scholarly journals Better Use of Data to improve parent Satisfaction (BUDS): protocol for a prospective before-and-after pilot study employing mixed methods to improve parent experience of neonatal care

2019 ◽  
Vol 3 (1) ◽  
pp. e000515 ◽  
Author(s):  
Susanna Sakonidou ◽  
Izabela Andrzejewska ◽  
Sophia Kotzamanis ◽  
Wendy Carnegie ◽  
Mable Nakubulwa ◽  
...  
Keyword(s):  
Survey Data ◽  
Clinical Data ◽  
Clinical Information ◽  
Parent Satisfaction ◽  
Neonatal Care ◽  
Data Completeness ◽  
Before And After ◽  
Staff Interactions ◽  
The Impact ◽  
Staff Workload

IntroductionHaving a baby that requires neonatal care is stressful and traumatic. Parents often report dissatisfaction with communication of clinical information. In the UK neonatal care data are recorded daily using electronic patient record systems (EPR), from which deidentified data form the National Neonatal Research Database (NNRD). We aim to evaluate the impact of sharing neonatal EPR data with parents, on parent-reported satisfaction, parent–staff interactions, staff workload and data completeness.MethodsA prospective, before-and-after, mixed-method study. Participants are parents of inpatient babies (maximum 90) and staff in a tertiary neonatal intensive care unit, London, UK. The intervention was developed by former neonatal parents, neonatologists and neonatal nurses: a communication tool for parents comprising individualised, written, daily infant updates for parents, derived from EPR data. The intervention will be provided to parents over 6 weeks. Plan-Do-Study-Act cycles will inform the tool’s iterative development and improvement. The tool’s impact will be measured using a validated parent survey, staff survey, data completeness measures and interviews.AnalysisPrimary outcome: parent satisfaction ‘with communication of clinical information and involvement in care’. Secondary outcomes: parent–staff interactions, staff workload, data completeness. Baseline survey data will be obtained from clinical service evaluation preceding the intervention. Baseline data completeness will be derived from the NNRD. During the intervention, surveys will be administered biweekly and data completeness assessed daily. We will analyse outcomes using run charts and partially paired statistical tests. Parent and staff interviews will explore information exchange and the communication tool’s impact.DiscussionThis study will evaluate the impact of a parent co-designed intervention on communication with parents in neonatal care and the completeness of routinely recorded electronic clinical data. Better use of routinely recorded clinical data provides the opportunity to improve parent satisfaction and increase the research utility of such data, benefiting clinical care.Ethics and disseminationReviewed and approved by the West Midlands—South Birmingham REC (18/WM/0175).Registration numberISRCTN62718241.

The impact of a guideline to prevent inappropriate albumin administration in a hospital in Iran

2020 ◽  
Vol 26 (10) ◽  
pp. 1-7
Author(s):  
Javad Javan-Noughabi ◽  
Elahe Parnian ◽  
Mohammadreza Hajiesmaeili ◽  
Hamid Salehiniya ◽  
Fatemeh Setoodehzadeh
Keyword(s):  
Hospital Setting ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
Standard Guideline ◽  
Before And After ◽  
The Impact

Background/Aims In Iran, there are no specific national guidelines for the prescription or administration of albumin. Since March 2017, a standard guideline for albumin prescription has been implemented at a hospital in Tehran, Iran. The objective of this study was to compare the use of albumin and its related costs before and after implementation of this guideline. Methods A cross-sectional study was performed at the hospital in 2018. Data regarding albumin prescription were collected using a census method. Collected data included the demographic and clinical information of patients, duration of hospitalisation and the costs of tests and pharmacotherapy consultations before albumin was prescribed. Albumin consumption costs were also collected before and after the implementation of the guideline. Data were analysed using SPSS 21 software and descriptive statistics. Results Albumin consumption was significantly reduced after the guideline was implemented, decreasing from an average of 28 vials (289g) to an average of 6 vials (67g) per patient. The average cost of albumin use also fell from the equivalent of $1218 before the guideline was implemented, to an average of $281 per patient. Conclusions The implementation of a guideline for albumin prescription and administration in a hospital setting resulted in a significant reduction of inappropriate albumin use and the associated costs.

