Implementing digital technology during the pandemic: impact on stoma nursing services at a tertiary referral centre

2021 ◽  
Vol 30 (22) ◽  
pp. S14-S22
Author(s):  
Nerissa M Oliquiano ◽  
Rali Marinova ◽  
Zarah L Perry-Woodford
Keyword(s):  
Digital Technology ◽  
Personal Development ◽  
Rapid Change ◽  
Public Health Workforce ◽  
Steady Increase ◽  
Long Term Effects ◽  
Tertiary Referral Centre ◽  
Care Services ◽  
Nursing Services ◽  
Stoma Care

The COVID-19 pandemic has been one of the greatest challenges to the NHS, creating turmoil in the public health workforce and for all of those who use its services. Its immediate impact was a rapid change in how care in the NHS is planned, delivered and accessed, with no concession for stoma care services. Investment in global resources detailing COVID-19 recovery plans and the steady increase in national data related to the transmission and treatment of the virus has allowed stoma care nurses to better understand the long-term effects of the pandemic and mitigate future risk to specialist nursing services. This article describes how this crisis has provided an opportunity to radically change systems and processes in stoma care through the use of digital technology to continue interaction with patients, communicate with the multidisciplinary team and collaborate with relatives or carers, and as a platform to enhance personal development, training and education.

scholarly journals What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals’ perspectives for improving care in Germany

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alina Kasdorf ◽  
◽  
Gloria Dust ◽  
Vera Vennedey ◽  
Christian Rietz ◽  
...  
Keyword(s):  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Qualitative Content Analysis ◽  
Individual Interviews ◽  
Information Power ◽  
Care Services ◽  
Healthcare Settings ◽  
Nursing Services ◽  
Value Based Care ◽  
Qualitative Exploration

Abstract Background Little is known about the nature of patients’ transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, such as hospitals and long-term facilities including nursing homes and hospices. The perspective of healthcare professionals can therefore provide information on transitions in the LYOL that are avoidable from a medical perspective. This study aims to explore factors influencing avoidable transitions across healthcare settings in the LYOL and to disclose how these could be prevented. Methods Two focus groups (n = 11) and five individual interviews were conducted with healthcare professionals working in hospitals, hospices and nursing services from Cologne, Germany. They were asked to share their observations about avoidable transitions in the LYOL. The data collection continued until the point of information power was reached and were audio recorded and analysed using qualitative content analysis. Results Four factors for potentially avoidable transitions between care settings in the LYOL were identified: healthcare system, organization, healthcare professional, patient and relatives. According to the participants, the most relevant aspects that can aid in reducing unnecessary transitions include timely identification and communication of the LYOL; consideration of palliative care options; availability and accessibility of care services; and having a healthcare professional taking main responsibility for care planning. Conclusions Preventing avoidable transitions by considering the multicomponent factors related to them not only immediately before death but also in the LYOL could help to provide more value-based care for patients and improving their quality of life.

Telemedicine in Patients With an Ostomy During the COVID-19 Pandemic: A Retrospective Observational Study

2021 ◽  
Vol 67 (1) ◽  
pp. 12-17
Author(s):  
Vincenza Dinuzzi ◽  
Giuseppe Palomba ◽  
Maria Minischetti ◽  
Alfonso Amendola ◽  
Pierluigi Aprea ◽  
...  
Keyword(s):  
Observational Study ◽  
Health Care Services ◽  
Irrigation System ◽  
Care Center ◽  
Mechanical Bowel Preparation ◽  
University Hospital ◽  
Retrospective Observational Study ◽  
Care Services ◽  
Group B ◽  
Stoma Care

