scholarly journals Balance Disability After Stroke

2006 ◽  
Vol 86 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Sarah F Tyson ◽  
Marie Hanley ◽  
Jay Chillala ◽  
Andrea Selley ◽  
Raymond C Tallis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Testing Session ◽  
Anterior Circulation ◽  
Cross Sectional ◽  
Visuospatial Neglect ◽  
The Mean ◽  
First Time ◽  
Different Levels

Abstract Background and Purpose. Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments associated with balance disability. Subjects. The subjects studied were 75 people with a first-time anterior circulation stroke; 37 subjects were men, the mean age was 71.5 years (SD=12.2), and 46 subjects (61%) had left hemiplegia. Methods. Prospective hospital-based cross-sectional surveys were carried out in 2 British National Health Service trusts. The subjects’ stroke pathology, demographics, balance disability, function, and neurologic impairments were recorded in a single testing session 2 to 4 weeks after stroke. Results. A total of 83% of the subjects (n=62) had a balance disability; of these, 17 (27%) could sit but not stand, 25 (40%) could stand but not step, and 20 (33%) could step and walk but still had limited balance. Subjects with the most severe balance disability had more severe strokes, impairments, and disabilities. Weakness and sensation were associated with balance disability. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability. Discussion and Conclusion. Subjects with the most severe balance disability had the most severe strokes, impairments, and disabilities. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability. [Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther. 2006;86:30–38.]

Crisis in Admission Beds

1995 ◽  
Vol 167 (6) ◽  
pp. 765-769 ◽  
Author(s):  
Robin B. Powell ◽  
Doris Hollander ◽  
Robert I. Tobiansky
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Corrective Action ◽  
Clear Correlation ◽  
Bed Occupancy ◽  
Careful Monitoring ◽  
Psychiatric Units ◽  
The Mean ◽  
Occupancy Rates

BackgroundThis study was carried out to measure bed occupancy in Greater London's psychiatric units, in response to the apparent shortage of admission beds.MethodThe bed occupancy of London's 54 National Health Service (NHS) acute psychiatric units within 29 districts was ascertained by telephone on 16 bank holidays covering the period 1990–93.ResultsThe mean occupancy level for all London over the 4 years was 97.54% (95% CI = ±0.94%). The number of beds occupied in inner London was significantly greater (99.79 ± 1.11%) than in outer London (95.1 ± 1.49%) (t = 3.85, d.f. = 462, P < 0.001). Bed occupancy for inner London units was ≥ 100% on over 49% of occasions. There has been a steady decline in the number of beds over the four-year period. There was a clear correlation between occupancy levels and the Jarman UPA8 Underprivilege Score (r = 0.504) and between bed provision and the UPA8 (r = 0.67).ConclusionOccupancy rates have become unacceptably high and require careful monitoring. Corrective action may be required in order to prevent a breakdown in services.

Cataract surgery refractive outcomes: representative standards in a National Health Service setting

2018 ◽  
Vol 103 (4) ◽  
pp. 539-543 ◽  
Author(s):  
Kerr Brogan ◽  
Charles J M Diaper ◽  
Alan P Rotchford
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Cataract Surgery ◽  
National Health ◽  
Postoperative Outcome ◽  
Absolute Error ◽  
European Guidelines ◽  
Refractive Outcomes ◽  
Service Setting ◽  
The Mean

