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  • 1
    Online Resource
    Online Resource
    Black Physicians’ Experiences with Anti-Black Racism in Healthcare Systems Explored Through An Attraction-Selection-Attrition Lens
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Business and Psychology Vol. 38, No. 1 ( 2023-02), p. 75-88
    Details
    In: Journal of Business and Psychology, Springer Science and Business Media LLC, Vol. 38, No. 1 ( 2023-02), p. 75-88
    Type of Medium: Online Resource
    ISSN: 0889-3268 , 1573-353X
    URL: Article
    DOI: 10.1007/s10869-022-09825-z
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2016738-6
    SSG: 3,2
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Qualitative program evaluation of social determinants of health screening and referral program
    Public Library of Science (PLoS) ; 2020
    In:  PLOS ONE Vol. 15, No. 12 ( 2020-12-1), p. e0242964-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 15, No. 12 ( 2020-12-1), p. e0242964-
    Abstract: Although the integration of social determinants of health (SDH) screening and referral programs in clinical settings has rapidly grown, the voice and experience of participants within SDH programs has not been well understood in program evaluations. To qualitatively evaluate a comprehensive SDH screening and referral program based in an academic primary care setting, we conducted a qualitative analysis of a semi-structured, focus group interview of 7 caregivers. We performed inductive coding representing emerging ideas from each transcript using focus group transcripts from families who participated in the SDH screening and referral program. A thematic model was created describing caregivers’ experiences with respect to screening, intake, and referral phases of the program. Caregivers reported satisfaction with structural and process-related components of screening, intake, and referral. They expressed a preference for trained patient navigators over physicians for screening and intake for they were perceived to have time to prioritize caregivers’ social needs. Caregivers reported disappointment with legal services screening, intake, and referral, citing lack of timely contact from the legal resource team and prematurity of provided legal resources. Overall, caregivers recommend the program, citing that the program provided social support, an environment where expression is encouraged, motivation to address their own health needs, and a convenient location. Overall, caregivers would recommend the program because they feel socially supported. The use of trained patient navigators appears to be instrumental to the successful implementation of the program in clinics, for navigators can provide caregivers with the appropriate time and personal attention they need to complete the survey and discuss their needs. Streamlining the referral process for evaluation of health-harming needs by the medical legal partnership was highlighted as an area for improvement.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    DOI: 10.1371/journal.pone.0242964
    DOI: 10.1371/journal.pone.0242964.g001
    DOI: 10.1371/journal.pone.0242964.t001
    DOI: 10.1371/journal.pone.0242964.t002
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2020
    detail.hit.zdb_id: 2267670-3
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  • 3
    Online Resource
    Online Resource
    OUTCOMES IN PATIENTS WITH TYPE 2 MYOCARDIAL INFARCTION AND ACUTE NONISCHEMIC MYOCARDIAL INJURY ADMITTED FOR NON-CARDIAC CAUSE
    Elsevier BV ; 2022
    In:  Journal of the American College of Cardiology Vol. 79, No. 9 ( 2022-03), p. 1082-
    Details
    In: Journal of the American College of Cardiology, Elsevier BV, Vol. 79, No. 9 ( 2022-03), p. 1082-
    Type of Medium: Online Resource
    ISSN: 0735-1097
    URL: Article
    DOI: 10.1016/S0735-1097(22)02073-3
    RVK:
    XA 17760
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 1468327-1
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  • 4
    Online Resource
    Online Resource
    Intersectionality and Its Impact on Microaggression in Female Physicians in Academic Medicine: A Cross-Sectional Study
    Mary Ann Liebert Inc ; 2023
    In:  Women's Health Reports Vol. 4, No. 1 ( 2023-05-01), p. 298-304
    Details
    In: Women's Health Reports, Mary Ann Liebert Inc, Vol. 4, No. 1 ( 2023-05-01), p. 298-304
    Type of Medium: Online Resource