Personal, Public and Political Impacts of a New District: Survey Data from Before and After the Creation of Ghana’s Nabdam District

2020 ◽  
pp. 002190962093005
Author(s):  
Kevin S Fridy ◽  
Mary R Anderson ◽  
Isaac K Yen
Keyword(s):  
Survey Data ◽  
Local Governance ◽  
Political Engagement ◽  
Wealth Accumulation ◽  
Panel Survey ◽  
Government Fragmentation ◽  
The People ◽  
Before And After ◽  
The Government ◽  
The Impact

In June 2012 the government of Ghana added 42 new districts to the country’s system of local governance. This paper measures the impact of one new district in terms of private wealth accumulation, access to public services and political engagement. Data analysed comes from a panel survey of residents of the new district capital and two similarly sized villages, one in the new district and one just outside. Proponents of government fragmentation promise personal, public and political gains when government is brought closer to the people. Evidence weighed here suggests that these gains are largely realized by residents.

Police Officer and Supervisor Perceptions of Body-Worn Cameras Pre- and Postimplementation: The Importance of Officer Buy-in

2019 ◽  
Vol 44 (3) ◽  
pp. 322-338 ◽  
Author(s):  
Jamie A. Snyder ◽  
Matthew S. Crow ◽  
John Ortiz Smykla
Keyword(s):  
Police Officer ◽  
Survey Data ◽  
Police Officers ◽  
Stakeholder Perceptions ◽  
Police Departments ◽  
Future Directions ◽  
Policy Suggestions ◽  
Before And After ◽  
The Impact

Body-worn cameras (BWCs) are increasingly more common in their use among police officers. Research on BWCs is the focus of an increasing number of studies seeking information on stakeholder perceptions and the impact of the technology on behavior and other related outcomes. Although the emerging research is mixed, several studies find that officers have concerns about the use of BWCs and may not fully support their use. The current study utilizes survey data from two Southern police departments. Police officers and supervisors were surveyed on their perceptions of BWCs prior to the implementation of BWCs, then again after their implementation. The analysis focuses on changes in perceptions before and after BWC implementation and examines the impact of respondent rank on perceptions. Overall, perceptions became more positive toward BWCs after the implementation; however, differences emerged when considering rank. Respondents at the supervisor rank expressed significantly less concern and more support for BWCs than those at the officer level after implementation. These results are discussed in the context of the importance of officer support and buy-in for BWCs. Policy suggestions and future directions are also discussed.

scholarly journals Improving Access to Longitudinal Patient Health Information within an Emergency Department

2012 ◽  
Vol 03 (03) ◽  
pp. 290-300 ◽  
Author(s):  
S. Shen ◽  
D.A. Dorr ◽  
G. Hripcsak ◽  
L. Heermann ◽  
S.P. Narus ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
User Authentication ◽  
Tracking System ◽  
Clinical Information ◽  
Before And After ◽  
Patient Health ◽  
The Impact

SummaryWe designed and implemented an electronic patient tracking system with improved user authentication and patient selection. We then measured access to clinical information from previous clinical encounters before and after implementation of the system. Clinicians accessed longitudinal information for 16% of patient encounters before, and 40% of patient encounters after the intervention, indicating such a system can improve clinician access to information. We also attempted to evaluate the impact of providing this access on inpatient admissions from the emergency department, by comparing the odds of inpatient admission from an emergency department before and after the improved access was made available. Patients were 24% less likely to be admitted after the implementation of improved access. However, there were many potential confounders, based on the inherent pre-post design of the evaluation. Our experience has strong implications for current health information exchange initiatives.

scholarly journals Usual Interstitial Pneumonia in Contemporary Surgical Pathology Practice: Impact of International Consensus Guidelines for Idiopathic Pulmonary Fibrosis on Pathologists

