scholarly journals A Brief Educational Intervention to Improve Healthcare Providers' Awareness of Child Passenger Safety

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
O. James Ekundayo ◽  
Gennifer Jones ◽  
Angela Brown ◽  
Muktar Aliyu ◽  
Robert Levine ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Best Practice ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Healthcare Providers ◽  
Rank Test ◽  
Future Research ◽  
Child Passenger Safety ◽  
Passenger Safety ◽  
The Impact

Introduction. Motor vehicle crashes are the leading cause of death among US children aged 4–14 years. In theory, health provider counseling about Child Passenger Safety (CPS) could be a useful deterrent. The data about the effectiveness of CPS dissemination is sparse, but existing results suggest that providers are not well informed. Moreover, there is insufficient evidence to determine whether provider counseling about CPS is effective.Methods. We therefore assessed CPS best practice knowledge among 217 healthcare workers at hospitals in seven cities throughout the USA and evaluated the impact of a brief, lunch and learn educational intervention with a five-item questionnaire. Attendees were comprised of physicians, nurses, social workers, pediatric residents, and pediatric trauma response teams.Results. Pre-post survey completion was nearly 100% (216 of 217 attendees). Participation was fairly evenly distributed according to age (18–29, 30–44, and 45+ years). More than 80% of attendees were women. Before intervention, only 4% of respondents (9/216) answered all five questions correctly; this rose to 77% (167/216) (P<0.001, using a Wilcoxon signed-rank test) after intervention.Conclusion. Future research should consider implementation and controlled testing of comparable educational programs to determine if they improve dissemination of CPS best practice recommendations in the long term.

scholarly journals Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting

SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667774 ◽  
Author(s):  
Benjamin Woodward ◽  
Reba Umberger
Keyword(s):  
Best Practices ◽  
Healthcare Providers ◽  
Bloodstream Infections ◽  
Central Line ◽  
Mandatory Reporting ◽  
Future Research ◽  
Common Source ◽  
Healthcare Associated Infection ◽  
Extrinsic Factors ◽  
The Impact

Central line-associated bloodstream infections (CLABSI) are a very common source of healthcare-associated infection (HAI). Incidence of CLABSI has been significantly reduced through the efforts of nurses, healthcare providers, and infection preventionists. Extrinsic factors such as recently enacted legislation and mandatory reporting have not been closely examined in relation to changes in rates of HAI. The following review will examine evidence-based practices related to CLABSI and how they are reported, as well as how the Affordable Care Act, mandatory reporting, and pay-for-performance programs have affected these best practices related to CLABSI prevention. There is a disconnect in the methods and guidelines for reporting CLABSI between these programs, specifically among local monitoring agencies and the various federal oversight organizations. Future research will focus on addressing the gap in what defines a CLABSI and whether or not these programs to incentivize hospital to reduce CLABSI rates are effective.

Parent Experiences and Perceptions of Safety When Transporting Children With Autism Spectrum Disorder

2021 ◽  
Vol 75 (5) ◽  
Author(s):  
Teresa Plummer ◽  
Missy Bryan ◽  
Katherine Dullaghan ◽  
Abigail Harris ◽  
Michaela Isenberg ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Motor Vehicle ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Needs ◽  
Convenience Sample ◽  
Child Passenger Safety ◽  
Behavioral Safety ◽  
Children With Asd ◽  
Passenger Safety

Importance: Motor vehicle accidents are the leading cause of unintentional deaths of children ages 1 and older, particularly children with health care needs. Objective: To explore family caregivers’ experiences and current practices while transporting children diagnosed with autism spectrum disorder (ASD). Design: A concurrent nested mixed-methods approach was used to gain insight into caregiver experiences. Setting: Participants completed an online Qualtrics survey. Participants: A convenience sample of 54 caregivers of children with ASD from 17 U.S. states. Results: Themes that emerged include sensory behaviors of children, education related to child passenger safety, and participation in the community. Statistically significant findings suggest a correlation between caregivers (n = 39) being less likely to participate in activities away from home if the child had attempted to elope (p = .013), displayed aggressive behaviors (p = .005), or demonstrated self-injurious behaviors (p = .001). Conclusions and Relevance: The findings suggest a correlation between caregivers limiting the distance traveled during vehicular transportation and behavioral safety concerns. If caregivers must limit travel, they may refrain from accessing the community and engaging in leisure pursuits. What This Article Adds: The findings suggest that therapists who treat children with ASD should be familiar with child passenger safety restraints, particularly for elopement.

