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نتیجه جستجو - care settings

تعداد مقالات یافته شده: 10
ردیف عنوان نوع
1 The Impact of Low Fidelity Simulation on Nurse Competence in Active Management of Third Stage of Labor: An Intervention Study in Primary Health Care Settings in Tanzania
تأثیر شبیه سازی وفاداری کم در شایستگی پرستاران در مدیریت فعال مرحله سوم کار: یک مطالعه مداخله در تنظیمات مراقبت های بهداشتی اولیه در تانزانیا-2021
Background: Simulation-based training on obstetric management has demonstrated promising results. However, its impact has not been well documented particularly in low and middle income countries. Therefore, this study aimed to test the effectiveness of a low fidelity simulation-based training intervention in improving knowledge and skills of nurses on Active management of third stage of labor (AMTSL).
Methods: A quasi experimental study including 172 randomly selected nurses using low fidelity simulation-based training was conducted. Baseline, immediate and retention assessments were done.
Findings: Overall knowledge and skills on AMTSL were significantly improved after simulation training, skills retained even after six months.
Conclusions: A low fidelity simulation intervention showed positive change in knowledge and skills immediately after intervention and skills were highly retained even after six months of training.
keywords: Active Management of Third Stage of Labor | Knowledge | Skills | Dodoma | Tanzania
مقاله انگلیسی
2 An empirical study of the antecedents of data completeness in electronic medical records
یک مطالعه تجربی از پیشینیان کامل بودن داده ها در پرونده پزشکی الکترونیکی-2020
There is a body of research that highlights the role of data management to improve the quality of data, which in return improves organizational performance. The literature in data management has indicated the five theoretical constructs used to understand the factors influencing data quality, including top management support, capability on the regulation and process management, business-IT alignment, staff participation, and integration of information systems. However, it is unclear how these theoretical constructs can be utilized to understand the antecedents of data completeness as a dimension of data quality. Following that stream of research, the current paper examines the factors influencing data completeness in electronic medical records (EMR). The scope of this study is by only surveying medical professionals at healthcare settings in northern Nevada. The empirical results reveal that resources should be added as one of the antecedents of data completeness in EMR.
Keywords: Data quality | Data completeness | Electronic medical records
مقاله انگلیسی
3 Indoor location identification of patients for directing virtual care: An AI approach using machine learning and knowledge-based methods
شناسایی موقعیت داخلی بیماران برای هدایت مراقبت های مجازی: رویکرد هوش مصنوعی با استفاده از یادگیری ماشین و روش های دانش بنیان-2020
In a digitally enabled healthcare setting, we posit that an individual’s current location is pivotal for supporting many virtual care services—such as tailoring educational content towards an individual’s current location, and, hence, current stage in an acute care process; improving activity recognition for supporting self-management in a home-based setting; and guiding individuals with cognitive decline through daily activities in their home. However, unobtrusively estimating an individual’s indoor location in real-world care settings is still a challenging problem. Moreover, the needs of location-specific care interventions go beyond absolute coordinates and require the individual’s discrete semantic location; i.e., it is the concrete type of an individual’s location (e.g., exam vs. waiting room; bathroom vs. kitchen) that will drive the tailoring of educational content or recognition of activities. We utilized Machine Learning methods to accurately identify an individual’s discrete location, together with knowledge-based models and tools to supply the associated semantics of identified locations. We considered clustering solutions to improve localization accuracy at the expense of granularity; and investigate sensor fusion-based heuristics to rule out false location estimates. We present an AI-driven indoor localization approach that integrates both data-driven and knowledge-based processes and artifacts. We illustrate the application of our approach in two compelling healthcare use cases, and empirically validated our localization approach at the emergency unit of a large Canadian pediatric hospital.
