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At least 19 recordsLinked to original sources
PubMed1990

Use of patient controlled analgesia in postoperative cardiac surgical patients--a survey of ward staff attitudes.

Staff who worked regularly on a postoperative cardiac surgical ward were asked to complete a questionnaire regarding the use of patient controlled analgesia, which had recently been introduced to the ward. Fifty-five per cent found that the machines reduced their workload, mainly by relieving them of the task of checking and administering controlled drugs. The benefits noted were increased patient confidence (noted by 74%) and improved analgesia (41%). However it was felt by 61% that some postoperative cardiac patients seemed reluctant to use the machines properly or did not fully understand the technique.

Analgesics↗
PubMed1992

The Mental Impairment and Evaluation Treatment Service: staff attitudes and staff-client interactions.

This study describes and evaluates a new short-term residential service for adults with mild learning difficulties and challenging behaviour, the Mental Impairment Evaluation and Treatment Service. The study examines staff attitudes towards management practices, towards the potential achievement of individuals with learning difficulties, the staff's perceived involvement in decision making, and also the nature of their interaction with the clients, in two different settings on the Unit. The Unit's management practices were found to be client-orientated in nature and staff were more in agreement with client-orientated than institution-orientated management practices. Staff were generally optimistic about clients' potential and felt involved in decision making. Correlations between certain staff characteristics, attitudes and interactions are discussed. The study extends the range of services that have been evaluated in this way, and provides a description of the service in its early stages, which will provide an important comparison point for it when it is more permanently established.

Adult↗
PubMed2006

Health service staff attitudes to community representatives on committees.

PURPOSE: This paper sets out to report attitudes of staff on key health service committees towards community participation before and after appointment of community representatives. DESIGN/METHODOLOGY/APPROACH: The paper shows a self-completed questionnaire administered to staff on committees as a baseline measure and 12 months after community representatives had been appointed. FINDINGS: The paper finds that significantly more staff at the follow-up survey reported that they and other staff were clear about the role of community representatives and how to work with them on committees. Significantly more staff at follow-up felt that the health service was ready for this type of initiative. There was no significant increase in the percentage of staff who felt that financial and other supports for community representatives were sufficient and no significant changes in staff views about the potential for community representatives to influence decision making, although there were strong trends in a positive direction. RESEARCH LIMITATIONS/IMPLICATIONS: The study in this paper was conducted in one health service and did not follow changes in attitudes of particular staff over time. Larger samples would be necessary to assess generalisability of findings and future studies should examine in more depth staff beliefs about the role and influence of community members on committees. PRACTICAL IMPLICATIONS: The paper implies that the development of ongoing and constructive relationships between health services and communities clearly takes time and, at least in part, results from direct experience working alongside community members. ORIGINALITY/VALUE: The paper shows that this is the first study examining how the attitudes of health service staff to community participation change over time and as a direct result of interaction with community members on committees. A better understanding of health service staff attitudes to community participation is important for health care managers to effectively address structural and attitudinal barriers to community participation.

Adult↗
PubMed1982

Treatment staff attitudes toward the combined treatment of drug and alcohol abusers.

The literature on combined treatment has suggested that the attitudes of staff members toward combining treatment for drug and alcohol abusers are important determinants of its success. A survey measuring attitudes thought relevant to the issues of combined treatment was mailed to treatment staff from a nationwide sample of drug, alcohol, and combined treatment agencies. Results indicated that combined treatment staff had more favorable attitudes toward combined treatment than did drug or alcohol staff, and that significant differences existed in the attitudes of drug, alcohol, and combined staff toward drug and alcohol abusers. In addition, it was found that staff background and attitudes toward drug and alcohol abusers were significantly related to attitudes toward combined treatment. Treatment staff who worked at combined treatment agencies and were White were likely to have favorable attitudes toward combined treatment. In terms of attitudes toward drug or alcohol abusers, it was found that staff members who held unfavorable stereotypes or moral views about drug or alcohol abusers tended to be opposed to combined treatment. These empirical results support clinical impressions of combined treatment advocates as reported in the literature. The results are discussed in terms of the relevance of staff attitudes for the effectiveness of combined treatment and for agencies which are considering the initiation of combined treatment.