    ISSN: 2688-4844
    URL: Article
    DOI: 10.1089/whr.2022.0101
    Language: English
    Publisher: Mary Ann Liebert Inc
    Publication Date: 2023
    detail.hit.zdb_id: 3020416-1
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  • 5
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    Online Resource
    COVID-19 Conversations Within Black/Brown Minority Communities: A Stakeholder and Psychoeducation Approach Using Zoom/Facebook Live
    SAGE Publications ; 2022
    In:  Health Promotion Practice Vol. 23, No. 1 ( 2022-01), p. 42-45
    Details
    In: Health Promotion Practice, SAGE Publications, Vol. 23, No. 1 ( 2022-01), p. 42-45
    Abstract: As communities of color are disproportionately affected by COVID-19, there is an urgent need for dissemination of timely and accurate information to community members. In this article, we describe a stakeholder approach for the implementation, evaluation, and lessons learned from COVID-19 Conversations, a program developed and delivered virtually by researchers and academics at Northwell Health. The goal of the program was to address the mental, physical, and psychosocial needs of community members. The program used Zoom/Facebook Live to deliver interactive discussions on topics ranging from health education on COVID-19 and mental health to resources for unmet social needs. This interprofessional, cross-sector collaboration highlights the importance of public health interventions aimed at reducing the spread of COVID-19 through easy online access and culturally relevant community education and outreach.
    Type of Medium: Online Resource
    ISSN: 1524-8399 , 1552-6372
    URL: Article
    DOI: 10.1177/15248399211049823
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2036801-X
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  • 6
    Online Resource
    Online Resource
    Physician challenges and supports during the first wave of the COVID-19 pandemic: A mixed methods study
    Frontiers Media SA ; 2022
    In:  Frontiers in Psychiatry Vol. 13 ( 2022-12-8)
    Details
    In: Frontiers in Psychiatry, Frontiers Media SA, Vol. 13 ( 2022-12-8)
    Abstract: During the COVID-19 pandemic, physicians encountered significant COVID-19-related negative experiences and psychological distress in both their personal and professional lives. To understand the factors that negatively impact physician well-being, a number of studies have pointed to multiple work system factors such as excessive workload and workflow interruptions. In addition, studies have shown that positive interpersonal relationships that provide social support may also serve as a buffering role against psychological distress. The aim of our study explores the challenges and sources of support for physicians relative to mental health symptoms. Methods In this study, We used a cross-sectional study design with a convergent parallel mixed method approach combining both qualitative and quantitative data collected in parallel from a self-report questionnaire immediately following the first wave of COVID-19. The aim of our study explores the challenges and sources of support for physicians relative to mental health symptoms. Results Of the 457 physicians in the study, the most frequently potential negative occupational experiences were, “Being at risk of contracting COVID-19 from patients/co-workers” (90.5%) and “Contact with distressed family members who cannot be with a loved one” (69.5%). We identified five common themes for main sources of social support (e.g. emotional support from family/friends) and six themes for challenges (e.g., work-related demands exacerbated by the pandemic). Discussion Our study highlights COVID-19 and other pandemic-related challenges that negatively impacted the mental health of physicians. Interventions that provide targeted organizational supports (e.g. sufficient PPE and child support), as well as specific sources of support (e.g. family and emotional), can attenuate those challenges and stressors experienced during a pandemic.
    Type of Medium: Online Resource
    ISSN: 1664-0640
    URL: Article
    DOI: 10.3389/fpsyt.2022.1055495
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2564218-2
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  • 7
    Online Resource
    Online Resource
    Workplace ostracism among immigrant workers: The moderating effect of cultural identity salience and interpersonal harmony value.
