scholarly journals T237. PERSON-CENTERED PSYCHOSIS CARE –HOW INCREASING PERSON-CENTEREDNESS IN PSYCHOSIS INPATIENT CARE RELATE TO CARE CONSUMPTION AND WARD BURDEN

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S323-S323
Author(s):  
Katarina Allerby ◽  
Anneli Goulding ◽  
Lilas Ali ◽  
Andreas Gremyr ◽  
Margda Waern

Abstract Background Since person-centered care (PCC) is widely embraced and internationally considered to increase effectiveness and quality of complex health care today this study sets out to investigate its relation to ward level outcomes such as length of hospital stay (LoS), involuntary treatments and ward burden. An educational intervention for staff, using a participatory approach, was created to increase the person-centeredness of the care delivered at four inpatient psychosis wards. 6 conference days spread over a 6 months period with practical work at home wards in-between let participants receive information on, discuss and test the principles of PCC, such as acknowledge patients resources, preferences and experiences, working in partnership with patients to co-create the care plan, and documenting agreements. Methods Data for all patients receiving care at the inpatient services during data collection periods before (n = 416) and after (n = 375) the intervention, including LoS, length of involuntary stay (LoIS) as well as number of episodes involving restraints, seclusions and forced injections, were extracted from the clinic registry. During the same data collection periods one staff member per day and ward filled out a VAS rating (1 = no burden – 10 =highest imaginable burden) capturing experienced ward burden (n = 505, 60% response rate vs n = 465, 45% response rate). Mean or median of each variable was used for comparative analysis. Results A longer LoS was found after implementation (Md = 21.1, n = 416 vs Md = 26.2, n = 375), U = 85894, p = .014, r = .09. LoIS was shorter after implementation (Md = 10.6 vs Md = 6.6), the difference was however not significant U = 74263, p = .231. Analysis of data on involuntary treatments are underway and will be presented. Ward burden was rated significantly lower after implementation (M = 5.4, SD = 1.94 vs M = 4.5, SD = 2.08), t = 7.5 (968), p <.0005. Discussion Although study design prevents conclusions on cause and effect, the results indicate a beneficial development for perceived care burden after implementation of PCC. The increased LoS could be interpreted as a result of more thorough attention to patient needs. It could also be due to differences between groups in terms of severity of symptom and functional ability at admission.

2020 ◽  
Author(s):  
Elise Braekman ◽  
Stefaan Demarest ◽  
Rana Charafeddine ◽  
Sabine Drieskens ◽  
Finaba Berete ◽  
...  

BACKGROUND Potential is seen in web data collection for population health surveys due to a combination of its cost-effectiveness, implementation ease and the increased internet penetration. Nonetheless, web modes may lead to lower and more selective unit response rates than traditional modes and hence may increase bias in the measured indicators. OBJECTIVE This research assesses the unit response and costs of a web versus F2F study. METHODS Alongside the F2F Belgian Health Interview Survey of 2018 (BHIS2018; n gross sample used: 7,698), a web survey (BHISWEB; n gross sample=6,183) is organized. Socio-demographic data on invited individuals is obtained from the national register and census linkages. Unit response rates considering the different sampling probabilities of both surveys are calculated. Logistic regression analyses examine the association between mode system (web vs. F2F) and socio-demographic characteristics on unit non-response. The costs per completed web questionnaire are compared with these for a completed F2F questionnaire. RESULTS The unit response rate is lower in BHISWEB (18.0%) versus BHIS2018 (43.1%). A lower web response is found among all socio-demographic groups, however, the difference is higher among people older than 65, low educated people, people with a non-Belgian nationality, people living alone and these living in Brussels Capital. Not the same socio-demographic characteristics are associated with non-response in both studies. Having another European (OR (95% CI): 1.60 (1.20-2.13)) or a non-European nationality (OR (95% CI): 2.57 (1.79-3.70)) (compared to having the Belgian nationality) and living in the Brussels Capital (95% CI): 1.72 (1.41-2.10)) or Walloon (OR (95% CI): 1.47 (1.15 - 1.87) region (compared to living in the Flemish region) is only in BHISWEB associated with a higher non-response. In BHIS2018 younger people (OR (95% CI): 1.31 (1.11-1.54)) are more likely to be non-respondent than older people, this was not found BHISWEB. In both studies, lower educated people have a higher change to be non-respondent, but this effect is more pronounced in BHISWEB (OR low vs. high education level (95% CI): Web 2.71 (2.21-3.39)); F2F 1.70 (1.48-1.95)). The BHISWEB study has a considerable cost advantage; the total cost per completed questionnaire is almost three times lower (€41) compared to the F2F data collection (€111). CONCLUSIONS The F2F unit response rate is generally higher, yet for certain groups the difference between web versus F2F is more limited. A considerable cost advantage of web collection is found. It is therefore worthwhile to experiment with adaptive mixed-mode designs to optimize financial resources without increasing selection bias; e.g. only inviting socio-demographic groups more eager to participate online for web surveys while remaining to focus on increasing the F2F response rates for other groups. CLINICALTRIAL Studies approved by the Ethics Committee of the University hospital of Ghent