Keywords: Virtual care | Ambient sensors | Indoor localization | Machine learning | Semantic web | eHealth platform | Data fusion | Self-management | Ambient assisted living | Activities of daily living
مقاله انگلیسی
4 Opportunities for improving hypertensive disorders of pregnancy (HDP) management in primary care settings: A review of international published guidelines in the context of pregnancy care in Indonesia
فرصت ها برای بهبود اختلالات فشار خون بالا در مدیریت بارداری (HDP) در مراقبت های اولیه: بررسی دستورالعمل های منتشر شده بین المللی در زمینه مراقبت از بارداری در اندونزی-2020
Almost all of global maternal mortality caused by HDP occurs in low to middle-income countries (LMIC). However, limited guidance is available to local primary care practitioners who are usually the main health care providers. This review examined existing international practice guidelines to identify potential practices to improve HDP management in Indonesian primary care settings. We performed structured literature search strategies and snowballing searches in six databases (MEDLINE, Web of Science, EMBASE, CINAHL, Cochrane reviews and Google Scholar) for guidelines that were published between 2007 and 2018 using relevant keywords and phrases of ‘guidelines’, ‘hypertensive disorders of pregnancy’ or ‘preeclampsia’ and ‘primary care’. The AGREE II instrument was used to assess quality and reporting of the eligible guidelines. Thematic analysis was performed on all of the guidelines and the results were discussed among the project investigators. Sixteen international practice guidelines or similar management recommendations were reviewed. Almost all of them were partially applicable, with some managements potentially able to be adopted to Indonesian primary care settings. Three main themes for improving HDP management were identified, namely clinical management, care planning, and professional communication. These potential improvements in managing women with HDP in Indonesia may also be relevant in other LMIC. Further contextualisation is required to facilitate their adoption in practice settings.
Keywords: High blood pressure | Pregnancy | Preeclampsia | General practitioners | Midwives | Primary care
مقاله انگلیسی
5 Keeping hospitals operating during disasters through crisis communication preparedness
نگه داشتن بیمارستان ها در حین بلایای طبیعی از طریق آمادگی ارتباطی بحران-2018
The public has high expectations that hospitals will provide compassion, care, and extensive support for both injured and uninjured disaster survivors. In the face of disasters like pandemics or terrorist attacks, hospital communicators must be prepared to effectively communicate in ternally, externally, and across organizations. Furthermore, in crisis situations, hospitals must apply guiding principles of public relations including relationship management and rumor management. There remains a shortage of literature examining strategic risk and crisis com munication in healthcare settings, including best practices. We conducted 27 interviews with U.S. hospital personnel charged with disaster management and/or crisis communication. Key findings reveal communication challenges not identified in prior research, such as policing the media and managing up, as well as reinforcing existing generic best practices, such as accepting uncertainty.
Keywords: Crisis ، Communication ، Disaster ، Healthcare ، Hospital
مقاله انگلیسی
6 Application of the SEIPS Model to Analyze Medication Safety in a Crisis Residential Center
کاربرد مدل SEIPS برای تحلیل ایمنی دارو در یک بحران مرکز مسکونی-2018
Purpose: Medication safety and error reduction has been studied in acute and long-term care settings, but little research is found in the literature regarding mental health settings. Because mental health settings are complex, medication administration is vulnerable to a variety of errors from transcription to administration. The purpose of this study was to analyze critical factors related to a mental health work system structure and processes that threaten safe medication administration practices. Background: The Systems Engineering Initiative for Patient Safety (SEIPS) model provides a framework to analyze factors affecting medication safety. The model approach analyzes the work system concepts of tech nology, tasks, persons, environment, and organization to guide the collection of data. Methods: In the study, the Lean methodology tools were used to identify vulnerabilities in the system that could be targeted later for improvement activities. The project director completed face-to-face interviews, asked nurses to record disruptions in a log, and administered a questionnaire to nursing staff. The project director also conducted medication chart reviews and recorded medication errors using a standardized taxonomy for errors that allowed categorization of the prevalent types of medication errors. Results: Results of the study revealed disruptions during the medication process, pharmacology training needs, and documentation processes as the primary opportunities for improvement. The project engaged nurses to identify sustainable quality improvement strategies to improve patient safety. Conclusion: The mental health setting carries challenges for safe medication administration practices. Through analysis of the structure, process, and outcomes of medication administration, opportunities for quality im provement and sustainable interventions were identified, including minimizing the number of distractions during medication administration, training nurses on psychotropic medications, and improving the doc umentation system. A task force was created to analyze the descriptive data and to establish objectives aimed at improving efficiency of the work system and care process involved in medication administration at the end of the project.
Keywords: Medication administration ، Mental health ، Process improvement ، SEIPS model ، Drug administration ، Medication errors and control ، Quality improvement
مقاله انگلیسی
7 Using electronic medical records to create big data and to communicate with patients: Is there room for both?
استفاده از سوابق پزشکی الکترونیکی برای ایجاد داده های بزرگ و ارتباط با بیماران: آیا برای هر دو اتاق وجود دارد؟-2018
Globally, electronic medical records (EMRs), which facilitate the systematic collection and storage of patient information, are increasingly implemented in diverse health care settings. EMRs provide a rich source of comprehensive data on patients’ med ical history, pathology and medical imaging orders and results, prescriptions, service use and medical and surgical procedures (Juvé-Udina, 2013). Extensive interest exists in the utilisation of these data among clinicians (including nurses, doctors and pharma cists), researchers and policy makers. When aggregated, these data have come to be referred to as ‘big data’ (Lee & Yoon, 2017). Big data comprise extremely large datasets that can be manipulated and analysed to identify patterns, trends and associations. Aside from the EMR, there are many sources of patient data including adminis trative claim records, clinical registries, government biometric data through fingerprints and facial images, patient-reported outcome data, medical imaging, and biomarker data. With the availability of voluminous sources of data, there is much excitement about the endless possibilities of new knowledge that can be generated through analysing the links between different sources of patient data (Vayena, Dzenowagis, Brownstein, & Sheikh, 2018).
