scholarly journals To triage or not to triage? The history and evidence for this model of care in psychiatry

2021 ◽  
pp. 1-9
Author(s):  
Mariana Pinto da Costa ◽  
Dhanya Salimkumar ◽  
James Gary Chivers
Keyword(s):  
Patient Care ◽  
Models Of Care ◽  
Home Treatment ◽  
Future Research ◽  
Model Of Care ◽  
Readmission Rates ◽  
History Of ◽  
Patient Stay ◽  
Potential Impact ◽  
Satisfaction Rates

SUMMARY Triage wards were introduced as a new model of psychiatric in-patient care in 2004. However, there is limited evidence comparing them with the traditional in-patient models of care. This article reviews the history of triage wards, their principles, the evidence for this model (e.g. length of in-patient stay, readmission rates, staff and patient satisfaction) and the development of assessment wards based on the triage model of care. The evidence shows that the triage model has higher rates of rapid discharge, with a greater proportion of ‘acute care’ performed in the community with the support of home treatment teams. This leads to lower bed occupancy in the triage wards without increased rates of readmission or a worse patient experience of in-patient care. However, overall staff experience was better in the traditional model, given that staff satisfaction rates were lower on locality wards in settings with triage systems in place. Future research should explore the potential impact on home treatment teams, and the rates of serious incidents due to the high number of acutely unwell patients on triage wards.

E-Commerce Standards

2011 ◽  
pp. 2200-2224
Author(s):  
Stephen Hawk ◽  
Weijun Zheng
Keyword(s):  
Future Research ◽  
The Past ◽  
The Future ◽  
History Of ◽  
Potential Impact

This chapter introduces XML-based e-commerce standards that have emerged within the past decade. The chapter describes the history of e-commerce standards, and then presents representative horizontal and vertical e-commerce standards by detailing their functionality, and how their development has been shaped by various stakeholders. The chapter also describes the potential for these standards to transform B2B practice by providing three industry examples. The chapter finishes by suggesting directions for future research by describing factors that could influence the future of these standards. Due to the central role these standards are likely to play in future e-commerce activity, most firms will at some point need to become aware of their capabilities, their application, and potential impact. This chapter is intended to provide an overview of the situation as it is understood today, and presents likely scenarios for how these standards may progress.

Implementing Interprofessional Collaboration to Improve Patient Outcomes: A Caring and Social Approach to Integrated Nurse-Led Community Based-Care

2020 ◽  
Vol 24 (1) ◽  
pp. 39-49
Author(s):  
Eugenia Millender ◽  
Kathleen Valentine ◽  
Terry Eggenberger ◽  
Cristina Lucier ◽  
Heather Sandala ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Interprofessional Collaboration ◽  
Treatment Plan ◽  
Models Of Care ◽  
Theory And Practice ◽  
Model Of Care ◽  
Community Based ◽  
Social Approach ◽  
History Of ◽  
Improve Patient

Nurses have a history of providing compassionate care while caring for patients living with co-occurring medical and mental conditions. Therefore, it is reasonable to develop and implement nurse-led interprofessional (IP) models of care to address chronic illness. A nurse-led IP model of care was evaluated utilizing three selected patient outcomes. Results revealed an increase in mental health stability and access to care and successful completion of a treatment plan. Integrating caring theory and practice with social determinants of health and nurse-led IP models of care is a valuable approach to improving patient outcomes and addressing health disparity.

E-Commerce Standards

2009 ◽  
pp. 1-25
Author(s):  
Stephen Hawk
Keyword(s):  
Future Research ◽  
The Past ◽  
The Future ◽  
History Of ◽  
Potential Impact

This chapter introduces XML-based e-commerce standards that have emerged within the past decade. The chapter describes the history of e-commerce standards, and then presents representative horizontal and vertical e-commerce standards by detailing their functionality, and how their development has been shaped by various stakeholders. The chapter also describes the potential for these standards to transform B2B practice by providing three industry examples. The chapter finishes by suggesting directions for future research by describing factors that could influence the future of these standards. Due to the central role these standards are likely to play in future e-commerce activity, most firms will at some point need to become aware of their capabilities, their application, and potential impact. This chapter is intended to provide an overview of the situation as it is understood today, and presents likely scenarios for how these standards may progress.

