A Positive Technology System for the Promotion of Well-Being: From the Lab to the Hospital Setting

2016 ◽  
pp. 209-219
Author(s):  
Macarena Espinoza ◽  
Ernestina Etchemendy ◽  
Luis Farfallini ◽  
Cristina Botella ◽  
Rosa María Baños
Keyword(s):  
Hospital Setting ◽  
Well Being ◽  
Technology System

scholarly journals Improving emotional well-being for hospital-based patients with dementia

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stephanie Petty ◽  
Amanda Griffiths ◽  
Donna Maria Coleston ◽  
Tom Dening
Keyword(s):  
Nursing Staff ◽  
Hospital Care ◽  
Personal Information ◽  
Hospital Setting ◽  
Well Being ◽  
Hospital Staff ◽  
Content Type ◽  
Hospital Nursing ◽  
People With Dementia ◽  
Hospital Resources

Purpose Improving hospital care for people with dementia is a well-established priority. There is limited research evidence to guide nursing staff in delivering person-centred care, particularly under conditions where patients are emotionally distressed. Misunderstood distress has negative implications for patient well-being and hospital resources. The purpose of this study is to use the expertise of nurses to recommend ways to care for the emotional well-being of patients with dementia that are achievable within the current hospital setting. Design/methodology/approach A qualitative study was conducted in two long-stay wards providing dementia care in a UK hospital. Nursing staff (n = 12) were asked about facilitators and barriers to providing emotion-focused care. Data were analysed using thematic analysis. Findings Nursing staff said that resources existed within the ward team, including ways to gather and present personal information about patients, share multidisciplinary and personal approaches, work around routine hospital tasks and agree an ethos of being connected with patients in their experience. Staff said these did not incur financial cost and did not depend upon staffing numbers but did take an emotional toll. Examples are given within each of these broader themes. Research limitations/implications The outcome is a short-list of recommended staff actions that hospital staff say could improve the emotional well-being of people with dementia when in hospital. These support and develop previous research. Originality/value In this paper, frontline nurses describe ways to improve person-centred hospital care for people with dementia.

scholarly journals Preface

2021 ◽  
Vol 2121 (1) ◽  
pp. 011001
Keyword(s):  
Wind Energy ◽  
Automatic Control ◽  
Intelligent Control ◽  
Committee Member ◽  
Well Being ◽  
Keynote Speaker ◽  
Theoretical Research ◽  
Measurement Technology ◽  
Technology System ◽  
Oral Presentations

The 2021 2nd International Conference on Electrical Technology and Automatic Control (ICETAC 2021) was held on October 23, 2021 as a virtual conference due to the growing concerns over the coronavirus outbreak (COVID-19), and in order to protect the well-being of our attendees, partners, and staff as our number one priority. ICETAC 2021 brings together more than 70 national and international researchers from industry, government, and academia. We invited submissions of papers and abstracts on all topics related to Electrical Technology and Automatic Control. The conference provides networking opportunities for participants to share ideas, designs, and experiences on the state-of-the-art and future direction of Electrical Technology and Automatic Control. ICETAC 2021 will feature a high-quality technical & experiential program dealing with a mix of traditional and contemporary hot topics in paper presentations and high-profile keynotes. During the conference, the conference model was divided into three sessions, including oral presentations, keynote speeches, and online Q&A discussion. In the first part, some scholars, whose submissions were selected as the excellent papers, were given about 5-10 minutes to perform their oral presentations one by one. Then in the second part, keynote speakers were each allocated 30-45 minutes to hold their speeches. In the second part, we invited four professors as our keynote speakers. Prof. Yuanchang Zhong, our first keynote speaker, from Chongqing University, China. His mainly research focus on Electronic Technology, Electronic Measurement Technology, System Engineering etc. And then we had Prof. Qinmin Yang, from Zhejiang University, China. He presented an insightful speech: Theoretical research and practice in intelligent control design for wind energy. In this talk, challenges faced by control community for high reliable and efficient exploitation of wind energy are discussed. Prof. Badrul Hisham Ahmad, Universiti Teknikal Malaysia Melaka, performed a speech: Switchable Absorptive Bandstop to Bandpass Filter using Parallel-coupled Resonator. Our finale keynote speaker, Prof. He Yan, from Chongqing University of Technology, China. He presented an insightful speech: Research on Key Technologies of Semantic SLAM for Mobile Robot in Dynamic Scene. Their insightful speeches had triggered heated discussion in the third session of the conference. Every participant praised this conference for disseminating useful and insightful knowledge. The proceedings are a compilation of the accepted papers and represent an interesting outcome of the conference. Topics include but are not limited to the following areas: Electric Vehicle Technology, Intelligent Control System, Electrical Materials, Sensor Network System, Acoustics and Noise Control and more related topics. All the papers have been through rigorous review and process to meet the requirements of International publication standard. We would like to acknowledge all of those who supported ICETAC 2021. The help and contribution of each individual and institution was instrumental in the success of the conference. In particular, we would like to thank the organizing committee for its valuable inputs in shaping the conference program and reviewing the submitted papers. The Committee of ICETAC 2021 List of Committee member is available in this pdf.

