Onboard nurse on oil platforms: an offshore experience report

This experience report aims at describing the activities carried out by nurses on an offshore oil platform between 2010 and 2011. Administrative (monitoring, inspection, and water analysis) and health care and orientation (training of the rescue team, health lectures, and health instructions for onboard processes) activities were managed through planning, organization, control and leadership protocols within the workplace context established in offshore environments. Predictable and unexpected occurrences were also taken into account. In this multiprofessional team, the nurse must interact, dialogue with and conduct actions aimed at promoting health and maintaining the physical and psychological integrity and welfare of offshore workers performing complex and dangerous activities in a confined space, as professionals are kept onboard for 15 consecutive days. In this scenario, the nurse is the only health professional to work a daily 12-hour shift, plus 12 on-call hours for emergency care.

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CORRECT PATIENT IDENTIFICATION: EXPERIENCE WITH THE IMPLEMENTATION OF A PATIENT SAFETY CORE

Revista Prevenção de Infecção e Saúde ◽

10.26694/repis.v5i0.8592 ◽

2019 ◽

Vol 5 ◽

Author(s):

Paula Eduarda Oliveira Honorato ◽

Tania Monteiro Teixeira

Keyword(s):

Health Care ◽

Patient Safety ◽

Adverse Events ◽

Lower Risk ◽

Public Hospital ◽

Experience Report ◽

Patient Identification ◽

Multiprofessional Team ◽

Identification Process

Objective: to report and evaluate the implementation of the Patient Safety Center, with emphasis on the identification of patients in a public hospital in Piauí. Method: experience report, in which the activities were performed from January to April 2019. The information for analysis came from the situations experienced by the authors in the implementation of the NSP and the patient identification process. Results: There was an improvement and facilitation in the work of the multiprofessional team enabling lower risk of patient exchange, and consequent avoidable adverse events. Conclusion: the implementation of the NSP was reported and analyzed, with a significant improvement in the organization of services, suggesting improvement with the team, highlighting the importance of protocols for better health care.

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Parameters of bed occupancy of intensive care units in Hungary

Orvosi Hetilap ◽

10.1556/oh.2011.29137 ◽

2011 ◽

Vol 152 (24) ◽

pp. 946-950 ◽

Cited By ~ 1

Author(s):

Miklós Gresz

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Health Insurance ◽

Intensive Care Units ◽

Emergency Care ◽

Present Author ◽

Bed Occupancy ◽

National Network ◽

Bed Capacity

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

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Problems of pathology related to the dermatovenerology field in the emergency hospital

Vrač skoroj pomoŝi (Emergency Doctor) ◽

10.33920/med-02-2001-06 ◽

2020 ◽

pp. 45-52

Author(s):

I. Barsukova ◽

I. Bagretsova

Keyword(s):

Health Care ◽

Quality Of Care ◽

Emergency Care ◽

Diagnostic Process ◽

Emergency Hospital ◽

New Models ◽

Hospital Development

Development of a system for the delivery of emergency care in a hospital inevitably raises questions of its availability and quality. And, if the leading pathological syndrome which is a reason for hospitalization and posing a threat to the patient's life deserves priority attention, then the accompanying pathology often stays in the background. At the same time the accompanying pathology related to the field of dermatovenerology poses epidemiological threat. The aim of the study was to improve the organization of health care for patients with concomitant pathology related to dermatovenerology in an emergency hospital. Development of new models and principles of the organization of medical and diagnostic process, introduction of methods of express diagnostics is required; importance of a dermatovenerologist becomes obvious, it will increase the availability and quality of care for patients with dermatovenereological pathology in an emergency hospital.

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Knowledge, Attitude of Health Professional Towards Health Care Waste Management in South East Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.08.01.art034 ◽

2020 ◽

Vol 8 (1) ◽

pp. 303-308

Author(s):

Ironkwe Okechukwu

Keyword(s):

Health Care ◽

Waste Management ◽

Health Professional ◽

Health Care Waste ◽

Attitude Of Health Professional

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Testing Consultation Recordings in a Clinical Setting With the SecondEars Smartphone App: Mixed Methods Implementation Study (Preprint)

10.2196/preprints.15593 ◽

2019 ◽

Author(s):

Amelia Hyatt ◽

Ruby Lipson-Smith ◽

Bryce Morkunas ◽

Meinir Krishnasamy ◽

Michael Jefford ◽

...

Keyword(s):

