scholarly journals Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Georgios Tziatzios ◽  
Dimitrios N. Samonakis ◽  
Theocharis Tsionis ◽  
Spyridon Goulas ◽  
Dimitrios Christodoulou ◽  
...  
Keyword(s):  
Airway Management ◽  
Public Hospital ◽  
Private Hospital ◽  
Life Support ◽  
Advanced Life Support ◽  
Nationwide Survey ◽  
Web Based ◽  
The Public ◽  
Management Techniques ◽  
The Impact

Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques.

Enhancing E-Participation in Urban Planning Competitions

2022 ◽  
pp. 1238-1265
Author(s):  
Pilvi Nummi ◽  
Susa Eräranta ◽  
Maarit Kahila-Tani
Keyword(s):  
Urban Planning ◽  
Public Participation ◽  
Early Phase ◽  
Evaluation Process ◽  
Web Based ◽  
The Public ◽  
Innovative Solutions ◽  
Local Residents ◽  
Competition Process ◽  
The Impact

Planning competitions are used as a way to determine alternatives and promote innovative solutions in the early phase of urban planning. However, the traditional jury-based evaluation process is encountering significant opposition, as it does not consider the views of local residents. This chapter describes how web-based public participation tools are utilized in urban planning competitions to register public opinion alongside the expert view given by the jury. The research focus of this chapter is on studying how public participation can be arranged in competition processes, how the contestants use the information produced, and how it has been utilized in further planning of the area. Based on two Finnish case studies, this study indicates that web-based tools can augment public participation in the competition process. However, the results indicate that the impact of participation on selecting the winner is weak. Instead, in further planning of the area, the public opinions are valuable.

Guidance on development and operation of Young Persons’ Advisory Groups

2020 ◽  
Vol 105 (9) ◽  
pp. 875-880
Author(s):  
Winnie Chan ◽  
Pravheen Thurairajah ◽  
Nancy Butcher ◽  
Cor Oosterwijk ◽  
Kim Wever ◽  
...  
Keyword(s):  
Clinical Research ◽  
Best Practice ◽  
Public Involvement ◽  
Web Based ◽  
The Public ◽  
Research Areas ◽  
Advisory Groups ◽  
Semistructured Interviews ◽  
Needs Assessment Survey ◽  
The Impact

BackgroundEngaging patients and the public as collaborators in research is increasingly recognised as important as such partnerships can help improve research relevance and acceptability. Young Persons’ Advisory Groups (YPAGs) provide a forum for clinical researchers and triallists to engage with children and young people on issues relevant to the design, conduct and translation of paediatric clinical trials. Until fairly recently, there was very little information available to guide the successful development and operation of YPAGs.ObjectiveTo develop an evidence-based tool to guide clinical researchers and triallists in the establishment and operation of a YPAG.MethodsAn online needs assessment survey was conducted using SurveyMonkey with 60 known paediatric drug researchers to identify knowledge gaps around YPAG engagement, development and operation. Semistructured interviews with founders and coordinators of five well-established existing YPAGs and a review of the literature were performed to identify best-practice processes for starting up and operating YPAG.ResultsThe majority of 12 survey respondents (20%) from 12 different centres indicated that while they felt YPAGs could benefit their research, guidance on how to develop and operate a YPAG was needed. Most preferred a web-based guidance tool. Ten core steps in starting up and operating a YPAG were identified and developed into an online YPAG guidance tool, now freely accessible for use by paediatric clinical researchers worldwide. Plans to evaluate the impact are in place.ConclusionsThis novel tool, developed with an internationally based group of public involvement leads working across paediatric clinical research areas, provides harmonised guidance for researchers seeking to develop and operate YPAGs to help improve the quality and impact of paediatric clinical research studies.

scholarly journals Methodology of Specialist Physicians Training: From Traditional to e-Learning

2020 ◽  
Vol 17 (20) ◽  
pp. 7681
Author(s):  
Juan Chaves ◽  
Antonio A. Lorca-Marín ◽  
Emilio José Delgado-Algarra
Keyword(s):  
Life Support ◽  
Medical Training ◽  
Advanced Life Support ◽  
Sample Volume ◽  
Mixed Methodology ◽  
Face To Face ◽  
Significant Difference ◽  
The Face ◽  
E Learning ◽  
The Impact

Different studies show that mixed methodology can be effective in medical training. However, there are no conclusive studies in specialist training on advanced life support (ALS). The main objective of this research is to determine if, with mixed didactic methodology, which includes e-learning, similar results are produced to face-to-face training. The method used was quasi-experimental with a focus on efficiency and evaluation at seven months, in which 114 specialist doctors participated and where the analysis of the sociodemographic and pre-test variables points to the homogeneity of the groups. The intervention consisted of e-learning training plus face-to-face workshops versus standard. The results were the performance in knowledge and technical skills in cardiac arrest scenarios, the perceived quality, and the perception of the training. There were no significant differences in immediate or deferred performance. In the degree of satisfaction, a significant difference was obtained in favour of the face-to-face group. The perception in the training itself presented similar results. The main limitations consisted of sample volume, dropping out of the deferred tests, and not evaluating the transfer or the impact. Finally, mixed methodology including e-learning in ALS courses reduced the duration of the face-to-face sessions and allowed a similar performance.

