Symbols of Hope on Pediatric Oncology Ward: Children's Perspective Using Photovoice

2021 ◽  
Vol 38 (6) ◽  
pp. 385-398
Author(s):  
Fatemeh Ebrahimpour ◽  
Jila Mirlashari ◽  
Akram Sadat Sadat Hosseini ◽  
Fariba Zarani ◽  
Sally Thorne
Keyword(s):  
Hospital Setting ◽  
Critical Factor ◽  
Hospital Environment ◽  
Hospitalized Children ◽  
Children With Cancer ◽  
Children’S Perspectives ◽  
Face To Face ◽  
Oncology Ward ◽  
Recovery And Healing ◽  
Study Participants

Background Hope nurtures confidence and enhances positivity. It is known to be a critical factor in illness, recovery and healing. This study aimed to identify the views of hospitalized children with cancer about the circumstances and factors that create hope for them in the oncology ward. Methods: This qualitative study explored children's experiences using Photovoice, which is an arts-based approach. Twenty children aged 6–12 years diagnosed with various cancers at a Pediatric Hospital in Tehran, Iran, participated in this study. Participants were requested to take photographs of objects, circumstances, or anything that gave them hope or represented a sign of hope in the oncology ward. The photographs were then used to facilitate face-to-face interviews with these children. Data were analyzed using thematic analysis. Results: Data analysis revealed six main themes: emotional connectedness with nursing staff; the playroom as a means to soften the hospital space; the presence of a parent; symbols of recovery; a touch of nature in the hospital setting; and escaping the hospital cage. Discussion: Hopefulness among children can emanate from diverse events and circumstances within the hospital environment. Nurses and physicians need an understanding of children's perspectives to design interventions to improve hopefulness among hospitalized children with cancer.

scholarly journals A Systematic Review of Self-Report Instruments for the Measurement of Anxiety in Hospitalized Children with Cancer

2021 ◽  
Vol 18 (4) ◽  
pp. 1911
Author(s):  
Gomolemo Mahakwe ◽  
Ensa Johnson ◽  
Katarina Karlsson ◽  
Stefan Nilsson
Keyword(s):  
Hospital Setting ◽  
Self Report ◽  
Hospitalized Children ◽  
Abstract Concepts ◽  
Children With Cancer ◽  
Language Difficulties ◽  
Self Reports ◽  
Psychometric Quality ◽  
Communication Challenge

Anxiety has been identified as one of the most severe and long-lasting symptoms experienced by hospitalized children with cancer. Self-reports are especially important for documenting emotional and abstract concepts, such as anxiety. Children may not always be able to communicate their symptoms due to language difficulties, a lack of developmental language skills, or the severity of their illness. Instruments with sufficient psychometric quality and pictorial support may address this communication challenge. The purpose of this review was to systematically search the published literature and identify validated and reliable self-report instruments available for children aged 5–18 years to use in the assessment of their anxiety to ensure they receive appropriate anxiety-relief intervention in hospital. What validated self-report instruments can children with cancer use to self-report anxiety in the hospital setting? Which of these instruments offer pictorial support? Eight instruments were identified, but most of the instruments lacked pictorial support. The Visual Analogue Scale (VAS) and Pediatric Quality of Life (PedsQL™) 3.0 Brain Tumor Module and Cancer Module proved to be useful in hospitalized children with cancer, as they provide pictorial support. It is recommended that faces or symbols be used along with the VAS, as pictures are easily understood by younger children. Future studies could include the adaptation of existing instruments in digital e-health tools.

scholarly journals Playful strategies in the pediatric hospitalization scenario

2021 ◽  
Vol 10 (5) ◽  
pp. e6210514652
Author(s):  
Mariana Silva Souza ◽  
Daniel Lopes Araújo ◽  
Bruno Abilio da Silva Machado ◽  
Erik Bernardes Moreira Alves ◽  
Igor Mendes Mendonça ◽  
...  
Keyword(s):  
Play Therapy ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Hospitalized Children ◽  
Pediatric Hospital ◽  
Multiprofessional Team ◽  
Pediatric Hospitalization ◽  
Self Confidence ◽  
The Relationship ◽  
Communication Resource

Childhood is a phase of life that, for the most part, is symbolized by the act of playing. It is through this stage that the child has new skills, experiences, and discoveries. In addition, one can also notice the development of processes such as creativity, self-confidence, social-affective relationships, and cognition. However, some situations sometimes hinder the realization of processes that are essential for childhood, hospitalization being one of them. The study aims to know the playful strategies in the scenario of pediatric hospitalization, highlighting its benefits and importance in hospital humanization. This is an integrative review, carried out from articles collected from the Scielo, PubMed, Lilacs, Medline and BDENF databases. The descriptors applied were "Child Health" AND "Play Therapy". The findings showed that play strategies are extremely important in the humanization of care for hospitalized children, as they reduce suffering and make hospitalization less painful and traumatic. It was concluded that playful strategies when implemented in the pediatric hospital setting promote a less traumatic recovery, in addition to allowing for greater tranquility in the hospital environment. Moreover, the use of playful strategies was pointed out by the studies as a communication resource that benefits not only the physical, emotional, and immunological stimuli, but also the relationship between the child and the health professional, thus contributing to a greater trust in the therapy adopted and in the multiprofessional team.