BACKGROUND: Italy instituted a lockdown from March 10 to May 3, 2020, due to the coronavirus disease-19 pandemic. All nonessential businesses were closed during this time, and health care services were reorganized. On March 11, the Stoma Care Center started providing telehealth services for patients with a stoma. PURPOSE: This retrospective observational study describes the experience of the Stoma Care Center of the University Hospital Federico II, Naples, Italy, before and during the lockdown. METHODS: Consultation records from January 1 through April 29 were retrieved, patient demographics and reasons for consultation abstracted, and pre-lockdown (January 1 to February 29) and lockdown (March 1 to April 29) information was compared. Patients who used telehealth services were also asked to rate their satisfaction with these services on a scale of 0 (extremely dissatisfied) to 4 (extremely satisfied). The authors analyzed all consultations provided from January to April 2020 and evaluated the use of telemedicine services for patients with an ostomy. Consultations were divided into 2 groups. Group A included consultations provided from January 1 to February 29. Group B included consultations provided from March 1 to April 29, which included the lockdown period. Group B included both in-person and telemedicine consultations. RESULTS: During the pre-lockdown period, 240 in-person consultations were provided. During the lockdown period, 181 in-person and 99 telemedicine consultations were provided. The number of in-person consultations for mechanical bowel preparation and transanal irrigation system training was lower (12.5% vs 6.6% [P = .046] and 3.3% vs 0% [P = .03]), whereas the number of consults for stoma care follow-up and stoma complications was higher (202 [84.1%] vs 266 [95%]). Of the 65 patients who completed the questionnaire, 82% indicated being extremely satisfied. CONCLUSIONS: The reorganization of stoma care services, including the availability of telemedicine, did not result in a decrease in the number of consultations provided. The results suggest that stoma care services using telemedicine may provide valid support for patients with an ostomy in the future.

scholarly journals Re-thinking Public Health Education in Aotearoa New Zealand: Factory Model to Personalized Learning

2021 ◽  
Vol 6 ◽  
Author(s):  
Cath Conn ◽  
Shoba Nayar ◽  
Margaret Hinepo Williams ◽  
Radilaite Cammock
Keyword(s):  
Public Health ◽  
Rapid Change ◽  
Public Health Education ◽  
Personalized Learning ◽  
Project Based Learning ◽  
Public Health Workforce ◽  
Fostering Creativity ◽  
Educational Paradigm ◽  
Societal Expectations ◽  
The Impact

Key drivers of change in the 21st century—pandemic, technology advance, social disparity—are shaping the public health industry, including employment and education. In 2020, COVID-19 brought rapid change to the teaching of public health in higher education. In this reflective essay, we move beyond the delivery of existing curricula shifting from classroom to online, and consider the greater agenda of a transformative educational paradigm. This is broadly conceptualized as a shift from a “factory model education” to one of “personalized learning” with an emphasis on fostering creativity and heutagogical (student-driven) models, underpinned by technology, and real world application involving problem and project-based learning in a changing industry. Such change has stemmed both from the impact of COVID-19 on the education system, and in response to a more momentous transformation in public health careers and societal expectations of a public health workforce.

scholarly journals Nurse Preceptor Experience in Preceptorship Program: A Systematic Literature Review of Qualitative Studies

2018 ◽  
Vol 1 (1) ◽  
pp. 35-48
Author(s):  
Moh Heri Kurniawan ◽  
Bahtiar Bahtiar
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Health Care Services ◽  
Graduate Nurses ◽  
New Graduate Nurses ◽  
Care Services ◽  
Nursing Services ◽  
New Graduate ◽  
Nurse Preceptor

This systematic literature review describes the experiences of the nurse preceptor in the preceptorship program in health care services. Data was collected from three databases: EBSCO, ScienceDirect, and Scopus. Qualitative, peer-reviewed, original studies published in English from 2013 until 2017 and exploring preceptor experiences of the preceptorship program were involved. The manuscripts were selected by screening titles, abstracts and full papers and the quality of the studies was measured. Data were analysed using content analysis.Ten studies were chosen for the review. Nurse preceptor experiences were divided into four main categories: experiences related to the preparation; experiences related to the preceptee; experiences preceptor role during the program; and experiences related to work environment. The findings establish that the nurse preceptor has a great impact to determine the quality of nursing services to the new graduate nurses, but many challenges face during the program.

Stoma care services during the COVID-19 pandemic

2021 ◽  
Vol 30 (16) ◽  
pp. S40-S44
Author(s):  
Jennie Burch
Keyword(s):  
Care Services ◽  
Stoma Care

Introduction

2019 ◽  
pp. 1-12
Author(s):  
Fabrice Jotterand ◽  
Marcello Ienca ◽  
Tenzin Wangmo ◽  
Bernice S. Elger
Keyword(s):  
Older Adults ◽  
Financial Management ◽  
Health Care Services ◽  
Assistive Technologies ◽  
Long Term Effects ◽  
Care Services ◽  
Regulatory Frameworks ◽  
Legal Challenges ◽  
Specialized Care

