Implementation of extended possibility for CPAP in general wards: A quality inter-professional intervention project

2021 ◽  
Author(s):  
M.B. Klausen ◽  
L.H. Gamst ◽  
H.I. Jensen
Keyword(s):  
General Wards ◽  
Professional Intervention

scholarly journals In-Hospital Mortality in Patients Receiving Percutaneous Coronary Intervention According to Nurse Staffing Level: An Analysis of National Administrative Health Data

2020 ◽  
Vol 17 (11) ◽  
pp. 3799
Author(s):  
Yunmi Kim ◽  
Jiyun Kim
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Nurse Staffing ◽  
Coronary Intervention ◽  
First Grade ◽  
Estimation Model ◽  
Staffing Level ◽  
Percutaneous Coronary ◽  
General Wards

The increasing incidence of ischemic heart disease is concomitantly increasing percutaneous coronary intervention (PCI) treatments. Adequate nurse staffing has enhanced quality of care and this study was conducted to determine the relationship between survival-related PCI treatment and the level of nursing staff who care for patients admitted to receive PCI. National Health Insurance claims data from 2014 to 2015 for 67,927 patients who underwent PCI in 43 tertiary hospitals were analyzed. The relationships of nurse staffing in intensive care units (ICUs) and general wards with survival after PCI were investigated using logistic regression analyses with a generalized estimation model. The in-hospital mortality rate in ICUs was lower in hospitals with first-grade nurse staffing {odds ratio (OR) = 0.33, 95% confidence interval (CI) = 0.23–0.48}, second-grade nurse staffing (OR = 0.55, 95% CI = 0.40–0.77), or third-grade nurse staffing (OR = 0.71, 95% CI = 0.53–0.95) than in hospitals with fifth-grade nurse staffing. Nurse staffing in general wards was not related to in-hospital mortality due to PCI treatment. This study found that nurse staffing in PCI patients requiring short-term intensive care significantly affected patient survival. An understanding of the importance of managing the ICU nursing workforce for PCI treatment is required.

scholarly journals Degrading a global COVID-19 contagion: Charting a holistic social work response

2021 ◽  
pp. 002087282199120
Author(s):  
Tracy BE Omorogiuwa ◽  
Solomon Amadasun
Keyword(s):  
Social Work ◽  
Ethical Concerns ◽  
Professional Intervention

The eclectic nature of social work in addition to the person-in-environment perspective, as well as its biopsychosocial frame, warrants the utilization of a holistic interventionist lens amid the coronavirus pandemic. This is paramount if we intend to prevent and stymie not just the dreaded contagion in itself, but also its rampaging impact on individuals, families, groups and communities. In this essay, we highlight some empowering framework necessary for action and clarify potential ethical concerns. Given the extensive fallout of the COVID-19 pandemic, illustrative guidelines conducive for holistic professional intervention, during and in the aftermath of the disease, are rolled out.

scholarly journals Addressing the Needs of Migrant Workers in ICUs in Singapore

2020 ◽  
Vol 7 ◽  
pp. 238212052097719
Author(s):  
Crystal Lim ◽  
Jamie Xuelian Zhou ◽  
Natalie Liling Woong ◽  
Min Chiam ◽  
Lalit Kumar Radha Krishna
Keyword(s):  
Migrant Workers ◽  
Healthcare Workers ◽  
Migrant Worker ◽  
Minority Group ◽  
Group Discussion ◽  
Cultural Barriers ◽  
Medical Terminology ◽  
Singapore General Hospital ◽  
Medical Interpreters ◽  
General Wards

Background: With nearly 400 000 migrant workers in Singapore, many from Bangladesh, India and Myanmar, language and cultural barriers posed a great many challenges during the COVID-19 pandemic. This was especially so as majority of the COVID-19 clusters in Singapore emerged from their communal dormitories. With concerns arising as to how this minority group could be best cared for in the intensive care units, the need for medical interpreters became clear. Main: In response, the Communication and Supportive Care (CSC) workgroup at the Singapore General Hospital developed the ‘Medical Interpreters Training for ICU Conversations’ program. Led by a medical social worker-cum-ethicist and 2 palliative care physicians, twenty volunteers underwent training. The program comprised of 4 parts. Firstly, volunteers were provided with an overview of challenges within the COVID-19 isolation ICU environment. Discussed in detail were common issues between patients and families, forms of distress faced by healthcare workers, family communication modality protocols, and the sociocultural demographics of Singapore’s migrant worker population. Secondly, key practice principles and ‘Do’s/Don’ts’ in line with the ethical principles of medical interpretation identified by the California Healthcare Interpreters Association were shared. Thirdly, practical steps to consider before, during and at the end of each interpretation session were foregrounded. Lastly, a focus group discussion on the complexities of ICU cases and their attending issues was conducted. Targeted support was further provided in response to participant feedback and specific issues raised. Conclusion: As a testament to its efficacy, the program has since been extended to the general wards and the Ministry of Health in Singapore has further commissioned similar programs in various hospitals. In-depth training on the fundamentals of medical terminology, language and cultural competency should be provided to all pertinent healthcare workers and hospitals should consider hiring medical interpreters in permanent positions.