scholarly journals Examining the Attitudes of Non-Psychiatric Practicing Healthcare Workers Towards Patients With Alcohol Problems in General Hospital Setting

2022 ◽  
Vol 16 ◽  
pp. 117822182110657
Author(s):  
Ho Teck Tan ◽  
Yit Shiang Lui ◽  
Lai Huat Peh ◽  
Rasaiah Munidasa Winslow ◽  
Song Guo
Keyword(s):  
Alcohol Use ◽  
Hospital Setting ◽  
Well Being ◽  
Alcohol Problems ◽  
Alcohol Intervention ◽  
Screening And Brief Intervention ◽  
Daily Work ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Doctors And Nurses

Background and objectives: Problematic alcohol-use affect the physical and mental well-being of hospitalised individuals and may receive screening and brief-intervention during treatment. Non-psychiatric doctors and nurses might respond inadequately due to negative attitudes and beliefs. This study aimed to examine these attitudes of non-psychiatric workers in the medical and surgical wards. Methods: A total of 457 doctors and 1643 nurses were recruited from the medical, surgical and orthopaedic disciplines over a period of 4 months. Three questionnaires were administered: demographics, Alcohol & Alcohol-Problems Perceptions Questionnaire (AAPPQ) and Staff Perception of Alcohol Treatment Resources. Results: About 128 doctors and 785 nurses responded. Around 75.5% doctors and 51.9% nurses endorsed role-legitimacy in the AAPPQ. Both the doctor (86.7%) and nurse (77.6%) groups agreed on the importance to initiate intervention for patients with problematic alcohol-use in daily work. Both groups were sceptical and negative towards these patients endorsing low-level role-adequacy (41.2%), role-support (36.9%), motivation (36.5%), task-specific self-esteem (25.1) as well as work satisfaction (20.5%). Conclusion/discussion: Doctors and nurses demonstrated low levels of therapeutic commitments towards patients with problematic alcohol-use thereby necessitating the introduction of in-house programmes to educate, empower and emphasise the importance of therapeutic contact with patients for alcohol intervention. Scientific significance: The prompt identification and treatment of patients with alcohol problems are contingent on the workers’ attitudes towards them. This study’s results should spark a nation-wide interest to improve the training and recognition of such patients and providing adequate educational resources.

scholarly journals Communication behavior of cognitively impaired older inpatients

2019 ◽  
Vol 52 (S4) ◽  
pp. 264-272
Author(s):  
Eva-Luisa Schnabel ◽  
Hans-Werner Wahl ◽  
Susanne Penger ◽  
Julia Haberstroh
Keyword(s):  
Cognitive Impairment ◽  
Psychometric Properties ◽  
Acute Care ◽  
Older Patients ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Acute Care Hospitals ◽  
Well Being ◽  
Communication Behavior ◽  
Care Hospital