scholarly journals Telemedicine Implementation in COVID-19 ICU: Balancing Physical and Virtual Forms of Visibility

2021 ◽  
pp. 193758672110092
Author(s):  
Nirit Putievsky Pilosof ◽  
Michael Barrett ◽  
Eivor Oborn ◽  
Galia Barkai ◽  
Itai M. Pessach ◽  
...  
Keyword(s):  
Patient Care ◽  
Spatial Perception ◽  
Medical Center ◽  
Underground Structure ◽  
Digital Technologies ◽  
Well Being ◽  
Models Of Care ◽  
Future Research ◽  
The Impact

Objective: This case study examines the implementation of inpatient telemedicine in COVID-19 intensive care units (ICUs) and explores the impact of shifting forms of visibility on the management of the unit, staff collaboration, and patient care. Background: The COVID-19 crisis drove healthcare institutions to rapidly develop new models of care based on integrating digital technologies for remote care with transformations in the hospital-built environment. The Sheba Medical Center in Israel created COVID-19 ICUs in an underground structure with an open-ward layout and telemedicine control rooms to remotely supervise, communicate, and support the operations in the contaminated zones. One unit had a physical visual connection between the control room and the contaminated zone through a window, while the other had only a virtual connection with digital technologies. Methods: The findings are based on semistructured interviews with Sheba medical staff, telemedicine companies, and the architectural design team and observations at the COVID-19 units during March–August 2020. Results: The case study illustrates the implications of virtual and physical visibility on the management of the unit, staff collaboration, and patient care. It demonstrates the correlations between patterns of visibility and the users’ sense of control, orientation in space, teamwork, safety, quality of care, and well-being. Conclusions: The case study demonstrates the limitations of current telemedicine technologies that were not designed for inpatient care to account for the spatial perception of the unit and the dynamic use of the space. It presents the potential of a hybrid model that balances virtual and physical forms of visibility and suggests directions for future research and development of inpatient telemedicine.

E-Commerce Standards

2011 ◽  
pp. 96-124
Author(s):  
Stephen Hawk ◽  
Weijun Zheng
Keyword(s):  
Future Research ◽  
The Past ◽  
The Future ◽  
History Of ◽  
Potential Impact

This chapter introduces XML-based e-commerce standards that have emerged within the past decade. The chapter describes the history of e-commerce standards, and then presents representative horizontal and vertical e-commerce standards by detailing their functionality, and how their development has been shaped by various stakeholders. The chapter also describes the potential for these standards to transform B2B practice by providing three industry examples. The chapter finishes by suggesting directions for future research by describing factors that could influence the future of these standards. Due to the central role these standards are likely to play in future e-commerce activity, most firms will at some point need to become aware of their capabilities, their application, and potential impact. This chapter is intended to provide an overview of the situation as it is understood today, and presents likely scenarios for how these standards may progress.

Using unexpected outcomes to inform patient care and future research

2014 ◽  
Author(s):  
Eleanor R. Mackey ◽  
Abigail M. Romirowsky ◽  
Marissa Tolep ◽  
Anna Vannucci ◽  
Evan Nadler
Keyword(s):  
Patient Care ◽  
Future Research ◽  
Unexpected Outcomes

Bayesian Inference in Human Time Perception

2017 ◽  
Author(s):  
Darren Rhodes
Keyword(s):  
Time Perception ◽  
Likelihood Function ◽  
Human Perception ◽  
Future Research ◽  
Temporal Properties ◽  
History Of Research ◽  
Psychophysical Testing ◽  
History Of ◽  
Fundamental Dimension ◽  
Perception Of Time

