An investigation of postpartum mothers’ readiness for hospital discharge and the affecting factors

Introduction: Postpartum period which contains important changes in the woman’s and newborn’s life, WHO recommends monitoring the mother and newborn in health care system, encouraging breastfeeding, monitoring the newborn’s development, and supporting and empowering parents about newborn care.Purpose: The purpose of this study is to identify postpartum mothers’ readiness for hospital discharge and the affecting factors. Method and material: The study was conducted with 190 mothers who gave birth between May and July, 2014 in a Maternity and Children Hospital located in Mersin. The data were collected through the Identification Form developed by the researcher in line with the related literature and Readiness for Hospital Discharge Scale-Postpartum Mother Form (RHDS-PMF).Results: Of all the participants, 84.7% were ready for discharge, 69.4% received information from midwives or nurses about their own care, and 68.7% received information about the baby’s care. Mean scores for the participants’ Readiness for Hospital Discharge Scale was found 50.47±12.16 for Personal State, 45.08±12.33 for Knowledge, 21.0±75.68 for Ability, 28.13± 8.91 for Expected Support and 144.76±30.15 for total score. The scores were found to be significantly higher for mothers who reported to be ready for discharge, who stated to have received information about their own care and the baby’s care, who were multiparous, and who would receive support for their care and the baby’s care after hospital discharge (p<0.05).Conclusion: Majority of the participants in this study were found to be ready for hospital discharge and factors affecting readiness for hospital discharge were identifed as informing mothers about their care and the baby’s care after delivery, mothers’ being multiparous, and receiving support about their care and the baby’s care after hospital discarge.

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Newly Initiated In-Hospital Antipsychotics Continued at Discharge in Non-psychiatric Patients

Hospital Pharmacy ◽

10.1177/0018578717750095 ◽

2018 ◽

Vol 53 (5) ◽

pp. 308-315 ◽

Cited By ~ 5

Author(s):

Gabriel V. Fontaine ◽

Whitney Mortensen ◽

Kathryn M. Guinto ◽

Danielle M. Scott ◽

Russell R. Miller

Keyword(s):

Health Care ◽

Hospital Discharge ◽

Health Care System ◽

Odds Ratio ◽

Retrospective Cohort ◽

Psychiatric Illness ◽

Psychiatric Patients ◽

Final Analysis ◽

To Receive ◽

Care System

Objectives: Antipsychotics are commonly initiated in the hospital for agitation and delirium and may be inappropriately continued upon floor transfer and at discharge. We sought to evaluate the magnitude of this issue within our health care system. Methods: We conducted a multicenter, retrospective cohort study within a 22-hospital health care system to evaluate the proportion of patients without identifiable psychiatric illness who received newly initiated inpatient antipsychotics and were then continued on an antipsychotic at hospital discharge. Results: Of 23 049 patients who received at least 1 in-hospital dose of haloperidol, olanzapine, quetiapine, risperidone, or ziprasidone, 8297 patients were included in the final analysis after applying exclusion for identifiable psychiatric illness or previous antipsychotic use. Ultimately, 334 patients (4%) were discharged with a new antipsychotic prescription. Patients receiving antipsychotics at discharge were more likely as an inpatient to receive quetiapine (77.2% vs 35.9%; odds ratio [OR]: 6.1, 95% confidence interval [CI]: 4.7-8.0; P < .001) and less likely to receive haloperidol (15% vs 47%; OR: 0.2, 95% CI: 0.14-0.27; P < .001) or olanzapine (16.2% vs 20.9%; OR: 0.73, 95% CI: 0.53-0.98; P < .04). Conclusions: Antipsychotics may be inappropriately continued in non-psychiatric patients at hospital discharge. Strategies to limit potentially unnecessary antipsychotics upon discharge should be evaluated.

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“A scarlet letter”: Stigma and other factors affecting trust in the health care system for women seeking substance abuse treatment in a community setting

Substance Abuse ◽

10.1080/08897077.2018.1544184 ◽

2019 ◽

Vol 40 (2) ◽

pp. 170-177 ◽

Cited By ~ 3

Author(s):

Joshua D. Cockroft ◽

Susie M. Adams ◽

Kemberlee Bonnet ◽

Deondria Matlock ◽

Jessica McMillan ◽

...

Keyword(s):

Health Care ◽

Substance Abuse ◽

Substance Abuse Treatment ◽

Health Care System ◽

Community Setting ◽

Scarlet Letter ◽

Factors Affecting ◽

Abuse Treatment ◽

Care System

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Health Care System Factors Affecting End-of-Life Care

Journal of Palliative Medicine ◽

10.1089/jpm.2005.8.s-79 ◽

2005 ◽

Vol 8 (supplement 1) ◽

pp. s-79-s-87 ◽

Cited By ~ 17

Author(s):

R. Sean Morrison

Keyword(s):

Health Care ◽

End Of Life ◽

Health Care System ◽

End Of Life Care ◽

Life Care ◽

Factors Affecting ◽

System Factors ◽

Care System

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"Risk" Factors Affecting Readmission of the Elderly Into the Health Care System

Medical Care ◽

10.1097/00005650-198605000-00006 ◽

1986 ◽

Vol 24 (5) ◽

pp. 429-437 ◽

Cited By ~ 70

Author(s):

Carol C. Fethke ◽

Ian M. Smith ◽

Nancilee Johnson

Keyword(s):

Risk Factors ◽

Health Care ◽

Health Care System ◽

The Elderly ◽

Factors Affecting ◽

Care System

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Women as Managers: Implications for Occupational Therapy

British Journal of Occupational Therapy ◽

10.1177/030802268604901204 ◽

1986 ◽

Vol 49 (12) ◽

pp. 385-388 ◽

Cited By ~ 4

Author(s):

Thelma Gill

Keyword(s):

Health Care ◽

Occupational Therapy ◽

Health Care System ◽

Role Models ◽

Relevant Information ◽

Factors Affecting ◽

Management Positions ◽

Role Of Women ◽

Care System

This paper reviews some factors affecting the role of women as managers in the health care system. Issues such as selection and the importance of role models are discussed. A survey of existing management selection practices in the province of Ontario, Canada, reveals relevant information for consideration by women hoping to attain management positions.

