scholarly journals 520 AN EVALUATION OF VIRTUAL MUSIC THERAPY TO PATIENTS ON AN ACUTE HEALTH CARE OF OLDER PEOPLE WARD DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii8-ii13
Author(s):  
J McAulay ◽  
M Block ◽  
V Booth ◽  
A Cowley
Keyword(s):  
Health Care ◽  
Older People ◽  
Music Therapy ◽  
Hospital Setting ◽  
University Hospital ◽  
Hospital Environment ◽  
Ward Staff ◽  
Face To Face ◽  
Staff Members ◽  
Acute Health Care

Abstract Introduction Music therapy has been shown to reduce anxiety and social isolation for elderly patients in the acute hospital setting. At Nottingham University Hospital NHS Trust a programme of live, face-to-face music has been delivered by Wellspring Music on Healthcare of Older Peoples wards since 2015. In response to COVID-19, face-to-face delivery was stopped and a virtual method was proposed. This project investigated feasibility of virtual live music delivery. Method Twelve, two-hour music therapy sessions were delivered by Wellspring Music to 41 patients over six weeks. The validated Arts-obs tool was used by staff members facilitating the sessions to record observations of patient mood, relaxation, and distraction from the ward setting on Likert scales. Patient, ward staff, and facilitator feedback were also recorded. Qualitative and quantitative analyses were conducted by an Occupational Therapist. Results Data from the Arts-obs tool showed that thirty-two patients had an observable improvement in mood, seven had no mood change, and two presented a slightly worsened mood. Fourteen patients were fully engaged with the music therapy, sixteen were partially engaged, and eleven were focussed on the hospital environment. Thirty-four patients were visibly more relaxed, and seven showed no change. Patient feedback ranged from gratitude and expressions of enjoyment of the session to finding it too loud. Ward staff feedback ranged from appreciation to finding the music too distracting. The Wellspring musician and staff facilitators reported occasional loss of internet connection, and patients sometimes focusing on the facilitator rather than the musician. Conclusion It is feasible to deliver virtual music therapy to inpatients on Health Care of Older People wards. Feedback shows that this was largely acceptable to staff and patients. Improvements in mood, relaxation and distraction were found.

scholarly journals Leadership assumptions on implementation of patient involvement methods

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathrine Håland Jeppesen ◽  
Kirsten Frederiksen ◽  
Marianne Johansson Joergensen ◽  
Kirsten Beedholm
Keyword(s):  
Health Care ◽  
Organizational Learning ◽  
Health Care Professionals ◽  
Large Scale ◽  
Patient Involvement ◽  
Hospital Setting ◽  
Implementation Process ◽  
University Hospital ◽  
Structured Interviews ◽  
Implementation Processes

Abstract Background From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general and for implementation processes in particular. According to the theory on organizational learning by Agyris and Schön, successful change requires organizational learning. Argyris and Schön consider that the assumptions of involved participants play an important role in organizational learning and processes. The purpose was to explore leaders’ assumptions concerning implementation of patient involvement methods in a hospital setting. Methods Qualitative explorative interview study with the six top leaders in the implementation project. The semi-structured interviews were conducted and analyzed in accordance with Kvale and Brinkmanns’ seven stages of interview research. Result The main leadership assumptions on what is needed in the implementation process are in line with the perceived elements in organizational learning according to the theory of Argyris and Schön. Hence, they argued that implementation of patient involvement requires a culture change among health care professionals. Two aspects on how to obtain success in the implementation process were identified based on leadership assumptions: “The health care professionals’ roles in the implementation process” and “The leaders’ own roles in the implementation process”. Conclusion The top leaders considered implementation of patient involvement a change process that necessitates a change in culture with health care professionals as crucial actors. Furthermore, the top leaders considered themselves important facilitators of this implementation process.

scholarly journals Dementia Friendly Hospital Design: Key Issues for Patients and Accompanying Persons in an Irish Acute Care Public Hospital

