Survey Of Medical Staff Research Articles

Satisfaction Survey of Medical Staff for Telemedicine after the COVID-19 Pandemic: A Comparison Between the COVID-Pandemic and Post-COVID Pandemic Periods.

Introduction: The role of telemedicine should be reassessed in the post-COVID-19 pandemic era. This study aimed to evaluate the perception and satisfaction of medical staff with telemedicine after the COVID-19 pandemic and compare these findings with those during the COVID-19 pandemic. Methods: Between January and February 2023, a questionnaire regarding the utilization, safety, and satisfaction with telemedicine was administered to 200 medical staff members (100 doctors and 100 nurses). Additionally, open-ended questions were included to gather insights on the strengths, weaknesses, and prerequisites of telemedicine. The satisfaction levels of the medical staff were compared with those from a previous study conducted during the COVID-19 pandemic. Results: The response rate among medical staff was 60.0% (50 doctors and 70 nurses). Concerning patient safety, 83.3% of respondents indicated a risk of worsening symptoms in chronic patients, and 68.3% expressed concerns about emergencies related to patient safety. Eighty-two percent of doctors preferred in-person visits over telemedicine, while 48.6% of nurses reported equal or greater satisfaction with telemedicine (p = 0.003). The reported strengths of telemedicine included the convenience of outpatient clinics (67%), while its primary weakness was the incomplete assessment of patient conditions (73%). The likelihood of partial substitution of telemedicine for in-person visits was significantly higher in the post-COVID-19 pandemic period compared to during the pandemic (71.7% vs. 49.0%, p < 0.001). Conclusion: In the post-COVID-19 pandemic era, telemedicine continues to offer significant benefits in enhancing patient access to medical care. However, medical staff remain concerned about its safety and show lower satisfaction compared to in-person visits. In response to these concerns, an effective telemedicine platform and legal standards, including practical guidelines, should be developed.

Aggressive Behavior of Patients in a Psychiatric Hospital: Results of a Survey of Medical Staff

Aggressive Behavior of Patients in a Psychiatric Hospital: Results of a Survey of Medical Staff

Construction of medical equipment maintenance network management platform based on big data

Introduction: Medical equipment is an indispensable part of hospitals. It is the basic condition and guarantee for the hospital to carry out medical services, scientific research, teaching, and other activities, and it plays an irreplaceable role in the entire medical process of the hospital. Therefore, the maintenance management of equipment is also the focus of our attention. In the past, traditional management methods such as paper were mainly used for equipment maintenance management, and it was difficult to share data.Methods: In today’s era of rapid development of information technology, we will use information technology to maintain and manage medical equipment. Through big data analysis and other technologies, the drawbacks of the existing traditional management methods are improved, so that medical equipment can be managed scientifically. By maximizing its functions, it can ensure the normal operation of medical facilities, improve the utilization rate and integrity rate of equipment, and reduce maintenance costs and unnecessary losses.Results: According to the research findings, based on the background of big data, a de-Bayesian network is used for data mining to build a medical equipment maintenance platform. Through the data in the platform, we can better discover the distribution and reasons of equipment maintenance, and at the same time conduct an analysis to provide reference for the formulation of preventive maintenance plans, reduce equipment failure rate and maintenance costs and improve equipment utilization. Through the survey of medical staff, we can also find that at least 40% of the people feel that the work distribution is more reasonable, and 45% of the people feel that the equipment failure rate and the time required for maintenance have been greatly reduced.Discussion: We can see that the network platform for medical equipment maintenance management built through big data is very feasible, which can help us work more effectively and improve work efficiency.