Dementia and especially Alzheimer’s disease (AD) are among the most expensive and burdensome diseases in Western societies. It is estimated that the number of older adults being diagnosed and living with dementia reached 35.6 million worldwide in 2010 and it is expected to increase up to 135.5 million in 2050. The increased incidence of the disease poses a major challenge for public health systems and health care services in terms of financial management and provision of specialized care to this patient population. The development and implementation of smart assistive tools (Intelligent Assistive Technologies - IATs) to compensate for the specific physical and cognitive deficits of older adults with dementia have been recognized by many as one of the most promising approaches to this emerging financial and caregiving burden. This volume aims at providing an up-to-date overview of the current state of the art of IATs for dementia care, determining their current taxonomy, and defining their functionality, capability, and level of implementation. In addition, this collection of essays examines the implications of the use of IATs at the medical level, including psychological and clinical issues and the ethical and legal challenges such as problems related to their long-term effects (psychological and physiological), questions related to privacy, and the values and norms guiding the development of regulatory frameworks at the national and international stage.

scholarly journals The role of the enrolled nursing auxiliary in a selected health care administration

Curationis ◽  
2001 ◽  
Vol 24 (1) ◽  
Author(s):  
ET Mabunda ◽  
S Booyens
Keyword(s):  
Health Care ◽  
Nursing Staff ◽  
Health Care Services ◽  
Health Care Administration ◽  
Scope Of Practice ◽  
Essential Component ◽  
Care Services ◽  
Nursing Services ◽  
Professional Nurses

The purpose of the study was to determine the contribution of nursing auxiliaries towards health care services,against their scope of practice. The sample consisted of nursing auxiliaries in the Gazankulu area ,in the Northern Transvaal.The findings revealed that nursing auxiliaries are presently an essential component of nursing services rendered in Gazankulu,but that apart from their prescribed role,they are also engaged in activities which should be performed by enrolled and professional nurses,and general assistants.A need for education is apparent for all categories of nursing staff regarding the scope of practice of nursing auxiliaries.

scholarly journals Longitudinal Follow-Up of Long-Term Care Planning Using PlanYourLifespan.org

2020 ◽  
pp. 073346482094306
Author(s):  
Vanessa Ramirez-Zohfeld ◽  
Anne Seltzer ◽  
Ana Ramirez ◽  
Ruqayyah Muhammad ◽  
Lee A. Lindquist
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Long Term Effects ◽  
Care Needs ◽  
Term Care ◽  
User Perceptions ◽  
Care Plans ◽  
Age In Place ◽  
Care Services

Many older adults wish to age-in-place but do not have long-term care plans for when they may require more assistance. PlanYourLifespan.org (PYL) is an evidence-based tool that helps older adults understand and plan for their long-term care needs. We examined the long-term effects of PYL use on user perceptions and planning of long-term care services. Individuals who previously accessed PYL were invited to complete an online, nation-wide mixed methodology survey about end-user outcomes related to PYL. Among 115 completed surveys, users found PYL helpful with long-term planning for their future needs. Over half of website users reported having conversations with others because of PYL use. However, 40% of respondents reported not having a conversation with others about their plans; common themes for barriers to planning included procrastination and a lack of immediate support needs. Although PYL helps with planning, many people are still not communicating their long-term care plans.

The teacher-Child interaction Project

1977 ◽  
Vol 5 (3) ◽  
pp. 42-47
Author(s):  
William Yule ◽  
Michael Berger ◽  
Veronica Wigley
Keyword(s):  
Personal Development ◽  
Classroom Teacher ◽  
School Setting ◽  
Steady Increase ◽  
Behavioural Intervention ◽  
Optimum Level ◽  
American Experience ◽  
Child Interaction ◽  
British School ◽  
Behavioural Management

Since 1969, there has been a slow, but steady, increase in the number of studies which have attempted to apply behavioural methods within the British school setting. The variety of papers reported in this volume attest to the wide level of current interest. Many reviewers of American experience (e.g. Sherman and Bushell, 1975;O'Leary and O'Leary, 1972) show that both academic and classroom behaviours have been investigated, and there is a general agreement that the aim of behavioural intervention is not necessarily to make children “be still, be quiet and be good” (Winnett and Winkler, 1972). Rather, the aim is to help the classroom teacher to use the ongoing teacher-child interaction in a deliberate, positive way so as to foster the optimum level of personal development and academic attainment in her pupils. This paper draws on our experiences of the past four years of training groups of teachers in behavioural management, and concentrates on some of the important issues involved in ensuring that behavioural intervention of the highest quality can be offered to teachers in schools.

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