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  1. Artikel ; Online: Workplace well-being in pediatric anesthesia: How to design and implement a bespoke evidence-based framework in your department.

    Shrivastava, Prani P / McDonald, Jane M

    Paediatric anaesthesia

    2020  Band 31, Heft 1, Seite(n) 53–60

    Abstract: Background: All anesthetists are at risk of mental ill health and pediatric anesthetists face additional stressors that may impact upon well-being, particularly after an adverse outcome. The SARS COV-2 pandemic has resulted in a plethora of resources to ...

    Abstract Background: All anesthetists are at risk of mental ill health and pediatric anesthetists face additional stressors that may impact upon well-being, particularly after an adverse outcome. The SARS COV-2 pandemic has resulted in a plethora of resources to support the well-being of frontline workers. Developing a well-being system for an anesthesia department using these resources may be complex to implement.
    Aims: In this article we outline how an anesthesia department can design and implement a framework for wellbeing, regardless of resources and financial constraints. We use the example of a free online toolkit developed in Australia for anesthetists.
    Methods: The "Long lives, Healthy Workplaces toolkit" is a framework which has been specifically developed by mental health experts for anesthetists, and does not require departments to pay for external experts.1 Departments can design a long-term model of evidence-based mental health strategies to meet their unique needs using five steps outlined in the toolkit and detailed in this article. The framework uses cycles of assessment and review to create an adaptable approach to incorporate emerging evidence. We explain how culture can impact the implementation of a well-being framework and we outline how departments can set goals and priorities.
    Conclusion: Departments have different constraints which will alter how they approach supporting anaesthetists' wellbeing. Regardless of location or funding all departments should explicitly address anesthetists well-being. Long term sustainable well-being programs require a strategic and coordinated approach.
    Mesh-Begriff(e) Anesthesia Department, Hospital/organization & administration ; Anesthetists/organization & administration ; Anesthetists/psychology ; Australia/epidemiology ; COVID-19/epidemiology ; COVID-19/psychology ; Hospitals, Pediatric/organization & administration ; Humans ; Mental Health ; Pandemics ; Workplace/organization & administration ; Workplace/psychology
    Sprache Englisch
    Erscheinungsdatum 2020-11-30
    Erscheinungsland France
    Dokumenttyp Journal Article
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/pan.14067
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Treatment concerns for anaesthetists with substance abuse disorder.

    Fry, Robert / Prager, Shirley / Shrivastava, Prani

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2014  Band 22, Heft 6, Seite(n) 592–593

    Mesh-Begriff(e) Anesthesiology ; Anesthetics/adverse effects ; Humans ; Physician Impairment/statistics & numerical data ; Substance-Related Disorders/epidemiology
    Chemische Substanzen Anesthetics
    Sprache Englisch
    Erscheinungsdatum 2014-12
    Erscheinungsland England
    Dokumenttyp Letter
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856214543080
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Risk factors for anxiety at induction of anesthesia in children: a prospective cohort study.

    Davidson, Andrew J / Shrivastava, Prani P / Jamsen, Kris / Huang, Grace H / Czarnecki, Caroline / Gibson, Margaret A / Stewart, Stephanie A / Stargatt, Robyn

    Paediatric anaesthesia

    2006  Band 16, Heft 9, Seite(n) 919–927

    Abstract: Background: In children anxiety at induction of anesthesia is a common and important aspect of the psychological impact of anesthesia and surgery. Previous studies examining risk factors for increased anxiety have found contradictory results. This may ... ...

    Abstract Background: In children anxiety at induction of anesthesia is a common and important aspect of the psychological impact of anesthesia and surgery. Previous studies examining risk factors for increased anxiety have found contradictory results. This may be due to using small, or highly selective population samples, or failure to adjust for confounding variables. Results may also be culturally or institutionally specific. The aim of this study was to identify possible risk factors in a large representative cohort of children.
    Methods: One thousand two hundred fifty children aged 3-12 years were recruited. Anxiety at induction of anesthesia was assessed using the modified Yale preoperative anxiety scale. Children with an anxiety score of greater than 30 were classified as having high anxiety. Anesthetists were blinded to the assessment. Data recorded included age, gender, past healthcare history, family details, use of sedative premedication, anesthesia details, admission details, parental anxiety and child temperament. An unadjusted analysis was performed to identify possible risk factors for high anxiety. An adjusted regression analysis was then performed including the potential risk factors identified in the unadjusted analysis.
    Results: The incidence of high anxiety at induction was 50.2%. In the adjusted analysis, younger age, behavioral problems with previous healthcare attendances, longer duration of procedure, having more than five previous hospital admissions and anxious parents at induction were all associated with high anxiety at induction. Hospital admission via the day stay ward was associated with less anxiety. Sedative premedication was associated with less anxiety in children with ASA status greater than one. However, the variability explained by factors included in the model was low (5.3%).
    Conclusions: Some simple preoperative questions can help identify children at risk of heightened anxiety at induction of anesthesia; however, it remains difficult to precisely predict which child will experience high anxiety.
    Mesh-Begriff(e) Anesthesia/adverse effects ; Anxiety/chemically induced ; Anxiety/epidemiology ; Child ; Child, Preschool ; Cohort Studies ; Female ; Humans ; Male ; Prospective Studies ; Risk Factors
    Sprache Englisch
    Erscheinungsdatum 2006-09
    Erscheinungsland France
    Dokumenttyp Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/j.1460-9592.2006.01904.x
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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