Alcoholism↗
PubMed1980

Staff attitudes and treatment effectiveness.

Previous studies of the impact of staff attitude on outcome among psychiatric hospital patients appear to have yielded conflicting results. These conflicts could be the result of the somewhat imprecise methods generally used in such research. In the present study, the correlations between the mean OMISOS attitude scale scores of those staff members who had the greatest impact on patients and the improvement shown by those patients on six personality scales and two measures of tremulousness during the first 2 weeks of hospitalization were evaluated. Protective Benevolence, a scale that reflects a friendly, laissez-faire approach, was associated with improvement. However, the variables reflected by the Authoritarianism, Accountability and Conventionality scales appeared to impede progress. The relationships between staff attitude and improvement were, in any event, small.

Adult↗
PubMedDate not supplied

Experiential learning strategies for promoting positive staff attitudes toward the elderly.

It is generally acknowledged that American society devalues its elderly. Young people incorporate pervasive attitudes at an early age. These attitudes are later reflected in the views of health professionals. An essential component of effective care for the elderly is the attitude of the caregivers. Staff attitudes are considered important because of their presumed influence on staff behavior and the quality of care delivered. Attitude change is very difficult to achieve unless the individual is exposed to an experience that places the learning situation on a very personal level. Experiential learning activities can be tailored to provide that personal experience. If attitudes can be changed at the same time that factual information is being presented, experiential activities offer the educator a potent tool for learning. This paper suggests several such activities aimed at enhancing positive attitudes toward the elderly.

Aged↗
PubMed1982

Family and staff attitudes toward family involvement in the treatment of hospitalized chronic patients.

Attitudes of staff members and families toward family involvement in treatment of hospitalized chronic mental patients were explored using a 17-item questionnaire. Family members of 23 patients at a rural health center completed the questionnaire, which focused on attitudes toward and knowledge of important variables in the treatment of their relative. Five clinical staff members responded to four of the items, and statistical correlations between family and staff responses were computed for those items. The results indicated that two-thirds of the family members showed knowledge, concern, and willingness to be involved in patient treatment, but a lack of agreement between staff members and between staff and families on crucial treatment variables was considered to jeopardize family involvement. The author recommends that internal staff disagreements first be identified and resolved and that measures then be taken to encourage staff to involve the family in the patient's treatment.

Attitude of Health Personnel↗
PubMed2007

Staff attitudes towards working with drug users: development of the Drug Problems Perceptions Questionnaire.

AIM: To evaluate the psychometric properties of an adaptation of the Alcohol and Alcohol Problems Perceptions Questionnaire to measure the attitudes of staff to working with drug users (the DDPPQ). DESIGN: Postal survey: a questionnaire was mailed to participants on two occasions. SETTING: A large urban National Health Service (NHS) mental health service. PARTICIPANTS: A stratified random sample of medical staff, clinical psychologists, occupational therapists and nurses (n = 672) who work within generic mental health, adolescent psychiatry, forensic psychiatry and alcohol and drug services. Response rate at Time 1 was 56% and 68% at Time 2. MEASUREMENTS: A structured demographic questionnaire; individual item and total scores for the DDPPQ administered on two occasions 4 weeks apart; data relating to the content validity of the instrument. FINDINGS: A principal component analysis confirmed the DDPPQ's construct validity and participants confirmed its content validity. Following analysis of the instrument's test-retest reliability and its principal component structure it was reduced to a 20-item scale. Its five subscales related to role adequacy, role support, job satisfaction, role-specific self-esteem and role legitimacy. CONCLUSION: The refined DDPPQ was shown to be a valid and reliable tool which can be used to measure attitudes of people in relation to working with drug users.

