DOSS).Methods:Both versions of DEMS were piloted on a 20-bedded Psychogeriatric ward over 6 weeks. Training was administered to ward staff on the use of each version of the DEMS and data were collected via electronic medical records and completed assessment sheets. The primary outcome was patterns of DEMS use and the secondary outcome was the initiation of delirium management protocols. Data regarding the use of the DEMS DOSS and DEMS CAMS were analyzed using χ2 tests.Results:Completion rates for the DEMS CAM and DEMS DOSS were 79% and 68%, respectively. Non-medical staff were significantly more likely to use the DEMS-CAM as part of daily practice as opposed to the DEMS-DOSS (p<0.001). However, there was no difference between the use of the DEMS-CAM and DEMS-DOSS in triggering related actions such as documentation of assessment scores in patients’ medical records and implementation of delirium management protocols.Conclusions:This real world evaluation revealed that non-medical staff were able to incorporate delirium monitoring into their practice, on the majority of occasions, as part of their daily working routine. Further research is necessary to determine if the routine use of the DEMS can lead to improved understandings and practice of non-medical staff regarding delirium detection.

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Jha, Rakesh Kumar, Ramesh Nayak, and Umashankar Subramanian. "Knowledge, Attitude and Practice of radiation risk among employees in selected hospitals of Nepal." Janaki Medical College Journal of Medical Science 4, no. 2 (March 29, 2017): 10–18. http://dx.doi.org/10.3126/jmcjms.v4i2.17071.

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Background and Objectives: Nepal is facing the problem of safe, effective and quality radiology services due to lack of adequate knowledge towards advance technology professionals. Therefore, the present study was designed to focus on the knowledge, attitude and practice on radiation among employee in selected hospitals.Material and Methods: This is a descriptive cross-sectional study conducted in among technical and non technical staff that were involved in or come across the radiology department. A set of self structured questionnaire and observation was used for data collection. Purposive sampling technique was used for the data collection. The collected data was compiled and analyzed by using SPSS 16.Results: The total number of staff participated in this study were 113, among them 65(58%) belong to technical group as health Professionals and 48(42%) belong to non -technical group. The knowledge of the technical staff was 66.95%, perception was 87.65% and the having the practice of protection was 75.9% whereas in non-technical staffs were 53.46%, perception is 64.60% and the having the practice of protection is 53.74%.Conclusion: The overall knowledge of radiation exposure amongst technical and non-technical staffs was average, poor perception and satisfactory practices. Regular training programmes and national legal law should be processed to reduce malpractice in radiations.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (2): 10-18

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Fernandez, Jeff. "Non-medical prescribing nurses in primary care: a positive response to restructuring." British Journal of Mental Health Nursing 10, no. 2 (May 2, 2021): 1–5. http://dx.doi.org/10.12968/bjmh.2021.0007.

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This article examines a shared care model used in a primary care alcohol and drugs service, with experienced clinical staff trained as non-medical prescribing nurses. Shared care based around the resource of the non-medical prescribing nurse situated in primary care can be a solution in a time of scare resources. Non-medical prescribing is illustrated further by a patient case study in a London borough to show its potential for treating patients. There needs to be good governance and supervision of this role to be effective and safe for patients, and this article discusses how this can be achieved by detailing a safe process.

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Moradi, Ghobad, Marzieh Farnia, Mostafa Shokoohi, Mohammad Shahbazi, Babak Moazen, and Khaled Rahmani. "Methadone maintenance treatment program in prisons from the perspective of medical and non-medical prison staff: a qualitative study in Iran." International Journal of Health Policy and Management 4, no. 9 (March 12, 2015): 583–89. http://dx.doi.org/10.15171/ijhpm.2015.60.

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Alshobaili, FahdahA, and NadaA AlYousefi. "The effect of smartphone usage at bedtime on sleep quality among Saudi non- medical staff at King Saud University Medical City." Journal of Family Medicine and Primary Care 8, no. 6 (2019): 1953. http://dx.doi.org/10.4103/jfmpc.jfmpc_269_19.

