scholarly journals Identifying Influential Factors of the Patient Discharge Process from ShafaTakestan Hospital in Qazvin City

2020 ◽  
Author(s):  
Parisa Rahmani ◽  
Rafat Mohebbifar ◽  
Sima Rafiei
Keyword(s):  
Relevant Literature ◽  
Patient Discharge ◽  
Hospital Performance ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Discharge Process ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Factors Affecting ◽  
The Right

Background:The process of the patient discharge from the hospital is one of the most important processes that has been taken into consideration by managers in recent years. An efficient health system can only accomplish its duty to provide the health of the community by providing the right services and this system can be evaluated through its services. Therefore, the necessity of performing this research is to improve the quality of hospital services for patients and increasing patient satisfaction. This study has been aimed to identify the factors affecting the process of patient discharge. Methods: This was a cross-sectional study conducted in a general hospital located in Takestan, Qazvin in 2019. The study population in the qualitative section of the study included those who were aware of the discharge process and had managerial positions in the hospital. The sampling process was continued until achieving data saturation. The required information was gathered through reviewing relevant literature, observing the discharge process, and conducting semi-structured interviews with managerial members and study experts. Results: In the present study, the most important factors affecting the discharge process were lack of timely physician visit and issuance of the discharge order, delay in the approval of medication used by pharmacy officer, sending discharge files to hospital discharge unit, the patients' needs, diagnostic services (discharging with doctor's opinion), delays in registering nursing records, and undue secretarial performance in reviewing and recording reports in the hospital information system. Conclusion: The results of the present study, in line with other researches, have shown that the importance of the discharge process on hospital performance is undeniable and this process needs continuous investigation, monitoring, and intervention.

The implementation of child rights in healthcare services

2020 ◽  
Vol 27 (7) ◽  
pp. 1517-1528
Author(s):  
Cagla Yigitbas ◽  
Fadime Ustuner Top
Keyword(s):  
Children's Rights ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Children’S Rights ◽  
Cross Sectional ◽  
Child Rights ◽  
Factors Affecting ◽  
Roles And Responsibilities ◽  
Service Training ◽  
The Right

Background: Hospitalized children have the right to “partake in practices related to their treatment and care.” Midwives and nurses have important roles and responsibilities regarding the protection and enforcement of these rights, such as providing information and advocating for children. Objectives: This study aims to determine the attitudes of midwives and nurses toward their roles and responsibilities in the implementation of child rights in healthcare services and the factors affecting their attitudes. Methods: This descriptive cross-sectional study included 122 midwives and nurses in total. The data were collected through a questionnaire. Ethical considerations: Written permission was obtained from an ethics committee in the center of the city where the research was conducted. Results: The mean age of the participants was 36.70 ± 8.03 years; 58.9% of midwives and nurses stated that they understood the child’s consent about the treatment by looking at the child’s facial expression; 36% of midwives and nurses stated that children could not participate in decisions regarding their own health. It was observed that obtaining the child’s consent in matters related to treatment does not make any difference between midwives and nurses. The rate of the midwives stating that they would report suspicious violence-neglect and abuse was found to be higher. Conclusion: The variables of the unit of employment, the state of having children, choosing the profession and practicing in it willingly, and getting training on children’s rights make a difference in terms of children’s rights in healthcare services. Midwives and nurses should be reminded of child rights in healthcare services through regular in-service training programs.

scholarly journals Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes

2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Dora Inés Parra ◽  
Sandra Lucrecia Romero Guevara ◽  
Lyda Z Rojas
Keyword(s):  
Diabetes Mellitus ◽  
Cross Sectional Study ◽  
Positive Influence ◽  
Influential Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Treatment Adherence And Compliance ◽  
Written Information ◽  
Therapeutic Regime

Objective. To determine the factors associated with adherence to the therapeutic regime in patients with hypertension and type 2 diabetes mellitus cared for in primary care centers.Methods. This was an analytical cross-sectional study, conducted with 500 patients from two institutions in Bucaramanga (Colombia). Adherence to the therapeutic regime was measured with the label of Nursing outcomes “Treatment Behavior: Illness or Injury” and the instrument “Factors that influence on adherence to pharmacological and non-pharmacological treatments” by Ortiz Suárez was used. Results. Factors affecting negatively adherence to the therapeutic regime were: belonging to the subsidized regime, never being able to read written information about the management of their disease, and never receiving information about benefits of the medications ordered by the physician. On the contrary, positive influence was noted by referring “never” to the following statements, which impacted positively on adherence: the diverse occupations you have in and out of the house hinder your following the treatment; when your symptoms improve, do you interrupt the treatment? previously, have you had difficulties in complying with your treatment and believe there are difficult-to-change customs about foods and exercises? Conclusion. Two socioeconomic factors and one related with the health system and staff affected negatively on adherence to the therapeutic regime, while four factors related with the therapy favored it. The factors identified could be used in the design of nursing interventions to improve adherence in this population.Descriptors: treatment adherence and compliance; hypertension; diabetes mellitus, type 2; risk factors; cross-sectional studiesHow to cite this article: Parra DI, Romero SL, Rojas LZ. Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes. Invest. Educ. Enferm. 2019; 37(3):e02.