Abstract Background and objective Acutely ill older patients with cognitive impairment represent a major subgroup in acute care hospitals. In this context, communication plays a crucial role for patients’ well-being, healthcare decisions, and medical outcomes. As validated measures are lacking, we tested the psychometric properties of an observational instrument to assess Communication Behavior in Dementia (CODEM) in the acute care hospital setting. As a novel feature, we were also able to incorporate linguistic and social-contextual measures. Material and methods Data were drawn from a cross-sectional mixed methods study that focused on the occurrence of elderspeak during care interactions in two German acute care hospitals. A total of 43 acutely ill older patients with severe cognitive impairment (CI group, Mage ± SD = 83.6 ± 5.7 years) and 50 without cognitive impairment (CU group, Mage ± SD = 82.1 ± 6.3 years) were observed by trained research assistants during a standardized interview situation and rated afterwards by use of CODEM. Results Factor analysis supported the expected two-factor solution for the CI group, i.e., a verbal content and a nonverbal relationship aspect. Findings of the current study indicated sound psychometric properties of the CODEM instrument including internal consistency, convergent, divergent, and criterion validity. Conclusion CODEM represents a reliable and valid tool to examine the communication behavior of older patients with CI in the acute care hospital setting. Thus, CODEM might serve as an important instrument for researcher and healthcare professionals to describe and improve communication patterns in this environment.

scholarly journals Holistic treatment of the patient in palliative care – The nurses view

2016 ◽  
Vol 15 (4) ◽  
pp. 42-47
Author(s):  
Bojana Filej ◽  
Boris Miha Kaučič ◽  
Boštjan Žvanut ◽  
Mojca Saje
Keyword(s):  
Palliative Care ◽  
Hospital Setting ◽  
Well Being ◽  
Integrated Treatment ◽  
Social Aspect ◽  
Physical Aspect ◽  
Community Nursing ◽  
Quantitative Methodology ◽  
Holistic Treatment ◽  
Starting Point

Abstract Introduction. Man is a unique, unrepeatable whole in space and time and that is why he requires a holistic treatment, taking into account physical, psychological, social and spiritual factors. The balanced factors can ensure human well-being and his quality of life. Integrated treatment is especially important for patients in palliative care, which was the basic starting point of our research. In our research we wanted to establish whether the patients in palliative care are treated holistically from the perspective of the nurses and where are the specific aspects of palliative care (psychological, physical, social and spiritual) more visible - in the hospitals or in the home environment.Material and methods. The questionnaire survey was based on the empirical quantitative methodology; a descriptive causal non-experimental method was used. The number of the included sample was 127 nurses (92 hospital nurses, 35 community nurses). To test the differences between the groups (hospital, community nursing), the single factor analysis of variance was used. All the research participants were ensured anonymity and they had the right to withdraw from the study before or during the questionnaire completion.Results. The physical aspect of the treatment was statistically significantly higher assessed by nurses in a hospital setting (̅χ =3.83; s=1.012; p=0.042). The psychological and spiritual aspects were higher assessed in community nursing setting and social aspect in hospital setting.Conclusions. Our research has highlighted the shortcomings of the holistic approach in palliative care. Nurses need in-depth knowledge and skills as well as practice within each holistic domain to perform quality treatment of palliative patients.

scholarly journals Pharmacoeconomic comparison of ziprasidone with other atypical oral antipsychotic agents in schizophrenia

2011 ◽  
Vol 12 (1) ◽  
pp. 29-40
Author(s):  
Andrea Fagiolini ◽  
Alice Matone ◽  
Claudio Gaz ◽  
Simona Panunzi ◽  
Andrea De Gaetano
Keyword(s):  
Adverse Reactions ◽  
Hospital Setting ◽  
Drug Efficacy ◽  
Economic Cost ◽  
Antipsychotic Agents ◽  
Well Being ◽  
Drug Effectiveness ◽  
Clozapine Treatment ◽  
Hospitalization Costs ◽  
Oral Antipsychotic

Objective: to comparatively investigate – by means of computer simulations – the economic cost and clinical outcomes of five atypical oral antipsychotic agents (ziprasidone, olanzapina, risperidone, paliperidone and aripiprazolo).Methods: a cyclical stochastic model representing patient evolution, taking into account main adverse reactions (akathisia, weight gain and extra-pyramidal ARs), drug efficacy on psychosis stabilization and probability of relapse, was developed. Ten different scenarios were compared, each starting with one of the considered antipsychotics, prescribed either at home or in a hospital setting. Switching to another medication was allowed until no untried drugs were available, in which case clozapine treatment or admission to a Psychiatric Therapeutic Rehabilitation Center were irreversibly assigned. Model inputs were probabilities of ARs, probabilities of stabilization and probabilities of destabilization (assumed equal for all); as well as costs attributable to drugs, hospitalization, outpatient care and costs adverse reactions in terms of concomitant medications. Sources for the inputs were the trials reported in the most recent literature (from the year 2000), selected based on the homogeneity of the observational period and antipsychotic dosage used.Results: in each scenario, the hospitalization cost represented the highest component of the overall cost (approximately 67%). Assuming equal drug effectiveness, ziprasidone fared better than all other considered competitors, showing the lowest average annual costs per patient (and also the lowest average annual hospitalization costs) as well as the largest numbers of controlled months without adverse reactions, independently of the initial setting. Conclusions: the most important determinant of total cost appears to be hospitalization, whose cost is about 600% higher than the medications cost. Medication effectiveness and tolerability remain however of utmost importance for the patients well being and reduction of hospitalization rate.