scholarly journals Mediadores de leitura no hospital pediátrico: relatos de sua prática

2017 ◽  
Vol 3 (2) ◽  
pp. 21-37
Author(s):  
Eileen Pfeiffer Flores ◽  
Beatriz Leão Yamada ◽  
Victor Guevara Loyola de Souza ◽  
Adriana De Rezende Dias
Keyword(s):  
Concept Maps ◽  
Hospital Setting ◽  
Shared Reading ◽  
Hospital Environment ◽  
Hospitalized Children ◽  
Volunteer Training ◽  
Governmental Organization ◽  
Semistructured Interviews

This study investigated the concepts of nine volunteers from a non - governmental organization who read stories to hospitalized children. We conducted three to five semistructured interviews with each storyteller which were analyzed using concept maps, resulting in 376 propositions. A semantic grouping of the propositions resulted in 13 categories. Results suggest that storytellers associate their activities to altruism and conceive it chiefly as a way of bringing relief and joy to children in the hospital environment, seen as extremely aversive. Few references are made to the specific features and benefits of shared reading. The study reveals characteristics and challenges which are specific to the practice of shared reading in the hospital setting and suggests directions for volunteer training in this context.

scholarly journals 520 AN EVALUATION OF VIRTUAL MUSIC THERAPY TO PATIENTS ON AN ACUTE HEALTH CARE OF OLDER PEOPLE WARD DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii8-ii13
Author(s):  
J McAulay ◽  
M Block ◽  
V Booth ◽  
A Cowley
Keyword(s):  
Health Care ◽  
Older People ◽  
Music Therapy ◽  
Hospital Setting ◽  
University Hospital ◽  
Hospital Environment ◽  
Ward Staff ◽  
Face To Face ◽  
Staff Members ◽  
Acute Health Care

Abstract Introduction Music therapy has been shown to reduce anxiety and social isolation for elderly patients in the acute hospital setting. At Nottingham University Hospital NHS Trust a programme of live, face-to-face music has been delivered by Wellspring Music on Healthcare of Older Peoples wards since 2015. In response to COVID-19, face-to-face delivery was stopped and a virtual method was proposed. This project investigated feasibility of virtual live music delivery. Method Twelve, two-hour music therapy sessions were delivered by Wellspring Music to 41 patients over six weeks. The validated Arts-obs tool was used by staff members facilitating the sessions to record observations of patient mood, relaxation, and distraction from the ward setting on Likert scales. Patient, ward staff, and facilitator feedback were also recorded. Qualitative and quantitative analyses were conducted by an Occupational Therapist. Results Data from the Arts-obs tool showed that thirty-two patients had an observable improvement in mood, seven had no mood change, and two presented a slightly worsened mood. Fourteen patients were fully engaged with the music therapy, sixteen were partially engaged, and eleven were focussed on the hospital environment. Thirty-four patients were visibly more relaxed, and seven showed no change. Patient feedback ranged from gratitude and expressions of enjoyment of the session to finding it too loud. Ward staff feedback ranged from appreciation to finding the music too distracting. The Wellspring musician and staff facilitators reported occasional loss of internet connection, and patients sometimes focusing on the facilitator rather than the musician. Conclusion It is feasible to deliver virtual music therapy to inpatients on Health Care of Older People wards. Feedback shows that this was largely acceptable to staff and patients. Improvements in mood, relaxation and distraction were found.

scholarly journals SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment

Microbiome ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Clarisse Marotz ◽  
Pedro Belda-Ferre ◽  
Farhana Ali ◽  
Promi Das ◽  
Shi Huang ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Rna Virus ◽  
Bacterial Community Composition ◽  
Hospital Setting ◽  
Amplicon Sequencing ◽  
Hospital Environment ◽  
Rrna Gene ◽  
Sequence Variant ◽  
Care Providers ◽  
Single Amplicon

