Method Development for Describing Content of Multitasked Interventions Using the Omaha System

2019 ◽  
Vol 33 (2) ◽  
pp. 147-168 ◽  
Author(s):  
Merve Altiner ◽  
Selda Secginli ◽  
Michelle A. Mathiason ◽  
Karen A. Monsen
Keyword(s):  
Health Center ◽  
Method Development ◽  
Family Health ◽  
Cost Effective ◽  
Nursing Process ◽  
Motion Data ◽  
Time Motion ◽  
Nurse Midwife ◽  
Omaha System ◽  
Visualization Techniques

BackgroundUnderstanding multitasking within nursing and midwifery is needed for efficient, effective, and cost-effective health services. Methods are needed to measure and analyze multitasking in alignment with the nursing process. The Omaha System operationalizes the nursing process and may be a valuable resource for multitasking analysis.PurposeThe purpose of this study was to develop and test a method for describing intervention content of nurse/midwife multitasked interventions using the Omaha System and Time Capture Tool (TimeCaT) in a family health center in Turkey.MethodsEight nurses/midwives were observed with TimeCaT in a family health center in 2016. Preidentified 84 nurse/midwife interventions employed in the center were mapped on Omaha System terms and entered in TimeCaT software for data collection. Co-occurring interventions were analyzed using descriptive and inferential statistics and visualization techniques.ResultsOf 1066.8 total minutes observed, 34.0% included more than one intervention that occurred at the same time. Caretaking/parenting and postpartum problems, teaching, guidance, and counseling category, and caretaking/parenting skills target were more often multitasked than others.Implications for PracticeIt was feasible to use the Omaha System and TimeCaT to categorize, describe, and measure multitasking nursing/midwifery interventions. This method may be applied to other time–motion data when more than one co-occurring intervention is recorded.

scholarly journals Extended Family Health Center from the perspective of Community Health Agents

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Bárbara Aline de Bezerra Miranda ◽  
Renata Fabiana Pegoraro
Keyword(s):  
Community Health ◽  
Health Center ◽  
Extended Family ◽  
Family Health

scholarly journals Hybrid Finite Element Method Development for Offshore Structures’ Calculation with the Implementation of Industry Standards

2019 ◽  
Vol 26 (4) ◽  
pp. 90-100
Author(s):  
Jacek Łubiński ◽  
Henryk Olszewski
Keyword(s):  
Finite Element ◽  
Method Development ◽  
Structural Model ◽  
Model Development ◽  
Steel Structures ◽  
Cost Effective ◽  
Offshore Structures ◽  
Wind Loading ◽  
Hybrid Finite Element Method ◽  
Industry Standards

Abstract In the design process of offshore steel structures, it is typical to employ commercial calculation codes in which simulation and evaluation of results are performed on the basis of the available standards (e.g. API, DNV, Lloyds). The modeling and solution rely on finite element methods and cover the simulation of the structure’s properties along with the influence of the marine environment – sea currents, wave and wind loading, as well as the influence of vibrations, buoyancy and accompanying mass of water. Both commercial and open source mathematical modeling software which is available nowadays allows for cost effective and flexible implementation of advanced models for offshore industrial structures with high level of credibility and safety. The models can be built to suit task-specific requirements and evaluated on the basis of the selected criterial system best suited to the needs of the customer. Examples of methodology for environmental and structural model development are presented, along with simulation results covering a wide scope of data, ranging from stress and deformation to resonant characteristics and issues of technological feasibility.

scholarly journals What GPs do and what gets in their way: a mixed-methods study

2021 ◽  
pp. BJGP.2021.0357
Author(s):  
Carol Sinnott ◽  
Jordan M Moxey ◽  
Sonja Marjanovic ◽  
Brandi Leach ◽  
Lucy Hocking ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Method ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Task Completion ◽  
Work Systems ◽  
Motion Data ◽  
Time Motion ◽  
General Practices ◽  
Operational Failures

Background: Though problems that impair task completion – known as operational failures – are an important focus of concern in primary care, they have remained little studied. Aim: To quantify the time general practitioners (GPs) spend on different activities during clinical sessions; to identify the number of operational failures they encountered; and to characterise the nature of operational failures and their impacts for GPs. Design and setting: Mixed-method triangulation study with 61 GPs in 28 NHS general practices. Method: Time-motion methods, ethnographic observations and interviews. Results: Time-motion data on 7679 GP tasks during 238 hours of practice in 61 clinical sessions suggested that operational failures were responsible for around 5.0% (confidence interval 4.5 to 5.4) of all tasks undertaken by GPs and accounted for 3.9% (3.2 to 4.5) of clinical time. However, qualitative data showed that time-motion methods, which depend on pre-programmed categories, substantially underestimated operational failures. Qualitative data also enabled further characterisation of operational failures, extending beyond those measured directly in the time-motion data (eg, interruptions, deficits in equipment/supplies and technology) to include problems linked to GPs’ coordination role and weaknesses in work systems and processes. The impacts of operational failures were highly consequential for GPs’ experiences of work. Conclusion: GPs experience frequent operational failures, disrupting patient care, impairing experiences of work, and imposing burden in an already pressurised system. Better understanding of the nature and impact of operational failures allows identification of targets for improvement and indicates the need for coordinated action to support GPs.

