Mercy Medical Center (also known as Mercy Medical, or Mercy Hospital,) is located in Springfield, Massachusetts. Run by the Sisters of Providence Health System, Mercy Hospital is a faith-based, non-profit organization serving patients regardless of background or beliefs. Mercy Medical Center is known for its tradition of holistic health care.As of 2011, Mercy Medical Center is ranked among the Top 100 Community Value Hospitals by Cleverley & Associates.
Background Hospitalist turnover is exceedingly high, placing financial burdens on hospital medicine groups (HMGs). Following training, many begin their employment in medicine as early-career hospitalists, the majority being millennials. Objective To understand what elements influence millennial hospitalists' recruitment and retention. Design We developed a survey that asked participants to rate the level of importance of 18 elements (4-point Likert scale) in their decision to choose or remain at an HMG. Participants The survey was electronically distributed to hospitalists born in or after 1982 across 7 HMGs in the USA. Main Measures Elements were grouped into four major categories: culture of practice, work-life balance, financial considerations, and career advancement. We calculated the means for all 18 elements reported as important across the sample. We then calculated means by averaging elements within each category. We used unpaired t-tests to compare differences in means for categories for choosing vs. remaining at an HMG. Key Results One hundred forty-four of 235 hospitalists (61%) responded to the survey. 49.6% were females. Culture of practice category was the most frequently rated as important for choosing (mean 96%, SD 12%) and remaining (mean 96%, SD 13%) at an HMG. The category least frequently rated as important for both choosing (mean 69%, SD 35%) and remaining (mean 76%, SD 32%) at an HMG was career advancement. There were no significant differences between respondent gender, race, or parental status and ratings of elements for choosing or remaining with HMGs. Conclusion Culture of practice at an HMG may be highly important in influencing millennial hospitalists' decision to choose and stay at an HMG. HMGs can implement strategies to create a millennial-friendly culture which may help improve recruitment and retention.
The Mary MacKinnon lecture for 2021 tells the story of diabetes transformation in South London using local examples of change such as Diabetes Book and Learn and You and Type 2. The focus on projects is from the perspectives of innovation, people and partnerships. The lecture outlines factors that underpin successful partnership working, enablers of whole person care and how to gain traction for projects across a wide geography alongside key outcome data. The lecture also covers the use of technology and innovation to improve the experience for both health care professionals and people with diabetes and future directions of travel. Copyright © 2021 John Wiley & Sons.
A combination of cytoreductive intervention with the intrahepatic hyperthermic chemotherapy is a well-established treatment of peritoneal carcinomatosis. There are many challenges in establishing a new peritoneal surface malignancy program in a low-income country regarding perioperative safety and resource allocation. We analyzed the retrospective database to determine the immediate surgical outcomes of the first 28 patients with peritoneal carcinomatosis and the impact of the program on allocation of general hospital and human resources. During the preparatory stage, web conferences with international experts established the goals and general requirements of the program, formalized in a written document; and a peritoneal surface malignancy multidisciplinary team was established. The team created the patient selection criteria, perioperative management checklists, and suggested material and staff requirements for surgical and anesthesia services. Twenty-nine cytoreduction were carried out, of which 18 were followed by HIPEC. The average operative time was 6.2 h. The median blood loss was 350 mL, which did not result in additional blood transfusion requirements for the blood bank. No additional nursing and supportive staff were provided for the ICU and the surgical unit. The average postoperative stay was 8.7 days. One patient died with 30-day mortality rate of 3%. Ten patients (34.5%) developed postoperative complications, of which 6 (20.6%) had grade III and higher Clavien-Dindo complications. Establishing a peritoneal surface malignancy program is possible via staged planning, liberal use of international mentors, and thoughtful resource allocation. This new program did not result in a significant redistribution of resources among other service lines of cancer care within the same institution.
Preceptorship is essential to the development of newly qualified nurses, as well as those moving into general practice from other areas of nursing. Mia Skelly discusses the need for preceptorship in primary care Preceptorship programmes have been recognised as fundamental to the development of a newly qualified nurse into a competent and confident practitioner. All nurses who are new to general practice should be equipped for the role by accessing a standardised preceptorship programme. In September 2017, the CapitalNurse Programme launched its Pan-London Preceptorship Framework to standardise the preceptorship programmes being offered across London. If we are to attract, grow and nurture the next generation of newly qualified nurses into primary care, then best practice programmes need to be developed.
