Prevalence Of Negative Experiences Research Articles

Voice use of nurses working in the intensive care unit during the COVID-19 pandemic

ObjectiveThis study aimed to investigate the voice use of nurses working in intensive care units (ICUs) and their perception of acoustic environments. Setting and sampleThe research was conducted in four different hospitals in China during the COVID-19 pandemic. A total of 60 ICU nurses were recruited for their voice use monitoring and 100 nurses participated in the survey. Research methodologyFirstly, voice-related parameters such as voice level (SPL, dB), fundamental frequency (F0, Hz), and voicing time percentage (Dt, %) were measured using a vocal monitor. To collect data, a non-invasive accelerometer was attached to the participants' necks during their working hours. Secondly, the perception of the ICU acoustic environment was assessed using semantic differential. ResultsThe results showed that nurses spoke approximately 0.9–4 dB louder to patients and colleagues in ICUs compared to quiet rooms, and their fundamental frequency (F0) significantly increased during work. The voice levels of nurses were influenced by background noise levels, with a significant correlation coefficient of 0.44 (p < 0.01). Furthermore, the background noise levels ranged from 58.1 to 73.9 dBA, exceeding the guideline values set by the World Health Organisation (WHO). The semantic differential analysis identified ‘Stress’ and ‘Irritation’ as the two main components, indicating the prevalence of negative experiences within ICUs. Implications for clinical practiceThis study highlights the potential risk of voice disorders among ICU nurses. The findings also underscore the importance of implementing strategies to reduce noise levels in ICUs to reduce voice disorders among nurses.

Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients: Results from a Nationwide Survey in Sweden.

Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel worried or offended by the content of the notes. Moreover, existing research has focused on specific mental health diagnoses, excluding the larger PAEHR userbase with experience in MHC. The objective of this study is to establish if and how the experiences of patients with and those without MHC differ in using their PAEHRs by (1) comparing patient characteristics and differences in using the national patient portal between the 2 groups and (2) establishing group differences in the prevalence of negative experiences, for example, rates of errors, omissions, and offenses between the 2 groups. Our analysis was performed on data from an online patient survey distributed through the Swedish national patient portal as part of our international research project, NORDeHEALTH. The respondents were patient users of the national patient portal 1177, aged 15 years or older, and categorized either as those with MHC experience or with any other health care experience (nonmental health care [non-MHC]). Patient characteristics such as gender, age, education, employment, and health status were gathered. Portal use characteristics included frequency of access, encouragement to read the record, and instances of positive and negative experiences. Negative experiences were further explored through rates of error, omission, and offense. The data were summarized through descriptive statistics. Group differences were analyzed through Pearson chi-square. Of the total sample (N=12,334), MHC respondents (n=3131) experienced errors (1586/3131, 50.65%, and non-MHC 3311/9203, 35.98%), omissions (1089/3131, 34.78%, and non-MHC 2427/9203, 26.37%) and offenses (1183/3131, 37.78%, and non-MHC 1616/9203, 17.56%) in the electronic health record at a higher rate than non-MHC respondents (n=9203). Respondents reported that the identified error (MHC 795/3131, 50.13%, and non-MHC 1366/9203, 41.26%) and omission (MHC 622/3131, 57.12%, and non-MHC 1329/9203, 54.76%) were "very important," but most did nothing to correct them (MHC 792/3131, 41.29%, and non-MHC 1838/9203, 42.17%). Most of the respondents identified as women in both groups. About 1 in 2 MHC patients identified an error in the record, and about 1 in 3 identified an omission, both at a much higher rate than in the non-MHC group. Patients with MHC also felt offended by the content of the notes more commonly (1 in 3 vs 1 in 6). These findings validate some of the worries expressed by health care professionals about providing patients with MHC with PAEHRs and highlight challenges with the documentation quality in the records.

Social Representations of the Coronavirus at the Beginning of the Pandemic in Russia

The coronavirus outbreak is a global event that has bypassed national borders and affected the entire world. Therefore, examining social representations of can reveal the problems that structure peoples experiences in a particular social context. To identify social representations of the coronavirus, the authors conducted a survey within the territory of the Sverdlovsk region. The survey covered the period from March 11 to May 11, 2020. The data were collected in two stages: at the first stage, there were 31 confirmed cases of COVID-19 infection in Russia, but no cases had yet been recorded in the Sverdlovsk region; at the second stage, the number of cases reached 1952 in the Sverdlovsk region and 221 344 throughout the country. The study used the word association tests, The Semantic Differential Scale (V.F. Petrenko), The Psychic Activation Assessment Methodology (L.A. Kurgan and T.A. Nemchin) and the questionnaire survey techniques. The findings showed that the significance of the coronavirus problem for the respondents varied in different periods of the pandemic. The core of the social representation is sustainable and coherent. It reflects the results of the media impact: death, panic. It also remains stable regardless of the time and involvement of the respondents in the pandemic. The potential alteration zone serves as a kind of taming of knowledge about the coronavirus, the operationalization of the coronavirus perception content into the language of changes in a persons everyday life - the coronavirus pandemic is understood as a flu epidemic and the need for self-isolation is a vacation, an opportunity to stay at home. Observation of the immediate affective reaction of the respondents to the trigger coronavirus uncovered the presence of emotional tension and the prevalence of negative experiences in them. The survey also showed that in the pandemic, being the main source of information and a means of communication, the media set trends for developing perceptions.

Voice of the Victims: Accounts of Secondary Victimization With the Court System Among Homicide Co-victims.

