scholarly journals Understanding what impacts on disclosing anal incontinence for women when comparing bowel-screening tools: a phenomenological study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Julie Tucker ◽  
Elizabeth Mary Ann Murphy ◽  
Mary Steen ◽  
Vicki L. Clifton
Keyword(s):  
Anal Incontinence ◽  
Phenomenological Study ◽  
Assessment Tool ◽  
First Trimester ◽  
Subsequent Pregnancy ◽  
Assessment Tools ◽  
Screening Tools ◽  
Women Of Childbearing Age ◽  
Structured Interviews ◽  
Childbearing Age

Abstract Background There is limited research defining the true prevalence of anal incontinence (AI) in women of childbearing age. Understanding the limitations of the current assessment tools in the identification of AI is paramount for identifying the prevalence of AI and improving the care and management for women of childbearing age. The aim of this research was to explore and develop an understanding of women’s experiences in disclosing AI when completing a new bowel-screening questionnaire when compared to two established AI tools. Methods A phenomenological qualitative research study was undertaken in a maternity setting in a large tertiary hospital. Parous women in the first trimester of a subsequent pregnancy were recruited to complete a specifically designed screening tool (BSQ), St Marks Faecal incontinence score (Vaizey) and Cleveland (Wexner) score. Qualitative semi-structured interviews were utilised to identify experiences in disclosing AI. Results Women (n = 16, 22–42 years) with a history of anal incontinence either following the first birth (n = 12) or the second (n = 4) provided differing responses between the three assessment tools. All women answered the BSQ while the Vaizey and Wexner scores were more difficult to complete due to clinical language and participants level of comprehension. Women identified three major themes that were barriers for disclosing incontinence, which included social expectations, trusted space and confusion. Conclusion There are barriers for disclosing AI in the pregnant and post-natal population, which can be improved with the use of an easy assessment tool. The BSQ may facilitate discussion on AI between the patient and health professional leading to earlier identification and improvement in short and long-term health outcomes.

scholarly journals Ingresos en UCI por causas obstétricas

2018 ◽  
Vol 18 (1) ◽  
pp. 304-345 ◽  
Author(s):  
Luana Feitosa Mourão ◽  
Igor Cordeiro Mendes ◽  
Antonio Dean Barbosa Marques ◽  
Virna Ribeiro Feitosa Cestari ◽  
Roussana Maria Barreto de Brito Braga
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
First Trimester ◽  
Lung Edema ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
First Trimester Of Pregnancy ◽  
Terapia Intensiva ◽  
Las Mujeres

Objetivou-se analisar as internações de mulheres em idade fértil em uma Unidade de Terapia Intensiva Obstétrica. Estudo transversal, documental e retrospectivo, realizado em uma Unidade de Terapia Intensiva Obstétrica, localizada em Fortaleza/Ceará, com a presença de mulheres em idade fértil admitidas na unidade no ano de 2016. Os dados foram coletados dos prontuários que atenderam aos critérios de inclusão, durante o mês de abril de 2017, mediante um formulário semiestruturado e analisados por meio de estatística descritiva, sendo incluídos 106 prontuários. A maioria das mulheres tinham faixa etária entre 20 a 29 anos, pardas, em união estável, com ensino médio completo, primíperas, com início do pré-natal no 1º trimestre gestacional, com 4 a 6 consultas. Dentre as causas obstétricas diretas (61,1%) as principais foram Eclâmpsia (34,4%), Síndrome de Hellp (15,1%) e Pré-eclâmpsia grave (11%) e para as causas obstétricas indiretas (38,9%) destacam-se Insuficiência renal (13,5%), Edema agudo de pulmão (11,5%) e Cardiopatia (9,6%). Os dados revelam uma linha ténue no que concerne a atenção a saúde da mulheres dentro do ciclo gravídico-puerperal. Su objetivo es analizar los ingresos de mujeres en edad fértil en una Unidad de Cuidados Intensivos Obstétrica. Estudio transversal, documental y retrospectivo, realizado en una Unidad de Cuidados Intensivos Obstétrica, ubicada en Fortaleza / Ceará, con la presencia de mujeres en edad fértil admitidas en la unidad en el año 2016. Los datos fueron recolectados de los registros que atendieron a los criterios de inclusión. Durante el mes de abril de 2017, mediante un formulario semiestructurado y analizado por medio de estadística descriptiva, siendo incluidos 106 registros. La mayoría de las mujeres tenía un grupo de edad entre 20 y 29 años, pardas, en unión estable, con enseñanza media completa, primíperas, con inicio del prenatal en el primer trimestre gestacional, con 4 a 6 consultas. Entre las causas obstétricas directas (61,1%) las principales fueron Eclampsia (34,4%), Síndrome de Hellp (15,1%) y Pre-eclampsia grave (11%) y para las causas obstétricas indirectas (38,9 (%), Se observan las siguientes: Insuficiencia renal (13,5%), Edema agudo de pulmón (11,5%) y Cardiopatía (9,6%). Los datos revelan una línea tenue en lo que concierne a la atención a la salud de las mujeres dentro del ciclo gravídico-puerperal. The objective was to analyze the admission of women of childbearing age to an Obstetric Intensive Care Unit. A cross-sectional, documentary and retrospective study was carried out in an Obstetric Intensive Care Unit, located in Fortaleza/Ceará, with women of childbearing age admitted to the unit in 2016. Data were collected from 106 medical records that met the inclusion criteria during the month of April 2017, using a semi-structured form, and analyzed by means of descriptive statistics. The majority of the women were between 20 and 29 years old, common-law married, with complete secondary education, primiparous, had initiated prenatal care in the first trimester of pregnancy, and attended 4 to 6 consultations. Among the direct obstetric causes (61.1%), the most frequent were Eclampsia (34.4%), HELLP syndrome (15.1%) and Severe preeclampsia (11%). The indirect obstetric causes (38.9%) included Renal insufficiency (13.5%), Acute lung edema (11.5%) and Heart disease (9.6%). Data revealed a fragile health care for women within the pregnant-puerperal cycle.