scholarly journals Perceptions of Facilitators and Barriers to Mental Health Treatment Engagement Among Decision-making Competent Adolescents in Greece

2021 ◽  
Author(s):  
Eftychia Tsamadou ◽  
Polychronis Voultsos ◽  
Anastasios Emmanouilidis ◽  
Grigorios Ampatzoglou
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Disorders ◽  
Hospital Setting ◽  
Treatment Engagement ◽  
Well Being ◽  
Perceived Usefulness ◽  
Attrition Rate ◽  
Self Image ◽  
Supportive Role

Abstract Background: A subset of adolescents with mental disorders are likely to be (share) decision making competent and hence can make their treatment engagement more effective. Treatment engagement is decisive in achieving successful outcomes. However, there are high rates of drop-out in mental health settings.Aim: This study aims at identifying barriers to or facilitators of mental health care engagement among adolescents with decision-making competence in Greece. Methods: Participants were adolescents in therapy for mental disorders recruited from an outpatient tertiary hospital setting. First, potential participants with decision making competence were identified. Second, 50 participants were interviewed about their perceptions of treatment. The interviews were auto-recorded. A transcription verbatim and data analysis were conducted. All the requirements of a qualitative research and ethical considerations were observed.Results: All the participants highlighted their experience with facilitators rather than barriers to their treatment engagement. Facilitators included: a) positive treatment outcomes and adolescent's perceived usefulness of treatment, b) a meaningful adolescent-therapist relationship, c) family’s supportive role, d) symptoms and negative self-image, and e) developing social relationships and acceptance by peers. The participants equally highlighted the importance of getting rid of their symptoms and improve their socialization skills. Other facilitators included: achieving professional and personal goals in life, enhancing their independence and self-esteem / self-image, or even just confessing to another trustworthy person. Friends were reported as having a neutral or mild supportive role. The barriers included ineffective and unhelpful treatment, negative experiences with their therapist, relief from symptoms and mental health therapy-related stigma. Conclusion: For the most part, the findings enhance prior studies. Participants highlighted facilitators rather than barriers to treatment engagement. For the most part, the findings enhance prior studies. However, we identified some nuances which might be used by therapists to enhance the adolescents’ treatment engagement. For instance, bearing in their mind that by the subsiding of symptoms adolescents are most likely to terminate the treatment prematurely and highlighting the achievement of adolescents’ future goals as well as the potential family’s enhanced well-being because of the improvement of adolescents’ mental health may contribute to reducing the attrition rate.

Advance care planning in hospitals

2018 ◽  
Author(s):  
Clare Marlow ◽  
Karen Groves ◽  
Premila Fade
Keyword(s):  
Advance Care Planning ◽  
Hospital Setting ◽  
Well Being ◽  
Family Satisfaction ◽  
Hospital Environment ◽  
Care Planning ◽  
Good Communication ◽  
Challenges And Opportunities ◽  
Future Care ◽  
Advance Care

This chapter outlines the challenges and opportunities surrounding advance care planning (ACP) within the hospital setting. Although the hospital environment may not seem the obvious place for future care planning, the triggers to these conversations may occur during a hospital admission. Around a third of all patients in general hospitals are likely to be in the last year of life and nearly 90% of people who die are hospitalized in the last year of life. ACP can help improve end-of-life care in hospital, with the potential to improve communication, increase quality of life and well-being of patients and those important to them, reduce use of futile and often unwanted treatments and unnecessary hospitalizations, and improve patient and family satisfaction with hospital care. Recognition that someone is in the last year of life, good communication skills, and a clear process for documentation and dissemination are key to successful ACP in hospitals.