scholarly journals Determinan Pemilihan Pengobatan Pasien Fraktur di RSUD Raden Mattaher Jambi Tahun 2018

2020 ◽  
Vol 20 (1) ◽  
pp. 207
Author(s):  
Sovia Sovia ◽  
Daryono Daryono ◽  
Mashudi Mashudi ◽  
Debi Sintia Dewi
Keyword(s):  
Cross Sectional Study ◽  
Treatment Costs ◽  
Fracture Treatment ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Chi Square Test ◽  
The Right ◽  
Selection Of

To determine factors that influence fracture patients on the selection of fracture treatment in Raden Mattaher General Hospital of Jambi. A cross-sectional study was conducted from May 23 to September 25, 2018, using a questionnaire with limb fracture patients as participants. The survey included questions about the selection of fracture treatment, severity fracture, beliefs, culture, side effects, and treatment costs, and was completed by 64 patients. Data analysis used for this study were chi-square test. The factors affecting the selection of fracture treatment were fracture severity (p 0.001; 95% CI 2.13-32.60), beliefs (p 0.003; 95% CI 1.70-20.53), and treatment costs (p 0.009; 95% CI 1.41 – 33.14). Professional personnel, especially nurses, need a persuasive approach and education with appropriate communication and media in fracture patients and families so that they can make the right decisions in fracture treatment.

scholarly journals The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

2021 ◽  
Vol 8 ◽  
Author(s):  
Phasamon Saisawart ◽  
Somchin Sutthigran ◽  
Kumpanart Soontornvipart ◽  
Chutimon Thanaboonnipat ◽  
Damri Darawiroj ◽  
...  
Keyword(s):  
Body Weight ◽  
Cross Sectional Study ◽  
Ultrasound Technique ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Intrinsic Factors ◽  
Significant Difference ◽  
Healthy Dogs ◽  
The Right ◽  
Almost All

Diaphragmatic excursion (DE) has been utilized for detecting respiratory related problems in humans. However, several factors should be considered such as the ultrasound technique and factors intrinsic to patients. Nevertheless, knowledge of the effect of these factors on DE in dogs is still lacking. The aim of this study was to evaluate the proper ultrasound technique by varying postures and diaphragmatic locations for DE measurement and to explore intrinsic factors such as diaphragmatic sides, sex, and body weight of dogs on DE. The prospective, analytic, cross-sectional study included 44 healthy dogs; 12 beagles and 32 dogs of other breeds. The experiment was divided into (i) an exploration of the proper ultrasound technique by varying postures (supine, standing, and recumbent in each of the right and left lateral positions), diaphragmatic locations (middle crus and proximal to the last rib), and diaphragmatic sublocations (xiphoid, mid, and proximal rib) for detection of DE and (ii) the evaluation of canine intrinsic factors affecting DE. The results show that the mid-diaphragmatic sublocation in the middle crus area in almost all positions revealed the highest percentage DE detection. However, DEs were revealed to be more accessible in the supine position. There was no significant difference in DE between the right and the left diaphragms or between the sexes of beagle dogs. However, body weight was significantly correlated with the DE among dogs of various sizes. In conclusion, the posture of the dogs and the diaphragmatic location can affect DE evaluation. Neither sex nor diaphragmatic side had an influence, but body weight was revealed as a major factor in DE in dogs.

scholarly journals Evolution of Medical Students' Perception of the Patient's Right to Privacy

2020 ◽  
Author(s):  
Alberto Álvarez Terán ◽  
Camilo Palazuelos ◽  
Trinidad Dierssen-Sotos ◽  
Javier Llorca ◽  
Inés Gómez-Acebo
Keyword(s):  
Medical Students ◽  
Personal Information ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Older Students ◽  
Right To Privacy ◽  
Cross Sectional ◽  
The Right To Privacy ◽  
Confidentiality Agreement ◽  
The Right

Abstract Background: During clinical rotations, medical students experience situations in which the patients’ right to privacy may be violated. The aim of this study is to analyze medical students' perception of clinical situations that affect patients' right to privacy or intimacy, and to look for the influential factors that may contribute to the infringement on their rights, such as age, gender, academic year or parents’ educational level.Methods: A cross-sectional study was conducted with a survey via “Google Drive”. It consisted of 16 questions about personal information, 24 questions about their experience when rotating and 22 questions about their opinion concerning several situations related to the right to privacy. Results: 129 medical students from various Spanish medical schools participated. Only 31% of 3rd-6th year students declared to have signed a confidentiality agreement when starting their clinical practice, and most students (52%) reported that doctors “sometimes”, “rarely” or “never” introduce themselves and the students when entering the patients’ rooms. Additionally, about 50% of all students reported that they would take a picture of a patient’s hospitalization report without his/her (consent), which would be useful for an assignment. Conclusions: Important mistakes during medical students’ rotations have been observed, as well as general lack of knowledge regarding patient’s right to privacy among Spanish medical students. Men and older students showed better knowledge of current legislation, as well as those whose parents were both college-educated and those in higher academic years. Informative courses and law teaching should be enhanced so that patients’ right to privacy may be better guaranteed.