scholarly journals Clinicians’ Perceptions of the Implementation of the Structured Assessment of Protective Factors for Violence Risk (SAPROF) on an Inpatient Forensic Unit

2019 ◽  
Author(s):  
Tom Domjancic ◽  
Treena Wilkie ◽  
Shaheen Darani ◽  
Brittney Williams ◽  
Bandhana Maheru ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Protective Factors ◽  
Assessment Tool ◽  
Point Of View ◽  
Assessment Tools ◽  
Violence Risk ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Consensus Scoring ◽  
Additional Value

The Structured Assessment of PROtective Factors for Violence Risk (SAPROF) is an assessment tool that examines protective factors when assessing for violence risk. There is limited research on clinicians’ perceptions of the use and implementation of risk assessment tools, and this study aimed to examine the experiences of clinicians using the SAPROF in a low secure forensic rehabilitation inpatient unit in Canada. An exploratory research design was used, and five clinicians participated in semi-structured interviews. Data was analyzed using a thematic approach and three central themes were identified: understanding of the patient from a strengths-based point of view, providing clinicians with a focus on how to help the patient, and bringing in opportunities to collaborate as a team. The findings highlight the additional value of the SAPROF as tool in helping forensic teams to adopt strengths based approaches to risk assessment, enhancing treatment planning and inter-professional collaboration.   Keywords: strengths, risk assessment, SAPROF, consensus scoring, recovery

scholarly journals Incisional hernia repair in women of childbearing age: A nationwide propensity-score matched study

2019 ◽  
Vol 109 (4) ◽  
pp. 295-300
Author(s):  
E. Oma ◽  
K. K. Jensen ◽  
L. N. Jorgensen ◽  
T. Bisgaard
Keyword(s):  
Chronic Pain ◽  
Propensity Score ◽  
Confidence Interval ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Subsequent Pregnancy ◽  
Secondary Outcome ◽  
Women Of Childbearing Age ◽  
Childbearing Age

Background & Aims: Although incisional hernia repair in women of childbearing age is not rare, hernia disease in this group of patients is sparsely documented. The aim of this study was to examine long-term clinical results after incisional hernia repair in women of childbearing age. Material and methods: This nationwide cohort study examined incisional hernia repair from 2007 to 2013 in women of childbearing age, registered prospectively in the Danish Ventral Hernia Database. All women with a subsequent pregnancy were included, and a 1:3 propensity-score matched group of women with an incisional hernia repair without a subsequent pregnancy. A prospective follow-up was conducted, including a validated questionnaire. The primary outcome was recurrence, and the secondary outcome was chronic pain from the operated site. Results: In total, 124 (70.5%) women responded, 47 and 77 women with and without a subsequent pregnancy, respectively. The 5-year cumulative incidence of recurrence was 41.0% (95% confidence interval 32.0%–49.9%). After adjustment for potential confounders, subsequent pregnancy was independently associated with recurrence (hazard ratio 1.83, 95% confidence interval 1.02–3.29, p = 0.044). Twenty-six (21.0%) women reported chronic pain (moderate, n = 21; severe, n = 5) with no difference between women with and without a subsequent pregnancy. Hernia recurrence, higher body mass index, and smoking were associated with chronic pain. Conclusion: Pregnancy following incisional hernia repair was associated with an increased risk of recurrence, but not with chronic pain.