Optimizing menstrual health and hygiene management in the U.S.: A mixed-methods study of the barriers and the role of healthcare professionals

ObjectiveMenstrual health (MH) practices have been understudied in the U.S. This study aimed to assess patient and medical staff views of MH. MethodsThe mixed-methods approach included medical staff and patient surveys, and patient interviews on MH experiences. Quantitative survey data generated descriptive statistics. Thematic content analysis (TCA) evaluated qualitative interviews. Convergent Parallel Triangulation Analysis (CPTA) evaluated both datasets in tandem. ResultsThe medical staff survey’s response rate was 72% (54 participants/75 invited staff). Only 7% (4/54) of staff consistently asked patients about menstrual products (MP), while 54% (29/54) were concerned about patients affording MP. The patient survey’s response rate was 90% (186/207); 22% (40/186) of respondents showed MH insecurity, which was associated with annual income <$30,000 (p < 0.01); 45% (85/186) missed commitments during menses; 53% (98/186) never discussed MP with healthcare providers. To reach thematic saturation 10/17 invited patients were interviewed. Five themes were identified through TCA: menstruation as a social barrier; menstrual education comes from a variety of sources; MP choice is a balance of comfort, cost, and convenience; patients value relationships with their providers; adolescence is the window for establishing MH. Three threads were identified through CPTA: MH insecurity is common; MH screening and education are limited; menstruation impacts patients’ ability to engage in daily activities. ConclusionA holistic approach toward MH is needed; education and screening are inconsistent. Comprehensive MH can enhance a patient’s understanding of and capacity to advocate for their health. These findings are specific to this population and may not be generalizable.

The use of sand as an alternative surface for training, injury prevention and rehabilitation in English professional football and barriers to implementation: a cross-sectional survey of medical staff

ABSTRACT Purpose The purpose of the present study was to investigate the use of sand as an alternative surface for training, injury prevention and rehabilitation interventions in English professional football. A Secondary aim was to explore the potential barriers to implementation. Materials and Methods All 92 teams from the male English professional football pyramid during the 2021–22 season were eligible to take part. A cross-sectional survey of the medical personnel (one per club) was conducted between June 2021 and December 2021 based on the RE-AIM framework. A total of 58 respondents (63% of all clubs) completed the survey. Results and Conclusions Only 18 (31%) of the clubs surveyed used sand-based interventions across the last 3 seasons. Respondents felt sand-based interventions would be effective at improving physiological gains (median 4, interquartile range [IQR] 4–5) and as part of injury prevention and rehabilitation strategies (4, IQR 3–4) but were indifferent in relation to its potential to improve sporting performance (3, IQR 3–4). Barriers to implementation of sand-based interventions within wider football were a lack of facilities, lack of awareness of its potential benefits, lack of high-quality evidence and the surface not being specific to the sport. Medical staff also did not perceive that coaches’ positively viewed sand interventions as a training or injury management strategy.

Relationship between COVID-19-specific occupational stressors and mental distress in frontline and non-frontline staff

This study investigated the difference in the severity of mental distress and factors contributing to mental distress in frontline and non-frontline healthcare professionals during the coronavirus disease (COVID-19) pandemic. A cross-sectional web-based survey of medical staff collected by snow-ball sampling was performed in Japan in October 2020 using the Kessler Psychological Distress Scale (K6) as an outcome measure for mental distress. Originally developed items asking about the degree of change in psychological and physical burdens, COVID-19-related fear, and experience of discrimination were obtained. The median score of the K6 was 7 in the frontline staff group (n = 86) and 6 in the non-frontline staff group (n = 504), without a statistically significant difference. Multiple regression analyses showed that among the participants, an increase in psychological burden and COVID-19-related fear was significantly associated with mental distress in both groups. Experience of discrimination was significantly associated with mental distress only in the frontline staff group. However, an increase in physical burden was significantly associated with mental distress only in the non-frontline staff group. The results indicate that the factors contributing to mental distress between frontline and non-frontline staff can be different, although the severity of mental distress is comparable between them.