Abstract Background SARS-CoV-2 is an RNA virus responsible for the coronavirus disease 2019 (COVID-19) pandemic. Viruses exist in complex microbial environments, and recent studies have revealed both synergistic and antagonistic effects of specific bacterial taxa on viral prevalence and infectivity. We set out to test whether specific bacterial communities predict SARS-CoV-2 occurrence in a hospital setting. Methods We collected 972 samples from hospitalized patients with COVID-19, their health care providers, and hospital surfaces before, during, and after admission. We screened for SARS-CoV-2 using RT-qPCR, characterized microbial communities using 16S rRNA gene amplicon sequencing, and used these bacterial profiles to classify SARS-CoV-2 RNA detection with a random forest model. Results Sixteen percent of surfaces from COVID-19 patient rooms had detectable SARS-CoV-2 RNA, although infectivity was not assessed. The highest prevalence was in floor samples next to patient beds (39%) and directly outside their rooms (29%). Although bed rail samples more closely resembled the patient microbiome compared to floor samples, SARS-CoV-2 RNA was detected less often in bed rail samples (11%). SARS-CoV-2 positive samples had higher bacterial phylogenetic diversity in both human and surface samples and higher biomass in floor samples. 16S microbial community profiles enabled high classifier accuracy for SARS-CoV-2 status in not only nares, but also forehead, stool, and floor samples. Across these distinct microbial profiles, a single amplicon sequence variant from the genus Rothia strongly predicted SARS-CoV-2 presence across sample types, with greater prevalence in positive surface and human samples, even when compared to samples from patients in other intensive care units prior to the COVID-19 pandemic. Conclusions These results contextualize the vast diversity of microbial niches where SARS-CoV-2 RNA is detected and identify specific bacterial taxa that associate with the viral RNA prevalence both in the host and hospital environment.

scholarly journals The Implementation of Active Environmental Surveillance in a Veterinary Referral Hospital Setting

2020 ◽  
Vol 41 (S1) ◽  
pp. s409-s409
Author(s):  
Emily Feyes ◽  
Dixie Mollenkopf ◽  
Thomas Wittum ◽  
Dubraska Diaz-Campos ◽  
Rikki Horne
Keyword(s):  
Veterinary Medicine ◽  
Hospital Setting ◽  
Ohio State University ◽  
Hospital Environment ◽  
State University ◽  
Environmental Surveillance ◽  
University College ◽  
Animal Contact ◽  
Contact Surfaces ◽  
The Ohio State University

Emily Feyes, The Ohio State University College of Veterinary Medicine; Dixie Mollenkopf, The Ohio State University College of Veterinary Medicine; Thomas Wittum, The Ohio State University College of Veterinary Medicine; Dubraska Diaz-Campos, The Ohio State University College of Veterinary Medicine; Rikki Horne, The Ohio State University College of Veterinary MedicineBackground: The Ohio State University College of Veterinary Medicine (OSU-CVM) Antimicrobial Stewardship Working Group (ASWG) uses monthly environmental surveillance to understand the effectiveness of our veterinary medical center (VMC) infection control and biosecurity protocols in reducing environmental contamination with multidrug resistant organisms. Monthly surveillance allows us to monitor trends in the recovery of these resistant organisms and address issues of concern that could impact our patients, clients, staff, and students. Methods: The OSU-CVM ASWG collects samples from >100 surfaces within the companion animal, farm animal, and equine sections of our hospital each month. Sampling has been continuous since January 2018. Samples are collected from both human–animal contact and human-only contact surfaces using Swiffer electrostatic cloths. These samples are cultured for recovery of Salmonella spp, extended-spectrum cephalosporin-resistant Enterobacteriaceae, carbapenemase-producing Enterobacteriaceae (CPE), and methicillin-resistant Staphylococcus spp. Results: The recovery of these antibiotic resistant target organisms is low in the environment of our hospital. Recovery from human-only contact surfaces (19.8%) is very similar to recovery from human–animal contact surfaces (25.5%). We commonly recover Enterobacteriaceae (E.coli, Klebsiella spp, and Enterobacter spp) that are resistant to extended-spectrum cephalosporins (496 of 2,016; 24.6%) from the VMC environment. These antibiotic-resistant indicator bacteria are expected in a veterinary hospital setting where use the of β-lactam drugs is common. Recovery of both Salmonella spp and CPE has remained very low in our hospital environment over the past 19 months: 16 of 2,016 (0.7%) for Salmonella and 15 of 2,016 (0.8%) for CPE. Discussion: The active environmental surveillance component of our antimicrobial stewardship program has allowed us to reduce the threat of nosocomial infections within our hospital and address environmental contamination issues before they become a problem. Our consistently low recovery of resistant organisms indicates the effectiveness of our existing cleaning and disinfection protocols and biosecurity measures. Due to the nature of our patient population, we do expect to find resistant organisms in the patient-contact areas of the hospital environment. However, our similar rates of resistant organisms from human-only surfaces (eg, computer keyboards, door handles, telephones, and Cubex machines) indicates a need to improve our hand hygiene practices. These data are now supporting the implementation of a new hand hygiene campaign in our veterinary hospital.Funding: NoneDisclosures: None