Psychological and the physical health impacts of forensic workplace trauma

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dipti Mistry ◽  
Lynsey Gozna ◽  
Tony Cassidy
Keyword(s):  
Physical Health ◽  
Health Effects ◽  
Nursing Staff ◽  
Hospital Setting ◽  
Well Being ◽  
Potential Health ◽  
Content Type ◽  
Staff Members ◽  
Workplace Trauma

Purpose Health-care professionals working in inpatient forensic mental health settings are exposed to a range of traumatic and distressing incidents with impacts discussed variously as “burnout”, “compassion fatigue”, “secondary trauma stress” and “vicarious traumatisation”. This study aims to explore the short- and long-term psychological and physical health effects of trauma exposure in the workplace for frontline staff in a forensic setting. Design/methodology/approach Semi-structured interviews were conducted with 14 nursing staff members working in the male personality disorders care stream in a Medium Secure Hospital. Findings Thematic analysis yielded five themes: categories of trauma; how well-being is impacted; ways of coping and managing; protective factors; and systemic factors, with sub-themes within each of the superordinate themes. Practical implications The findings demonstrate that some staff members were affected both physically and psychologically as a result of trauma-focused work whereas other staff members were unaffected. The psychological and physical health effects were broadly short-term; however, long-term effects on staff member’s social networks and desensitisation to working conditions were observed. A broad range of coping methods were identified that supported staff member’s well-being, which included both individual and organisational factors. Staff member’s health is impacted by exposure to workplace trauma either directly or indirectly through exposure to material, and there is a greater need to support staff members after routine organisational provisions are complete. Staff should receive education and training on the possible health effects associated with exposure to potentially traumatic material and events. Originality/value This research has further contributed to understanding the staff needs of nursing staff members working with the forensic personality disorder patients within a secure hospital setting. This research has identified the following service developments: the need for ongoing support particularly after organisational provisions are complete; further prospects to engage in psychological formulations; greater opportunities for informal supervision forums; staff training to understand the potential health impact associated with trauma-focused work; supervisors being appropriately trained and supported to elicit impacts of trauma-focused work on staff members; and additional opportunities to discuss well-being or monitor well-being.

Patient and nurse perceptions of an innovative TV wellness channel in an acute medical ward: a feasibility study

2020 ◽  
Vol 7 (1) ◽  
pp. 87-94
Author(s):  
Suzy Russell ◽  
Vanya Ripley ◽  
Rosalind Elliott ◽  
Caryl Barnes
Keyword(s):  
Feasibility Study ◽  
State Anxiety ◽  
Psychological Treatment ◽  
Hospital Setting ◽  
Well Being ◽  
Lower State ◽  
Inpatient Setting ◽  
Patient Anxiety ◽  
Liaison Psychiatry ◽  
Before And After

BackgroundThe Consultation Liaison Psychiatry service attends to the mental health needs of patients treated in a general hospital setting after referral by the treating team. Interventions may include psychoeducation and psychological treatment.A mindfulness focused ‘TV wellness’ channel was conceptualised as an innovative method of providing psychoeducation and mindfulness/relaxation. The objective was to explore the acceptability of a TV wellness channel to nurses and patients in an acute care inpatient setting and its effect on patient anxiety.MethodsThis was a before and after prospective feasibility study. The intervention was a 30 min audio–visual television programme containing activities designed to reduce anxiety such as breathing and mindfulness exercises, nature film clips and short videos of clinical staff providing well-being tips during hospitalisation. Adult medical patients were requested to report their state anxiety using the Faces Anxiety Scale (1, low to 5 high anxiety) before and after viewing the channel. Patients and nurses reported on the acceptability of the content.ResultsThere was a trend to lower state anxiety after patients (n=61) watched the TV wellness channel but this was not clinically significant (mean difference (95 CI) 0.60 (0.36 to 0.87)). The patients and nurses’ evaluations were positive with few areas for improvement.ConclusionPilot evaluation of this innovative adjunct to Consultant Liaison Psychiatry provides evidence of its acceptability and potential to reduce anxiety for medical inpatients. This evaluation confirmed the feasibility of the TV wellness channel and has informed continued development and subsequent clinical research.

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