Distribution and Characteristics of Intrathoracic Lymphadenopathy in TB/HIV Co-Infection

2019 ◽  
Vol 19 (4) ◽  
pp. 414-420
Author(s):  
Payam Mehrian ◽  
Abtin Doroudinia ◽  
Moghadaseh Shams ◽  
Niloufar Alizadeh
Keyword(s):  
Lymph Nodes ◽  
Cross Sectional Study ◽  
Short Axis ◽  
Mediastinal Lymph Nodes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Hilar Adenopathy ◽  
The Right ◽  
Pulmonary Abnormalities

Background: Intrathoracic Lymphadenopathy (ITLN) in Human Immunodeficiency Virus (HIV) infected patients may have various etiologies and prognoses. Etiologies of ITLN can be distinguished based on the distribution of enlarged lymph nodes. Sometimes tuberculosis (TB) is the first sign of underlying HIV infection. Objective: We sought to determine ITLN distribution and associated pulmonary findings in TB/HIV co-infection using Computed Tomography (CT) scan. Methods: In this retrospective, observational, cross-sectional study, chest CT scans of 52 patients with TB/HIV co-infection were assessed for enlarged intrathoracic lymph nodes (>10 mm in short axis diameter), lymphadenopathy (LAP) distribution, calcification, conglomeration, the presence of hypodense center and associated pulmonary abnormalities. LAP distribution was compared in TB/HIV co-infection with isolated TB infection. Results: Mediastinal and/or hilar LAP were seen in 53.8% of TB/HIV co-infection patients. In all cases, LAP was multinational. The most frequent stations were right lower paratracheal and subcarinal stations. Lymph node conglomeration, hypodense center and calcification were noted in 25%, 21.4% and 3.5% of patients, respectively. LAP distribution was the same as that in patients with isolated TB infection except for the right hilar, right upper paratracheal and prevascular stations. All patients with mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Conclusion: All patients with TB/HIV co-infection and mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Superior mediastinal lymph nodes were less commonly affected in TB/HIV co-infection than isolated TB.

scholarly journals The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. 320-330
Author(s):  
Utako Sawada ◽  
Akihito Shimazu ◽  
Norito Kawakami ◽  
Yuki Miyamoto ◽  
Lisa Speigel ◽  
...  
Keyword(s):  
Work Engagement ◽  
Cross Sectional Study ◽  
Social Climate ◽  
Psychiatric Ward ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Staff Members ◽  
Utrecht Work Engagement Scale ◽  
Healthcare Settings

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

Disaster Risk Assessment Among Iranian Exceptional Schools

2021 ◽  
pp. 1-5
Author(s):  
Seyedeh Samaneh Miresmaeeli ◽  
Nafiseh Esmaeili ◽  
Sepideh Sadeghi Ashlaghi ◽  
Zahra Abbasi Dolatabadi
Keyword(s):  
Risk Assessment ◽  
Cross Sectional Study ◽  
Disaster Risk ◽  
Disaster Mitigation ◽  
Vulnerable Groups ◽  
Risk Level ◽  
Cross Sectional ◽  
Fire Extinguishing ◽  
Disaster Risk Assessment ◽  
The Right

Abstract Background: Exceptional children, like other children, have the right to be educated in a safe environment. Disasters are considered as serious issues regarding safety and security of educational environments. Following disasters, vulnerable groups, especially children with handicaps and disabilities are more likely to be seriously injured. Thus, the present study aimed to evaluate the safety and disaster risk assessment of exceptional schools in Tehran, Iran. Method: The cross-sectional study was conducted in exceptional schools in Tehran, 2018. First, 55 exceptional schools in all grades were selected based on census sampling method and evaluated by using a checklist designed by Tehran Disaster Mitigation and Management Organization (TDMMO) and Ministry of Education in 2015. The data were analyzed using Excel software and statistical descriptive tests. Result: Based on the results, school facilities are worn and have unsafe elevators (least safety: 7.69%), yards (least safety: 9.52%), laboratories (least safety: 16.67%), libraries (least safety: 24.24%), fire extinguishing systems (least safety: 28.99%), and storage rooms and kitchens (least safety: 33.33%) which require immediate considerations. In total, the safety of exceptional schools in this study was 70.13%, which suggests medium-risk level. Conclusion: The educational settings must be reconsidered, along with identifying the risk and safety at school. In addition, a standard should be established for evaluating safety, especially in exceptional schools.

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