Health Care ◽

Mixed Methods ◽

Health Professional ◽

Clinical Setting ◽

Health Professionals ◽

Implementation Strategy ◽

Smartphone App ◽

Implementation Study ◽

Pilot Testing ◽

Effective Implementation

BACKGROUND Health care systems are increasingly looking to mobile device technologies (mobile health) to improve patient experience and health outcomes. SecondEars is a smartphone app designed to allow patients to audio-record medical consultations to improve recall, understanding, and health care self-management. Novel health interventions such as SecondEars often fail to be implemented post pilot-testing owing to inadequate user experience (UX) assessment, a key component of a comprehensive implementation strategy. OBJECTIVE This study aimed to pilot the SecondEars app within an active clinical setting to identify factors necessary for optimal implementation. Objectives were to (1) investigate patient UX and acceptability, utility, and satisfaction with the SecondEars app, and (2) understand health professional perspectives on issues, solutions, and strategies for effective implementation of SecondEars. METHODS A mixed methods implementation study was employed. Patients were invited to test the app to record consultations with participating oncology health professionals. Follow-up interviews were conducted with all participating patients (or carers) and health professionals, regarding uptake and extent of app use. Responses to the Mobile App Rating Scale (MARS) were also collected. Interviews were analyzed using interpretive descriptive methodology; all quantitative data were analyzed descriptively. RESULTS A total of 24 patients used SecondEars to record consultations with 10 multidisciplinary health professionals. In all, 22 of these patients used SecondEars to listen to all or part of the recording, either alone or with family. All 100% of patient participants reported in the MARS that they would use SecondEars again and recommend it to others. A total of 3 themes were identified from the patient interviews relating to the UX of SecondEars: empowerment, facilitating support in cancer care, and usability. Further, 5 themes were identified from the health professional interviews relating to implementation of SecondEars: changing hospital culture, mitigating medico-legal concerns, improving patient care, communication, and practical implementation solutions. CONCLUSIONS Data collected during pilot testing regarding recording use, UX, and health professional and patient perspectives will be important for designing an effective implementation strategy for SecondEars. Those testing the app found it useful and felt that it could facilitate the benefits of consultation recordings, along with providing patient empowerment and support. Potential issues regarding implementation were discussed, and solutions were generated. CLINICALTRIAL Australia and New Zealand Clinical Trials Registry ACTRN12618000730202; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373915&isClinicalTrial=False

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Portugal's primary health care human resources assessment

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.670 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Oliveira Miranda ◽

P Santos Luis ◽

M Sarmento

Keyword(s):

Health Care ◽

Primary Health Care ◽

Family Medicine ◽

Human Resources ◽

Health Professional ◽

Health Care Services ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services ◽

The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

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Guidelines for Pediatric Emergency Care Facilities

PEDIATRICS ◽

10.1542/peds.96.3.526 ◽

1995 ◽

Vol 96 (3) ◽

pp. 526-537

Author(s):

Keyword(s):

Health Care ◽

Emergency Medical Services ◽

Emergency Care ◽

Pediatric Emergency ◽

Medical Services ◽

Emergency Medical ◽

Care Facilities ◽

Trained Personnel ◽

Pediatric Emergency Care

Emergency care for life-threatening pediatric illness and injury requires specialized resources including equipment, drugs, trained personnel, and facilities. The American Medical Association Commission on Emergency Medical Services has provided guidelines for the categorization of hospital pediatric emergency facilities that have been endorsed by the American Academy of Pediatrics (AAP).1 This document was used as the basis for these revised guidelines, which define: 1. The desirable characteristics of a system of Emergency Medical Services for Children (EMSC) that may help achieve a reduction in mortality and morbidity, including long-term disability. 2. The role of health care facilities in identifying and organizing the resources necessary to provide the best possible pediatric emergency care within a region. 3. An integrated system of facilities that provides timely access and appropriate levels of care for all critically ill or injured children. 4. The responsibility of the health cane facility for support of medical control of pre-hospital activities and the pediatric emergency care and education of pre-hospital providers, nurses, and physicians. 5. The role of pediatric centers in providing outreach education and consultation to community facilities. 6. The role of health cane facilities for maintaining communication with the medical home of the patient. Children have their emergency care needs met in a variety of settings, from small community hospitals to large medical centers. Resources available to these health care sites vary, and they may not always have the necessary equipment, supplies, and trained personnel required to meet the special needs of pediatric patients during emergency situations.

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A busca de assistência à saúde em serviços de pronto atendimento por mulheres adultas Health care search by adult women in emergency care services

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.2017.v9i1.1-14 ◽

2017 ◽

Vol 9 (1) ◽

pp. 1

Author(s):

Aline Gabriela Bega ◽

Hellen Emília Peruzzo ◽

Ana P Araújo T Lopes ◽

Amanda Carvalho Dutra ◽

Maria Das Neves Decesaro ◽

...

Keyword(s):

Health Care ◽

Emergency Care ◽

Adult Women ◽

Care Services ◽

Emergency Care Services

Objetivo: Conhecer o comportamento de saúde de mulheres e os motivos para buscar assistência em um pronto atendimento. Método: Estudo descritiva e exploratória, de natureza qualitativa com 18 mulheres atendidas em um pronto atendimento municipal no noroeste do Paraná. Os dados foram coletados em novembro de 2015 por entrevista semiestruturada e submetidos à análise de conteúdo, modalidade temática. Resultados: Foram identificadas duas categorias empíricas: “Comportamentos de mulheres diante de intercorrências na saúde”, mostra que as condutas iniciais das mulheres, em situações de adoecimento, são automedicação e protelamento em procurar serviços de saúde; e “Motivos para procurar o serviço de pronto atendimento”, onde identificou-se que a procura deste nível de atendimento é motivada pela percepção de maior resolutividade, eficácia e agilidade, além de proximidade do lar. Conclusão: É comum às mulheres retardarem a procura por atendimento em virtude das responsabilidades inerentes ao gênero, e quando o fazem, preferem serviços mais resolutivos.Descritores: Serviços de Saúde; Assistência Ambulatorial; Saúde da Mulher.

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