1992 ◽  
Vol 338 (1285) ◽  
pp. 329-334

The purpose of this contribution is to summarize the papers and discussions, to bring out the highlights, and to focus on outstanding problems and uncertainties. Sixteen years ago Sir Vivian Fuchs and I organized a similar meeting on research in the Antarctic. Since then there has been an explosion of interest in all branches of environm ental science in this region. There have been major advances in theory, and improved technology made possible by the rapid development of electronics has made data collection and analysis easier; but above all the difference between the two meetings is in the development of large-scale numerical modelling as a tool. Also there has been an increasing realization of the value of comparisons between the two polar regions, which is brought out by the contributions to this meeting. The meeting has been distinguished by the quality of the science, the clarity of exposition and excellent visual presentations. It is also striking how much crossfertilization between disciplines has occurred


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Jung-Hwa Lim ◽  
Jin-Hyung Jeong ◽  
Sang-Ho Kim ◽  
Kyeong-Ok Kim ◽  
Seung-Yeon Lee ◽  
...  

Introduction. This study aims to investigate the clinical practice states on the diagnosis and treatment for insomnia between Korean medical general practitioners (KMGPs) and Korean medical neuropsychiatry specialists (KMNPSs). Methods. We distributed questionnaires via email or in person to 1,017 KMGPs and via email to 165 KMNPSs. We collected and analyzed responses from 305 (30.00%) KMGPs and 53 (32.12%) KMNPSs. Results. Most KMGPs and KMNPSs responded that the number of new patients visiting the clinic for treatment of insomnia was less than 10 per month (78.2%). Frequently utilized therapies for insomnia are acupuncture and herbal decoctions. Particularly acupoint GV20 and Guipi decoction were chosen with the highest response rate. There was no difference between KMNPSs and KMGPs in the traditional Korean medical diagnosis methods. However, KMNPSs utilized more various methods to diagnose, treat, and evaluate insomnia and educated more actively sleep hygiene compared to KMGPs. Conclusions. This survey showed how insomnia is currently diagnosed and treated in Korean medical care settings. Moreover, we identified some differences between KMNPSs and KMGPs. Further research is required to explore the underlying reasons for these discrepancies among KMDs and to improve the quality of Korean medical clinical practice in treating insomnia.


2014 ◽  
Vol 23 (4) ◽  
pp. 157-165
Author(s):  
Melissa Kline ◽  
Deborah Hutcheson

As partners in patient care the speech-language pathologist (SLP) and the registered dietitian (RD) work together to treat patients with dysphagia and should be able to communicate and address the patient's nutrition status in their diagnostic and therapeutic approaches. Avoiding deterioration of nutrition status (malnutrition and dehydration) through early intervention and treatment is key to decreasing the associated costs and declines in quality of life. Gaining an understanding of the social and physiologic factors that impact oral intake and nutritional status throughout the lifespan assists the SLP to better collaborate with the RD to develop a patient-centered care plan to improve the quality of care and facilitate positive patient outcomes in this population.


