Paperlite: piloting a new way of working in community nursing

2019 ◽  
Vol 24 (12) ◽  
pp. 586-589
Author(s):  
Kate Uprichard

Technology within healthcare is a growing industry, and health professionals now use technology within their everyday working life. Within hospitals, it is the norm to see staff using handheld devices to record clinical observations and patient notes being typed into an electronic system. However, the use of technology within community settings is far behind that of hospital counterparts. It has been acknowledged that the use of technology in healthcare will improve efficiency and remove some of the bureaucracy within the NHS, and community areas are beginning to pilot different ways of implementing this. This article describes a pilot trial of using technology to aid mobile working in the author's trust and discusses how district nursing can embrace the use of paperlite culture to improve efficiency and record reliability.

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Nadir G. Abdelrahman ◽  
Raza Haque ◽  
Molly E. Polverento ◽  
Andrea Wendling ◽  
Courtney M. Goetz ◽  
...  

(1) Background: There is increasing scholarly support for the notion that properly implemented and used, technology can be of substantial benefit for older adults. Use of technology has been associated with improved self-rating of health and fewer chronic conditions. Use of technology such as handheld devices by older adults has the potential to improve engagement and promote cognitive and physical health. However, although, literature suggests some willingness by older adults to use technology, simultaneously there are reports of a more cautious attitude to its adoption. Our objective was to determine the opinions towards information technologies, with special reference to brain health, in healthy older adults either fully retired or still working in some capacity including older adult workers and retired adults living in an independent elderly living community. We were especially interested in further our understanding of factors that may play a role in technology adoption and its relevance to addressing health related issues in this population; (2) Methods: Two focus groups were conducted in an inner-city community. Participants were older adults with an interest in their general health and prevention of cognitive decline. They were asked to discuss their perceptions of and preferences for the use of technology. Transcripts were coded for thematic analysis; (3) Results: Seven common themes emerged from the focus group interviews: physical health, cognitive health, social engagement, organizing information, desire to learn new technology, advancing technology, and privacy/security; and (4) Conclusions: This study suggests that in order to promote the use of technology in older adults, one needs to consider wider contextual issues, not only device design per se, but the older adult’s rationale for using technology and their socio-ecological context.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm


Author(s):  
Hatice Sancar-Tokmak

Teachers are the main foundations of the education system, and their professional development during their working life is vital in ensuring the success of any attempts to change that system. It is for this reason that in-service training is high on the agenda of most countries, although previous studies have shown that teachers are unable to transfer the knowledge they gain through in-service training to in-class activities, as more long-lasting help is required. One way in which teachers can be provided help in this regard is through the use of technology in line with a strong instructional design theory. This chapter aims to address this issue by showing how videos can be used in the professional development of teachers as part of an expertise-based training (XBT) program. The chapter is compiled in seven main parts: 1) Introduction 2) Background 3) Main Focus of the Chapter 5) Solutions and Recommendations 6) Future Research Directions, and finally, 7) Conclusions.


2020 ◽  
Vol 31 (1) ◽  
pp. 41-53
Author(s):  
Louise S. Madsen ◽  
Claus V. Nielsen ◽  
John L. Oliffe ◽  
Charlotte Handberg

Contemporary practice has started to rethink use of outdoor and community environments for advancing comprehensive rehabilitation outcomes. The aim is to examine health professionals’ experiences and perceptions of providing rehabilitation in outdoor community settings. The purpose is to use these experiences to generate practice-based knowledge in using the outdoors as a means to guide community-based rehabilitation. The Interpretive Description methodology was accompanied by social practice theory. Fieldwork was conducted utilizing participant observation, photovoice, and focus-group interviews. Included were 27 health professionals. The analysis revealed how “naturalistic learning opportunities” offered health professionals strategies to empower activity and participation levels and yet invoked “rehabilitation setting tensions.” A continuum was engaged in the theme “navigating a middle ground,” representing an integrated environment approach; rehabilitation in conventional indoor and outdoor community settings. Development of a sustainable concept for outdoor community-based rehabilitation involves strengthening health professionals’ competencies and skills for providing outdoor and community work.


2019 ◽  
Vol 48 (6) ◽  
pp. 875-880
Author(s):  
Valérie Boucher ◽  
Marie-Eve Lamontagne ◽  
Jacques Lee ◽  
Pierre-Hugues Carmichael ◽  
Julien Déry ◽  
...  