The Frequency of Phantom Vibration Syndrome in Medical Staff: A Cross Sectional Survey

Introduction: Phantom vibration syndrome, also known as hypovibochondria or ring-xiety, may occur among individuals carrying digital devices. Phantom vibration syndrome is the mistaken belief that a device is vibrating when it is not. The current study investigates this phenomenon among medical staff who often interact with digital devices throughout duty hours. Objective: The objective of the study was to determine the frequency of Phantom vibration syndrome in medical staff. Methods: A cross-sectional survey of medical staff was conducted. A convenience sample of 150 physicians, surgeons, allied health professionals, and medical assistants was used. Online survey invitations were sent by email, WhatsApp, and other channels. The data was analysed by SPSS 25.0. The Fisher exact test was used to compare phantom vibrations to categorical data. Results: The results showed that out of 190 medical staff, there were 133 (72.7%) having phantom vibration syndrome. It was significantly associated (p=0.000) with younger age groups from 21-40 year, was seen more in surgeon, physicians and then nurses (p=0.029), associated more with carrying cell phone (p=0.003), more in carrying device in breast and back pocket (p=0.001), more in keeping device on vibration always or most of time (p=0.008) and more in using device from 11-15 or more hours (p=0.001). It was equally distributed in both male females (p=0.176) Conclusion: The study concluded that phantom vibration syndrome was highly prevalent in medical staff. The findings were associated with the length of time the product was used and were more prevalent among surgeons, medical physicians, and nurses in a decreasing order. most respondents regarded the feelings as bothersome and worth stopping and even changing the device. Keywords: Phantom Vibration Syndrome, Medical Staff, Health Practitioner, Digital Devices

Mobile phones are hazardous microbial platforms warranting robust public health and biosecurity protocols

Advancements in technology and communication have revolutionised the twenty-first century with the introduction of mobile phones and smartphones. These phones are known to be platforms harbouring microbes with recent research shedding light on the abundance and broad spectrum of organisms they harbour. Mobile phone use in the community and in professional sectors including health care settings is a potential source of microbial dissemination. To identify the diversity of microbial genetic signature present on mobile phones owned by hospital medical staff. Twenty-six mobile phones of health care staff were swabbed. DNA extraction for downstream next generation sequencing shotgun metagenomic microbial profiling was performed. Survey questionnaires were handed to the staff to collect information on mobile phone usage and users’ behaviours. Each of the 26 mobile phones of this study was contaminated with microbes with the detection of antibiotic resistance and virulent factors. Taken together the sum of microbes and genes added together across all 26 mobile phones totalised 11,163 organisms (5714 bacteria, 675 fungi, 93 protists, 228 viruses, 4453 bacteriophages) and 2096 genes coding for antibiotic resistance and virulent factors. The survey of medical staff showed that 46% (12/26) of the participants used their mobile phones in the bathroom. Mobile phones are vectors of microbes and can contribute to microbial dissemination and nosocomial diseases worldwide. As fomites, mobile phones that are not decontaminated may pose serious risks for public health and biosecurity.

DIAGNOSIS OF ORGANIZATIONAL CULTURE IN THE MANAGEMENT SYSTEM OF THE HEALTHCARE INSTITUTION

The article is a theoretical analysis of the problem of organizational culture (hereinafter OC), the issues of determining and measuring of OK, which cause the greatest controversy among experts. After analyzing a number of specific definitions of organizational culture, the authors conclude that the content of those characteristics that are most common in the definitions of OC, formulated by foreign and domestic experts. A working definition of OC has been offered on the views of R. Kilman, E. Shane, K. Cameron, R. Quinn. The structure, components, functions, mechanisms of OC formation, external and internal factors influencing it has been revealed. The article presents the results of the diagnosis of organizational culture in the management system of the healthcare institution (Municipal Non-profit Enterprise of Mykolaiv City Council “City Hospital №4”). It is noted that the OC is an important mechanism for ensuring the quality of medical care, patient satisfaction, staff, prevention of complex conflicts. In the process of diagnosis, the structural elements of the OK of the medical institution of Municipal Non-profit Enterprise of Mykolaiv City Council “City Hospital №4” were revealed: dominant collective values, culture of working conditions, means of labor and labor process, interpersonal relations, management and the worker. A survey of medical staff and nurses was conducted, as a result, the types of existing and promising culture were identified, and certain problems in the management of the OC were outlined. In order to increase the efficiency of the staff of the medical institution of Municipal Non-profit Enterprise of Mykolaiv City Council “City Hospital №4”, the formation of an appropriate motivational environment is necessary to combine with the characteristics of cultures of three types (clan, adhocratic and bureaucratic). A set of tools for the formation of a culture of new quality (promising) is proposed. This complex includes: development and implementation of a code of ethics; continuous staff training; implementation of changes at all levels and their control; selection of staff who fully share the values of the new OC; training of new employees in the values and norms of behavior of the new OC; demonstration by the management of new norms of behavior and declaration of the values of the new OC; creation of appropriate procedures and formation of traditions within the organization.

