scholarly journals M219. OVERESTIMATING FUNCTION – A RISK FACTOR FOR SUBOPTIMAL COMMUNITY AID IN SCHIZOPHRENIA

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S219-S219
Author(s):  
Anna Pontén ◽  
Lars Helldin ◽  
Hawar Moradi ◽  
Anna-Karin Olsson
Keyword(s):  
Community Support ◽  
Practical Experience ◽  
Swedish Version ◽  
Actual Performance ◽  
Staff Members ◽  
Impaired Function ◽  
Good Ability ◽  
Realistic View ◽  
Realistic Perception ◽  
Symptomatic Remission

Abstract Background Patients with schizophrenia have difficulties in judging their own performance. Patients with no or little practical experience of demands from active performance in society tends to overestimate their ability. Research has also found that patients who overestimate their function also runs a risk to be perceived as better functioning than what they actually are when judged by caregivers. The aim with this study is to examine if patients who overestimate their ability will receive less community support compared to patients who have an accurate perception of their ability? Methods The study population was 184 patients with schizophrenia spectrum disorder. They were tested with the Swedish version of the UCSD Performance-based Skills Assessment–Brief Version (UPSA-B). Before the test they were asked how they thought their functioning were in four different domains covered in the UPSA-B. After the test they were divided into four groups: “Good functioning with realistic perception”, “Good functioning but underestimating their function”, “Impaired function with realistic perception” and “Impaired function but overestimating their performance”. The amount of received community support were investigated and related to patients′ actual performance and self-perception. Results Analyzes showed that patients who had an impaired function and a realistic view of their ability had more support than those who were impaired but overestimated their ability. Also, patients with good functioning but underestimating their performance had more support than those who had a good ability and a realistic perception. Finally, there were no difference in community support to the patients in the two groups “Good function with realistic perception” and “Impaired function but overestimating their performance”. Discussion Our results indicate that patients with impaired functioning who overestimate their ability risk an insufficient community support. This in combination with earlier findings, that staff-members in psychiatric out-patient settings are likely to base their judgement on patients′ report consequential leading to false positive conclusions, may have both short- and long-term implications. Not achieving symptomatic remission, as a consequence of inability to follow medical prescriptions, and sub-optimal social functioning with isolation are two possible implications. The findings once again raises the need for the testing of patients′ function instead of only conducting interviews.

What every employer needs to know about I-9 audits

2019 ◽  
Vol 18 (2) ◽  
pp. 71-75
Author(s):  
Robert Basso
Keyword(s):  
Design Methodology ◽  
Practical Experience ◽  
Business Owners ◽  
Recent Case ◽  
Content Type ◽  
Staff Members ◽  
The Difference ◽  
Immigration And Customs Enforcement ◽  
File Folder ◽  
New Hires

Purpose This paper aims to put I-9 audit and its compliance into perspective for employers. The paper explains what an I-9 audit is, what it means for employers, who is responsible for maintaining its forms, types of businesses most targeted for I-9 audits, what happens when notified that one is being audited, what type and how much penalties does a business incur if it fails to comply, the difference between technical and substantive violations, factors that Immigration and Customs Enforcement considers for determining penalty amounts against employers, what businesses should do if targeted with I-9 audit, business owners’ I-9 audit rights and how to proactively avoid being targeted by an I-9 audit. Design/methodology/approach The content of this paper was generated through practical experience, interaction with corporate entities and HR staff members, as well as industry knowledge and observations. Findings Every audit is different. It should be expected that all details be examined closely. In the recent case of a business subjected to an I-9 audit, auditors closely examined details of sections 1 and 2 of the I-9 forms for all new hires but did not examine section 3 for re-hires. This reinforces the importance of employers keeping careful track of records for all new hires. All employee I-9 forms should be filed together in a binder or file folder separately from employees’ HR file. While re-hires were not examined, this is no excuse for not properly re-verifying and tracking this information. Originality/value This paper was developed because of the interactions with companies that are facing the issue of I-9 audits. The author developed his responses to help HR leaders and managers better understand and address the challenges as well as the process associated with I-9 audits.

scholarly journals Shifting care from community hospitals to intensive community support: a mixed method study