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Frelick, Kathryn M., Glenn S. Bartlett, Linden F. Frelick, and Phyllis A. Malek. "Staff Participation in Administrative Decision-Making." Healthcare Management Forum 6, no. 3 (October 1993): 43–46. http://dx.doi.org/10.1016/s0840-4704(10)61105-2.

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Victoria Hospital Corporation in London has adopted a collaborative management model that involves the participation of medical, union and non-union staff in the administrative decision-making process within predetermined parameters. Reactions have been favourable from all sides — positive feedback from the groups involved and minimal negative public response to the sensitive decisions made concerning downsizing. Early indicators suggest increasing further the participation of union and non-union staff in decision-making on multiple levels, but with clearly defined “boundaries of responsibility.”

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Jabarifard, Fatemeh, Farahnaz Ghafarinejad, Soraya Pirouzi, and Mahbobeh Samani. "Comparison of Core Muscles Endurance in Sited Occupied Staff and Non-sited Occupied Staff of Shiraz University of Medical Sciences." Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 28, no. 03 (March 26, 2018): 184–89. http://dx.doi.org/10.1055/s-0043-124439.

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Abstract Objective Core muscle dysfunction might serve as a risk factor for future musculoskeletal dysfunctions considering the high percentages of adults employed in mainly sedentary occupations in Iran, there is a need to clarify the strength of evidence on the potentially deleterious impact of prolonged sitting at work on the biomechanics of core/trunk muscles. This study aims to evaluate trunk/core muscle endurance in employees of seated and non-seated jobs in Shiraz University of Medical Sciences. Method A total number of 100 employees of Shiraz University of Medical Sciences (SUMS) were studied in 2 groups, seated jobs (n=50) and non-seated jobs (n=50). Seated jobs (office employees) defined as the jobs’ nature requiring the employees to sit more than half of their work time in a day, whereas non-seated jobs were those requiring less than half a workday to sit. Trunk endurance time measured by the 4 different stabilization tests including McGill’s trunk flexor endurance test, Sorenson’s trunk extensor endurance test and right and left trunk lateral flexor endurance test (Side-Bridge test). Results Statistical analysis was performed using the SPSS software version 21 (SPSS, Chicago, IL) Independent t test was used individuals in non-seated group had a statistically significant higher trunk endurance time for all 4 static tests (all P-values<0.001). Conclusion Prolonged occupational sitting is associated with reduced core muscle endurance. It may cause relationship between weakened core/trunk muscles and development of specific occupational musculoskeletal dysfunctions such as low back pain.

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Humphreys, Hilary, Niall Stevens, Desmond Leddin, Grace Callagy, Louise Burke, R. William Watson, and Mary Toner. "Pathology in Irish medical education." Journal of Clinical Pathology 73, no. 1 (August 22, 2019): 47–50. http://dx.doi.org/10.1136/jclinpath-2019-206033.

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Pathology is the study of disease and is an important component in medical education. However, with medical curriculum reform, its role and contribution to medical courses is under potential threat. We surveyed the status of pathology in all six Irish medical schools. Information was received from five direct undergraduate and four graduate entry programmes. Pathology was recognisable as a core subject in all but one of the medical schools, was generally taught in years two or three, and the greatest contact hours were for histopathology (44–102 hours). Lectures were the most common teaching modality, and all used single best or extended matching answer multiple-choice questions as part of assessments. Currently, pathology is very visible in Irish medical education but needs to remain relevant with the move to theme and case-based teaching. There is heavy reliance on lectures and on non-academic/full-time hospital staff to deliver teaching, which may not be sustainable.

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Micallef, Jason, and Brodene Straw. "Developing junior doctors as leaders of service improvement." Leadership in Health Services 27, no. 4 (October 6, 2014): 316–29. http://dx.doi.org/10.1108/lhs-04-2014-0037.