Author(s):  
Juan Romel Daud ◽  
Jardie A. Andaki ◽  
Christian R. Dien

Abstract In carrying out the demersal fish trading business between cities many owners of capital or entrepreneurs who are less concerned about the quality of services provided to customers in various aspects. The problem formulation in this study, namely how to influence the quality of inter-city services independent entrepreneurs "Yusuf Kasim" to customer satisfaction demersal fish in Manado City? The purpose of this study was to determine the variables that affect what services the customer satisfaction demersal fish in the city of Manado. The method used in this study is a survey method. Survey method is a study that takes a sample of the population and the questionnaire as a data collection tool that principal (Singarimbun and Effendi, 1995). The final result of the data collection form a complete picture of the issues presented in the form of tables of data and variables were analyzed quantitatively. The variables measured in this study are: 1) timeliness in deliveries of fish, namely the difference between the time of booking and arriving fish were booked (the day), 2) the stability of the price of fish, namely fluctuations in the price of fish were booked (RM), 3 ) quality of the fish is requested, namely the level of freshness of the fish orders, and 4) the suitability of fish products, which match the ordered fish and fish received. In order to determine the model of customer satisfaction, which marked a long time consumers patronize demersal fish, used multiple regression analysis. Based on the results and discussion can be concluded as follows: 1) customer satisfaction products demersal fish between cities is generally determined by the stability of prices and quality of fish order, 2) linear regression equation for inventory decisions demersal fish in the city of Manado, namely: Y = 1, 40 to 1.15 X1 + 0.875 X2 + 1.28 + 0.25 X3 X4 with the relationship (R2 = 0.84), 3) the variable X1 (Timeliness), X2 (price stability), X3 (Fish Quality) and X4 (Product Conformity) jointly affect Y, 4) partial effect variables are variables X2 and X3, namely price stability and the quality of fish order to customer satisfaction. Keyword: demersal, trade, service, satisfaction Abstrak Dalam menjalankan usaha perdagangan ikan demersal antar kota banyak pemilik modal atau pengusaha yang kurang memperhatikan mengenai kualitas layanan yang diberikan kepada para pelanggan dalam berbagai aspek. Perumusan masalah dalam penelitian ini, yaitu bagaimana pengaruh kualitas layanan antar kota pengusaha mandiri “Yusuf Kasim” terhadap kepuasan pelanggan ikan demersal di Kota Manado? Tujuan dari penelitian ini adalah untuk mengetahui variable-variabel layanan apa saja yang berpengaruh terhadap kepuasan pelanggan ikan demersal di kota Manado. Metode yang digunakan dalam penelitian ini adalah metode survei. Metode survei merupakan penelitian yang mengambil sampel dari satu populasi dan menggunakan kuesioner sebagai alat pengumpul data yang pokok (Singarimbun dan Effendi, 1995). Hasil akhir pengumpulan data berupa gambaran lengkap permasalahan yang disajikan dalam bentuk tabel-tabel data dan variabel-variabel yang dianalisis secara kuantitatif. Variabel-variabel yang diukur dalam penelitian ini ialah : 1) ketepatan waktu dalam mengantar pesanan ikan, yaitu selisih waktu pemesanan dan waktu tiba ikan yang dipesan (hari), 2) kestabilan harga ikan, yaitu fluktuasi harga ikan yang dipesan (Rp), 3) kualitas ikan yang diminta, yaitu tingkat kesegaran ikan pesanan, dan 4) kesesuaian produk ikan, yaitu kecocokan ikan yang dipesan dan ikan yang diterima. Guna menentukan model kepuasan konsumen, yang ditandai lama waktu berlanggan konsumen ikan demersal, digunakan analisis regresi berganda. Berdasarkan hasil dan pembahasan dapat diambil kesimpulan sebagai berikut : 1) kepuasan pelanggan produk ikan demersal antar kota pada umumnya ditentukan oleh kestabilan harga dan kualitas ikan pesanan, 2) persamaan regresi linear untuk keputusan persediaan ikan demersal di Kota Manado, yaitu : Y = 1,40 - 1,15 X1 + 0,875 X2 + 1,28 X3 + 0,25 X4 dengan keeratan hubungan (R2 = 0,84), 3) variabel X1 (Ketepatan Waktu), X2 (Kestabilan Harga), X3 (Kualitas Ikan) dan X4 (Kesesuaian Produk) secara bersama-sama mempengaruhi Y, 4) variabel yang berpengaruh secara parsial adalah variable X2 dan X3, yaitu kestabilan harga dan kualitas ikan pesanan terhadap kepuasan pelanggan. Kata kunci : demersal, perdagangan, layanan, kepuasan


2018 ◽  
Vol 14 (6) ◽  
pp. 269
Author(s):  
Mazamaesso Tchaou ◽  
Dandjeffo L. C. Houadjeto ◽  
Lantam Sonhaye ◽  
Lama-Kegdigoma Agoda-Koussema ◽  
Komlanvi Adjenou ◽  
...  