2020 ◽  
Author(s):  
Jordan M. Eldersveld ◽  
Eunhee S. Yi ◽  
Katie L. Kunze ◽  
Maxwell L. Smith ◽  
Henry D. Tazelaar ◽  
...  
Keyword(s):  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Interstitial Pneumonia ◽  
Usual Interstitial Pneumonia ◽  
Clinical Information ◽  
Clinical Syndrome ◽  
International Consensus ◽  
Before And After ◽  
Lung Biopsies ◽  
The Impact

Context.— Idiopathic pulmonary fibrosis is a clinical syndrome characterized by the presence of usual interstitial pneumonia (UIP) radiologically and pathologically. Per consensus criteria adopted in 2011, diagnosis of idiopathic pulmonary fibrosis no longer requires a biopsy in an appropriate context if UIP is seen on imaging. As a result, lung biopsies are now typically reserved for patients having indeterminate clinical or imaging findings or suspicion for alternative diagnoses, but the impact of updated guidelines on pathology practice remains unclear. Objective.— To determine the frequency of histologic UIP before and after 2011. Design.— Surgical lung biopsies from adults were studied within two 4-year periods: July 1, 2006, through June 30, 2010, and January 1, 2012, through December 31, 2015. Pathology slides were reviewed in a fashion blinded to clinical information and were classified using current guidelines. Results.— Biopsies from 177 and 86 patients (mean [SD] age, 62 [12] and 59 [14] years; 50.3% [89 of 177] and 48.8% [42 of 86] men) before and after 2011, respectively, were reviewed. Probable UIP or UIP was less-frequently encountered after 2011 in all patients with fibrosis (9 of 54 [16.7%] versus 41 of 119 [34.5%] before 2011, P = .02) and also in patients 50 years old and older (8 of 46 [17.4%] versus 39 of 109 [35.8%] before 2011, P = .02), with a concomitant rise in cases indeterminate for UIP or showing alternative diagnoses. Conclusions.— Histology for UIP is less frequently encountered in our contemporary practice compared with the historic era. The pretest probability of a non-UIP diagnosis is now high, even in elderly patients, underscoring the need for pathologists to be familiar with the histologic features of alternative diagnoses.

scholarly journals Resurrecting the Hospital Autopsy: Impact of an Office of Decedent Affairs on Consent Rates, Providers, and Next-of-Kin

2020 ◽  
Vol 145 (1) ◽  
pp. 55-65
Author(s):  
Justin E. Juskewitch ◽  
Joan M. Griffin ◽  
Joseph J. Maleszewski ◽  
Gladys B. Asiedu ◽  
Michael A. Paolini ◽  
...  
Keyword(s):  
Clinical Information ◽  
Death Process ◽  
Medical Examiner ◽  
Hospital Death ◽  
Communication Link ◽  
Next Of Kin ◽  
Positive Role ◽  
Before And After ◽  
Bereavement Counseling ◽  
The Impact

Context.— Autopsy rates have decreased dramatically despite providing important clinical information to medical practices and social benefits to decedents' families. Objective.— To assess the impact of an institutional Office of Decedent Affairs (ODA), a direct communication link between pathology and decedents' families, on hospital autopsy consent rates, autopsy-related communication, practitioner views, and next-of-kin experiences. Design.— A before and after study involving all hospital decedents whose deaths did not fall within the jurisdiction of the medical examiner's office from 2013 to 2018. A pathology-run ODA launched in May 2016 to guide next-of-kin through the hospital death process (including autopsy-related decisions) and serve as the next-of-kin's contact for any subsequent autopsy-related communication. Critical care and hematology/oncology practitioners were assessed for their autopsy-related views and decedents' next-of-kin were assessed for their autopsy-related experiences. Autopsy consent rates for non–medical examiner hospital deaths, autopsy-related communication rates, practitioner views on the role and value of autopsy, and next-of-kin autopsy experiences and decisions factors were compared prior to and after ODA launch. Results.— Autopsy consent rates significantly increased from 13.2% to 17.3% (480 of 3647 deaths versus 544 of 3148 deaths; P < .001). There were significant increases in the rate of autopsy-related discussions and bereavement counseling provided to decedents' families. Practitioner views on the positive role of autopsy for any hospital death and those with advanced stage cancer also significantly increased. Next-of-kin indicated more consistent autopsy-related discussions with the potential benefits of autopsy discussed becoming key decision factors. Conclusions.— An ODA improves hospital autopsy consent rates, autopsy-related communication, providers' autopsy-related views, and next-of-kins autopsy experiences.