    American Psychological Association (APA) ; 2022
    In:  International Journal of Stress Management Vol. 29, No. 3 ( 2022-08), p. 260-270
    Details
    In: International Journal of Stress Management, American Psychological Association (APA), Vol. 29, No. 3 ( 2022-08), p. 260-270
    Type of Medium: Online Resource
    ISSN: 1573-3424 , 1072-5245
    URL: Article
    DOI: 10.1037/str0000256
    Language: English
    Publisher: American Psychological Association (APA)
    Publication Date: 2022
    detail.hit.zdb_id: 2016160-8
    SSG: 5,2
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  • 8
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    Online Resource
    COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study
    Frontiers Media SA ; 2023
    In:  Frontiers in Clinical Diabetes and Healthcare Vol. 4 ( 2023-4-28)
    Details
    In: Frontiers in Clinical Diabetes and Healthcare, Frontiers Media SA, Vol. 4 ( 2023-4-28)
    Abstract: During the early stages of the COVID-19 pandemic, nationwide lockdowns caused disruption in the diets, physical activities, and lifestyles of patients with type 2 diabetes. Previous reports on the possible association between race/ethnicity, COVID-19, and mortality have shown that Hispanic/Latino patients with type 2 diabetes who are socioeconomically disadvantaged are disproportionately affected by this novel virus. The aim of this study was to explore stressors associated with changes in diabetes self-management behaviors. Our goal was to highlight the health disparities in these vulnerable racial/ethnic minority communities and underscore the need for effective interventions. Methods and participants Participants were enrolled in part of a larger randomized controlled trial to compare diabetes telehealth management (DTM) with comprehensive outpatient management (COM) in terms of critical patient-centered outcomes among Hispanic/Latino patients with type 2 diabetes. We conducted a thematic analysis using patient notes collected from two research nurses between March 2020 and March 2021. Two authors read through the transcripts independently to identify overarching themes. Once the themes had been identified, both authors convened to compare themes and ensure that similar themes were identified within the transcripts. Any discrepancies were discussed by the larger study team until a consensus was reached. Results Six themes emerged, each of which can be categorized as either a source or an outcome of stress. Sources of stress associated with the COVID-19 pandemic were (1) fear of contracting COVID-19, (2) disruptions from lockdowns, and (3) financial stressors (e.g., loss of income). Outcomes of COVID-19 stressors were (1) reduced diabetes management (e.g., reduced diabetes monitoring and physical activity), (2) suboptimal mental health outcomes (e.g., anxiety and depression), and (3) outcomes of financial stressors. Conclusion The findings indicated that underserved Hispanic/Latino patients with type 2 diabetes encountered a number of stressors that led to the deterioration of diabetes self-management behaviors during the pandemic.
    Type of Medium: Online Resource
    ISSN: 2673-6616
    URL: Article
    DOI: 10.3389/fcdhc.2023.1070547
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 3101070-2
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  • 9
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    Adapting a home telemonitoring intervention for underserved Hispanic/Latino patients with type 2 diabetes: an acceptability and feasibility study
    Springer Science and Business Media LLC ; 2020
    In:  BMC Medical Informatics and Decision Making Vol. 20, No. 1 ( 2020-12)
    Details
    In: BMC Medical Informatics and Decision Making, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Home telemonitoring is a promising approach to optimizing outcomes for patients with Type 2 Diabetes; however, this care strategy has not been adapted for use with understudied and underserved Hispanic/Latinos (H/L) patients with Type 2 Diabetes. Methods A formative, Community-Based Participatory Research approach was used to adapt a home telemonitoring intervention to facilitate acceptability and feasibility for vulnerable H/L patients. Utilizing the ADAPT-ITT framework, key stakeholders were engaged over an 8-month iterative process using a combination of strategies, including focus groups and structured interviews. Nine Community Advisory Board, Patient Advisory, and Provider Panel Committee focus group discussions were conducted, in English and Spanish, to garner stakeholder input before intervention implementation. Focus groups and structured interviews were also conducted with 12 patients enrolled in a 1-month pilot study, to