Objective: to make an inventory and assess the training in radiology in Togo. Methodology: Descriptive study, with opinion survey, carried out from June to August 2016 including students in Master and Residents in radiology of the academic year 2015 - 2016. Results: The response rate was 91%. All the training sites had conventional radiography and functional ultrasound. For 57% of students the quality of practical instruction was 4/5. The availability of teachers was acceptable (3/5) to good (4/5) according to 84%. Competence for examinations varies from bad (2/5) to excellent (5/5) for the Master 1 and from good to excellent in Master 2. The difference in responses was not significant regardless of the year of study or training course (p> 0.05). For the performance and interpretation of radiological examinations, the junior residents were considered mediocre (1/5) to acceptable versus acceptable to seniors. For an ultrasound, this score varied from 1/5 for the juniors residents to 4/5 for the seniors. The competence to carry out a vessels ultrasound Doppler was 1/5 for the junior residents and 2/5 for the senior. Conclusion: Learners in radiology in Togo are generally satisfied with the training they receive. Acquisitions of significant skills have been observed from one level of training to another.


2018 ◽  
Vol 30 (10) ◽  
pp. 1595-1619 ◽  
Author(s):  
Jing Wang ◽  
Junqiao Wang ◽  
Yuling Cao ◽  
Shoumei Jia ◽  
Bei Wu

Objective: This study examines how older residents’ social support and perceived empowerment are associated with their quality of life (QOL) in long-term care (LTC) facilities in Shanghai, China, controlling for their health-related conditions, facility type, and other socio-demographic characteristics. Method: Using a convenient sampling approach, we selected nine LTC facilities in Shanghai, China. We surveyed 515 older residents from these facilities. Results: Older participants in this study rate their QOL, social support, and perceived empowerment as moderate, and these variables are positively associated with their QOL. Older residents who live in government-owned and private-run LTC facilities are more likely to have a higher level of perceived QOL compared with those living in government-run facilities. Discussion: There is an urgent need to increase staff awareness and capacity to empower older residents, and to engage them in their care plan and delivery. LTC facilities could provide more opportunities for older residents’ social networking within and outside LTC facilities. Improvement of older residents’ QOL is critical in the future development of resident-centered care models in LTC facilities.


1998 ◽  
Vol 3 (5) ◽  
pp. 8-10
Author(s):  
Robert L. Knobler ◽  
Charles N. Brooks ◽  
Leon H. Ensalada ◽  
James B. Talmage ◽  
Christopher R. Brigham

Abstract The author of the two-part article about evaluating reflex sympathetic dystrophy (RSD) responds to criticisms that a percentage impairment score may not adequately reflect the disability of an individual with RSD. The author highlights the importance of recognizing the difference between impairment and disability in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides): impairment is the loss, loss of use, or derangement of any body part, system, or function; disability is a decrease in or the loss or absence of the capacity to meet personal, social, or occupational demands or to meet statutory or regulatory requirements because of an impairment. The disparity between impairment and disability can be encountered in diverse clinical scenarios. For example, a person's ability to resume occupational activities following a major cardiac event depends on medical, social, and psychological factors, but nonmedical factors appear to present the greatest impediment and many persons do not resume work despite significant improvements in functional capacity. A key requirement according to the AMA Guides is objective documentation, and the author agrees that when physicians consider the disability evaluation of people, more issues than those relating to the percentage loss of function should be considered. More study of the relationships among impairment, disability, and quality of life in patients with RSD are required.