2017 ◽  
Vol 19 (01) ◽  
pp. 53-63
Author(s):  
Kate S. Williams ◽  
Stoyan Kurtev ◽  
Kay Phelps ◽  
Emma Regen ◽  
Simon Conroy ◽  
...  
Keyword(s):  
Mixed Method ◽  
Qualitative Interviews ◽  
Community Support ◽  
Routine Data ◽  
Very Elderly ◽  
Acute Hospital Care ◽  
Staff Members ◽  
Admission Rates ◽  
Home Based ◽  
General Rehabilitation

Aim To examine how the introduction of intensive community support (ICS) affected admissions to community hospital (CH) and to explore the views of patients, carers and health professionals on this transition. Background ICS was introduced to provide an alternative to CH provision for patients (mostly very elderly) requiring general rehabilitation. Method Routine data from both services were analysed to identify the number of admissions and length of stay between September 2012 and September 2014. In total, 10 patients took part in qualitative interviews. Qualitative interviews and focus groups were undertaken with 19 staff members, including managers and clinicians. Findings There were 5653 admissions to CH and 1710 to ICS between September 2012 and September 2014. In the five months before the introduction of ICS, admission rates to CH were on average 217/month; in the final five months of the study, when both services were fully operational, average numbers of patients admitted were: CH 162 (a 25% reduction), ICS 97, total 259 (a 19% increase). Patients and carers rated both ICS and CH favourably compared with acute hospital care. Those who had experienced both services felt each to be appropriate at the time; they appreciated the 24 h availability of staff in CH when they were more dependent, and the convenience of being at home after they had improved. In general, staff welcomed the introduction of ICS and appreciated the advantages of home-based rehabilitation. Managers had a clearer vision of ICS than staff on the ground, some of whom felt underprepared to work in the community. There was a consensus that ICS was managing less complex and dependent patients than had been envisaged. Conclusion ICS can provide a feasible adjunct to CH that is acceptable to patients. More work is needed to promote the vision of ICS amongst staff in both community and acute sectors.

scholarly journals CURRENT ISSUES IN NAVY SURGEONS TRAINING

2018 ◽  
Vol 4 (2) ◽  
pp. 27-31
Author(s):  
I. A. Solovyev ◽  
N. A. Rukhliada ◽  
A. P. Utochkin ◽  
R. V. Titov ◽  
A. V. Kolunov
Keyword(s):  
Emergency Surgery ◽  
Practical Experience ◽  
The Arctic ◽  
Medical Services ◽  
Military Students ◽  
Training Simulator ◽  
Staff Members ◽  
Abdominal Emergency ◽  
Medical Facilities ◽  
Military Preparedness

At the Department of Navy Surgery, military students are educated according to the three main principles: adherence to the profile of the Department, emergency surgery under conditions specific for Navy, and continuing education. The Department educates in surgery academic years 4, 5 and 6 students of Faculty IV. The following disciplines are taught: «Faculty Surgery and Urology», «Hospital and Pediatric Surgery», and «Navy Surgery». Thematic navy surgery lessons are conducted at a training simulator reproducing the mess room of the modern diesel submarine «Varshavianka», which has been constructed at the shipbuilding enterprise «Admiralteyskiye Verfi». Special attention in training is paid to combined mechanical and hypothermic lesions, a theme of undoubtful applied value. NATO nations are currently intensifying their military activities inArctic. In response, we restore out navy base on Novosibirsk Isles, as President V. V. Putin has proclaimed. The staff members of the Department involved in medical services for the arctic convoys that travel toKotelnyiIslandconvey their experience to students at lectures and training sessions. To provide students, especially postgraduates, adequately with emergency patients, the Department makes use of other clinical bases, such as I. I. Dzhanelidze Research Institute of Acute Care, Hospitals No. 14, 17 and 38, and Oncological Dispensary of Leningrad Oblast. It should be noted that, whereas at the first two of the medical facilities emphasis is put on the tactics of abdominal emergency surgery under conditions prevalent in navy ships and divisions, emphasis at Hospital No. 14 is put not only on the theory of emergency care in cases of acute putrescent infections but also and even more on practical experience in local anesthesia. The key issue of military preparedness of navy ships medical services is the continuity of training in navy surgery.

scholarly journals Developing the APS-SE: Translation and Cultural Adaptation of the Abbey Pain Scale (APS) to A Swedish Care Context.