Alcoholism↗
PubMed1980

Changing house staff attitudes toward nurse practitioners during their residency training.

This study examines the hypothesis that increased physician contact with nurse practitioners (NPs) during residency training would ecourage positive house staff attitudes. House staff expectations of and attitudes toward NPs were assessed at three points during the residency. Data indicated a more positive evaluation of NPs by house staff later in the residency program, as shown by: 1) physician expectations and valuation of NPs, 2) attitudes concerning future employment of NPs, and 3) the extent and capacity of NP utilization by residents.

Attitude of Health Personnel↗
PubMed1986

Smoking in hospital--a survey of staff attitudes at Westminster Hospital.

A survey of staff attitudes to smoking and facilities for smokers and non-smokers at Westminster Hospital and associated buildings revealed widespread support for firmer measures to limit and control smoking on health service premises. The survey was eventually undertaken with the agreement of staff side union representatives who had initially resisted the health authority's wish to implement a policy on smoking. In the event, the results provided support to the TUC's 1981 Resolution calling for increased smoking restrictions in workplaces as part of an overall policy to reduce smoking prevalence among working people, which has been followed up in local initiatives by unions throughout the country.

Attitude of Health Personnel↗
PubMed2006

A survey of staff attitudes to smoking-related policy and intervention in psychiatric and general health care settings.

BACKGROUND: Although the move to smoke-free hospital settings is generally a popular initiative, it may be a more challenging and controversial issue in mental health care. A survey was carried out to investigate differences in attitudes between clinical staff in psychiatric and general medical settings to smoke-free policy and intervention. METHOD: The sample comprised 2574 NHS staff working in two Acute Hospital Trusts and one Mental Health Trust in England. Attitudes were examined on two factors: health care settings as smoke-free environments and the role of staff in stop smoking intervention. RESULTS: The findings indicated that attitudes on the two factors were only moderately correlated. Psychiatric staff expressed significantly less favourable attitudes than general staff to smoke-free health care settings and also to the role of staff in stop smoking intervention. The largest difference between the settings concerned the implementation of smoking bans. While approximately 1 in 10 staff in the general setting disagreed with a smoking ban in their wards or clinics, nearly one in three psychiatric staff was against such a ban in their setting. CONCLUSIONS: Staff attitudes need to be carefully considered, particularly in psychiatric settings, in attempts to implement smoke-free policies in health care settings.

Analysis of Variance↗
PubMed1992

Staff attitudes towards patients: the influence of causal attributions for illness.

The aim of this study is to determine whether staff attitudes towards patients are affected by staff causal attributions. Forty-eight nurses and doctors were presented with five case histories of patients suffering from lung cancer, liver cirrhosis myocardial infarction, breast lump and cervical cancer. There were two versions of each case: one patient had followed and the other had ignored a relevant health action (e.g. not smoking in the lung cancer patients). Subjects responded to just one version of each case. For all five conditions, staff had significantly more negative attitudes towards patients who had not undertaken a relevant health behaviour compared with patients who had undertaken a relevant health behaviour. A second group of nurses rated it as more likely that this latter group of patients could have prevented their illnesses. The results suggest that information about a patient's health habits prior to illness influence staff attitudes to that patient. Evidence is presented suggesting that the effect of this information is mediated by perceived controllability of the illness, as predicted by an attributional model of helping behaviour.

Attitude of Health Personnel↗
PubMed1994

Clerical staff attitudes toward patients in 19 prenatal care clinics in New York City.

