Background and Aims:Medical vandalism has become a major matter of concern in today's world. The number of violent mob attacks on doctors and other medical personnel is on the rise. This trend is having a negative impact on the proper functioning of healthcare system thus affecting the quality of care and treatment. The aim of this study is to assess the awareness and opinions of the stakeholders in healthcare facilities about vandalism in today's medical practice.Methods:A cross-sectional survey study was conducted in Acharya Vinoba Bhave Rural Hospital among 360 participants, comprising of nurses, patient's relatives, security personnel and non-medical staff in the Emergency Care Units and wards. A detailed questionnaire was prepared and used to assess the opinion of the subjects covering various aspects of medical vandalism such as prevalence of vandalism, experiences of vandalism at work, various factors causing medical vandalism, initiatives taken by the respondents to curb vandalism and awareness about various laws implemented by the government that help prevent vandalism.Results:Majority of the participants were of the opinion that medical vandalism was prevalent in India. Overcrowding of patients, inadequate skilled healthcare providers and occurrence of sudden death in casualty are among the major factors that trigger vandalism. This issue has been on the rise in both government and private setups, and nurses seem to be the major victims of such cruelness. 80% of the subjects admitted that verbal abuse was more common than physical abuse.Conclusion:Although violence against all healthcare professionals has been recorded since historical times, the current scenario of the country is disturbing. Immediate measures need to be taken to curb vandalism. Various laws need to be implemented to strictly punish those who create violence. Likewise, institutions must ensure the availability of adequate staff and facilities to reduce events that make the bystanders aggressive.
Introduction: Medical education appears to perpetuate stress through its intense academic workload, working with patients and grading systems. Various studies show that the stressful life of medical students can attribute to development of various ailments and deterioration of quality of life. The World Health Organization has defined quality of life as “individuals' perception of their position in life in the context of the culture and value systems in which they live and their relation to their goals, expectations, standards and concerns. Aim: To determine the health related quality of life of medical students and assess their mental status. Material and Methods: A descriptive cross sectional study was conducted among the undergraduate students of Jawaharlal Nehru Medical College. A total of 235 students from 2nd year MBBS and Final year part 1 MBBS participated in the survey. The study was conducted after obtaining written consent from the participants and permission from the Head of the Department to conduct the study. Results: The students who participated ranged from the age group of 17 years to 24 years, maximum being 21 years (30%), 164 of them were females. Sixty two percent of the students belonged to 2nd year. According to Beck's Depression Inventory, 23%(53) evaluated to have mild mood disturbances. Overall scores for all 8 domains ranged between 78.2 and 60.2. The maximum score was obtained in the Physical Function domain and the minimum score was obtained in the Role Limitation Due to Emotional Problems domain. Conclusions: The study shows that the quality of life, health related as perceived by the participants is low. Various factors may be associated with this, including time constraints for social activities, heavy workload and limited contact with family and friends. Deteriorated quality of life may affect the attainment of knowledge by the students, their performances as well as their future competencies as a clinician.
The introduction of continuous cardiac monitoring via telemetry provides a method to ensure patient care is safe and effective. At the same time, the implementation of this technology has raised concerns about telemetry technician (teletech) work. This project provides a two-fold look at teletech’ work in real-time settings to describe teletech interactions with unit staff and to explore the relationship between measures of teletech’ workload and patient load. Results suggest the implementation of telemetry systems necessitate a mutual dependence between teletechs and unit staff: unit staff rely on teletechs to inform them of concerning patient states; teletechs rely on unit staff to maintain the integrity and accuracy of the telemetry system and the patient data they observe. Results from measures of teletech’ workload and patient load align with previous work that explored teletech’ patient load in simulated settings. Agreement between the current project and previous studies also suggest a potential patient load capacity of 33 patients for continuous telemonitoring work. Future research and implications for academics, healthcare operations, and the design of telemetry systems are discussed.
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