2020 ◽  
Author(s):  
Sussi Tegenborg ◽  
Per Fransson ◽  
Lisa Martinsson
Keyword(s):  
Nursing Home Residents ◽  
Pain Scale ◽  
Nursing Assistants ◽  
Swedish Version ◽  
Linguistic Differences ◽  
Staff Members ◽  
Culturally Adapted ◽  
Nurses And Physicians ◽  
End Stage ◽  
Translation And Cultural Adaptation

Abstract Background: The Abbey Pain Scale (APS) is an Australian observational scale for assessing pain in nursing home residents with end-stage dementia. The APS is widely used both in nursing homes and by other caregivers in Sweden for people with various diseases. No validated peer-reviewed translation to Swedish is available. The aim of this study was to translate and culturally adapt the APS for persons with end-stage dementia in Sweden.Methods: After an initial discussion of concepts, the APS was translated into Swedish and back into English to check for accuracy. The resulting Swedish version was then revised and culturally adapted through a series of interviews with nursing assistants, nurses, and physicians (n = 11) to develop the final Swedish version – the APS-SE.Results: The interviews emphasized the need to adapt the scale not only to the Swedish culture, but also to the educational and linguistic differences among the various staff members using it in different care contexts.Conclusion: This study highlights the importance of introducing new staff members carefully to the instrument, the APS-SE, to ensure understanding of all words and items.

scholarly journals A Combined Tie-Fastening Method for the Reusable Surgical Gown with Two Neck Tie Belts to Improve Wearing Comfort

2020 ◽  
Vol 10 (2) ◽  
pp. 75-81
Author(s):  
Kai-Hui Chang ◽  
Yu-Ling Chen ◽  
Shu-Yi Dai
Keyword(s):  
Upper Extremities ◽  
Actual Performance ◽  
Surgical Practice ◽  
X Ray ◽  
Staff Members ◽  
Simplified Method ◽  
Before And After ◽  
Surgical Gown ◽  
Edge Separation ◽  
Surgical Gowns

The reusable surgical gowns made of slippery materials have the tendency to slip down as they are being worn. The rear neck tie(s) can sometimes loosen, and this causes the surgical gown to slip down somewhat, making the surgical staff members feel uncomfortable. If the gowns have two rear neck ties with a tendency of loosening and allowing the gowns to slip down, the surgical staff members feel more uncomfortable when there is only one tie loosening but the other tie is tethering. To fasten the neck ties of the surgical gown with two neck tie belts, we propose a simplified method of fastening the two sets of tie belts together as one tie, instead of fastening them separately. The object of this study is to evaluate this combined tying method for its ability to secure the gown and its wearing comfort. We enrolled five volunteers to evaluate the tie loosening condition of the reusable surgical gowns with two sets of rear neck tie belts after a series of upper limb motion exercises while wearing and not wearing the X-ray protective apron beneath the gown. The amount of uppermost rear neck cloth edge separation was recorded before and after the exercise. We also evaluated the wearing comfort of five enrolled operating surgeons for comparing the original and this modified tying method while wearing and not wearing the X-ray protective apron. In the results, we found that combined tying tends to have significantly more rear gown separation (0.94 cm) than separate tying (0.27 cm) after vigorous upper extremities exercise. However, during the actual performance of the surgeries, the rear neck tie(s) loosening and wearing discomfort of the combined tying method was significantly less than using the separate tying method (loosening: 0% vs. 30%) (discomfort: 0% vs. 35%) while the X-ray protective apron was not worn. For reusable surgical gowns that have two rear neck ties, we suggest the two sets of rear neck ties could be fastened together as one combined tie in routine surgical practice. With this, tying could be performed easier and faster, and wearing comfort could be improved.

Work Environment Correlates of Staff Stress in a Youth Detention Facility

1986 ◽  
Vol 13 (3) ◽  
pp. 328-344 ◽  
Author(s):  
RICHARD DEMBO ◽  
MAX DERTKE
Keyword(s):  
Work Environment ◽  
Acting Out ◽  
Detention Center ◽  
Detention Facility ◽  
Substance Abuse Services ◽  
Staff Members ◽  
Realistic View ◽  
Key Features ◽  
Status Offender ◽  
Southern City

We intensively interviewed 53 staff members of a state-operated regional children's detention center, located in a large, metropolitan, southern city. The center houses both delinquent and status offender youths, incarcerated on a variety of charges ranging from truancy to homicide. Staff stress was related to key features of their work environment. Concern about detainee acting out behavior, the perceived frequency of detainee “problem” behavior while in the facility, and the felt need for substance abuse services for detainees and better educational/recreational programs related positively to staff stress. Implications of these findings for developing a more realistic view of the nature and impact of the detention center experience for both detainees and staff are drawn.

