scholarly journals EP.TU.838Educating the ITU Nursing Staff during the COVID-19 Pandemic: A Quality Improvement Project

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Sreekar Devarakonda ◽  
Pritish John Korula
Keyword(s):  
Nursing Staff ◽  
Teaching Style ◽  
Respiratory Illness ◽  
Improvement Project ◽  
Management Guidelines ◽  
Non Invasive ◽  
Academic Activities ◽  
Undue Burden ◽  
Nursing Tutors ◽  
Severe Acute Respiratory Illness

Abstract Aims The nursing staff always plays a crucial role in the management of patients. This pandemic had put the ITUs under an undue burden, and the nurses faced an altogether new challenge. There was extensive use of various oxygen delivery systems and fastly emerging guidelines. So, there is an increased demand for the nursing staff to stay abreast with the situation. Hence a teaching program was organized for the ITU nurses. Methods Five academic sessions were conducted as a part of the first cycle of QIP in November 2020 under the guidance of nursing tutors and ITU consultants. These topics covered the respiratory system, including Severe Acute Respiratory Illness, Non-invasive and Invasive ventilation techniques, and ARDS. Feedback forms were collected and analysed after each session, which focused on the usefulness and relevance of content, teaching style, and the overall confidence in the topics. Results Audit of the feedback forms showed globally positive feedback and improvement in understanding amongst the nursing staff. Also, the confidence of nurses in these topics increased abundantly. Many of them expressed interest in attending similar sessions in the future. Conclusions Keeping the nursing staff up-to-date with the latest management guidelines is quintessential for patient safety. More so during this pandemic, where academic activities are becoming scarce, and protocols are rapidly changing. Further sessions on relevant topics will continue to enhance learning.

The impact of SARS-Cov-2 on the Nervous system and Mental Health

2021 ◽  
Vol 19 ◽  
Author(s):  
Mohamed Said Boulkrane ◽  
Victoria Ilina ◽  
Roman Melchakov ◽  
Mikhail Arisov ◽  
Julia Fedotova ◽  
...  
Keyword(s):  
Mental Health ◽  
Respiratory Illness ◽  
World Health ◽  
Current Review ◽  
Wide Range ◽  
Serious Disease ◽  
Health Organization ◽  
The Impact ◽  
The Brain ◽  
Severe Acute Respiratory Illness

: The World Health Organization declared the pandemic situation caused by SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) in March 2020, but the detailed pathophysiological mechanisms of Coronavirus disease 2019 (COVID-19) are not yet completely understood. Therefore, to date, few therapeutic options are available for patients with mild-moderate or serious disease. In addition to systemic and respiratory symptoms, several reports have documented various neurological symptoms and impairments of mental health. The current review aims to provide the available evidence about the effects of SARS-CoV-2 infection on mental health. The present data suggest that SARS-CoV-2 produces a wide range of impairments and disorders of the brain. However, a limited number of studies investigated the neuroinvasive potential of SARS-CoV-2. Although the main features and outcomes of COVID-19 are linked to severe acute respiratory illness. The possible damages on the brain should be considered, too.

scholarly journals Improving appropriateness of oxygen saturation monitoring in paediatric patients with acute respiratory illness: a QI initiative

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e15-e15
Author(s):  
Brigitte Parisien ◽  
Daryl Cheng ◽  
Maria Marano ◽  
Julie Johnstone ◽  
Nicole Carmichael ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Nursing Staff ◽  
Visual Cues ◽  
Clinical Care ◽  
Respiratory Illness ◽  
Appropriate Use ◽  
Post Intervention ◽  
Prolonged Length ◽  
Paediatric Patients