obtain feedback from patients in the home to further adapt the intervention. Focus groups and structured interviews were approximately 2 hours and 30 min, respectively. All focus groups and structured interviews were audio-recorded and professionally transcribed. Structural coding was used to mark responses to topical questions in the moderator and interview guides. Results Two major themes emerged from qualitative analyses of Community Advisory Board/subcommittee focus group data. The first major theme involved intervention components to maximize acceptance/usability. Subthemes included tablet screens (e.g., privacy/identity concerns; enlarging font sizes; lighter tablet to facilitate portability); cultural incongruence (e.g., language translation/literacy, foods, actors “who look like me”); nursing staff (e.g., ensuring accessibility; appointment flexibility); and, educational videos (e.g., the importance of information repetition). A second major theme involved suggested changes to the randomized control trial study structure to maximize participation, including a major restructuring of the consenting process and changes designed to optimize recruitment strategies. Themes from pilot participant focus group/structured interviews were similar to those of the Community Advisory Board such as the need to address and simplify a burdensome consenting process, the importance of assuring privacy, and an accessible, culturally congruent nurse. Conclusions These findings identify important adaptation recommendations from the stakeholder and potential user perspective that should be considered when implementing home telemonitoring for underserved patients with Type 2 Diabetes. Trial registration NCT03960424; ClinicalTrials.gov (US National Institutes of Health). Registered 23 May 2019. Registered prior to data collection. https://www.clinicaltrials.gov/ct2/show/NCT03960424?term=NCT03960424 & draw=2 & rank=1
    Type of Medium: Online Resource
    ISSN: 1472-6947
    URL: Article
    DOI: 10.1186/s12911-020-01346-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2046490-3
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  • 10
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    Online Resource
    Percutaneous Feeding Tubes in Individuals with Advanced Dementia: Are Physicians “Choosing Wisely”?
    Wiley ; 2018
    In:  Journal of the American Geriatrics Society Vol. 66, No. 1 ( 2018-01), p. 64-69
    Details
    In: Journal of the American Geriatrics Society, Wiley, Vol. 66, No. 1 ( 2018-01), p. 64-69
    Abstract: To evaluate physician knowledge and perceptions about the American Board of Internal Medicine/American Geriatrics Society ( ABIM / AGS ) Choosing Wisely recommendations regarding percutaneous endoscopic gastrostomy ( PEG ) in individuals with advanced dementia. Design Multicenter, mixed‐mode, anonymous questionnaire. Setting Three tertiary and four community hospitals in New York. Participants Internal medicine physicians (N = 168). Measurements Physician knowledge and perceptions regarding PEG tubes in individuals with advanced dementia. Results Ninety‐nine percent of physicians reported having cared for someone with advanced dementia; 95% had been involved in the PEG decision‐making process; 38% were unsure whether the ABIM / AGS Choosing Wisely recommendations advise for or against PEG tubes in advanced dementia. Physicians who agreed that there is enough evidence to recommend against PEG placement for individuals with advanced dementia were more likely to know the ABIM / AGS Choosing Wisely recommendations (71% vs 28%, P   〈  .001). Fifty‐two percent felt in control of the PEG placement decision, and 27% expressed concerns about potential litigation. The most common factor influencing physicians was patient or decision‐maker request (70%); 63% stated that families request PEG placement even when physician would not recommend it. Only 4% of the physicians would choose to have a PEG tube if they had advanced dementia. Conclusion Despite the scientific evidence supporting the ABIM / AGS Choosing Wisely recommendations against the use of PEG tubes in individuals with advanced dementia, numerous incentives for placement complicate the decision for PEG placement. In today's healthcare environment, it is incumbent upon healthcare practitioners to be aware of the available evidence and to provide leadership to guide this complex decision‐making process to promote true person‐centered care.
    Type of Medium: Online Resource
    ISSN: 0002-8614 , 1532-5415
    URL: Issue
    URL: Article
    DOI: 10.1111/jgs.2018.66.issue-1
    DOI: 10.1111/jgs.15125
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2040494-3
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