The Problem of Patients’ Adaptation to Full Removable Dentures

2019 ◽  
Vol 2 (3) ◽  
pp. 66-73
Author(s):  
V. Galonsky ◽  
I. Kostritsky ◽  
V. Chernov ◽  
A. Gradoboev
Keyword(s):  
Practical Experience ◽  
Cortical Inhibition ◽  
Biological Factor ◽  
Psychological Reactions ◽  
Specific Patient ◽  
Neural Processes ◽  
Removable Denture ◽  
Realistic View ◽  
Illustrative Material

Abstract One of the key modern orthopaedic dentistry problems related to rehabilitation of patients with complete edentulism is the process of their adaptation to artificial orthopaedic constructions. According to fundamental and modern scientific research, the biological factor, i.e. the complex of all reactions of the organism to the prosthesis including psychological reactions that is individual for each user, is the most important one. Development of new conditioned-reflex connections and formation of cortical inhibition of active stimulus, that a full removable denture is, depends directly on the balance and dynamics of patient’s neural processes despite having several common characteristics including chronometric ones that can be revealed in the majority of patients of this category. Furthermore, previous experience of full removable denture usage is of great importance, specifically its presence or absence and whether it was positive or negative etc., which in its entirety influences the degree and intensity of phases in patient’s adaptation to a new artificial construction. In this connection, it is important to note the role of patients’ psychological preparation, their familiarisation with corresponding illustrative material, establishment of the psychological contact aimed to form positive but at the same time realistic view on the provided prosthetic care in terms of functional and aesthetic optimum restoration, which is an essential part of successful rehabilitation for this category of patients. On the grounds of many years’ practical experience, a number of most frequent complaints and questions of patients provided with rehabilitation using full removable dentures which frequently accompany adaptation process and demand careful doctor’s attention while performing explanatory work has been developed. Thereafter, it is necessary to make a corresponding note in patient’s medical record with signature confirmation in order to prevent further conflicts associated with the process of adaptation to dentures and its peculiarities related to this specific patient.

The consolidation of microscopy technology into a university research support facility: Reflections on the 1980's and projections for the 1990's at the university of iowa

1993 ◽  
Vol 51 ◽  
pp. 476-477
Author(s):  
Kenneth C. Moore
Keyword(s):  
Laser Scanning ◽  
Freeze Fracture ◽  
Freeze Substitution ◽  
Research Support ◽  
University Of Iowa ◽  
Staff Members ◽  
The Past ◽  
Research Grade ◽  
The University ◽  
Support Facility

The University of Iowa Central Electron Microscopy Research Facility(CEMRF) was established in 1981 to support all faculty, staff and students needing this technology. Initially the CEMRF was operated with one TEM, one SEM, three staff members and supported about 30 projects a year. During the past twelve years, the facility has replaced all instrumentation pre-dating 1981, and now includes 2 TEM's, 2 SEM's, 2 EDS systems, cryo-transfer specimen holders for both TEM and SEM, 2 parafin microtomes, 4 ultamicrotomes including cryoultramicrotomy, a Laser Scanning Confocal microscope, a research grade light microscope, an Ion Mill, film and print processing equipment, a rapid cryo-freezer, freeze substitution apparatus, a freeze-fracture/etching system, vacuum evaporators, sputter coaters, a plasma asher, and is currently evaluating scanning probe microscopes for acquisition. The facility presently consists of 10 staff members and supports over 150 projects annually from 44 departments in 5 Colleges and 10 industrial laboratories. One of the unique strengths of the CEMRF is that both Biomedical and Physical scientists use the facility.

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

The Fundamentals of the Clinical Fellowship Experience

2016 ◽  
Vol 1 (11) ◽  
pp. 81-85
Author(s):  
Melanie Hudson
Keyword(s):  
Growth And Development ◽  
Transition Period ◽  
Clinical Skills ◽  
Practical Experience ◽  
Professional Experience ◽  
New Graduate ◽  
Independent Practitioner

The Clinical Fellowship Experience is described by the American Speech-Hearing-Language Association (ASHA) as the transition period from constant supervision to independent practitioner. It is typically the first paid professional experience for the new graduate, and may be in a setting with which the new clinician has little or even no significant practical experience. The mentor of a clinical fellow (CF) plays an important role in supporting the growth and development of this new professional in areas that extend beyond application of clinical skills and knowledge. This article discusses how the mentor may provide this support within a framework that facilitates the path to clinical independence.

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