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A healthy and valued workforce is vital for safe and compassionate mental healthcare. That was my take-home from the recent senior leadership symposium on advancing and sustaining the mental health nursing workforce.
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Fern Raven, advanced nurse (clinical) practitioner, explains how her role and its associated innovations have helped to improve mental health and wellbeing among foundation year doctors at her trust.
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Introduction: Research into patients' perception of empathy has revealed that patients with stomas feel unsupported by healthcare professionals, who can lack an understanding of how it feels to live life with a stoma. A literature review was undertaken to explore what is the evidence for best practice for teaching empathy skills to healthcare professionals and how this can be applied to caring for people with a stoma. Search strategy: Included studies were required to explore teaching empathy or measuring levels of empathy in pre- and post-graduate nurses and in healthcare professionals caring for patients with a stoma. Excluded studies were those involving paediatric and mental health nursing, as these domains of nursing were considered to differ in clinical specialism and any other healthcare professional discipline outside the nursing profession such as doctors or allied healthcare professionals. Results: Given the number of articles reporting that empathy is lacking in stoma care, it is remarkable that so little original research has been carried out in this area, specifically the lack of qualitative research. A variety of interventions were used to assess empathy in pre- and post-graduate nurses, from multiple nations with diverse cultures. Conclusions: Results from the data revealed several themes for the best practice of teaching empathy skills to healthcare professionals, including essential nurse attributes, innate nurse characteristics, nurse experience and the contribution of experiential learning.
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Purpose: This study aimed to identify and understand challenges to inform new strategies to increase the COVID‐19 vaccination rate according to involved vaccinators' perspectives in Belitung, Indonesia. Design A qualitative descriptive study design was used. Methods: Online interviews and chatting were done among 11 vaccinators for data collection between August 2021 and January 2022. Data were analyzed using a content analysis model. Findings Four main themes emerged, including (1) communication strategies (evidence‐based, electronic‐based, and culturally based communication), (2) cross‐sectoral strategies (collaboration with police, religious leaders, customary leaders, heads of village divisions, and non‐governmental organizations), (3) "picking‐up the ball" system (home visits for elderly and people with disability and school visits for children), and (4) setting‐up priorities (between mandatory vaccines and boosters). Conclusion: Despite making vaccination mandatory, the roles of communication, cross‐sectoral innovations, "picking‐up the ball" system, and priority setting may have useful potential to improve vaccination rates. Clinical Relevance: The findings may serve as an input to overcome challenges and accelerate the vaccination coverage in Indonesia and beyond. However, further research is needed.
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The article discusses how indigenous talking circles can help health and social care professionals recover from moral injury due to the pandemic. Topics include reason for moral injury in the health and social care context, a therapeutic intervention that has been developed for moral injury in the U.S. military, and the evidence-based theory of post-traumatic growth.
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The article discusses that 22 states have joined to petition Centers for Medicare & Medical Services (CMS) to stop mandating Covid-19 vaccines for healthcare workers. It discusses that CMS does not require the new bivalent Covid-19 booster for healthcare workers;and mentions that whether the SARS-CoV-2 bivalent immunization can blunt the threat to healthcare workers and patients, particularly since the viral iterations have shown the ability to escape vaccine immunity.
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The article presents the discussion on COVID examining the association of mild SARS-CoV-2 infection and longterm health outcomes. Topics include mild disease not leading to serious or chronic long-term morbidity in the vast majority of patients and adding a small, continuous burden on healthcare providers;and showing fairly significant risks for cognitive impairment, dyspnea, and weakness.
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The article offers information on rules drafted by Occupational Safety and Health Administration (OSHA) for protecting healthcare workers in COVID-19 standard. Topics include information on emergency temporary standards;consideration of less restrictive policies for healthcare workers who have been vaccinated;and comments of Deborah Burger, president of National Nurses United (NNU).
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The article focuses on multiple steps for easing physicians' burden from coding, documentation and risk adjustment. Topics discussed include the patient also began experiencing symptoms of high blood pressure and severely reduced access to healthy food as result of the increased financial strain brought on by the pandemic;and the patient did not see a physician in 2020, none of this information was documented in their medical record or coded.