scholarly journals Incidence Of Violence Among The Elderly In A Family Health Center

10.3823/1746 ◽  
2015 ◽  
Author(s):  
Ankilma Feitosa do Nascimento Andrade ◽  
Paloma Batista de Almeida ◽  
Ocilma Barros de Barros de Quental ◽  
Maura Vanessa Silva Sobreira ◽  
Elisangela Vilar de Assis ◽  
...  
Keyword(s):  
Health Center ◽  
Family Health ◽  
The Elderly

INVESTIGATION OF THE FREQUENCY, GENOTYPE DISTRIBUTION AND PROBABLE RISK FACTORS OF HUMAN PAPILLOMAVIRUS (HPV) AMONG WOMENS ATTENDING TO FAMILY HEALTH CENTER

2021 ◽  
Vol 6 (11) ◽  
pp. 12-19
Author(s):  
Meryem ÇOLAK ◽  
Merve KARTAL DEMİR
Keyword(s):  
Risk Factors ◽  
Health Center ◽  
Sexual Intercourse ◽  
Hpv Vaccine ◽  
Family Health ◽  
Genotype Distribution ◽  
Viral Dna ◽  
Hpv Dna ◽  
First Sexual Intercourse ◽  
Pcr Method

It is important to understand the frequency of Human Papilloma Virus (HPV) and the factors associated with HPV infections, to determine prevention, control and measures to be taken. In this study, it was aimed to investigate the HPV prevalence, genotype distribution and possible risk factors in women applying to the Family Health Center. Sexually active, clinically asymptomatic fifty women aged 30-65 who applied to Safranbolu Family Health Center between October 2018 and March 2019 were included in the study. In order to compare HPV-DNA positivity and socio-demographic characteristics, the education status, number of pregnancies, age of first sexual intercourse, presence of chronic disease, pap smear test and HPV vaccine status, etc. information was recorded and cervical swab samples were taken for detection of HPV-DNA. Viral DNA was isolated with the QIAamp® Viral DNA Kit (QIAGEN, Germany) according to the manufacturer's protocol. The presence of HPV-DNA was investigated using the MY09 / MY11 primers by the Polymerase Chain Reaction (PCR) method, positive samples were amplified using type-specific primers by PCR method and HPV typing was performed. HPV-DNA positivity was detected as 6% (3/50) in the study. Two samples were typed as HPV16; and one samples was typed as HPV31. It was observed that all HPV DNA positive samples were high risk oncogenic HPV types. When the probable risk factors are examined; It was observed that the first sexual intercourse age of patients was 16-21 years, and the number of pregnancies was ≥3 among the HPV-DNA positive women. A statistically significant relation was found with HPV-DNA positivity between the age of first sexual intercourse and the number of pregnancies (p <0.05). HPV-DNA positivity was not observed in any woman protected by a condom, which is considered to be the safest in terms of to protect sexualy transmission infections. It was observed that any women participating in the study knew the availability of HPV vaccine and did not get the HPV vaccine. It is necessary to perform studies showing the prevalence of HPV and common genotypes in a region at certain time intervals; it is thought that the results will guide cervical cancer prevention and vaccination.

An Efficiency Evaluation of Protocols for Tight Glycemic Control in Intensive Care Units

2007 ◽  
Vol 16 (6) ◽  
pp. 589-598 ◽  
Author(s):  
Mark A. Malesker ◽  
Pamela A. Foral ◽  
Ann C. McPhillips ◽  
Keith J. Christensen ◽  
Julie A. Chang ◽  
...  
Keyword(s):  
Intensive Care ◽  
Blood Glucose ◽  
Glycemic Control ◽  
Intensive Care Units ◽  
Tight Glycemic Control ◽  
Third Party ◽  
Full Time ◽  
Motion Data ◽  
Time Motion ◽  
The Impact

Background The efficiency of protocols for tight glycemic control is uncertain despite their adoption in hospitals. Objectives To evaluate the efficiency of protocols for tight glycemic control used in intensive care units. Methods Three separate studies were performed: (1) a third-party observer used a stopwatch to do a time-motion analysis of patients being treated with a protocol for tight glycemic control in 3 intensive care units, (2) charts were retrospectively reviewed to determine the frequency of deviations from the protocol, and (3) a survey assessing satisfaction with and knowledge of the protocol was administered to full-time nurses. Results Time-motion data were collected for 454 blood glucose determinations from 38 patients cared for by 47 nurses. Mean elapsed times from blood glucose result to therapeutic action were 2.24 (SD, 1.67) minutes for hypoglycemia and 10.65 (SD, 3.24) minutes for hyperglycemia. Mean elapsed time to initiate an insulin infusion was 32.56 (SD, 12.83) minutes. Chart review revealed 734 deviations from the protocol in 75 patients; 57% (n = 418) were deviations from scheduled times for blood glucose measurements. The mean number of deviations was approximately 9 per patient. Of 60 nurses who responded to the workload survey, 42 (70%) indicated that the protocol increased their workload; frequency of blood glucose determinations was the most common reason. Conclusions Nurses spend substantial time administering protocols for tight glycemic control, and considerable numbers of deviations occur during that process. Further educational efforts and ongoing assessment of the impact of such protocols are needed.

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