2019 ◽  
Vol 2 (2) ◽  
pp. 265-278
Author(s):  
Diah Rina Miftakhi ◽  
Nurjanah Nurjanah

describe the implementation of an integrated quality management component consisting of the quality of services provided by the school, human resources in teaching, the school environment, and learning process  in SLB YPAC Pangkalpinang.               The method used in this study, namely by using a naturalistic qualitative approach. Data collection is done through observation, interviews, and documentation. The subjects of this study include the principal, teachers, employees, and students. The validity of the data is done by triangulation, and deeper observation. Analysis of the data used is the interactive analysis model of Miles and Huberman through data collection, data reduction, data presentation, and conclusion drawing.              The results showed that: (a) the quality of services to students in SLB YPAC Pangkalpinang had met good service standards. This can be seen from the services in the form of facilities and infrastructure which are quite complete in schools; (b) the quality of human resources in the education process shows good teacher resources. This can be seen from the teacher data which shows that the teaching staff at SLB YPAC Pangkalpinang 95% of educators with S1 qualifications in the field of education; (c) the quality of the environment in SLB YPAC Pangkalpinang is already good. This can be seen from the very strategic location of the school because the location of the school is in the middle of the city so that it is easily accessible by the community; (d) the quality of the learning process carried out by teachers at Pangkal Pinang YPAC SLB is good. This can be seen from the realization of the form of activities through learning planning by preparing lesson plans for each subject, then implementing learning, which includes strategies and methods used by teachers in delivering learning material, and evaluation of learning. Keywords: Integrated quality management, student achievement     ABSTRAK Tujuan dalam melaksanakan penelitian ini  adalah untuk melihat pelaksanaan serta mendeskripsikan implementasi  komponen Manajemen Mutu Terpadu yang terdiri dari kualitas layanan yang diberikan sekolah, sumber daya manusia dalam mengajar, lingkungan sekolah, dan proses pembelajaran di SLB YPAC Pangkalpinang. Metode yang digunakan dalam penelitian ini, yaitu dengan menggunakan pendekatan kualitatif naturalistik. Pengumpulan data dilakukan melalui observasi, wawancara, dan dokumentasi. Subyek penelitian ini antara lain kepala sekolah, guru, pegawai, dan peserta didik. keabsahan data dilakukan dengan triangulasi, dan pengamatan yang lebih mendalam. Analisis data yang digunakan adalah model analisis interaktif Miles dan Huberman melalui kegiatan pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa: (a) mutu layanan terhadap peserta didik di SLB YPAC Pangkalpinang sudah memenuhi standar layanan yang baik. Hal ini dilihat dari layanan yang berupa fasilitas sarana dan prasarana yang sudah cukup lengkap di sekolah; (b) mutu sumber daya manusia dalam proses pendidikan menunjukkan sumber daya guru yang baik. Hal ini dapat dilihat dari data guru yang menunjukkan bahwa tenaga pengajar di SLB YPAC Pangkalpinang 95% pendidik berkualifikasi S1 bidang kependidikan; (c) mutu lingkungan yang ada di SLB YPAC Pangkalpinang sudah baik. Hal ini terlihat dari letak sekolah yang sangat strategis karena lokasi sekolah yang berada di tengah kota sehingga mudah dijangkau oleh masyarakat; (d) mutu proses pembelajaran yang dilakukan oleh guru di SLB YPAC Pangkalpinang sudah baik. Hal ini dapat dilihat dari realisasi bentuk kegiatan melalui perencanaan pembelajaran dengan menyusun RPP setiap mata pelajaran, kemudian pelaksanaan pembelajaran, yang meliputi strategi dan metode yang digunakan guru dalam menyampaikan materi pembelajaran, dan evaluasi pembelajaran.


SIMBIOSA ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Yarsi Efendi ◽  
Dahrul Aman Harahap

Structure and physiognomy of mangrove strongly influenced by the zonation that occurred in the area of mangroves growth. The differences of zona growth will effect  to differences in the structure and composition of vegetation. There are three zones in the mangrove area, which is caused by the difference of flooding which also resulted in the difference to the salinity. The differences of growth zone will performed to the type vegetation performance (Physiognomy). This study is aims to prove the mangrove’s physiognomy that taken in the coastal area of Rempang Cate  Batam, on March 2014 to June 2014. This study was a survey with data collection using a vertical transect plots 100 m. Based on the research that has been done obtained difference vegetation physiognomy stands for every level of growth in each zone growth. Proximally found 13 species of mangroves in 8 families. The results of the analysis of the vegetation on the trees growth level are, Ceriops decandra have the greatest significance important value 167.55% on sapling (juvenille ) level is dominated by Rhizophora apiculata 120%, and seedling growth level dominated by Rhizophora apiculata  186.80%. Keywords: Structure and physiognomy, mangrove zonation


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