Сравнительный анализ состояния инфекционного контроля в стоматологических организациях здравоохранения Киргизской Республики

This article presents the results of two monitoring and assessment of the state of infection control in dental organizations of the Kyrgyz Republic, in order to prevent infections associated with the provision of medical care. The studies were conducted in 36 dental organizations using the “Scorecard of the state of infection control in dentistry”, which includes 31 criteria for 7 functional and organizational blocks (administrative measures, sanitary and hygienic requirements, safety of medical procedures, disinfection, disinfection and pre-sterilization cleaning, sterilization of dental instruments and materials and healthcare waste management). The assessment of the state of infection control was carried out by direct observation of existing practices, an operational survey of medical staff, discussion with the medical staff of the organization of cause-and-effect relationships between processes and phenomena (qualitative assessment) and the method of calculating a numerical expression of the percentage ratio between the existing and expected fulfillment of infection control requirements (quantitative assessment). During the assessment, violations of the infection control requirements were identified in almost all observed infection control assessment blocks. The measures developed based on the results of the baseline assessment and carried out to improve the state of infection control in the dental health care organizations of the Kyrgyz Republic made it possible to obtain an increase in quality indicators by 1.9 times. Nevertheless, further improvement of the system of measures for the prevention of infections associated with the provision of dental care to the population is required.

Range-Measurement Sensor to Improve the Authentication Workflow for Users of a Hospital Information System: A Proof-of-Concept Study.

In this study, we developed an authentication rangefinder (AR) system for hospital information system (HIS) terminals to support the user authentication workflows. The logoff process of the AR system is triggered if no object is placed at least 90 cm in front of the HIS terminal laptop for ≥5 s. We conducted an anonymous survey of medical staff who used the AR system. 33/42(78%) respondents acknowledged an improvement in the logoff process. This study indicates that the AR system improves the user authentication workflow.

Knowledge, Practices, and Perceived Barriers in Cancer Pain Management at Oncology Units: A Cross-Sectional Survey of Medical Staff in China.

BackgroundDespite the great signs of progress in cancer pain management in China, the associated pain remains under-treated. Poor knowledge among the medical staff is an important factor contributing to the under-treatment of cancer pain. This study aimed to evaluate the knowledge, practices, and perceived barriers in cancer pain management among the medical staff at oncology units in China.Patients and MethodsA cross-sectional survey was conducted with the medical staff (including physicians, nurses, and pharmacists) at oncology units in tertiary hospitals of China between December 2020 and January 2021. The questionnaire assessed the knowledge, practices, and perceived barriers in cancer pain management.ResultsA total of 1262 medical staff responded to the questionnaire; the response rate was 94.2%. Most participants had good knowledge of the three-step analgesic ladder of the World Health Organization (WHO) and the National Comprehensive Cancer Network (NCCN) guidelines for Adult Cancer Pain. Knowledge deficit was prominent in questions on opioid dose titration and rotation and adverse effects of opioids; the correct response rate was less than 40%. Training, work experience in oncology, and education level were significantly related to knowledge of cancer pain management (all P < 0.001). In clinical practice for cancer pain management, approximately 57.2% of medical staff were unfamiliar with opioid dose titration and rotation; only 14.4% treated cancer pain through multidisciplinary collaboration. Poor medication compliance, difficult individualized analgesia protocols, and insufficient multidisciplinary participation were the most frequently perceived barriers by the medical staff for pain management.ConclusionThese findings suggested a further need for integrating recent guidelines to strengthen continued training (especially among juniors and those with low education levels) and patient education to improve the knowledge and clinical practices of cancer pain management among the medical staff in China. Multi-disciplinary management is required for the effective treatment of cancer pain.

