scholarly journals Telephone communication with relatives of hospitalised COVID-19 patients by a specialised family support team: lessons learned

2022 ◽  
Author(s):  
Ara Ayora ◽  
Carme Nogueras ◽  
Sonia Jimenez-Panes ◽  
Sergi Cortinas-Rovira
Keyword(s):  
Large Scale ◽  
Hospital Admissions ◽  
Health Workers ◽  
Lessons Learned ◽  
Bad News ◽  
Large Hospital ◽  
Individual Interviews ◽  
Breaking Bad ◽  
Adequate Care ◽  
Set Up

During March and April 2020, the number of hospital admissions and deaths due to the first wave of COVID-19 peaked. The objective of this study was to analyse the experiences of a team of health professionals in charge of breaking bad news over the telephone to the relatives of patients admitted to the respiratory ward of a large hospital in Barcelona. This was a qualitative research based on semi-structured individual interviews with all the members of the team and a group interview. The interviews were analysed using Condensation of Meaning techniques. Three central themes emerged after analysing the interviews: (1) the call itself, (2) the need for good organisational support both before and during a crisis, and (3) the care that the professionals themselves need. To set up a large-scale operation to break bad news over the phone, some organisational aspects must be considered that go beyond the call itself. All these aspects are interrelated to a large extent, and due attention should be given to proper communication and adequate care practices for both relatives and health workers. 

scholarly journals The Challenging but Imperative Path to Monoclonal Antibody Use Against COVID-19 for a Small Overseas Military Hospital

2021 ◽  
Author(s):  
Spencer Shirk ◽  
Danielle Kerr ◽  
Crystal Saraceni ◽  
Garret Hand ◽  
Michael Terrenzi ◽  
...  
Keyword(s):  
Monoclonal Antibody ◽  
Hospital Admissions ◽  
Adverse Outcomes ◽  
Lessons Learned ◽  
Military Hospital ◽  
Clinical Criteria ◽  
Fda Approval ◽  
Life Saving ◽  
Set Up ◽  
Naval Hospital

ABSTRACT Upon the U.S. FDA approval in early November for a monoclonal antibody proven to potentially mitigate adverse outcomes from coronavirus disease 2019 (COVID-19) infections, our small overseas community hospital U.S. Naval Hospital Rota, Spain (USNH Rota) requested and received a limited number of doses. Concurrently, our host nation, which previously had reported the highest number of daily deaths from COVID-19, was deep within a second wave of infections, increasing hospital admissions, near intensive care unit capacity, and deaths. As USNH Rota was not normally equipped for the complex infusion center required to effectively deliver the monoclonal antibody, we coordinated a multi-directorate and multidisciplinary effort in order to set up an infusion room that could be dedicated to help with our fight against COVID. Identifying a physician team lead, with subject matter experts from nursing, pharmacy, facilities, and enlisted corpsmen, our team carefully ensured that all requisite steps were set up in advance in order to be able to identify the appropriate patients proactively and treat them safely with the infusion that has been clinically proven to decrease hospital admissions and mortality. Additional benefits included the establishment of an additional negative pressure room near our emergency room for both COVID-19 patients and, when needed, the monoclonal antibody infusion. In mid-January, a COVID-19-positive patient meeting the clinical criteria for monoclonal antibody infusion was safely administered this potentially life-saving medication, a first for small overseas hospitals. Here, we describe the preparation, challenges, obstacles, lessons learned, and successful outcomes toward effectively using the monoclonal antibody overseas.

scholarly journals Collateral impact of COVID-19: why should children continue to suffer?