Background/aimsTo report refractive outcomes from an National Health Service (NHS) cataract surgery service and assess if results meet suggested benchmark standard.MethodsDetails of all patients undergoing cataract surgery in the Southern General and New Victoria hospitals in Glasgow, UK, between November 2006 and December 2016 were prospectively entered into an electronic database. Patients were reviewed 4 weeks postoperatively in the eye clinic and underwent refraction at their local optometrist prior to this appointment. Surgically uncomplicated cases with in the bag’ non-toric intraocular lens implantation were included. Patients with previous laser refractive procedures or failing to achieve 6/12 acuity or better postoperatively were excluded. Proximity to targeted postoperative refraction was documented.ResultsOver this 10-year period, 11 083 eyes underwent cataract surgery. Of these, 8943 eyes of 6936 patients (80.69%) met the inclusion criteria and had both target and postoperative outcome refraction recorded. The mean difference between the targeted and outcome refraction was −0.07 D (SD 0.67). The mean absolute error was 0.50 D. Postoperative refraction was within 1 D of target refraction for 7938 eyes (88.76%) and within 0.50 D for 5577 eyes (62.36%).ConclusionRefractive outcomes following routine cataract surgery reported here are well within the targets recommended by the Royal College of Ophthalmologists and European guidelines, but suggest that higher cataract refractive outcome benchmark standards may not yet be a realistic expectation for all NHS units with current biometry practice.

scholarly journals Humanist Chaplains Entering Traditionally Faith-Based NHS Chaplaincy Teams

Religions ◽  
2021 ◽  
Vol 12 (9) ◽  
pp. 744
Author(s):  
Lindsay Jane van Dijk
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Religious Beliefs ◽  
Patient Demographic ◽  
Religious People ◽  
Faith Based ◽  
New Development ◽  
First Time ◽  
Healthcare Chaplaincy

Healthcare chaplaincy in the National Health Service (NHS) has rapidly changed in the last few years. Research shows a decline of people belonging to traditional faith frameworks, and the non-religious patient demographic in the NHS has increased swiftly. This requires a different approach to healthcare chaplaincy. Where chaplaincy has originally been a Christian profession, this has expanded to a multi-faith context. Over the last five years, humanists with non-religious beliefs have entered the profession for the first time, creating multi-faith and belief teams. As this is a very new development, this article will focus on literature about humanists entering traditionally faith-based NHS chaplaincy teams within the last five years in England. This article addresses the question “what are the developments resulting from the inclusion of humanist chaplains in healthcare chaplaincy?” Topics arising from the literature are an acknowledgement of a changing healthcare chaplaincy field, worries about changing current practices and chaplaincy funding, the use of (Christian) language excluding non-religious people and challenging assumptions about those who identify as non-religious.

scholarly journals Prevalence and changes of BMI categories in China and related chronic diseases: Cross-sectional National Health Service Surveys (NHSSs) from 2013 to 2018

2020 ◽  
Vol 26 ◽  
pp. 100521 ◽  
Author(s):  
Minghuan Wang ◽  
Prof Shabei Xu ◽  
Wenhua Liu ◽  
Chenyan Zhang ◽  
Xiaoxiang Zhang ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Chronic Diseases ◽  
National Health ◽  
Cross Sectional

scholarly journals Relationship between employee engagement scores and service quality ratings: analysis of the National Health Service staff survey across 97 acute NHS Trusts in England and concurrent Care Quality Commission outcomes (2012–2016)

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026472 ◽  
Author(s):  
Mark Wake ◽  
William Green
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Employee Engagement ◽  
National Health ◽  
Care Quality ◽  
Cross Sectional ◽  
Quality Ratings ◽  
Service Staff ◽  
Care Quality Commission ◽  
Receive Treatment