Вплив спеціальних тренувальних програм в бодібілдингу на зменшення рівня травматизму спортсменів

The purpose of the study was a comparative analysis of training programs in bodybuilding and an assessment of their influence on the frequency of traumatization of the musculoskeletal system of athletes. Materials and methods. Theoretical analysis of scientific and methodological literature was conducted. For a practical assessment of the primary data on the types of injuries, a survey of medical staff was conducted. We analyzed 54 journals with records of athletes' appeals to medical personnel. Mathematical processing of research results was carried out using the software packages IBM SPSS Statistics 2.0. The study, which was conducted during 4 months – from March to the end of June 2021, involved 60 bodybuilders aged 18-19 years old. Three research groups of 20 athletes each were formed. They were divided according to age, qualifications and anthropometric characteristics. The created groups did not have significant differences in these characteristics; the intergroup difference applied only to the proposed training programs. Results and discussion. In the course of the study, it was found that among the athletes of the control group who used the generally accepted program of training sessions with a certain sequence of using exercises of a basic and formative nature, the number of calls with certain pain sensations during four mesocycles of training decreased by 30.7% (p &lt;0.05) compared to a similar period before the start of the study. At the same time, the results obtained show that among the athletes of the first main group, who used the combined program of training sessions in bodybuilding during the study, the controlled indicator of the number of calls decreased significantly – by 33.4% (p &lt;0.05). Conclusion. In the process of studying the peculiarities of the influence of various programs of training sessions on the dynamics of morpho-functional indicators of the athletes’ organisms during four mesocycles of training sessions, a certain regularity was established regarding the ratio of the manifestations of types of injuries when performing strength exercises, depending on the sequence of their use. In the process of applying the methodical procedure "premature fatigue" on the dynamics of morphometric indicators of body weight of athletes it is shown that it is the third version of the program that contributes to a significant decrease in the number of calls (by 75%, p &lt;0.05), compared with the results obtained over the period of the previous four mesocycles of intensive bodybuilding at the stage of specialized basic training of athletes

Knowledge, attitudes, and practices regarding venous thromboembolism prophylaxis: A survey of medical staff at a tertiary hospital in China.

To assess the knowledge, attitudes, and practices regarding venous thromboembolism (VTE) prophylaxis among medical staff at a tertiary hospital in China.A self-administered web-based survey was completed by medical staff, and data about respondent knowledge, attitudes, and practices regarding VTE prophylaxis were gathered and analyzed with chi-square tests, using a 95% significance level.Of the 2079 medical staff invited to participate in the survey, a total of 2042 (including 921 clinicians and 1121 nurses) responded. The overall rate of correct responses to knowledge items was 57.6%; the rate was 60.1% for clinicians and 55.4% for nurses (P < .001). The median affirmative (“strongly agree”/“agree”) rate for attitude items was 99.0% (range, 83.2%-99.4%). Medical staff members were most commonly concerned about the possibility of a financial penalty when a patient could not be treated with VTE prophylaxis (49.4%). Low levels of knowledge and participation of medical staff were identified most commonly as difficulties involved in VTE prophylaxis (48.5%). The median affirmative response rate for practice items was 58.2% (range, 51.1%-68.3%). All affirmative response rates for practice items were significantly higher for nurses than for clinicians (all P < .001).Although the overall attitude toward VTE prophylaxis was positive, the knowledge level was poor, especially among nurses, and the rate of affirmative responses regarding practices was low, especially among clinicians. Medical institutions should improve staff training regarding VTE prophylaxis, and medical staff should be encouraged to actively engage in VTE prophylaxis.