2019 ◽  
Vol 13 (1) ◽  
pp. 48-67 ◽  
Author(s):  
Dimitra Xidous ◽  
Tom Grey ◽  
S. P. Kennelly ◽  
Cathy McHale ◽  
Desmond O’Neill
Keyword(s):  
Older People ◽  
Negative Impact ◽  
Spatial Scales ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Multiple Perspectives ◽  
Structured Interviews ◽  
People With Dementia ◽  
Person With Dementia ◽  
The Impact

Objectives: Research was conducted to investigate the impact of the hospital environment on older people including patients with dementia and their accompanying persons (APs). The article presents key research findings in the case study hospital. Background: For many patients, the hospital is challenging due to the busy, unfamiliar, and stressful nature of the environment. For a person with dementia, the hospital experience can be exacerbated by cognitive impairment and behavioral or psychological symptoms and can therefore prove to be a frightening, distressing, and disorientating place. Method: The findings are based on a stakeholder engagement process where the research team spent approximately 150 hr observing within the hospital, administered 95 questionnaires to patients and/or APs, and conducted 12 structured interviews with patients and APs. A thematic analysis was employed to analyze and generate key themes emerging from the process. Results: Themes were grouped into overarching issues and design issues across spatial scales. Conclusion: This research confirms the negative impact of the acute hospital setting on older people with cognitive impairments including dementia and delirium. The multiple perspectives captured in this study, including most importantly people with dementia, ensure that stakeholder needs can be used to inform the design of the hospital environment. The research points to the value of understanding the lived experience of the person with dementia and APs. The voices of patients, particularly persons with dementia and their APs, are a crucial element in helping hospitals to fulfill their role as caregiving and healing facilities.

Children’s Participation in the Decision-Making Process During Hospitalization: an observational study

2002 ◽  
Vol 9 (6) ◽  
pp. 583-598 ◽  
Author(s):  
Ingrid Runeson ◽  
Inger Hallström ◽  
Gunnel Elander ◽  
Göran Hermerén
Keyword(s):  
Health Care ◽  
Decision Making ◽  
University Hospital ◽  
Care Staff ◽  
Health Care Staff ◽  
Staff Members ◽  
Children’S Participation ◽  
Decision Making Processes ◽  
Children's Participation ◽  
Degree Of Participation

Twenty-four children (aged 5 months to 18 years) who were admitted to a university hospital were observed for a total of 135 hours with the aim of describing their degree of participation in decisions concerning their own care. Grading of their participation was made by using a 5-point scale. An assessment was also made of what was considered as optimal participation in each situation. The results indicate that children are not always allowed to participate in decision making to the extent that is considered optimal. In no case was it judged that a child participated in or was forced to make a decision that was too difficult for the child. The interactions between children, parents and staff were also described in connection with discussions and decision-making processes. This showed that parents do not always support their children in difficult situations and that health care staff often inform children about what is going to happen without presenting alternatives or asking for their views. Staff may, however, find themselves facing an ethical conflict in deciding between supporting a child’s view or following hospital routine. It is of great importance that children are looked upon as potentially autonomous individuals and that staff members realize that one of their core duties is to facilitate children’s participation in decision making concerning their health care.

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS RISK PERCEPTION BY HEALTHCARE PERSONNEL IN A PUBLIC HOSPITAL

2007 ◽  
Vol 35 (1) ◽  
pp. 89-100 ◽  
Author(s):  
Dongo Rémi Kouabenan ◽  
Michel Dubois ◽  
Régis de Gaudemaris ◽  
Fabien Scarnato ◽  
Marie-Reine Mallaret
Keyword(s):  
Staphylococcus Aureus ◽  
Risk Perception ◽  
Perceived Risk ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hospital Staff ◽  
University Hospital ◽  
Hospital Environment ◽  
Healthcare Personnel ◽  
Methicillin Resistant ◽  
Staff Members