Evaluating dementia training for healthcare staff

2019 ◽  
Vol 14 (4) ◽  
pp. 277-288
Author(s):  
Lucy Garrod ◽  
Jane Fossey ◽  
Catherine Henshall ◽  
Sandra Williamson ◽  
Alice Coates ◽  
...  
Keyword(s):  
Best Practice ◽  
Rating Scales ◽  
Quality Care ◽  
Training Programme ◽  
Service Evaluation ◽  
Rank Test ◽  
Experiential Training ◽  
Content Type ◽  
Competency Based ◽  
The Impact

Purpose The purpose of this paper is to report on a service evaluation of a competency-based dementia training programme for clinicians to establish its value in improving their knowledge and confidence of dementia care and to explore any resulting changes to practice. Design/methodology/approach Mixed method quantitative and qualitative data, using rating scales and focus group discussions (FGDs), were collected. Wilcoxon signed-rank test was used to analyse changes in the responses to the rating scales of knowledge and confidence and thematic analysis of FGDs was undertaken to identify staff perceptions of the impact of training on their practice. Findings In total, 162 qualified and clinical support staff undertook the training. A significant change in knowledge and confidence scores was found on all three scales. In general, feedback on the course was positive. Seven themes, demonstrating the relevance of the training to practice, emerged from the FGDs – experiential training awareness of diagnosis, approach, understanding, communication, risk, changed practice and going forward. Practical implications Providing competency-based dementia training for large numbers of staff can have a positive effect on the care delivered to patients with dementia. Originality/value Healthcare organisations have a responsibility to ensure their staff have the training to provide quality care for patients living with dementia. This paper suggests this can be achieved through a collaborative, multi-disciplinary approach involving co-production and best practice guidance.

scholarly journals Pilot Educational Intervention to Promote Safe Pesticide Use Practices Among Farmworkers in Nepal

2020 ◽  
Vol 64 (8) ◽  
pp. 866-875
Author(s):  
Pramesh Koju ◽  
Prabin R Shakya ◽  
Archana Shrestha ◽  
Biraj M Karmacharya ◽  
Sudip Shrestha ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Pesticide Exposure ◽  
Scale Up ◽  
Personal Hygiene ◽  
Future Research ◽  
Health And Environmental Effects ◽  
Cross Sectional ◽  
Handling Practices ◽  
Hands And Feet ◽  
The Impact

Abstract Objectives The misuse of pesticides among farmworkers in Nepal is commonplace. To address this, we implemented a pilot educational intervention (three modules delivered over 3 days and lasting approximately 3 h each) in Kavre District of Nepal. Modules included: (i) health and environmental effects of pesticides, (ii) use of personal protective equipment, and (iii) label literacy and behavioral factors that influence pesticide exposure. In addition, 10 posters with key messages from each of the modules were hung throughout communities. Methods Surveys were administered to cross-sectional convenience samples of farmworkers at baseline (n = 106) and 1 year later (n = 98). Practices relating to pesticides at baseline and endline were compared using multivariable logistic regression to adjust for differences in demographic and socioeconomic characteristics between the samples. Results Compared with the baseline sample, farmworkers in the endline sample were significantly more likely to report: getting information regarding the amount of pesticides to use from experts or pesticide labels (versus personal judgment); wearing gloves while mixing pesticides; wearing boots while working in the field; using personal hygiene practices after handling pesticides such as bathing or washing hands and feet; changing clothes after handling pesticides; checking the wind direction before spraying; and delaying entry for a longer period of time after spraying. Conclusions These results suggest that a simple educational intervention can improve pesticide handling practices among farmworkers in Nepal. Future research should explore the impact of such interventions on pesticide exposure levels and health outcomes, and the potential to scale up these programs nationally.

scholarly journals The Impact of Pedestrian Crossing Flags on Driver Yielding Behavior in Las Vegas, NV