scholarly journals Penyuluhan tentang Gambaran Diabetes Melitus pada Wanita Usia Subur di Desa Penyengat Olak Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi Tahun 2019

2021 ◽  
Vol 3 (1) ◽  
pp. 6
Author(s):  
Dewi Nopiska Lilis ◽  
Imelda Imelda
Keyword(s):  
Diabetes Mellitus ◽  
Health Knowledge ◽  
First Trimester ◽  
Reproductive Age ◽  
Congenital Defects ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Administrative Preparation ◽  
Reading Material ◽  
Condition Of Women

The percentage of diabetes mellitus in women of reproductive age needs to be monitored and watched out for. Women with diabetes before pregnancy are more likely to have babies with congenital defects if their glycemic control is below optimal during the first trimester of pregnancy. Target and outcome: to increase knowledge and mindset on the health of women of childbearing age. The goal is to increase health knowledge about the picture of diabetes mellitus in women of childbearing age and changes in behavior from information provided through counseling and giving leaflets as reading material to get used to living healthy and away from things that aggravate health conditions, especially the picture of diabetes mellitus in women of childbearing age. Implementation methods: administrative preparation, socialization, presentation by providing counseling and distribution of leaflets about the description of diabetes mellitus to women of childbearing age in Penyegat Olak Village, Jambi Sub-district, Outer City, Muaro Jambi Regency in 2019, and finally a discussion. Results: Implementation of counseling and distribution of leaflets on the description of diabetes mellitus was given to 40 women of childbearing age. Evaluation carried out after the mother has been given counseling can explain an increase in health knowledge about the picture of diabetes mellitus in women of childbearing age. Behavior changes in women of childbearing age include implementing good things, getting used to living healthy and staying away from things that aggravate the condition of women with diabetes mellitus

scholarly journals Conducting a psychosocial and lifestyle assessment as part of an integrated care approach for childhood obesity: experiences, needs and wishes of Dutch healthcare professionals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
L. W. Koetsier ◽  
M. M. A. van Mil ◽  
M. M. A. Eilander ◽  
E. van den Eynde ◽  
C. A. Baan ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Integrated Care ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Structured Interviews ◽  
Care Approach ◽  
The Right ◽  
Visual Materials ◽  
Solution Focused

Abstract Background The causes and consequences of childhood obesity are complex and multifaceted. Therefore, an integrated care approach is required to address weight-related issues and improve children’s health, societal participation and quality of life. Conducting a psychosocial and lifestyle assessment is an essential part of an integrated care approach. The aim of this study was to explore the experiences, needs and wishes of healthcare professionals with respect to carrying out a psychosocial and lifestyle assessment of childhood obesity. Methods Fourteen semi-structured interviews were conducted with Dutch healthcare professionals, who are responsible for coordinating the support and care for children with obesity (coordinating professionals, ‘CPs’). The following topics were addressed in our interviews with these professionals: CPs’ experiences of both using childhood obesity assessment tools and their content, and CPs’ needs and wishes related to content, circumstances and required competences. The interviews comprised open-ended questions and were recorded and transcribed verbatim. The data was analysed using template analyses and complemented with open coding in MAXQDA. Results Most CPs experienced both developing a trusting relationship with the children and their parents, as well as establishing the right tone when engaging in weight-related conversations as important. CPs indicated that visual materials were helpful in such conversations. All CPs used a supporting assessment tool to conduct the psychosocial and lifestyle assessment but they also indicated that a more optimal tool was desirable. They recognized the need for specific attributes that helped them to carry out these assessments, namely: sufficient knowledge about the complexity of obesity; having an affinity with obesity-related issues; their experience as a CP; using conversational techniques, such as solution-focused counselling and motivational interviewing; peer-to-peer coaching; and finally, maintaining an open-minded, non-stigmatizing stance and harmonizing their attitude with that of the child and their parents. Conclusions Alongside the need for a suitable tool for conducting a psychosocial and lifestyle assessment, CPs expressed the need for requisite knowledge, skills and attitudes. Further developing a supporting assessment tool is necessary in order to facilitate CPs and thereby improve the support and care for children with obesity and their families.