EP.WE.485An Audit to Investigate the Incidence of Face-to-Face Patient Review by GPs Prior to Referral to Surgical Assessment Unit

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hannah Murray
Keyword(s):  
Hospital Setting ◽  
Electronic System ◽  
Patient Risk ◽  
Face To Face ◽  
Increased Risk ◽  
Assessment Unit

Abstract Aims Since COVID-19, GP’s have been encouraged to do fewer face-to-face consultations to prevent unnecessary patient contact1. Anecdotally, this initially resulted in many patients being referred to SAU who had not been seen by a GP, and then being discharged back to the community the same day, causing potentially increased risk of contracting COVID-19 through hospital attendance. The aim of this audit was to investigate the incidence of patients referred to SAU not seen by a GP and discharged the same day. Methods GP referrals were identified over a 7 day period through the surgical take electronic system Aramis©. The case notes and GP documentation were reviewed to identify whether a face-to-face GP consultation occurred, and then whether the patient was admitted to SAU or discharged the same day. Results During a 7 day period, there were 24 (n = 24) GP referrals of which only 3 (12.5%) were not seen by the GP, all of whom were admitted for at least one night. However, of the patients referred and seen by GP, 7 (29%) were discharged the same day. Conclusions This demonstrates that during this 7-day period, there was no incidence of inappropriate GP referral to SAU of patients not seen by a GP, and the majority of GP referrals warranted admission. This suggests that in most cases, GPs are avoiding unnecessary emergency surgical referrals and attempt to review patients face-to-face prior to referral, thus reducing patient risk of contact with COVID-19 in the hospital setting.

Effects of Collocation on the Integrated Product Team and the Impact on Cost, Schedule, and Risk

1996 ◽  
Author(s):  
Richard L. Rumpf ◽  
Mark E. Gindele
Keyword(s):  
Concurrent Engineering ◽  
Critical Factor ◽  
Team Members ◽  
Face To Face ◽  
Program Schedule ◽  
Potential Benefits ◽  
Integrated Product Team ◽  
The Veil ◽  
The Impact ◽  
Product Team

Abstract Program Managers need to look beyond the veil of potential benefits to assess the risks of contractor proposed concurrent engineering efforts. The mere mention of concurrent engineering or its synonym, integrated product team, does not in itself reduce program schedule and cost. Evaluations should center upon the offeror’s past success with these initiatives and the fundamental steps leading to their implementation. In a recent study of several programs involving the manufacture of Aircraft Launch and Recovery Equipment (ALRE) and support equipment, the effects of integrated product teams were assessed. Several of the programs studied had been competitively awarded to contractors that subsequently defaulted on their contract. The equipment programs were then successfully manufactured by the Prototyping and Manufacturing department at Naval Air Warfare Center, Lakehurst, NJ. Data from the study indicated the success of the manufacture was directly attributable to the use of integrated product teams. Extensive communication between engineering, manufacturing, and testing teams led to the resolution of problems quickly. Face to face meetings were frequent and issues were resolved in minutes without resorting to technical memorandums or other protracted written documents. Collocation of the team members was considered the most critical factor to gaining any benefits from concurrent engineering. Further evidence indicated the more complex a system, the more collocation was critical to its successful completion. Complexity, when measured by the number of parts, critical interfaces, and final testing requirements, was assessed for each program. The more complex programs had employed more frequent and local communication.

M-Governance

2014 ◽  
pp. 247-262
Author(s):  
Hilda Moraa ◽  
Anne Salim ◽  
Albert Otieno
Keyword(s):  
Information And Communication Technologies ◽  
Communication Channels ◽  
Communication Technologies ◽  
Service Levels ◽  
Water Service ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
Information And Communication ◽  
Levels Of Service ◽  
Study Participants

iHub Research conducted a study on 896 citizens to establish whether citizens raise alarm when faced with problems related to water. The study aimed to ascertain the communication channels they use to forward complaints to relevant authorities and the level of satisfaction obtained by the citizens after their complaints have been received. The study found that 68% of the respondents had faced challenges while trying to access their main source of water and were not able to complain to anyone about the problems affecting them due to inexistence of appropriate communication channels. A lack of understanding with regards to whom or where to complain was cited as one of the major reasons as to why most respondents do not complain about the water service levels. Majority of the citizens interviewed use face-to-face communication to raise their water grievances. Levels of satisfaction were found to vary when it comes to rating the action taken on water complaints raised. This study opines that with the emergence of Information and Communication Technologies (ICTs) this scenario is poised to change. The study participants revealed that they are motivated to utilise ICTs to air their complaints with regards to their levels of service satisfaction. Emerging ICT applications, especially those accessible on mobile devices, provide a lot of promise for enhancing water service delivery in Kenya because feedback on water/service quality can be received ubiquitously.

Sign in / Sign up

Export Citation Format

Share Document