ObjectiveThis research explores measures of employee engagement in the National Health Service (NHS) acute Trusts in England and examines the association between organisation-level engagement scores and quality ratings by the Care Quality Commission (CQC).DesignCross-sectional.Setting97 acute NHS Trusts in England.Participants97 NHS acute Trusts in England (2012–2016). Data include provider details, staff survey results and CQC reports. Hybrid Trusts or organisations affected by recent mergers are excluded.Outcome measuresAnalysis uses organisation-level employee engagement and CQC quality ratings.ResultsEmployee engagement is affected by organisational factors, including patient bed numbers (β=−0.46, p<0.05) and financial revenue (β=0.38, p<0.05). CQC ratings are predicted by overall employee engagement score (β=0.57, p<0.001) and financial deficit (β=−0.19, p<0.05). The most influential employee engagement dimension on provider ratings is ‘advocacy’ (λ=0.54, p<0.001). Analysis supports the notion that employee engagement can be predicted from advocacy scores alone (eigenvalue=4.03). Better still, combining advocacy scores from the previous year’s survey or adding in motivation scores is a highly reliable indication of overall employee engagement (95.4% of total variance).ConclusionsNHS acute Trusts with high employee engagement scores tend to have better CQC ratings. Trusts with a high financial deficit tend to have lower ratings. Employee engagement subdimensions have different associations with CQC ratings, the most influential dimension being advocacy score. A two subdimension model of engagement efficiently predicts overall employee engagement in NHS acute Trusts in England. Healthcare leaders should pay close attention to the proportion of employees who would recommend their organisation as a place to work or receive treatment, because this is a proxy for the level of engagement, and it predicts CQC ratings.

Sensitivity to being betrayed and betraying others in Obsessive Compulsive Disorder

2020 ◽  
Author(s):  
Sarah Louise Howkins ◽  
Josie Frances Adeline Millar ◽  
Paul M. Salkovskis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Obsessive Compulsive Disorder ◽  
National Health ◽  
Physical Contact ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Mental Contamination ◽  
Low Levels

Abstract:Objectives Mental contamination (MC) describes subjective internal feelings of ‘dirtiness’ which are experienced in the absence of direct physical contact/contaminants. There isevidence of a link between MC in Obsessive Compulsive Disorder (OCD) and the experience of past betrayals. However, it has also been noted that “perpetrators” also experience MC. We aimed to replicate the previous finding of specificity of OCD for sensitivity to being betrayed, and to extend this by evaluating whether people with high MC OCD are also relatively more sensitive to the idea that they might betray others compared to those with low levels of MC OCD.Design A cross-sectional, between-groups design was used.Method Four groups, high MC OCD (N= 60), low MC OCD (N=61), depression (N=28) andnon-clinical controls (N=46) completed online questionnaires. Participants were recruitedthrough the National Health Service (NHS) and social media.Results Relative to all groups, the high MC OCD group had significantly higher scores both for betrayal sensitivity and sensitivity to betraying others. The depression group showed similar levels to low MC OCD in betrayal sensitivity but were significantly lower (and comparable to non-clinical controls) in sensitivity to betraying others.Conclusions Betrayal sensitivity occurs trans-diagnostically. There may be a specific linkbetween the development of OCD and the perception of betraying others, perhaps linked to the trauma of being betrayed making those so affected more likely to worry about their own responsibility for betraying others.

scholarly journals What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study

2019 ◽  
Vol 25 (1) ◽  
pp. 13-21
Author(s):  
Elizabeth Cecil ◽  
Alex Bottle ◽  
Aneez Esmail ◽  
Charles Vincent ◽  
Paul Aylin
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Hospital Mortality ◽  
National Health ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Hospital Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Process Indicator

Objectives To assess whether mortality alerts, triggered by sustained higher than expected hospital mortality, are associated with other potential indicators of hospital quality relating to factors of hospital structure, clinical process and patient outcomes. Methods Cross-sectional study of National Health Service hospital trusts in England (2011–2013) using publicly available hospital measures reflecting organizational structure (mean acute bed occupancy, nurse/bed ratio, training satisfaction and proportion of trusts with low National Health Service Litigation Authority risk assessment or in financial deficit); process (mean proportion of eligible patients who receive percutaneous coronary intervention within 90 minutes) and outcomes (mean patient satisfaction scores, summary measures of hospital mortality and proportion of patients harmed). Mortality alerts were based on hospital administrative data. Results Mortality alerts were associated with structural indicators and outcome indicators of quality. There was insufficient data to detect an association between mortality alerts and the process indicator. Conclusions Mortality alerts appear to reflect aspects of quality within an English hospital setting, suggesting that there may be value in a mortality alerting system in highlighting poor hospital quality.

Sign in / Sign up

Export Citation Format

Share Document