Acute Myocardial Infarction in the First Trimester of Pregnancy

2005 ◽  
Vol 13 (2) ◽  
pp. 175-177 ◽  
Author(s):  
Amar M Salam
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
First Trimester ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Anterior Myocardial Infarction ◽  
First Trimester Of Pregnancy ◽  
Artery Disease ◽  
In Pregnancy

Acute myocardial infarction rarely occurs in women during pregnancy. However, when it does occur, it usually carries a high risk of maternal and perinatal mortality. There is a lack of awareness that this condition can occur in pregnancy since coronary artery disease is uncommon in women of childbearing age. In this report, a 43-year-old lady with acute anterior myocardial infarction in her eighth week of pregnancy is presented. The challenges involved in diagnosing this condition in pregnancy are briefly discussed.

Building organisational resilience for the construction industry

2017 ◽  
Vol 8 (1) ◽  
pp. 98-108 ◽  
Author(s):  
Zulkfli Sapeciay ◽  
Suzanne Wilkinson ◽  
Seosamh B. Costello
Keyword(s):  
New Zealand ◽  
Natural Disasters ◽  
Construction Industry ◽  
Assessment Tool ◽  
Community Resilience ◽  
Assessment Tools ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Content Type ◽  
Post Disaster

Purpose This paper aims to explore New Zealand construction practitioners’ approaches to organisational resilience practice in built environment discipline, based on survey and interview results. The objective was to explore the resilience practice within the construction sector with the intention of developing a resilient assessment tool specifically for construction organisations. Design/methodology/approach A literature review was conducted to gather information on assessment tools for measuring organisational resilience, their characteristics and indicators. Subsequently, a set of questions was formulated to collate opinions from construction practitioners in New Zealand, using a questionnaire survey and semi-structured interviews. Findings This paper concludes by showing that the construction industry lacks resilience practice, especially from an organisational perspective. The findings suggest that the industry would benefit from a resilience assessment tool to help improve resilience. The adoption of such a tool could potentially enhance organisational capacity to recover quickly from crises and disasters. Practical implications Improving the resilience of construction organisations to natural disasters not only minimises the negative consequences to their organisations post-disaster and enhances their organisational performance during business as usual but also helps to improve community resilience. Originality/value Improving the resilience of construction organisations also helps to improve community resilience and overall post-disaster recovery. However, at present, little research has been conducted on how construction organisations deal with the risk of natural disasters.

scholarly journals Health Literacy questionnaire development for 9 and 10 years old: a discussion of assessment tools!

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Reis ◽  
I Barroso ◽  
L Saboga-Nunes ◽  
O Okan ◽  
T Bollweg ◽  
...  
Keyword(s):  
Health Literacy ◽  
Urban Areas ◽  
Assessment Tool ◽  
A Priori ◽  
School Setting ◽  
Questionnaire Development ◽  
Life Cycles ◽  
Assessment Tools ◽  
Structured Interviews ◽  
School Settings

Abstract Background With Health literacy (HL) investments - to promote health and self-care during people’s life cycles (childhood, especially) - health professionals approach is multi-dimensional: within the family, school settings and community. The objective of this study is to explore the feasibility and usability of a questionnaire to characterize HL levels among 9 and 10 years old. It is expected that this will help health care personal to better focus health promotion initiatives in the school setting. Methods The CrAdLiSa project in conjunction with the HLCA German Consortium, implemented a field test for the newly developed HL assessment tool for children in the Portuguese context. This is a deductive-inductive, exploratory-descriptive study including 16 children, with 9 and 10 years old, from 2 different elementary schools in Santarém District (rural and urban areas). Semi-structured interviews aim at exploring the cognitive appraisal of concepts and indicators at the base of the questionnaire developed to assess HL levels. Data was subjected to content analysis, with a priori and a posteriori categorization. Results Preliminary results point to the cognitive comprehension by children of the feasibility of an instrument to assess their HL levels. It depicts discriminatory capabilities (to allow characterization of low, medium or high levels of HL). Children living in urban areas, having better financial resources are less likely to develop obesity, or low weight. Better self-perception of school performance, good relationship with family members, parents with higher education or higher levels of HL appear to have better quality of life. Conclusions Results suggest the need to invest in children’s and families’ HL, while taking into consideration personal, environmental and socioeconomic determinants. School settings should be considered as a natural arena to improve children’s (and, as a result, families’ and communities’) HL levels.