It is widely believed that prenatal care is essential if women are to have healthy pregnancies and infants. Yet many low income women do not initiate care early in their pregnancies or make sufficient visits for prenatal care. Although financial difficulties are usually considered the main reason why prenatal care is not sought, other barriers have also been identified, such as problems with transportation, child care, and understanding English. A possibly unrecognized barrier to obtaining prenatal care is the frontline clerical staff attitudes toward patients. We surveyed 102 frontline staff in 19 prenatal care clinics serving low-income pregnant women in New York City. We explored staff attitudes toward patients, the benefits patients receive, and staff job satisfaction. The survey revealed that many frontline staff questioned whether patients should receive some prenatal care benefits offered. The staff members felt that their needs were attended to less than those of patients or other health care personnel. The attitudes of frontline staff concerning patients, patient benefits, and perceived lack of recognition at work may influence their interactions with patients and be a factor in patients' satisfaction with prenatal care services. Recognizing and changing factors fostering employee dissatisfaction may improve the "user friendliness" of prenatal care clinics and remove a barrier for low-income women.

Adult↗
PubMed2004

Asian medical staff attitudes towards witnessed resuscitation.

AIM: To assess and compare local Emergency Department medical and nursing staff attitudes towards witnessed resuscitation. METHODS: Over a period from October 2002 to March 2003, we conducted a self-administered survey of doctors and nurses working in the Emergency Department of the Singapore General Hospital (SGH). We issued 160 forms and received 132 responses, giving a response rate of 82.5%. RESULTS: Should relatives be present during resuscitation? Eighty percent of doctors and 78% of nurses said no. However 32.1% of doctors and 24.1% of nurses had received requests from relatives of patients to be present during resuscitation in the last 6 months. The most frequent reasons for not wanting relatives to be present were: concern that watching the resuscitation process will be a traumatic experience for relatives, relatives might ask too many questions and interfere with resuscitation, relatives might cause stress for staff performing resuscitation, and medico-legal issues might arise. A total of 78.4% of doctors felt that the decision to allow family presence during resuscitation should be made by the senior doctor and not the nursing officer (P=0.001). However, nurses were more likely to feel that it should be a team decision (P<0.001). CONCLUSION: Locally, we found that medical staff are generally not in favour of witnessed resuscitation. More research is needed to assess attitudes of the general public, and whether this diverges greatly from medical staff attitudes.

Adult↗
PubMed1983

Exploratory study to evaluate staff attitudes towards geriatric psychiatry.

This work is part of a larger study carried out at the Murray Royal and Murthly Hospitals within the Tayside Health District. The survey was concerned with staff attitudes towards geriatric psychiatry patients and shows that the nurses in these peripheral hospitals hold a positive attitude towards this area of nursing. These findings appear to contradict the popular opinion held throughout the nursing service, that the geriatric psychiatry nursing area is very unpopular with trained, untrained and learner nurses. In the study by Hooper [Nursing Times (1981) 77 37-40/43-44], anxiety levels among learners towards the geriatric nursing areas were found to be very high. This appears to correlate with Kogan [Journal of Abnormal and Social Psychology (1961) 62, 616-622], which summarized is as follows: Young subjects were imputed to have a more consistently negative view of old people.' By using a series of two precoded questionnaires that the subjects completed, an overview of staff attitudes towards the geriatric psychiatry areas was obtained. The hypothesis on which the study was based was as follows: that a negative view towards geriatric psychiatry would be found among the staff of the Murray Royal and Murthly Hospitals.' However, the findings of this study did not support the hypothesis on any counts and gave a highly positive attitude scale.

Adolescent↗
PubMedDate not supplied

Nursing staff attitudes toward the geriatric nurse practitioner student.

This study investigated nursing staff attitudes toward the geriatric nurse practitioner as an agent of change in a long-term care facility, based on two University of Miami GNP students' practicum in a county nursing home. Nursing personnel were surveyed before and after the practicum to measure their acceptance of the GNP. While nursing staff initially held a wait-and-see attitude, posttest ratings were favorable. Recommendations for improving quality of care in the setting were made by student participants, and a six-month follow-up revealed that a number of changes had been implemented.

Aged↗