The treatment homicide co-victims receive from the criminal justice system often leaves them aggrieved and feeling alienated. A neglected but important area of investigation is the courtroom workgroup's handling of murder cases. This exploratory study examines the nature and extent to which varying secondary victimization experiences are common among co-victims as the murder cases are processed through the court system. The sample consists of 27 co-victims connected to 24 separate cases where the murders occurred in a major metropolitan area in the southeastern United States. Drawing upon focus group data, Nvivo 10 was employed to identify themes that illustrate common secondary victimization experiences among co-victims along with positive and mixed reactions to court processes and personnel. The findings indicate that court requirements to provide notifications are infrequently met and attorney's practice to supply information about case progress and counseling to family members regarding plea-bargaining and sentencing decisions are greatly restrictive. When information is offered, it is often perceived as highly technical and when assistance is provided, it is frequently limited or intermittent. Despite the prevalence of negative experiences, there also were reports of positive interactions with the district attorney and victim advocates. The study concludes by identifying ways in which the courtroom workgroup can uphold the rights afforded to co-victims while at the same time meeting the duties and responsibilities of the workgroup.

IMPLEMENTING EU NATURA 2000 AT THE PROJECT LEVEL: LESSONS FROM THE VELUWE BORDER LAKES IN THE NETHERLANDS

The implementation of the European Union Bird and Habitat Directives in the field of water infrastructure has caused severe project disruptions in the past. The prevalence of negative experience has triggered a new approach, which aims to integrate site‐specific characteristics of ecosystem and project objectives during the development of the initial project design. This is termed integrated nature design. In this paper we advance the hypothesis that applying integrated nature design in Natura 2000 areas can increase the chances of a project being approved in case appeal is made to the courts. To test our hypothesis we have carried out a quasi‐experimental comparison of two coastal zone development projects in the Netherlands. Our analysis demonstrates that a coastal development project in a Natura 2000 area has a greater chance of success if its design integrates nature, provided that the project administration and scientific findings are favourable.

MANAGEMENT ASPECTS OF BUILDING WITH NATURE PROJECTS IN THE CONTEXT OF EU BIRD AND HABITAT DIRECTIVES

The implementation of the EU Bird and Habitat Directives by the ports and dredging industry caused severe project disruptions across North-West Europe in the past. The prevalence of negative experience triggered a new approach, which aims to integrate site-specific ecosystem characteristics and project objectives during the development of the initial project design. This approach is termed ‘Building with Nature’. The authorities and practitioners hope that the new approach will improve project implementation within the existing framework of the Bird and Habitat Directives. In this paper we review a total of twelve projects in the field of dredging against the definition of ‘Building with Nature’. For each project we highlight the outcome of assessment according to article 6 of the EU Habitat Directive. In conclusion we assess if there is a connection between the application of Building with Nature and the outcome of assessment under article 6 Habitat Directive.

“Just Relax”: Physicians' Experiences with Women Who Are Difficult or Impossible to Examine Gynecologically

The internal pelvic exam is a critical component of women's reproductive health care; however, it can be perceived as uncomfortable, embarrassing, and painful, which may lead some women to avoid this procedure. The purpose of this study was to survey physicians with respect to their experiences with female patients who are difficult or impossible to examine gynecologically. Six hundred and fifty-eight obstetrician-gynecologist and family physicians were sent a 15-item questionnaire by mail and 424 participants responded (64% response rate). The survey consisted of questions pertaining to demographic variables, professional training and practice information, the frequency with which they encounter female patients who are difficult or impossible to examine, and the strategies employed with and beliefs surrounding such patients. The main outcome measures were the frequency of patients who are difficult or impossible to examine, strategies used to manage such patients, and beliefs as to why these patients are difficult or impossible to examine. The results, based on a final sample size of 401, indicated that most respondents have had some experience with patients who are difficult or impossible to examine. In such cases, most physicians (87%) reported attempting to address their patients' lack of relaxation. The majority of physicians in this study believed that a previous negative experience with (87%), and heightened anxiety about (79%), the exam were to blame. Twelve percent of respondents specifically reported that a previous history of sexual abuse was an important factor. This study reinforces the importance of being aware of patient discomfort during pelvic exams and of developing strategies that fit the individual patient and her needs. Future research should examine women's perceptions of their reproductive care, particularly correlates of pain and anxiety during pelvic exams, prevalence of negative experiences, and doctor-patient interactions in this context.

The prevalence of negative experiences in families of deceased organ donors and effects on the intensity of depression, post-traumatic stress and bereavement

Clinical TransplantationVolume 22, Issue 5 p. 685-686 The prevalence of negative experiences in families of deceased organ donors and effects on the intensity of depression, post-traumatic stress and bereavement Joseph L. Verheijde, Joseph L. Verheijde Department of Physical Medicine and RehabilitationSearch for more papers by this authorMohamed Y. Rady, Mohamed Y. Rady Department of Critical Care Medicine, Mayo Clinic Hospital, PhoenixSearch for more papers by this authorJoan L. McGregor, Joan L. McGregor Lincoln Professor of Bioethics, Bioethics, Policy and Law Program, Arizona State University, Tempe, AZ, USASearch for more papers by this author Joseph L. Verheijde, Joseph L. Verheijde Department of Physical Medicine and RehabilitationSearch for more papers by this authorMohamed Y. Rady, Mohamed Y. Rady Department of Critical Care Medicine, Mayo Clinic Hospital, PhoenixSearch for more papers by this authorJoan L. McGregor, Joan L. McGregor Lincoln Professor of Bioethics, Bioethics, Policy and Law Program, Arizona State University, Tempe, AZ, USASearch for more papers by this author First published: 19 September 2008 https://doi.org/10.1111/j.1399-0012.2008.00884.xCitations: 1Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume22, Issue5September/October 2008Pages 685-686 RelatedInformation