2021 ◽  
Author(s):  
Prasad Nagakumar ◽  
Ceri-Louise Chadwick ◽  
Andrew Bush ◽  
Atul Gupta
Keyword(s):  
Young People ◽  
Large Scale ◽  
Hospital Admissions ◽  
Severe Disease ◽  
Children And Young People ◽  
Collateral Effects ◽  
Rsv Infection ◽  
Syncytial Virus ◽  
Set Up ◽  
The Uk

AbstractThe COVID-19 pandemic caused by SARS-COV-2 virus fortunately resulted in few children suffering from severe disease. However, the collateral effects on the COVID-19 pandemic appear to have had significant detrimental effects on children affected and young people. There are also some positive impacts in the form of reduced prevalence of viral bronchiolitis. The new strain of SARS-COV-2 identified recently in the UK appears to have increased transmissibility to children. However, there are no large vaccine trials set up in children to evaluate safety and efficacy. In this short communication, we review the collateral effects of COVID-19 pandemic in children and young people. We highlight the need for urgent strategies to mitigate the risks to children due to the COVID-19 pandemic. What is Known:• Children and young people account for <2% of all COVID-19 hospital admissions• The collateral impact of COVID-19 pandemic on children and young people is devastating• Significant reduction in influenza and respiratory syncytial virus (RSV) infection in the southern hemisphere What is New:• The public health measures to reduce COVID-19 infection may have also resulted in near elimination of influenza and RSV infections across the globe• A COVID-19 vaccine has been licensed for adults. However, large scale vaccine studies are yet to be initiated although there is emerging evidence of the new SARS-COV-2 strain spreading more rapidly though young people.• Children and young people continue to bear the collateral effects of COVID-19 pandemic

scholarly journals Large-scale data reporting of paediatric morbidity and mortality in developing countries: it can be done

2015 ◽  
Vol 101 (4) ◽  
pp. 392-397 ◽  
Author(s):  
Trevor Duke ◽  
Edilson Yano ◽  
Adrian Hutchinson ◽  
Ilomo Hwaihwanje ◽  
Jimmy Aipit ◽  
...  
Keyword(s):  
Large Scale ◽  
Health Workers ◽  
Lessons Learned ◽  
Morbidity And Mortality ◽  
Policy And Practice ◽  
Public Health Programme ◽  
Large Scale Data ◽  
Incidence And Mortality ◽  
Icd 10 ◽  
Scale Data

Although the WHO recommends all countries use International Classification of Diseases (ICD)-10 coding for reporting health data, accurate health facility data are rarely available in developing or low and middle income countries. Compliance with ICD-10 is extremely resource intensive, and the lack of real data seriously undermines evidence-based approaches to improving quality of care and to clinical and public health programme management. We developed a simple tool for the collection of accurate admission and outcome data and implemented it in 16 provincial hospitals in Papua New Guinea over 6 years. The programme was low cost and easy to use by ward clerks and nurses. Over 6 years, it gathered data on the causes of 96 998 admissions of children and 7128 deaths. National reports on child morbidity and mortality were produced each year summarising the incidence and mortality rates for 21 common conditions of children and newborns, and the lessons learned for policy and practice. These data informed the National Policy and Plan for Child Health, triggered the implementation of a process of clinical quality improvement and other interventions to reduce mortality in the neediest areas, focusing on diseases with the highest burdens. It is possible to collect large-scale data on paediatric morbidity and mortality, to be used locally by health workers who gather it, and nationally for improving policy and practice, even in very resource-limited settings where ICD-10 coding systems such as those that exist in some high-income countries are not feasible or affordable.

scholarly journals Mental health integration in primary health services after the earthquake in Nepal: a mixed-methods program evaluation

2021 ◽  
Vol 8 ◽  
Author(s):  
Ashley Leichner ◽  
Aemal Akhtar ◽  
Caoimhe Nic a Bhaird ◽  
Rebecca Wener ◽  
Shiromi M. Perera ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Health Services ◽  
Large Scale ◽  
Health Workers ◽  
Psychosocial Support ◽  
Lessons Learned ◽  
Service Users ◽  
Functional Impairments ◽  
Non Governmental Organizations