EgePan-VOICE study on the psychosocial burden of the Covid-19 pandemic among - medical technical assistants

egePan-VOICE study on the psychosocial burden of the Covid-19 pandemic among - medical technical assistants Objectives: The Covid-19 pandemic is associated with increased demands on healthcare workers. A previously neglected occupational group is medical technical assistants (MTA). The aim is therefore to identify stress factors among MTA in Germany during the pandemic. Methods: A cross-sectional online survey of medical staff was conducted in spring 2020 (N = 8088). Results: N = 1483 records of MTA were analyzed. Retrospectively, the stress increased under the pandemic, and 60.1 % of MTA suffered from work stress (ERI). Staff shortages and extra work were associated with an increase in work stress. Problems of work-life balance and contact with contaminated material/infected persons favored stressful experiences. Conclusions: Some working conditions in the pandemic pose a potential health risk to MTA. It seems necessary to create improvements in the general conditions that enable healthily and effective work.

Daily multidisciplinary COVID-19 meeting: Experiences from a French university hospital

ObjectivesIn March 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic. In absence of official recommendations, implementing daily multidisciplinary team (MDT) COVID-19 meetings was urgently needed. Our aim was to describe our initial institutional standard operating procedures for implementing these meetings, and their impact on daily practice. MethodsAll consecutive patients who were hospitalized in our institution due to COVID 19, from March 31 to April 15, 2020, were included. Criteria to be presented at MDT meetings were defined as a proven COVID-19 by PCR or strongly suspected on CT scan, requiring hospitalization and treatment not included in the standard of care. Three investigators identified the patients who met the predefined criteria and compared the treatment and outcomes of patients with predefined criteria that were presented during MDT meeting with those not presented during MDT meeting. COVID-19 MDT meeting implementation and adhesion were also assessed by a hospital medical staff survey. ResultsIn all, 318 patients with confirmed or suspected COVID-19 were examined in our hospital. Of these, 230 (87%) were hospitalized in a COVID-19 unit, 91 (40%) of whom met predefined MDT meeting criteria. Fifty (55%) patients were presented at a MDT meeting versus 41 (45%) were not. Complementary exploration and inclusion in the CorImmuno cohort were higher in MDT meeting group (respectively 35 vs. 15%, P=0.03 and 80 versus 49%, P=0.0007). Prescription of hydrocortisone hemisuccinate was higher in group of patients not presented during MDT meeting (24 vs. 51%, P=0.007). Almost half of the patients fulfilling the inclusion criteria were not presented at MDT meeting, which can be partly explained by technical software issues. ConclusionsMultidisciplinary COVID-19 meetings helped implementing a single standard of care, avoided using treatments that were untested or currently being tested, and facilitated the inclusion of patients in prospective cohorts and therapeutic trials.

Pre-exposure Prophylaxis Implementation in Family Planning Services Across the Southern United States: Findings from a Survey Among Staff, Providers and Administrators Working in Title X-Funded Clinics.

To improve women's access to pre-exposure prophylaxis (PrEP) in family planning (FP) clinics, we examined readiness to provide PrEP, and barriers and facilitators at the clinic level to integrate PrEP services into Title X-funded FP clinics across the Southern US. Title X-funded FP clinics across DHHS regions III (Mid-Atlantic), IV (Southeast), and VI (Southwest), comprising the Southern US. From February to June, 2018, we conducted a web-based, geographically targeted survey of medical staff, providers and administrators of Title X-funded FP clinics in DHHS regions III (Mid-Atlantic), IV (Southeast), and VI (Southwest). Survey items were developed using the Consolidated Framework for Implementation Research to assess constructs relevant to PrEP implementation. One-fifth of 283 unique Title X clinics across the South provided PrEP. Readiness for PrEP implementation was positively associated with a climate supportive of HIV prevention, leadership engagement, and availability of resources, and negatively associated with providers holding negative attitudes about PrEP's suitability for FP. The Title X FP network is a vital source of sexual health care for millions of individuals across the US. Clinic-level barriers to providing PrEP must be addressed to expand onsite PrEP delivery in Title X FP clinics in the Southern US.