scholarly journals Assessing collaborative performance on construction projects through knowledge exchange

2017 ◽  
Vol 24 (6) ◽  
pp. 968-987 ◽  
Author(s):  
Gergana Staykova ◽  
Jason Underwood
Keyword(s):  
Construction Projects ◽  
Qualitative Methodology ◽  
Assessment Tool ◽  
Single Case ◽  
Knowledge Exchange ◽  
Assessment Tools ◽  
Continuous Assessment ◽  
Structured Interviews ◽  
Content Type ◽  
Collaborative Performance

Purpose How knowledge exchange (KE) can be used for the continuous assessment and improvement of collaborative performance of project-based organisations in construction is explored. Collaboration on construction projects must be facilitated by people alongside practice of continuous performance assessment and improvement. Currently available assessment tools fail to explicitly define appropriate behaviours and actions due to a poor understanding of what it means for people to collaborate. In contrast, it is established that KE is the focus of collaborative efforts on construction projects; therefore, as most knowledge resides with people, it represents their role in collaboration. The paper aims to discuss these issues. Design/methodology/approach Through a phenomenological/interpretivist and qualitative methodology, how KE can be used for the continuous assessment and improvement of collaborative performance in project-based organisations in construction is explored. A single case study of a UK rail strategic alliance was adopted and six semi-structured interviews were conducted and analysed through a thematic analysis. Findings An assessment tool is proposed based on a set of 20 characteristics of KE, divided into seven categories and linked to indicators of collaboration. The tool can be applied to highly collaborative projects where BIM and Lean are implemented, and project participants are collocated. By measuring their performance against the set criteria, project teams can assess which of their behaviours and actions are inappropriate, and focus their efforts on correcting them. Originality/value Defining the abstract indicators traditionally used to assess collaboration in terms of characteristics pertinent to day-to-day communication amongst participants on collaborative projects to facilitate the continuous assessment and improvement of collaborative performance.

An evaluation of the validity of nutrition screening and assessment tools in patients admitted to a vascular surgery unit

2019 ◽  
Vol 122 (6) ◽  
pp. 689-697 ◽  
Author(s):  
Jolene Thomas ◽  
Billingsley Kaambwa ◽  
Christopher Delaney ◽  
Michelle Miller
Keyword(s):  
Vascular Surgery ◽  
Screening Tool ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Assessment Tools ◽  
Screening Tools ◽  
Increased Risk ◽  
Nrs 2002

AbstractVascular surgery patients are nutritionally vulnerable. Various malnutrition screening and assessment tools are available; however, none has been developed or validated in vascular patients. The present study aimed to: (1) investigate the validity of four commonly administered malnutrition screening tools (Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screen-2002 (NRS-2002) and the Mini-Nutritional Assessment – Short Form (MNA-SF) and an assessment tool (the Patient-Generated Subjective Global Assessment (PG-SGA)) compared against a comprehensive dietitian’s assessment and (2) evaluate the ability of the instruments to predict outcomes. Vascular inpatients were screened using the four malnutrition screening tools and assessed using the PG-SGA. Each was assessed by a dietitian incorporating nutritional biochemistry, anthropometry and changes in dietary intake. Diagnostic accuracy, consistency and predictive ability were determined. A total of 322 (69·3 % male) patients participated, with 75 % having at least one parameter indicating nutritional deficits. No instrument achieved the a priori levels for sensitivity (14·9–52·5 %). Neither tool predicted EuroQoL 5-dimension 5-level score. All tools except the MNA-SF were associated with length of stay (LOS); however, the direction varied with increased risk of malnutrition on the MUST and NRS-2002 being associated with shorter LOS (P=0·029 and 0·045) and the reverse with the MST and PG-SGA (P=0·005 and <0·001). The NRS-2002 was associated with increased risk of complications (P=0·039). The MST, NRS-2002 and PG-SGA were predictive of discharge to an institution (P=0·004, 0·005 and 0·003). The tools studied were unable to identify the high prevalence of undernutrition; hence, vascular disease-specific screening and/or assessment tools are warranted.

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