Abstract Background In the aftermath of the devastating 2015 earthquakes in Nepal, three non-governmental organizations collaborated to develop a program responding to the immediate mental health and psychosocial support (MHPSS) needs in three severely affected districts: Dhading, Gorkha, and Sindhuli. The program was implemented between April 2015 and February 2017 and aimed to (i) strengthen health worker capacity to provide integrated MHPSS services; and (ii) increase access to mental health services. This paper describes the program's implementation and the results of a pragmatic evaluation of the program's overall reach, effectiveness, and lessons learned. Methods The mixed-methods evaluation used routine program data, quantitative data from pre- and post-tests conducted with trainees and service users, and qualitative data from stakeholder interviews and focus group discussions. Results A total of 1041 health workers received MHPSS training and supervision. Participants demonstrated significant improvements in skills, knowledge, and self-rated perceived competency. Trainees went on to provide MHPSS services to 3422 people. The most commonly identified presenting problems were epilepsy (29%) and depression (26%). A total of 67% of service users reported being ‘completely satisfied’ with the services received and 83% of those experiencing severe functional impairments on enrollment demonstrated improvement after receiving services. Conclusions Despite operational challenges, the program successfully engaged both laypeople and health workers to provide MHPSS in the aftermath of the crisis. Lessons learned can inform the planning and implementation of future training and integration programs to provide large-scale MHPSS efforts in humanitarian settings.

Hospital solution for COVID-19 isolation facility

2021 ◽  
Vol 16 (1) ◽  
pp. 35-41
Author(s):  
Gidon Berger, MD ◽  
Netanel A. Horowitz, MD ◽  
Yael Shachor-Meyouhas, MD ◽  
Vardit Gepstein, MD ◽  
Khetam Hussein, MD ◽  
...  
Keyword(s):  
Large Scale ◽  
Medical Center ◽  
Medical Personnel ◽  
Lessons Learned ◽  
Medical Standards ◽  
Israeli Government ◽  
Clinical Scenarios ◽  
Maximum Protection ◽  
Set Up ◽  
Isolation Facility

Objective: In response to the coronavirus disease 2019 (COVID-19) pandemic, the Israeli government strategy initially focused on containment. The Ministry of Health mandated isolation of COVID-19 patients in hospitals and instructed healthcare institutions to make necessary arrangements. As the second Israeli hospital to establish a COVID-19 department, this article describes our experience in its rapid establishment, while maintaining normal medical center activities.Setting: Establishing the COVID-19 department involved planning, set-up, and implementations phases, each one based on knowledge available regarding the pandemic and established medical standards for isolation and protection of patients and staff. Wherever possible, new innovative technologies were utilized to provide maximum protection for both patients and staff, together with special online training that was developed for medical teams.Results: A COVID-19 department was successfully established on the hospital campus, remote from other ongoing patient activities. A novel methodology of disease-adapted medicine was implemented successfully among the department's medical staff, who underwent training tailored to expected clinical scenarios. The COVID-19 department is receiving patients, with no contamination of medical personnel to date. A recent survey of COVID-19 patients revealed a very high patient satisfaction rate.Conclusion: Based on the experience described herein and lessons learned, the hospital is preparing for a potential large-scale COVID-19 wave, aimed at full readiness through utilization of a fortified underground emergency hospital to treat up to 900 COVID-19 patients, and establishment of versatile in-hospital infrastructure for quick conversion from standard conditions to COVID-19 appropriate conditions.

scholarly journals Resilient Smart Gardens—Exploration of a Blueprint

2018 ◽  
Vol 10 (8) ◽  
pp. 2654
Author(s):  
Birgit Penzenstadler ◽  
Jayden Khakurel ◽  
Carl Plojo ◽  
Marinela Sanchez ◽  
Ruben Marin ◽  
...  
Keyword(s):  
Internet Of Things ◽  
Water Conservation ◽  
Large Scale ◽  
Lessons Learned ◽  
Safe Space ◽  
Small Scale ◽  
Resource Limitations ◽  
Team Project ◽  
Set Up ◽  
Student Team