This study examines perceived risk of contamination by methicillin-resistant staphylococcus aureus (MRSA) among healthcare personnel in a French university hospital. MRSA poses a public health threat for healthcare staff who work in a hospital environment. This study is part of a pluridisciplinary research project on the risk factors of MRSA contamination. In many studies (Kouabenan, 1998; Slovic, 1987; Slovic et al., 1981), risk perception appears to be an important factor in understanding attitudes towards accident prevention and selfprotective behavior. A questionnaire measuring several dimensions of perceived MRSA risk (risk for oneself, risk for others, severity, controllability, frequency, preventive efforts) and a questionnaire assessing optimism were administered to 187 hospital staff members of various occupations. The results revealed that the risk of MRSA contamination was well perceived as a whole by healthcare personnel. However, certain factors like proximity to patients and length of service tended to be accompanied by an underestimation of the risk, while other factors like little education, working part-time, and a lack of experience tended to cause overestimation. Preventive measures are recommended.

scholarly journals Atuação do terapeuta ocupacional em uma unidade neonatal do Recife/ Occupational Therapist’s Action in a Neonatal Unit of Recife

2020 ◽  
Vol 4 (1) ◽  
pp. 116-122
Author(s):  
Sandra Yoshie Uraga Morimoto ◽  
Débora Danielle Andrade dos Santos ◽  
Valéria Moura Moreira Leite
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Multidisciplinary Team ◽  
Kangaroo Mother Care ◽  
Occupational Therapist ◽  
Neonatal Unit ◽  
University Hospital ◽  
Hospital Environment ◽  
Premature Babies

Tendo em vista a importância do terapeuta ocupacional como profissional componente na unidade neonatal, buscou-se relatar de que forma o mesmo atua junto aos recém-nascidos prematuros e de baixo peso em um hospital universitário do Recife. O terapeuta ocupacional atua nos três contextos que constituem a unidade neonatal, sendo responsável pelos cuidados ligados ao desenvolvimento do bebê, a humanização do ambiente e orientações aos pais e profissionais. Assim, através dessa experiência percebeu-se de que forma este profissional atua, no que tange sua participação na equipe multidisciplinar, bem como sua importância na assistência humanizada a esses bebês e suas famílias. Abstract: Bearing in mind the importance of the occupational therapist in the neonatal unit, this paper seeks to report how that professional performs with low-birth- weight premature babies in a University Hospital in Recife. The occupational therapist is responsible for health care related to the baby's development, for the humanization of the hospital environment and for orienting parents and other professionals. It was possible to realize, through this experience, how the occupational therapist performs when it comes to taking part in a multidisciplinary team, as well as this professional's importance is assisting babies and their families in a humanized way.Key words: Occupational Therapy; Infant, Premature; Kangaroo-Mother Care MethodResumen: Devido la importancia del terapeuta ocupacional como profesional componente en la unidad neonatal, se buscó relatar de qué forma actúa junto a los recién nacidos prematuros y de bajo peso en un hospital universitario del Recife. El terapeuta ocupacional actúa en los tres contextos que constituyen la unidad, siendo responsable por los cuidados ligados al desarrollo del bebé, la humanización ambiental y orientaciones a las familias y profesionales. Através de esa experiencia se percibió de qué forma este profesional actúa, dentro de um equipo multidisciplinario, así como su importancia en la asistencia humanizada a esos bebés y sus familias.Palabras claves: Terapia Ocupacional; Recien Nacido Prematuro; Método Madre-Canguro

scholarly journals PLEASURE, SUFFERING AND INTERPERSONAL COMMUNICATION IN THE WORK OF NURSES IN THE HOSPITAL SETTING

2020 ◽  
Vol 29 ◽  
Author(s):  
Cláudia Jeane Lopes Pimenta ◽  
Lia Raquel de Carvalho Viana ◽  
Thaíse Alves Bezerra ◽  
Cleane Rosa Ribeiro da Silva ◽  
Tatiana Ferreira da Costa ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Health Professionals ◽  
Hospital Setting ◽  
Critical Assessment ◽  
University Hospital ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Negative Experiences ◽  
Work Related ◽  
Competence Scale