scholarly journals Paint It Red - A Multimethod Study of the Nudging Effect of Coloured Cycle Lanes

2021 ◽  
Vol 12 ◽  
Author(s):  
Aslak Fyhri ◽  
Katrine Karlsen ◽  
Hanne B. Sundfør
Keyword(s):  
Survey Data ◽  
Route Choice ◽  
Video Data ◽  
Gps Data ◽  
Field Surveys ◽  
Perceived Safety ◽  
Before And After ◽  
Multi Method Approach ◽  
The Impact ◽  
Method Approach

Many countries colour their cycle lanes, but there is still a lack of research into the impact of this policy. Rather than constraining or regulating movement, coloured asphalt conveys information, and can serve as a good example of a “nudge”. In transport, there are few good examples of effective nudges for improved safety or sustainability. We used a multi-method approach to study the behaviour and experiences of cyclists before and after cycle lanes were coloured using red asphalt. Video data were collected and analysed to measure the extent to which motorists stopped in the cycle lane; motorist distance from the cycle lane on passing; and bicycle placement in the cycle lane. Cyclists (n = 1583) were asked how they experienced the cycle lane in field surveys. GPS data from cyclists (n = 2448) was used to measure whether colouring the cycle lanes resulted in a change of cyclists’ route choice. Video data showed no significant decrease in the share of passing motorists who stopped in the cycle lane. However, there was a significant decrease in the share of motorists stopping in the cycle lane rather than in the car lane or on the pavement. After recoating, motorists also kept a greater distance from the cycle lane; a greater share of cyclists chose to cycle in the cycle lane and a lower share cycled on the pavement. Analysis of survey data showed that visibility, perceived safety and ease of visualisation improved more in the recoated streets than in control streets. Analysis of the GPS data revealed a significant increase in cycling in the first streets to get red asphalt, with mixed results for the later streets. We discuss possible mechanisms behind the effects observed, and whether coloured cycle lanes can be considered as a form of nudging.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

Materialism and Green Purchase Intention: A Study of Urban Vietnamese Consumers

2017 ◽  
pp. 89-106 ◽  
Author(s):  
Mai Nguyen Thi Tuyet ◽  
Hung Nguyen Vu ◽  
Linh Nguyen Hoang ◽  
Minh Nguyen Hoang
Keyword(s):  
Conceptual Framework ◽  
Survey Data ◽  
Purchase Intention ◽  
Behavioral Control ◽  
Subjective Norm ◽  
Perceived Behavioral Control ◽  
Policy Makers ◽  
Tpb Model ◽  
Research Findings ◽  
The Impact

This study focuses on examining the impact of three components of materialism on green purchase intention for urban consumers in Vietnam, an emerging economy. An extended Theory of Planned Behavior (TPB) is applied as the conceptual framework for this study. The hypotheses are empirically tested using survey data obtained from consumers in Hanoi, the capital of Vietnam. The regression results show support for most of our hypotheses. The findings indicate that two out of three facets of materialism are significant predictors of green purchase intention. Specifically, success is found to be negatively related to purchase intention, while happiness is related positively to the intention. All three antecedents in the TPB model, including attitude towards green purchase, subjective norm, and perceived behavioral control are also found to have positive impacts on purchase intention. The research findings are discussed and implications for managers and policy makers are provided.

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