Factors Influencing Successful Intubation in the Prehospital Setting

1995 ◽  
Vol 10 (4) ◽  
pp. 259-264 ◽  
Author(s):  
James V. Doran ◽  
Bartholomew J. Tortella ◽  
Walter J. Drivet ◽  
Robert F. Lavery
Keyword(s):  
Airway Management ◽  
Endotracheal Intubation ◽  
Life Support ◽  
Advanced Life Support ◽  
High Volume ◽  
Success Rates ◽  
Structured Interviews ◽  
Technical Problems ◽  
Patients Âgés ◽  
Prehospital Airway Management

AbstractObjective:To explore the determinants influencing oral/nasal endotracheal intubation (OETI/NETI) and determine which cognitive, therapeutic, and technical interventions may assist prehospital airway management.Design, Setting, and Participants:Prospective review of run reports and structured interviews of paramedics involved in OETI/NETI attempts were conducted in a high-volume, inner-city, advanced life support (ALS) system during an eight-month period (July 1991 to February 1992). Data were abstracted from run reports, and paramedics were asked in structured interviews to describe difficulties in OETI/NETI attempts.Results:Of 236 patients studied, 88% (208) were intubated successfully. Success/failure rate was not related statistically to patients' ages (p = 0. 78), medical or trauma complaint (89% vs 85%, p = 0.35), oral versus nasal route (88% vs 85%, p = 0.38), care time (scene + transport times: success, 18 minutes; failure, 20 minutes, p = 0.30), paramedic seniority (p = 0.13), or number of attempts per paramedic (p >0.05). Increased level of consciousness (LOC) was associated with decreased success rate (p = 0.04). Paramedics reported difficulties in endotracheal intubation (ETI) attempts in 110 (46.6%) of patients. Factors reported to increase ETI difficulty were: 1) technical problems (35.6%); 2) mechanical problems (15.6%); and 3) combative patients (12.7%).Conclusions:Oral endotracheal intubation and NETI success rates identified in this study are similar to those described in the literature, although innovative strategies could be used to facilitate prehospital airway management. Many of the factors found to increase ETI difficulty could be ameliorated by the administration of paralytic agents, that is, for combative patients. Focused training in cadaver and animal labs coupled with recurrence training in the operating suites should be used on a regular basis to decrease difficulties in visualization. Interventions directed at alleviating mechanical difficulties that should be explored include new-to-the-field techniques, such as retrograde intubation, fiber-optic technology, and surgical tracheal access.

Advanced life support and pre-hospital trauma care database course web-based data manager

Resuscitation ◽  
2008 ◽  
Vol 77 ◽  
pp. S37 ◽  
Author(s):  
F. Semeraro ◽  
A. Carloni ◽  
L. Marchetti ◽  
C. Sandroni ◽  
G. Lanfranco ◽  
...  
Keyword(s):  
Trauma Care ◽  
Life Support ◽  
Advanced Life Support ◽  
Web Based ◽  
Data Manager ◽  
Care Database

The Effects of Pediatric Advanced Life Support Guidelines on Pediatric Trauma Airway Management

2016 ◽  
Vol 32 (8) ◽  
pp. 499-503 ◽  
Author(s):  
Jana Sperka ◽  
Sheila J. Hanson ◽  
Raymond G. Hoffmann ◽  
Mahua Dasgupta ◽  
Michael T. Meyer
Keyword(s):  
Airway Management ◽  
Life Support ◽  
Pediatric Trauma ◽  
Advanced Life Support ◽  
Support Guidelines

scholarly journals Knowledge of the nurse in advanced life support and the impact of continuing education in cardiopulmonary arrest in the ICU

Critical Care ◽  
2013 ◽  
Vol 17 (Suppl 4) ◽  
pp. P34
Author(s):  
Daniella Mendonça ◽  
Denise Machado ◽  
Renata Silva ◽  
Camila Cunha ◽  
Marislei Brasileiro
Keyword(s):  
Continuing Education ◽  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Advanced Life Support ◽  
The Impact

scholarly journals Union policies and the structure of part-time employment: the case of registered nursing

1970 ◽  
Vol 12 (2) ◽  
Author(s):  
Sylvia Dixon
Keyword(s):  
New Zealand ◽  
Public Service ◽  
Public Hospital ◽  
Professional Associations ◽  
The Public ◽  
Employment Patterns ◽  
Registered Nursing ◽  
Full Explanation ◽  
Part Time ◽  
The Impact

This paper cosiders the impact of the New Zealand Nurses Association and the Public Service Association upon the development of part-tinze employment patterns in public hospital-based registered nursing. It argues that an understanding of the policies and negotiating strategies of unions and professional associations is required for a full explanation of part-time employment's uneren industrial and occupational distribution.

scholarly journals THE IMPACT ANALYSIS OF MOTIVATION, TRAINING, AND WORK ENVIRONMENT TO NURSES PERFORMANCE IN PATIENT SAFETY

2019 ◽  
Vol 2 (1) ◽  
pp. 54
Author(s):  
Fushen Fushen ◽  
Meylona Verawaty Zendrato
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Public Hospital ◽  
Impact Analysis ◽  
Working Environment ◽  
Cross Sectional ◽  
The Public ◽  
Increasing Demand ◽  
And Performance ◽  
The Impact

The development of hospitals in health industry as economic institutions and the establishment of many new hospitals increase the number of nurses needed while the number of nurses produced cannot keep pace with the increasing demand. In hospital services, nurse is the most frequently interacted person with patients and are fully responsible for patient care, including in terms of patient safety. This study aims to obtain empirical evidence about the effect of motivation, training and work environment on the performance of nurses in patient safety in the Public Hospital. Expected output from this study can be used as a reference to determine the policy for nurse management at the hospital. This is a correlational analytic study with a cross-sectional approach and descriptive method of verification. The research was conducted in a Public Hospital in Jakarta. The research sample are 90 nurses working in inpatient wards. The hypothesis of this study were analyzed with path analysis methods. The results of this study showed a significant positive effect between motivation and performance (20.7%), training and performance (21.8%), working environment and performance (20.7%), and the simultaneous influence from motivation, training, and working environment on the performance (63.2% ).

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