ABSTRACT Objective: to correlate pleasure and suffering at work with nurses' interpersonal communication in the hospital environment. Method: a cross-sectional, exploratory, descriptive and correlational study, with a quantitative approach, conducted from October to November 2017, with 152 nurses working at a University Hospital in Northeast Brazil. The data were collected through interviews, using an instrument with sociodemographic and work-related variables, the Pleasure and Suffering Indicators at Work Scale and the Interpersonal Communication Competence Scale, being analyzed by descriptive and inferential statistics. Results: it was observed that the experience of pleasure was satisfactory, while the factors of suffering obtained a critical assessment. The nurses surveyed had high means in all the domains of competence in interpersonal communication. The analysis of the correlation between interpersonal communication and the indicators of pleasure and suffering showed significant values, with the level of communication proportional to the experience of pleasure. On the other hand, communication decreased, as suffering at work increased. Conclusion: the positive and negative experiences at work significantly influence the interpersonal communication of nurses and of the health professionals/multidisciplinary team.

scholarly journals The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting

2020 ◽  
Vol 7 (6) ◽  
pp. 1627-1633
Author(s):  
Courtney Caminiti ◽  
Lily Deng ◽  
Patricia Greenberg ◽  
Anthony Scolpino ◽  
Catherine Chen ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Patient Care ◽  
Health Care Providers ◽  
Cell Phone ◽  
Cell Phones ◽  
Hospital Setting ◽  
University Hospital ◽  
Care Providers ◽  
Cell Phone Use

Objective: To evaluate perceptions regarding cell phone use in a teaching hospital setting among health care providers, residents, medical students, and patients. Methods: Fifty-three medical students, 41 resident physicians, 32 attending physicians, and 46 nurses working at University Hospital completed a questionnaire about cell phone use practices and their perceptions of cell phone use in the hospital. Forty-three inpatients admitted to medical/surgical units at University Hospital were surveyed at bedside about their perceptions regarding physicians’ cell phone use. Results: All health care providers identified cell phones as a risk to patient confidentiality with no specific group significantly more likely to attribute risk than another. Practitioners were identified as either primarily as inpatient or outpatient practitioners. Inpatient practitioners were significantly more likely to rate cell phones as beneficial to patient care than outpatient practitioners. Physicians were statistically more likely to rate mobile phones as beneficial to patient care as compared to nurses. Among the patient population surveyed, one quarter noted that their physician had used a cell phone in their presence. The majority of those patients observing practitioner cell phone use had reported a beneficial or neutral impact on their care. Significance: Perceived risk of cell phones to patient confidentiality was equal across health care providers surveyed. Physician and medical students were significantly more likely to rate cell phones as beneficial to patients’ care than nurse providers. Patients indicated that their physicians used cell phones in their presence at low rates and reported that the use was either neutral or beneficial to the care they received.

scholarly journals Insights From The Frontline of COVID-19 in Residential Care Settings for Older People in The Republic of Ireland: A Mixed Methods Study

2021 ◽  
Author(s):  
Mary Rose Sweeney ◽  
Andrew Boilson ◽  
Ciara White ◽  
Mary Nevin ◽  
Briege Casey ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Infection Control ◽  
Older People ◽  
Residential Care ◽  
Family Members ◽  
Care Provision ◽  
Front Line ◽  
Staff Members ◽  
The Republic