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Purpose – This paper aims to provide an overview of the design and initial outcomes of a leadership and service improvement program for junior medical staff. Design/methodology/approach – This paper describes the rationale, initial set-up, structure, program outcomes and future directions of the Medical Service Improvement Program for junior doctors. This program is a recent initiative of the Western Australian public healthcare system. Findings – The Medical Service Improvement Program illustrates a successful approach to developing junior doctors to lead improvements in health service delivery. The program has resulted in tangible personal outcomes for participants, in addition to important organisational outcomes. Practical implications – This paper provides an evidence-based structured approach to developing the leadership abilities of junior medical staff. It provides practical information on the design of the leadership program that aligns the participant learning outcomes to postgraduate medical competencies. The program has demonstrated clear service outcomes, confirming that junior medical staff is both capable and committed to leading service improvement and reform. Originality/value – This paper provides clear evidence for the benefits of providing dedicated non-clinical time for junior medical staff to lead quality and improvement initiatives. This case study will assist hospital administrators, postgraduate education units and those involved in designing and administering clinical leadership development programs.

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Khoo, Nee Chen, and Martin Duffy. "?Out of hours? non-contrast head CT scan interpretation by senior emergency department medical staff." Emergency Medicine Australasia 19, no. 2 (April 2007): 122–28. http://dx.doi.org/10.1111/j.1742-6723.2007.00914.x.

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Yang, Lei, and Dongmei Wu. "Management measures for non-medical staff on psychiatric hospital wards during the COVID-19 pandemic." BJPsych Bulletin 44, no. 4 (July 28, 2020): 179. http://dx.doi.org/10.1192/bjb.2020.65.

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Jain, Vidhi, ManojKumar Gupta, Malika Grover, Tejashree Nare, Saumya Srivastava, Pankaj Bhardwaj, AkhilDhanesh Goel, et al. "COVID-19 seropositivity among non-medical frontline office staff from two cities in Rajasthan, India." Journal of Family Medicine and Primary Care 10, no. 6 (2021): 2400. http://dx.doi.org/10.4103/jfmpc.jfmpc_2381_20.

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Malyshevska, Olga, Iryna Myshchenko, and Zoriana Suslyk. "Issues Related to Occupational Safety during Work with Anticancer Drugs." Galician Medical Journal 23, no. 4 (November 23, 2016): 2016414. http://dx.doi.org/10.21802/gmj.2016.4.14.

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Labor conditions of junior medical staff at oncological institutions and risks arising in the course of their work are considered in the present article.Topicality. Monitoring of hygienic conditions of labor which was conducted at cancer oncological institutions of Ukraine has shown that 80-85% of junior medical staff’ work conditions do not correspond to requirements of occupational health and safety standards and refer to harmful and dangerous category of work.That’s why research focused on health protection of junior medical staff during work with carcinogens as well as introduction of newest health and safety procedures into learning process are very actual and advanced.Research statement. Most anticancer drugs that are used for oncology patients’ treatment have expressed non-selective, toxic effects on the body as well as mutagenic, carcinogenic influence. However, not only treated patient’s organism is affected by such exposure but junior medical staff that prepares, administrates and does utilization of drugs as well. That’s why this category of medical staff needs maximal protection. Also their work conditions require maximal control and correspondence to occupational safety rules. Aim of the article. Introduction of questions related with occupational safety during work with anticancer drugs to the learning process of discipline “Occupational safety in the kind of business”. The main goal of this introduction is informing and teaching of further medical workers of procedures’ complex that form safety work conditions at the work with anticancer drugs.Substantiation of necessity of introduction questions related to occupational safety during work with anticancer drugs in training program of junior medical staff with the aim of safety conditions arrangement.

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Lee, Sarah J., Wendy Johnson, and Teneka Liddell. "Quality improvement for self-confidence, critical-thinking, and psychomotor skills in basic life support of nursing health professionals through case-scenario simulation training." Journal of Nursing Education and Practice 11, no. 8 (April 11, 2021): 23. http://dx.doi.org/10.5430/jnep.v11n8p23.