Abstract Background patient self-assessment using electronic tablet could improve the quality of assessment of older Emergency Department(ED) patients. However, the acceptability of this practice remains unknown. Objective to compare the acceptability of self-assessment using a tablet in the ED to a standard assessment by a research assistant (RA), according to seniors and their caregivers. Design randomised crossover pilot study. Setting The Hôpital de l’Enfant-Jésus (CHU de Québec–Université Laval) (2018/05–2018/07). Subjects (1) ED patients aged ≥65, (2) their caregiver, if present. Methods participants’ frailty, cognitive and functional status were assessed with the Clinical Frailty scale, Montreal Cognitive Assessment, and Older American Resources and Services scale and patients self-assessed using a tablet. Test administration order was randomised. The primary outcome, acceptability, was measured using the Treatment Acceptability and Preferences (TAP) scale. Descriptive analyses were performed for sociodemographic variables. TAP scores were adjusted using multivariate linear regression. Thematic content analysis was performed for qualitative data. Results sixty-seven patients were included. Mean age was 75.5 ± 8.0 and 55.2% were women. Adjusted TAP scores for RA evaluation and patient self-assessment were 2.36 and 2.20, respectively (P = 0.08). Patients aged ≥85 showed a difference between the TAP scores (P < 0.05). Qualitative data indicates that this might be attributed to the use of technology. Data from nine caregivers showed a 2.42 mean TAP score for RA evaluation and 2.44 for self-assessment. Conclusions our results show that older patients believe self-assessment in the ED using an electronic tablet as acceptable as a standard evaluation by a research assistant. Patients aged ≥85 find this practice less acceptable.


2020 ◽  
Vol 1 (2) ◽  
pp. 28
Author(s):  
Hafizah Muhamad Kassim ◽  
Nur-Ehsan Mohd Said

<p>This study intended to describe seven ESL teachers’ integration and their attitudes toward mobile learning (m-learning) as a tool to facilitate students in vocabulary lessons. Mobile learning is a new way to access learning content using handheld devices where mobile technology is integrated into routine teaching activities. The concept is grounded on a theoretical foundation where the mobile application is used as a tool to enhance learning. A qualitative research approach was employed for data collection and analysis in the study. Seven respondents of ESL teachers at secondary schools participated in a series of semi-structured interviews. The interview protocol was adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT) to understand the ESL teachers’ practice regarding the integration of mobile learning. Findings from the study indicated that the ESL teachers integrated mobile learning in their teaching due to its functionality in enhancing English language learners’ vocabulary learning. The study indicated that the teachers considered mobile learning as necessary and a convenient type of learning while displaying positive attitudes towards the integration of mobile learning. Regardless of their length in service or volition, mobile learning is seen as one of the many useful tools that facilitate vocabulary lessons.</p>


PEDIATRICS ◽  
1981 ◽  
Vol 67 (3) ◽  
pp. 315-320 ◽  
Author(s):  
Raymond S. Duff

Medical paternalism supported by hospitals and courts has been, will be, and should be used in those few situations where clearly incompetent or irresponsible parents resist treatment that health professionals generally agree is needed and effective. If used in other circumstances, it is likely to erode family and professional autonomy and bring about an oppressive "medical Vietnam" (costly, sometimes abusive, use of technology to ensure biologic existence with little regard for quality of child and family life and competing interests). Families must be relied upon to help resolve most complex tragedies because there is no better alternative. They are likely to become stronger if they participate in decisions for care of their severely defective children. Such decisions logically include those for life or death.


2021 ◽  
Author(s):  
SDAG Lab

The use of technology for imaging has grown and optimized the quality of the diagnostics, speed of the examinations, and the level of dose for the patients. This work was developed using the exploratory study standard, through a bibliographical research of materials already produced, and aims to verify the presence of Artificial Intelligence (IA) applied to radiology as a means of optimizing the imaging diagnosis and awakening the professionals of the area on the evolution of technology to obtain a better medical diagnosis, concluding that, in the future, it may be required to adapt them to their insertion or permanence in the labor market, showing the importance of AI in radiology so that health professionals must develop in this area, since its application can bring great benefits to humanity.


2019 ◽  
Vol 27 (10) ◽  
pp. 642-648
Author(s):  
Helen Watson ◽  
Hora Soltani

Objectives This study aimed to investigate ethnic minority women's experiences and opinions of perinatal mental health problems and the provision support services. Methods An exploratory survey was undertaken using a questionnaire. Quantitative data were analysed using descriptive statistics and a simple thematic analysis was used for the qualitative data. A total of 51 responses from women of 14 different ethnic minority backgrounds were analysed. Findings Women from minority ethnic groups face barriers to seeking help for perinatal mental ill health as a result of ongoing stigma, the poor attitudes and behaviours of health professionals and inappropriately designed services. Conclusions Future interventions should focus on providing adequate cultural competency for health professionals and ensure that all women are able to access culturally appropriate spaces to talk and be listened to in community settings and wider services.


Sign in / Sign up

Export Citation Format

Share Document