In an effort to become more resilient and contribute to saving water and other resources, people become more interested in growing their own food, but do not have sufficient gardening experience and education on conserving water. Previous work has attempted to develop resilient smart gardens that support the user in automated watering using simple embedded boards. However, none of these solutions proved to be scalable nor are they easy to replicate for people at home. We set up a student team project that created a safe space for exploring this multidisciplinary domain. We developed a smart resilient garden kit with Internet-of-Things devices that is easy to rebuild and scale. We use a small-scale board and a number of sensors connected to a planter. In this paper, we report on a prototypical implementation for multidisciplinary smart garden projects, our experiences with self-guided implementation and reflection meetings, and our lessons learned. By learning about water conservation using automation on a small scale, students develop a sense for engineering solutions regarding resource limitations early on. By extending such small projects, they can prepare for developing large-scale solutions for those challenges.

utseus as a Successful Case of a Sino-French Approach to Engineering Education

2015 ◽  
Vol 4 (2) ◽  
pp. 207-233
Author(s):  
Cornelia Marin ◽  
MonZen Tzen
Keyword(s):  
Language Learning ◽  
Large Scale ◽  
Industrial Relations ◽  
Foreign Language Learning ◽  
Lessons Learned ◽  
Successful Case ◽  
Student Cohorts ◽  
Recent Developments ◽  
Foreign Education ◽  
Set Up

It is the aim of the paper to reflect on the lessons learned after ten years of existence of the Sino-French School for Engineering at Shanghai University (utseus), as well as on perspectives for an evolution related to recent developments in the French Higher Education landscape. The authors present background, rationale, modalities and perspectives for this venture set up by three French universities of technology in China by drawing parallels with other well-established Sino-foreign operations. It is shown that the combination of transnational and international approaches allow for transferring and adapting a foreign education model on a large scale, but also for establishing reciprocal mobility of big student cohorts. The approach is based on an integrated foreign language learning and intercultural content. This successful experience also shows how universities play an integrative role for a country’s cultural and industrial relations at an international level.

scholarly journals Evaluation of an OBCE Conversion Contract in a Large-scale Oil and Gas Project

2020 ◽  
Vol 312 ◽  
pp. 02006
Author(s):  
Ruveyda Komurlu ◽  
Akin Er
Keyword(s):  
Large Scale ◽  
Oil And Gas ◽  
Oil And Gas Industry ◽  
Lessons Learned ◽  
Project Schedule ◽  
Gas Industry ◽  
Maximum Benefit ◽  
Set Up ◽  
Distinguishing Features

Billion-dollar investments are quite common in oil and gas industry and owners generally prefer engineering, procurement, construction (EPC) contracts since they would like to minimize their risks and guarantee the most consistent project cost and shortest timeline scheme. Considering the size of contracts, owners are unsurprisingly seeking an ideal tender awarding method to avoid deviation from project schedule or budget and get the maximum benefit for them. They may prefer to award the EPC contract directly (i), have a front-end engineering design (FEED) study done first and award the EPC contract afterwards (ii), or set up a convertible contract and convert it to EPC after an open book cost estimate (OBCE) process (iii). It is a question of concern which option for large-scale oil and gas projects is the most favourable. As a case study, outcomes of a project which was administrated with a conversion type of contract will be reviewed in detail, and a number of principles based on lessons learned will be listed. Thus, the authors aim to provide a verifying approach for the interpretation of EPC conversion type contract management based on analysis of the distinguishing features of large-scale oil and gas projects.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Barriers to breaking bad news among medical and surgical residents

2001 ◽  
Vol 35 (3) ◽  
pp. 197-205 ◽  
Author(s):  
Sonia Dosanjh ◽  
Judy Barnes ◽  
Mohit Bhandari
Keyword(s):  
Bad News ◽  
Breaking Bad News ◽  
Breaking Bad ◽  
Surgical Residents
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