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“The system is well intentioned, but complicated and fallible” interviews with caregivers and decision makers about palliative care in Canada

BMC Palliative Care ◽

10.1186/s12904-021-00843-x ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Nicole Luymes ◽

Nicole Williams ◽

Liz Garrison ◽

Donna Goodridge ◽

Maria Silveira ◽

...

Keyword(s):

Health Care ◽

Palliative Care ◽

Health Care System ◽

Health Care Professionals ◽

Yukon Territory ◽

Decision Makers ◽

Key Factors ◽

Factors Affecting ◽

Centered Care ◽

Care System

Abstract Background Canadian palliative care (PC) philosophy seeks to support individuals in a person-centered and sensitive manner. Unfortunately, philosophy does not necessarily translate into practice and this divide may leave patients without appropriate care at the end of life, causing distress for some families. The primary goal of the study was to identify key factors affecting perceptions of quality PC from the perspective of informal caregivers and decision makers (e.g., program managers) and to understand how their experiences within the health care system may have influenced their perceptions. Methods Nine caregivers and 11 decision makers from Yukon Territory, British Columbia, Alberta, Ontario, & Nova Scotia shared their experiences in PC via interview or focus group. Audio recordings were transcribed verbatim and qualitatively analyzed for themes. Results Three themes emerged, including the Caregiver as Anchor, Bewildering System, and Patient, Caregiver, and Family-Centered Care. While these results resembled other studies on caregivers and individuals receiving PC, the present study also uncovered systemic concerns. There was agreement between the two participant groups across most subthemes, however only caregivers reported feelings of being trapped by the health care system and a general lack of respect from health care professionals. Additionally, caregivers stressed the importance of preserving some sort of normalcy in daily life despite the individual’s illness. Conclusions Caregivers are critical. The health care system expects them to help a great deal, but they often do not feel supported or respected and the system is lacking the capacity and resources to meet their needs while they are grieving loss and struggling to meet demands.

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The regional nosogeographical analysis and factors affecting population respiratory morbidity (on example of the Sumy region, Ukraine)

Journal of Geology Geography and Geoecology ◽

10.15421/112008 ◽

2020 ◽

Vol 29 (1) ◽

pp. 82-93

Author(s):

Anatolii O. Kornus ◽

Olesia H. Kornus ◽

Volodymyr D. Shyshchuk ◽

Volodymyr I. Potseluev

Keyword(s):

Health Care ◽

Incidence Rate ◽

Health Care System ◽

Respiratory Diseases ◽

Temporal Structure ◽

Incidence Rates ◽

Respiratory Morbidity ◽

Factors Affecting ◽

Morbidity Index ◽

Care System

The article is devoted to consideration of the spatial-temporal structure of the primary morbidity and prevalence of the respiratory organs diseases among the population of the Sumy region. The article based on the data of annual statistical reports of medical institutions of Sumy region, which are subordinate to the Ministry of Public Health of Ukraine. The article used the methods of factor and correlation analysis, as well as methods of mathematical-statistical analysis, and ranking. The authors analyzed the spatial-temporal structure of respiratory organs pathology among the population and revealed the territorial differences and the dynamics of respiratory morbidity of the population. Nosogeographic assessment of territory of the Sumy region, which was carried out according to the integral respiratory diseases morbidity index (IMI), shows that today the highest values of IMI are obtained by analyzing the incidence rate in Putyvl’ (1.01), Krasnopillia (1.02), Konotop (1.11), Buryn’ (1.32) districts and in the city of Sumy (1.15). These are the districts where the incidence rate of respiratory diseases among the population has increased most of all during the study period. Low values of IMI are noted in Lypova Dolyna (0.63), Seredyna Buda (0.71), Velyka Pysarivka (0.72) and Nedryhailiv (0.79) districts. The higher is the IMI value, the worse the health level of the population. The average index storage respiratory diseases (ISD) in the Sumy region in 2017 was 1.27, with polarization ISD value in some areas from 1.19 in Shostka, 1.22 in Konotop, 1.23 in Yampil’ and Trostianets regions to 1.39 in Lebedyn, 1.42 in Romny and 1.61 in the Seredyna Buda districts. This indicates the predomination of chronic forms of diseases over acute ones and can be explained by the influence of environmental and socio-economic factors. It also points to the need to increase of attention of both the regional and state components of the health care system. Besides that, the issues of providing financial and human resources for the health care system in districts with high incidence rates of respiratory pathology require attention. The study of the primary morbidity and the prevalence of respiratory diseases trends is a prerequisite for the development of preventive measures in the Sumy region. They are also needed to assess the quality of medical care for residents who have the pulmonary diseases. The factor analysis results are confirmed the importance of environmental and technogenic factors in formation of the indicators of primary morbidity and prevalence of respiratory diseases among the residents of the Sumy region.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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