2019 ◽  
Vol 11 (17) ◽  
pp. 4741 ◽  
Author(s):  
Sheila Clark ◽  
Courtney Coughenour ◽  
Kelly Bumgarner ◽  
Hanns de la Fuente-Mella ◽  
Chantel Reynolds ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Las Vegas ◽  
Low Cost ◽  
Pedestrian Safety ◽  
Future Research ◽  
Pedestrian Injury ◽  
Pass Through ◽  
Trained Observers ◽  
Pedestrian Crossing ◽  
The Impact

Walking is the most affordable, accessible, and environmentally friendly method of transportation. However, the risk of pedestrian injury or death from motor vehicle crashes is significant, particularly in sprawling metropolitan areas. The purpose of this study was to examine the effect of pedestrian crossing flags (PCFs) on driver yielding behaviors. Participants crossed a marked, midblock crosswalk on a multilane road in Las Vegas, Nevada, with and without PCFs, to determine if there were differences in driver yielding behaviors (n = 160 crossings). Trained observers recorded (1) the number of vehicles that passed in the nearest lane without yielding while the pedestrian waited at the curb and (2) the number of vehicles that passed through the crosswalk while the pedestrian was in the same half of the roadway. ANOVA revealed that drivers were significantly less likely to pass through the crosswalk with the pedestrian in the roadway when they were carrying a PCF (M = 0.20; M = 0.06); drivers were more likely to yield to the pedestrian waiting to enter the roadway when they were carrying a PCF (M = 1.38; M = 0.95). Pedestrian crossing flags are a low-tech, low-cost intervention that may improve pedestrian safety at marked mid-block crosswalks. Future research should examine driver fade-out effects and more advanced pedestrian safety alternatives.

Rating child passenger safety laws relative to best practice recommendations for occupant protection

2016 ◽  
Vol 18 (4) ◽  
pp. 406-411 ◽  
Author(s):  
Kathleen D. Klinich ◽  
Marco Benedetti ◽  
Miriam A. Manary ◽  
Carol A. Flannagan
Keyword(s):  
Best Practice ◽  
Child Passenger Safety ◽  
Occupant Protection ◽  
Practice Recommendations ◽  
Passenger Safety

The Impact of Education, Legislation and Service on Alabama Child Passenger Safety

2007 ◽  
Vol 63 (Supplement) ◽  
pp. S25-S28 ◽  
Author(s):  
William D. King ◽  
Kathy Monroe ◽  
Janie Applegate ◽  
Julie Cole-Farmer
Keyword(s):  
Child Passenger Safety ◽  
Education Legislation ◽  
Passenger Safety ◽  
The Impact

scholarly journals The Effect of Head Inclination on Intraocular Pressure in the Prone Position

2017 ◽  
Author(s):  
Vanessa Marzilli
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Situation Awareness ◽  
High Reliability ◽  
Healthcare Providers ◽  
Information Management System ◽  
Future Research ◽  
Staff Satisfaction ◽  
Patient Handoff ◽  
The Impact

Patient safety relies on effective and efficient communication among healthcare providers. Tools, such as standardized checklists, ensure information sharing in a consistent, predictable format. In the perioperative setting, where handoffs occur at several points and among various disciplines, high reliability is essential. This systematic review focused on the impact of standardized communication practices on perioperative staff satisfaction as it relates to sustainability of the new practice. The electronic databases PubMed and Google Scholar were used. Six articles met inclusion for the systematic review and of these six, four were determined to be of high quality through the application of The CASE Worksheet. The handoff tools implemented in these four studies were the electronic anesthesia information management system (AIMS), I-PASS mnemonic that described the illness, patient summary, action list, situation awareness and synthesis by receiver, Peri-op Handoff Protocol and a variation of the ‘Surgical Safety Checklist’ originally developed by WHO. Results of this systematic review suggest that these standardized communication methods are effective in improving perioperative staff satisfaction. Further research may prove helpful to determine if one handoff tool design is superior to the others. While future research could be performed to provide a larger sample size, the limited data gathered from this systematic review shows promising results. Implementing a standardized approach to perioperative communication and patient handoff has been shown in these studies to be beneficial in terms of staff satisfaction. Furthermore, it would be valuable to examine the indirect impact these communication tools have on patient care. Healthcare providers have the responsibility and opportunity to improve patient care through the adoption of standardized communication processes.

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