مقاله انگلیسی
8 Preventing Emergency Department Violence through Design
جلوگیری از خشونت گروهی اورژانس از طریق طراحی-2017
T rends and news reports highlight a growing concern about random violence in public venues. Health care settings traditionally have been considered sacred ground for vulnerable ill or injured patients, as well as care providers, who are considered part of the public safety net. However, not all hospital or health-system leaders fully appreciate the dynamic situations that arise when fear, pain, drug use, or mental-health behaviors put patients, staff, and visitors in harm’s way. It is crucial that staff partner with administrators, facility leaders, and safety officers to design emergency departments with evidence based concepts to minimize or eliminate risks to safety and security. This article provides a comprehensive review of best design practices to help guide clinical user groups in meetings with hospital leaders, architects, and engineers.
مقاله انگلیسی
9 The influence of welfare systems on pay-for-performance programs for general practitioners: A critical review
تاثیر سیستم رفاهی در برنامه های پرداخت عملکرد برای پزشکان عمومی : یک بررسی بحرانی-2017
While pay-for-performance (P4P) programs are increasingly common tools used to foster quality and efficiency in primary care, the evidence concerning their effectiveness is at best mixed. In this article, we explore the influence of welfare systems on four P4P-related dimensions: the level of healthcare funders commitment to P4Ps (by funding and length of program operation), program design (specifically target based vs. participation-based program), physicians acceptance of the program and program effects. Using Esping-Andersens typology, we examine P4P for general practitioners (GPs) in thirteen European and North American countries and find that welfare systems contribute to explain variations in P4P experiences. Overall, liberal systems exhibited the most enthusiastic adoption of P4P, with significant physician acceptance, generous incentives and positive but modest program effects. Social democratic countries showed minimal interest in P4P for GPs, with the exception of Sweden. Although corporatist systems adopted performance pay, these countries experienced mixed results, with strong physician opposition. In response to this opposition, health care funders tended to favour participation-based over target-based P4P. We demonstrate how the interaction of decommodification and social stratification in each welfare regime influences these countries experiences with P4P for GPs, directly for funders commitment, program design and physicians acceptance, and indirectly for program effects, hence providing a framework for analyzing P4P in other contexts or care settings.
Keywords: Pay-for-performance | Welfare systems | General practitioners | Decommodification | Social stratification | North America | Europe
مقاله انگلیسی
10 احساس آرامش: تئوری تجربی محیط مراقبت های حمایتی
سال انتشار: 2005 - تعداد صفحات فایل pdf انگلیسی: 10 - تعداد صفحات فایل doc فارسی: 27
نایتینگل بیان کرد هنر پرستاری محیطی برای بیماران فراهم می¬کند تا در بهترین شرایط با بیماری مواجهه شوند. با این حال، مفاهیم مبتنی بر تحقیق بروی محیط مراقبتی کارآزموده همانند حمایت بیماران، و سایر افراد مهم و کارمندان، محدود است. هدف از این مطالعه، درک نظری فرآیندهای مرتبط با محیط مراقبت حمایتی است. نویسندگان برای آنالیز داده های مصاحبه و مشاهداتی در سه زمینه متفاوت مراقبت، از طرح تئوری پایه و روش تطبیقی پایدار استفاده کردند. طبق تئوری تجربی ، محیط مراقبت حمایتی به صورت احساس فضای آرام است و در پنج دسته شامل: استقبال؛ شناخت خود؛ ایجاد و حفظ روابط اجتماعی؛ تمایل به خدمت؛ و امنیت طبقه بندی شده است. داشتن انتظار بیش از حد از محیط، عامل مخرب احساس آرامش است. احساس فضای آرام ، امکان حضور در محیط آشنا و امن؛ پیروی از اصول خود؛ دیده شدن، تصدیق و مورد توجه قرار گرفتن؛ و بهره مندی از زیبایی و ارتباط با دیگران را فراهم می کند.
کليدواژه ها: تئوری پایه | محیط ‏مراقبت | فضا | آرامش.
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