Гігієна і безпека праці медичного персоналу в умовах подолання пандемії COVID-19. Друге повідомлення: зміни і проблеми

Objective: We studied the dynamics and causes of acute occupational morbidity on COVID-19 in medical staff, changes in labour conditions and safety of medical workers, their protection with adequate and effective personal protective equipment in particular. Materials and methods: We applied bibliographic, hygienic, questionnaire and mathematical methods in the study. As a material for the study, we used the results of our own observations, questionnaires for a survey of medical staff, data of the WHO, the Ministry of Healthcare of Ukraine, the Center for Public Health of the Ministry of Healthcare of Ukraine, the State Labour Service of Ukraine, the State Statistics Service of Ukraine and thematic scientific sources of information. Results: The work of the doctors involved in COVID-19 pandemic overcoming is classified as dangerous (extreme). An increase in the degree of neuro-emotional stress and accumulation of fatigue was revealed in comparison with the data of the first report. A significant number of ergonomic and physiological and hygienic deficiencies in personal protective equipment were recorded. Nurses (38.43%), assistant nurses (22.69%) paramedics (3.72%), practicians of family medicine (2.91 %), therapists (2.86%) and anesthesiologists (2.52%) predominate among medical staff diagnosed with COVID-19 acute occupational disease. An extremely low number of commission investigations of the accidents (COVID-19 diseases in medical workers), completed as of June 22, 2020, was revealed. Conclusions: The incidence rates of medical workers for COVID-19 and a significant number of the deaths in medical staff as a result of the infection with SARS-CoV-2 coronavirus indicate the insufficient attention of the state to the issues of labour protection in medical industry.

Assessment of User Needs for Telemedicine Robots in a Developing Nation Hospital Setting.

Background: This study aimed to investigate the needs of medical users of telemedicine robots to encourage international cooperation and development. Introduction: As the use of telemedicine expands, it is necessary to develop new systems, including robots, which consider the perceived needs of end users to ensure quality of care and positive user experience. Materials and Methods: A survey of medical staff was conducted at a hospital in Vietnam to investigate users' needs for a telemedicine robot system. Results: A total of 117 medical staff participated in the survey, comprising 74 nurses and 43 doctors. The most preferred type of robot was the humanoid type, female version, and the preferred mobility type was walking. The most requested functions were "heart rate measurement," "recognition and avoidance of obstacles," "oxygen saturation measurement," "Transmitting Medical Information," and "wireless system." In addition, the most important considerations in developing a robot system were "cleaning the robot to prevent infection," followed by "convenience of operation." Discussion: The results of this study largely supported those of similar previous studies. However, some differences may reflect the cultural variation or differences in the level of medical development across contexts. Conclusion: To apply robotic systems to help develop telemedicine internationally, it is essential to develop a robot that reflects actual users' needs. If relevant matters such as legal issues are considered and addressed, an appropriate robotic telemedicine system can be successfully developed. Consequently, telemedicine can improve the quality of local medical care, strengthen practitioner capacity, and improve outcomes.

Intubation practices for children in emergency departments and intensive care units across Australia and New Zealand: A survey of medical staff.

Intubation of children in the emergency setting is a high-risk, low incidence event. Standardisation of clinical practice has been hampered by a lack of high-quality evidence to support one technique over another. The aim of the present study is to determine clinician preference in intubation practice of children in EDs and ICUs in Australia and New Zealand to provide baseline information to allow future targeted research focused on improving the safety and efficacy of paediatric emergency airway management. The present study was a voluntary questionnaire undertaken by medical staff at registrar level or above in EDs and ICUs associated with the Paediatric Research in Emergency Departments International Collaborative (PREDICT) and Australia and New Zealand Intensive Care Society Paediatric Study Group (ANZICS PSG) research networks. Respondents reported on their individual intubation practices, with a focus on pre-oxygenation and apnoeic oxygenation techniques, and the use of video laryngoscopy. A total of 502 clinicians were invited to complete the survey between May and October 2018 with 336 (66.9%) responded. There was marked variation in practice between ED clinicians and ICU clinicians in the techniques used for pre-oxygenation, the frequency of use of apnoeic oxygenation and the reported use of video laryngoscopy. Within Australia and New Zealand there is considerable variation in paediatric emergency airway clinical practice, in particular with respect to pre-oxygenation, apnoeic oxygenation and use of video laryngoscopy. Definitive clinical trials are required to best inform clinical practice in this area.