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Background: Recognition and timely management of medical emergencies in non-critical care units are essential in initiating and delivering high quality care. Simulation training is a constructive tool that can be utilized to refresh and maintain knowledge and skills for staff that may not encounter medical emergencies frequently. This study examined staff that work at the John D. Dingell VA Medical Center Community Living Center (CLC), a subacute and inpatient rehabilitation unit, on their critical thinking skills, knowledge, role responsibilities and confidence levels prior to and after implementation of a mixed intervention of a one-hour webinar didactic and one-hour case-based simulation with debriefing. The purpose of the study was to improve non-critical care staff critical thinking, knowledge and confidence when working with a deteriorating patient.Methods: A pretest-posttest study design was used to conduct the study. Pre and post surveys were given to 42 health professionals which included registered nurses (RN), licensed practical nurses (LPN) and nursing aides after participating in a case scenario using a high-fidelity mannequin to simulate a medical emergency. Analyses were performed using the two-tailed t-test with p-value significance of less than .05 using Excel and JMP by SAS.Results: Among the 42 participants, there was a significant improvement in confidence for recognizing signs of patient deterioration for timely activation of code team (p < .001). Critical thinking skills and knowledge on appropriate activation of the type of response team based on patients’ speed of deterioration also improved after the intervention (p < .001). Overall, the staff felt more comfortable, confident and knowledgeable concerning their roles and local policy of emergent situations.Conclusions: A team-based case scenario simulation course may improve non-critical care nursing staff confidence, knowledge and critical thinking as it pertains to activation of code teams and willingness to actively participate in medical emergencies.

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Yoon, Young-hoon, Jung-Youn Kim, Gwang-ryol Heo, Bo-Sun Sim, and Sung-Woo Moon. "A Pilot Study of Surge Capacity in the Metropolitan Area of South Korea." Prehospital and Disaster Medicine 34, s1 (May 2019): s158—s159. http://dx.doi.org/10.1017/s1049023x19003583.

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Introduction:Seoul is the third most densely populated area in the world except for the city-state. However, a national disaster plan has not yet been established.Aim:From September 2017, representatives of seven regional emergency medical centers in Seoul met monthly and decided to investigate basic data for the future establishment of surge capacity planning.Methods:Staff, supply, space, and systems for surge capacity were surveyed in seven hospitals. The additional surveyed data were as follows: hospital incident command system and actual operational experience; performance of disaster drill; safety and security plan; estimation of surge capacity in normal operating conditions and extreme operating conditions; alternative therapeutic spaces; back-up plan to call non-duty medical staff; decontamination equipment; contingency plan for stuff shortage; etc.Results:All the hospitals reported they have hospital incident command systems and held disaster drills every year, however, the two hospitals (28.5%) had no real experience of hospital incident command system activation. Five hospitals (71.4%) did not have a safety and security plan. They replied they can treat average 7.7 emergency patients (Korean Triage and Acute scale (KTAS) ≤ 3), 10 non-emergent patients (KTAS>4), 0.9 surgical patients and 0.7 unstable patients simultaneously in normal operating conditions. In extreme operating conditions, they replied they can treat average 26.4 emergency patients (KTAS ≤ 3), 54.3 non-emergent patients (KTAS>4), 37 surgical patients and 2.3 unstable patients simultaneously. The two hospitals (28.5%) had no alternative therapeutic spaces, no back-up plan to call non-duty medical staff and no contingency plan for stuff shortage. Three hospitals (42.9%) did not have decontamination equipment.Discussion:The survey revealed the basic data for surge capacity planning in Seoul. Data from hospitals other than regional emergency medical centers should be collected for the completion of disaster plans.

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Lim, Chee Chee, and Shahrul Nizam Ahmad. "Group medical Takaful for Universiti Utara Malaysia (UUM) staff in 2011." Emerald Emerging Markets Case Studies 5, no. 4 (July 9, 2015): 1–10. http://dx.doi.org/10.1108/eemcs-11-2014-0277.

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Subject area Human resource management; Employee benefits management. Study level/applicability It can be used at undergraduate or postgraduate level for students at institutions of higher learning taking courses related to employee benefits management or human resource management. Case overview The case is about the intention of Universiti Utara Malaysia (UUM) in purchasing health insurance for its employees in early 2011. For this purpose, a tender for group medical Takaful for UUM staff was placed in two major Malaysian newspapers on 20 February 2011. Then, after the tender closing date, a report was prepared and sent to the bursar of UUM, En Amron, on 28 April 2011. Ten companies had submitted their tenders; thus, En Amron had to identify the optimal group medical Takaful offered by the tenderers, so that he could put forward his recommendation to UUM tender committee board for its consideration and approval before the matter was brought to higher authorities for endorsement and implementation. Expected learning outcomes This teaching case will enable students to explain the reasons why an employer provides health insurance, to evaluate the advantages and disadvantages of providing health insurance programme as non-contributory and contributory plans, to conduct company and plan assessment in making decision to purchase group medical Takaful and to evaluate either to purchase group health insurance directly from life insurer or to engage insurance broker. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.

