Nursing and medical staff perceptions of on-call respiratory physiotherapy: a service evaluation

Physiotherapy ◽  
2020 ◽  
Vol 107 ◽  
pp. e34
Author(s):  
C. Redgrave ◽  
L. Osman ◽  
H. Shannon
Keyword(s):  
Medical Staff ◽  
Service Evaluation ◽  
Staff Perceptions ◽  
Respiratory Physiotherapy

scholarly journals Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease

2021 ◽  
Vol 8 (1) ◽  
pp. e000880
Author(s):  
Adam Lewis ◽  
Ellena Knight ◽  
Matthew Bland ◽  
Jack Middleton ◽  
Esther Mitchell ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Service Evaluation ◽  
Chronic Respiratory Disease ◽  
Outcome Data ◽  
Staff Perceptions ◽  
Online Delivery ◽  
Face To Face ◽  
Participant Engagement ◽  
Sit To Stand ◽  
The University

IntroductionSARS-CoV-2 has restricted access to face-to-face delivery of pulmonary rehabilitation (PR). Evidence suggests that telehealth-PR is non-inferior to outpatient PR. However, it is unknown whether patients who have been referred to face-to-face programmes can feasibly complete an online-PR programme.MethodsThis service evaluation used a mixed-methods approach to investigate a rapid PR service remodelling using the University of Gloucestershire eLearn Moodle platform. Quantitative baseline demographic and PR outcome data were collected from online-PR participants, and semistructured interviews were completed with PR staff and participants.ResultsTwenty-five individuals were eligible from a PR waiting list. Thirteen declined participation and 14 completed PR. Significant pre-post online PR improvements were achieved in 1 min sit-to-stand (CI 2.1 to 9 (p=0.004)), Generalised Anxiety Disorder (CI −0.3 to −2.6 (p=0.023)), Primary Health Questionnaire-9 (CI −0.3 to −5.1 (p=0.029)), Chronic Respiratory Questionnaire dyspnoea (CI 0.5 to 1.3 (p=0.001)), fatigue (CI 0.7 to 2 (p=0.0004)), emotion (CI 0.7 to 1.7 (p=0.0002)), mastery (CI 0.4 to 1.3 (p=0.001)). Interviews indicated that patient PR inclusion was made possible with digital support and a PR introduction session improved participant engagement and safety. Incremental progression of exercise was perceived as more successful online compared with face-to-face PR. However, perceptions were that education sessions were less successful. Online-PR required significant staff time resource.DiscussionOnline-PR improves patient outcomes and is feasible and acceptable for individuals referred for face-to-face PR in the context of a requirement for social distancing. Face-to-face programmes can be adapted in a rapid fashion with both staff and participants perceiving benefit. Future pragmatic trials are now warranted comparing online-PR including remote assessments to centre-based PR with suitably matched outcomes, and patient and staff perceptions sought regarding barriers and facilitators of online delivery.

scholarly journals Qualitative study on the social meanings of using mask during COVID-19 outbreak: implications for infection control

2020 ◽  
Author(s):  
Xiule Lin ◽  
Duncan Wei ◽  
Xiulian Deng ◽  
Haohao Chen ◽  
ZhouWu Shu ◽  
...  
Keyword(s):  
Medical Staff ◽  
Public Awareness ◽  
Implementation Process ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Staff Perceptions ◽  
Disease Information ◽  
The Social ◽  
Epidemic Period ◽  
Social Meanings

Abstract Background: To analyze the perceptions and behaviors related to mask-using in non-medical staff. To protect against respiratory and provide insights on using mask and provide directions for the prevention of infection and health protection.Methods: We conducted semi-structured interviews with 24 non-medical staff from various backgrounds to reflect a diversity of viewpoints during the peak season of coronavirus disease 2019(COVID-19) since February to March in 2020. A phenomenological approach was adopted for data analysis.Results: Multiple themes emerged: (1) Effective informs and reporting of disease information had raised public awareness of wearing mask. (2) Shortage of masks and reuse exist in the implementation process. (3) The shortage of masks will be dealt by distribution in unified way and increasing production.Conclusions: This study documented non-medical staff perceptions and experiences using mask before the outbreak and this epidemic period. Participants felt that the most effective approach to solve the problem of mask shortage in China is combine prevention infection measures, uniform distribution of masks, material reserve in public health system.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

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