Abstract Background The COVID-19 pandemic had a disproportionate effect among residents, family members and staff in residential care settings for older people in Ireland relative to other health care settings, particularly in wave one of the virus. The purpose of this study was to explore the COVID-19 pandemic as it was experienced by people on the front line of the virus - residents, family members and staff in residential care settings for older people in the Republic of Ireland (ROI). Method A 2-phased mixed methods cross-sectional study was conducted. This consisted of a survey administered anonymously online shortly after the 1st wave of the virus (June - August 2020), via our nursing and health care networks, advocacy organisations for older people and on social media targeting - staff, residents and family members. Family members who took part in the survey were invited to take part in phase 2 - qualitative one-to-one interviews which were conducted shortly after wave 2 of the virus (November - December 2020). ResultsSeventy-six staff members completed the survey as well as 28 family members and 2 residents. Eleven family members took part in the qualitative interviews. Good infection control protocols, good governance/management structures, being prepared and agile responses were important factors in determining better outcomes. Isolation, loss of connectedness (to family, staff members and other residents) as well as a reduction in the level/quality of care provision led to significant adverse impacts for both residents and their families. Staff reported high levels of stress, trauma and burnout. A strong theme emerging from the qualitative element was the important role that family members typically have in supplementing care provision which suddenly and completely ceased during the pandemic. This caused huge distress amongst family members and physical decline and mental anguish amongst residents. ConclusionsThis is the first research study to explore the experiences of residents, family members and staff who were at the front line of the pandemic in residential care settings in ROI when the pandemic struck. This study provides valuable insights which could be used by staff in residential care settings, policy makers/implementers in further waves of the pandemic or in future communicable disease outbreaks. The rights and needs of residents must be carefully balanced with infection control and prevention measures. Strategies to ensure that residents and staff are appropriately supported during future waves of the pandemic should now be implemented.

Symbols of Hope on Pediatric Oncology Ward: Children's Perspective Using Photovoice

2021 ◽  
Vol 38 (6) ◽  
pp. 385-398
Author(s):  
Fatemeh Ebrahimpour ◽  
Jila Mirlashari ◽  
Akram Sadat Sadat Hosseini ◽  
Fariba Zarani ◽  
Sally Thorne
Keyword(s):  
Hospital Setting ◽  
Critical Factor ◽  
Hospital Environment ◽  
Hospitalized Children ◽  
Children With Cancer ◽  
Children’S Perspectives ◽  
Face To Face ◽  
Oncology Ward ◽  
Recovery And Healing ◽  
Study Participants

Background Hope nurtures confidence and enhances positivity. It is known to be a critical factor in illness, recovery and healing. This study aimed to identify the views of hospitalized children with cancer about the circumstances and factors that create hope for them in the oncology ward. Methods: This qualitative study explored children's experiences using Photovoice, which is an arts-based approach. Twenty children aged 6–12 years diagnosed with various cancers at a Pediatric Hospital in Tehran, Iran, participated in this study. Participants were requested to take photographs of objects, circumstances, or anything that gave them hope or represented a sign of hope in the oncology ward. The photographs were then used to facilitate face-to-face interviews with these children. Data were analyzed using thematic analysis. Results: Data analysis revealed six main themes: emotional connectedness with nursing staff; the playroom as a means to soften the hospital space; the presence of a parent; symbols of recovery; a touch of nature in the hospital setting; and escaping the hospital cage. Discussion: Hopefulness among children can emanate from diverse events and circumstances within the hospital environment. Nurses and physicians need an understanding of children's perspectives to design interventions to improve hopefulness among hospitalized children with cancer.

Context and Work Organization in an Acute Health Care Setting

2019 ◽  
pp. 215-231
Author(s):  
Ian Kessler
Keyword(s):  
Health Care ◽  
Interpersonal Relations ◽  
Work Organization ◽  
Hospital Setting ◽  
Support Worker ◽  
Organizational Policies ◽  
Acute Health Care ◽  
Viewing Context ◽  
Exercise Of Discretion

This chapter explores the influence of context in shaping the health care support worker in a hospital setting. Viewing context as constraining or facilitating the exercise of discretion or choice, the chapter examines such influences at different levels of a health care system: the national, the organizational, and the workplace. Drawing on material from four case study hospitals in National Health Service England, the chapter highlights the sensitivity of the support worker role to national and organizational policies and practices. However, the role is presented as particularly affected by workplace contingencies linked to clinical setting, work organization, and interpersonal relations on the ward. The result is a role that shares a job title but assumes a very different form, in terms of tasks performed between and especially within different hospitals.

Sign in / Sign up

Export Citation Format

Share Document