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Jaggi, Anju, Anthony Gilbert, Mindy Cairns, and Rachel Dalton. "Our Pathway To A Successful Non-Medical Research Strategy – A Culture Shift Five Years On." International Journal of Therapy and Rehabilitation 26, no. 6 (June 2, 2019): 2. http://dx.doi.org/10.12968/ijtr.2019.26.6.2.

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Background/Aims There is increasing evidence that research-active healthcare provider organisations provide better quality care, increased treatment options and improved clinical outcomes. Delivering evidence based clinical care and a high academic profile was identified as a key strategic objective at a tertiary orthopaedic hospital in the UK. Methods In 2013, the organisation appointed a Director of Therapies and a Consultant physiotherapist with protected time to develop a therapies research strategy. Focus groups were held across the directorate (140 staff across all pay bands and grades including non-professional staff) to identify current research activity, barriers and enablers to developing a research active department. Data were analysed thematically and findings used to inform a 5-year research strategy. Results Five key actions were identified: (1) identifying research programmes in clinical teams; (2) research as a key team objective; (3) provide appropriate research training and education; (4) identify talent and research champions; (5) develop external collaborations with appropriate academic and commercial partners. In 2014, a commercial grant was successful and a therapies research coordinator was appointed to support staff training and research processes. In 2016, a 2-year grant received from the hospital charity supported this ongoing role alongside funding with a higher education institute to provide methodological support, writing skills and grant applications. To date, this has resulted in six peer-reviewed articles and further external funding. Novice researchers have been supported resulting in a National Institute for Health Research PhD fellowship and two National Institute for Health Research internships to build capability. Clinical teams have identified research programmes to maximise resources and time. Of the total number of registered projects, 41% of were submitted to national/international scientific conferences compared to only 16% in 2014. Conclusions The key to a successful research strategy in a clinical setting requires clear strategic support, leadership, talent spotting and training. However, dedicated resources and investment is required for delivery of projects to publications.

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Robertson, Deborah. "COVID-19's impact on healthcare staff: the evolving picture." Journal of Prescribing Practice 2, no. 8 (August 2, 2020): 428–29. http://dx.doi.org/10.12968/jprp.2020.2.8.428.

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Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Should you wish to look at any of the papers in more detail, a full reference is provided

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Yang, Hae-Rang, Jinwoo Jeong, Injoo Kim, and Ji Eun Kim. "Medical support during an Ironman 70.3 triathlon race." F1000Research 6 (August 18, 2017): 1516. http://dx.doi.org/10.12688/f1000research.12388.1.

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Background: The Ironman 70.3 race is also called a half Ironman, and consists of 1.9 km of swimming, 90.1 km of cycling, and 21.1 km of running. The authors provide practical insights that may be useful for medical support in future events by summarizing the process and results of on-scene medical care. Methods: The medical post was established at the transition area between the cycling and running courses, which was close to the finish line, and staffed with the headquarters team comprised of an emergency physician, an EMT, two nurses, and an ambulance with a driver. The other five ambulances were located throughout the course. The medical staff identified participants according to their numbers when providing medical support, and described complaints, treatment provided, and disposition. When treating non-participants, gender and age were recorded instead of numbers. The treatment records were analyzed after the race. Results: The medical team treated a total of 187 participants. One suffered cramps in the calf muscles during the swimming part of the course. Nineteen were treated for injuries suffered during the cycling race. A total of 159 were treated for injuries on the running course. Five casualties, all of which occurred during the cycling race, required transport to hospital. Conclusions: Medical directors preparing medical support during a triathlon event should expect severe injuries in the cycling course. In hot climates, staff may also suffer from heat injuries as well as runners, and proper attention should be paid to these risks.

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Journal articles on the topic 'Non-medical medical staff'

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