Abstract BACKGROUND Oxygen saturation monitoring (OSM) is a key aspect of clinical care in paediatric patients with acute respiratory disease. It is commonplace in the assessment of children with bronchiolitis, asthma and pneumonia and serves as a proxy for illness severity. However, there is a paucity of standardized guidelines around appropriate pulse oximetry and OSM use in these patients. Some preliminary evidence shows that intermittent pulse oximetry is as safe as continuous oximetry monitoring in children with bronchiolitis. Furthermore, inappropriate OSM may lead to overdiagnosis and overtreatment of mild hypoxia with no demonstrable clinical improvement and therefore contribute to prolonged length of stay. OBJECTIVES As part of The Choosing Wisely campaign, our aim is to increase the appropriate use of OSM in paediatric inpatients with asthma, bronchiolitis or pneumonia in our center to 90% by April 2018. DESIGN/METHODS Appropriate monitoring is defined as intermittent OSM when a patient is off oxygen for >2 hours and continuous OSM whilst the patient is receiving supplemental oxygen. A 4 week pre-intervention baseline chart review showed 62% (23/37) had appropriate OSM. Series of interventions along the hierarchy of effectiveness were then chosen to improve the main outcome measure: • Educational sessions oriented at medical and nursing staff were provided to guide evidence-based practice and to reinforce the use of specific orders around OSM; • Visual cues were used in strategic locations to remind medical staff of appropriate OSM and to prompt discussion during ward rounds; • Weekly reminders and performance updates were displayed and electronically circulated to medical and nursing staff. Post-intervention data collection occurred via convenience sampling by project leaders from December 2017 to April 2018. A PDSA cycle approach was used to modify interventions. RESULTS OSM appropriateness increased to 78% (56/72) in the first 4 weeks post-initial interventions. There were no negative impacts on balancing measures. We anticipate an ongoing graded increase in appropriateness across the study period triggered by collective staff awareness and synergistic interventions. CONCLUSION This QI initiative will improve the appropriate use of OSM in patients admitted for bronchiolitis, pneumonia or asthma at our paediatric tertiary hospital without increasing the number of patient safety events or admissions to the intensive care unit. Further interventions are planned to ensure greater uptake and sustainability.

scholarly journals ‘CPR for Feet’ care bundle to improve foot assessment in inpatient diabetes

2018 ◽  
Vol 7 (3) ◽  
pp. e000196 ◽  
Author(s):  
Rhea O’Regan ◽  
Ross MacDonald ◽  
James G Boyle ◽  
Katherine A Hughes ◽  
Joyce McKenzie
Keyword(s):  
Quality Improvement ◽  
Nursing Staff ◽  
Quality Improvement Project ◽  
Care Bundle ◽  
Staff Education ◽  
Pressure Relief ◽  
Improvement Project ◽  
The Third ◽  
Inpatient Diabetes ◽  
Pdsa Cycle

AimsThe Scottish Inpatient Diabetes Foot Audit conducted in 2013 revealed that 57% of inpatients had not had their feet checked on admission, 60% of those at risk did not have pressure relief in place and 2.4% developed a new foot lesion. In response, the Scottish Diabetes Foot Action Group launched the ‘CPR for Feet’ campaign. The aim of this project was to raise awareness of the ‘Check, Protect and Refer’ (CPR) campaign as well as improve the assessment and management of inpatients with diabetes.MethodsA quality improvement project underpinned by Plan-Do-Study-Act (PDSA) methodology was undertaken. The first and second cycles focused on staff education and the implementation of a ‘CPR for Feet’ assessment checklist using campaign guidelines, training manuals and modules. The third and fourth cycles focused on staff feedback and the implementation of a ‘CPR for Feet’ care bundle.ResultsBaseline measurements revealed 28% of patients had evidence of foot assessment. Medical and nursing staff reported to be largely unaware of the ‘CPR for Feet’ campaign (13%). Fifty-two per cent of inpatients with diabetes had their feet assessed and managed correctly following the second PDSA cycle. After completion of the third and fourth PDSA this number improved further to 72% and all staff reported to be aware of the campaign.ConclusionsThe introduction of a ‘CPR for Feet’ care bundle improved the assessment of inpatients with diabetes.

scholarly journals A case report of the enterovirus-D68 associated severe acute respiratory illness in a pediatric case from India

2019 ◽  
Vol 12 (6) ◽  
pp. 900-903
Author(s):  
Sumit D. Bhardwaj ◽  
Varsha A. Potdar ◽  
Pragya D. Yadav ◽  
Manohar L. Chaudhary ◽  
Mandeep S. Chadha ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Illness ◽  
Acute Respiratory Illness ◽  
Pediatric Case ◽  
Enterovirus D68 ◽  
Severe Acute Respiratory Illness

The Impact of a Learning Management System on Student Evaluation of Teaching

2015 ◽  
pp. 425-448
Author(s):  
Mehrak Rahimi
Keyword(s):  
Management System ◽  
Teaching Effectiveness ◽  
Student Evaluation ◽  
Learning Management System ◽  
Teaching Style ◽  
Teacher Educator ◽  
Course Materials ◽  
Academic Activities ◽  
Learning Management ◽  
The Impact

In this chapter the impact of using a learning management system on pre-service and in-service teachers' evaluation of a teacher educator in a teacher training university was compared. Two groups of students participated in the study and for one semester experienced a blended learning where the extension of academic activities of the course Materials Evaluation and Syllabus Design was presented via a learning management system online. At the end of the course both groups' evaluation of the instructor's teaching was compared in two aspects: teaching style and student-teacher interaction. The result showed that there was a significant difference between two groups' evaluation of the educator. Pre-service teachers were found to have higher attitudes towards teaching effectiveness and they were more satisfied with both teachers' teaching style and social behavior.

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