Time is a fundamental dimension of human perception, cognition and action, as the perception and cognition of temporal information is essential for everyday activities and survival. Innumerable studies have investigated the perception of time over the last 100 years, but the neural and computational bases for the processing of time remains unknown. First, we present a brief history of research and the methods used in time perception and then discuss the psychophysical approach to time, extant models of time perception, and advancing inconsistencies between each account that this review aims to bridge the gap between. Recent work has advocated a Bayesian approach to time perception. This framework has been applied to both duration and perceived timing, where prior expectations about when a stimulus might occur in the future (prior distribution) are combined with current sensory evidence (likelihood function) in order to generate the perception of temporal properties (posterior distribution). In general, these models predict that the brain uses temporal expectations to bias perception in a way that stimuli are ‘regularized’ i.e. stimuli look more like what has been seen before. Evidence for this framework has been found using human psychophysical testing (experimental methods to quantify behaviour in the perceptual system). Finally, an outlook for how these models can advance future research in temporal perception is discussed.

Fragments of the American Dream: Immigration, Race, and Medical Care in the Segregated South, 1929

Public Voices ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 1
Author(s):  
John R Phillips
Keyword(s):  
United States ◽  
American Dream ◽  
Black Population ◽  
The United States ◽  
Single Woman ◽  
Future Research ◽  
Legal Doctrine ◽  
Quarter Century ◽  
History Of ◽  
Sunflower County

The cover photograph for this issue of Public Voices was taken sometime in the summer of 1929 (probably June) somewhere in Sunflower County, Mississippi. Very probably the photo was taken in Indianola but, perhaps, it was Ruleville. It is one of three such photos, one of which does have the annotation on the reverse “Ruleville Midwives Club 1929.” The young woman wearing a tie in this and in one of the other photos was Ann Reid Brown, R.N., then a single woman having only arrived in the United States from Scotland a few years before, in 1923. Full disclosure: This commentary on the photo combines professional research interests in public administration and public policy with personal interests—family interests—for that young nurse later married and became the author’s mother. From the scholarly perspective, such photographs have been seen as “instrumental in establishing midwives’ credentials and cultural identity at a key transitional moment in the history of the midwife and of public health” (Keith, Brennan, & Reynolds 2012). There is also deep irony if we see these photographs as being a fragment of the American dream, of a recent immigrant’s hope for and success at achieving that dream; but that fragment of the vision is understood quite differently when we see that she began a hopeful career working with a Black population forcibly segregated by law under the incongruously named “separate but equal” legal doctrine. That doctrine, derived from the United States Supreme Court’s 1896 decision, Plessy v. Ferguson, would remain the foundation for legally enforced segregation throughout the South for another quarter century. The options open to the young, white, immigrant nurse were almost entirely closed off for the population with which she then worked. The remaining parts of this overview are meant to provide the following: (1) some biographical information on the nurse; (2) a description, in so far as we know it, of why she was in Mississippi; and (3) some indication of areas for future research on this and related topics.

Powerful Inscriptions: On the Semiotic Phenomenology of BDSM

2020 ◽  
Author(s):  
Richard Joseph Martin
Keyword(s):  
Future Research ◽  
Ethnographic Research ◽  
Linguistic Turn ◽  
Making Sense ◽  
Sociology Of Deviance ◽  
History Of ◽  
Semiotic Phenomenology ◽  
Sex Wars

BDSM encompasses a range of practices—bondage and discipline (BD), dominance and submission (DS), sadism and masochism (SM)—involving the consensual exchange of power in erotic contexts. This chapter provides an overview of scholarship on BDSM, drawing on the history of academic studies of the phenomenon, ranging from the psychology of perversion, the sociology of deviance, and the feminist “sex wars” to more recent ethnographic and phenomenological turns. The chapter focuses on the importance of discourse and affect for making sense of BDSM, both for those who seek to analyze the phenomenon and for practitioners themselves. Drawing on ethnographic research and other data, the chapter shows how language and discourse are key to answering interconnected questions about the semiotics and phenomenology of BDSM (what these practices mean and how practitioners experience these practices affectively). Thus, a potential “linguistic turn” in BDSM studies is essential for future research on this erotic minority.

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