Professional judgements of risk and capacity in situations of self-neglect among older people

2010 ◽  
Vol 30 (6) ◽  
pp. 1055-1072 ◽  
Author(s):  
SHANNON MCDERMOTT
Keyword(s):  
Critical Theory ◽  
Older People ◽  
Cultural Context ◽  
Sociological Theory ◽  
Qualitative Interviews ◽  
Medical Illness ◽  
The Past ◽  
The Social ◽  
Professional Intervention ◽  
Sydney Australia

ABSTRACTOver the past 50 years, self-neglect among older people has been conceptualised in both social policy and the academy as a social problem which is defined in relation to medical illness and requires professional intervention. Few authors, however, have analysed the concept of self-neglect in relation to critical sociological theory. This is problematic because professional judgements, which provide the impetus for intervention, are inherently influenced by the social and cultural context. The purpose of this article is to use critical theory as a framework for interpreting the findings from a qualitative study which explored judgements in relation to older people in situations of self-neglect made by professionals. Two types of data were collected. There were 125 hours of observations at meetings and home assessments conducted by professionals associated with the Community Options Programme in Sydney, Australia, and 18 professionals who worked with self-neglecting older people in the community gave in-depth qualitative interviews. The findings show that professional judgements of self-neglect focus on risk and capacity, and that these perceptions influence when and how interventions occur. The assumptions upon which professional judgements are based are then further analysed in relation to critical theory.

scholarly journals Outcomes of an Inter-Professional Intervention on Medication Adherence Among Heart Failure Patients: A Pilot Study

2016 ◽  
Vol 22 (8) ◽  
pp. S81
Author(s):  
Marilyn A. Prasun ◽  
Michael A. Short ◽  
Judy K. Maynard ◽  
Jennifer Roth ◽  
Jennifer Bell ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medication Adherence ◽  
Pilot Study ◽  
Heart Failure Patients ◽  
Professional Intervention

Kefahaman Beragama dan Proses Transformasi Hubungan Pasangan dalam Perkahwinan

2018 ◽  
Vol 3 (2) ◽  
pp. 75-91
Author(s):  
Dini Farhana Baharudin ◽  
Suhailiza Md. Hamdani ◽  
Marina Munira Abdul Mutalib ◽  
Mohd. Zaliridzal Zakaria
Keyword(s):  
Marital Satisfaction ◽  
Religious Beliefs ◽  
Married Couple ◽  
Qualitative Approach ◽  
Beliefs And Practices ◽  
Strong Relation ◽  
Marriage Relationships ◽  
Age Of Marriage ◽  
Counselling Approach ◽  
Professional Intervention

Previous studies show strong relation between religion and marital satisfaction. However, there are still lack of study that looks into this area from the Malaysian context, especially among the Muslims. This paper will explore connections between religion and transformational processes in marriage. Transformational processes refer to processes that occur in marriage relationships that do not require outside or professional intervention, especially when an issue or conflict arises in marriage. The methodology of the study utilizes a qualitative approach. Purposive sampling comprising of five Malay Muslim couples whose age of marriage is more than ten years were interviewed. Findings show that specific Islamic religious beliefs and practices are related to the maintenance of relationship for a married couple. The findings highlight the importance for a marital counselling approach which integrates naqli and ‘aqli knowledge that supports the clients’ needs. ABSTRAK Kajian lepas menunjukkan perkaitan yang kuat antara aspek-aspek keagamaan dengan kesejahteraan dalam hubungan pasangan berkahwin. Walau bagaimanapun, masih kurang kajian yang meneroka tentang perkara ini dalam konteks Malaysia, khususnya dalam kalangan orang Islam. Kertas ini akan meneroka tentang kefahaman agama dengan proses transformasi dalam perkahwinan. Kefahaman agama dalam kajian ini mencakupi kepercayaan dan amalan keagamaan. Manakala, proses transformasi dalam perkahwinan pula merujuk kepada proses-proses yang berlaku dalam hubungan perkahwinan yang tidak memerlukan intervensi secara professional daripada luar, khususnya apabila berlakunya isu atau konflik dalam perkahwinan. Metodologi kajian adalah menggunakan pendekatan kualitatif. Sampel bermatlamat melibatkan lima pasangan Melayu beragama Islam yang usia perkahwinan mereka melebihi sepuluh tahun. Temubual berstruktur telah dijalankan dan dapatan menunjukkan kefahaman beragama iaitu kepercayaan dan amalan Islam adalah berkait dengan pengekalan hubungan sesuatu pasangan dalam perkahwinan. Dapatan ini menunjukkan kepentingan untuk menggunakan intervensi kaunseling perkahwinan yang mengintegrasikan ilmu naqli dan ‘aqli yang dapat membantu menyokong keperluan klien.

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