Identification of Care Tasks for the Use of Wearable Transfer Support Robots – An Observational Study at Nursing Facilities Using Robots on A Daily Basis

2020 ◽  
Author(s):  
Kenji Kato ◽  
Tatsuya Yoshimi ◽  
Shohei Tsuchimoto ◽  
Nobuaki Mizuguchi ◽  
Keita Aimoto ◽  
...  
Keyword(s):  
Extended Period ◽  
Daily Basis ◽  
Trial Registration ◽  
Direct Care ◽  
Nursing Facilities ◽  
Time Motion ◽  
Physical Burden ◽  
Routine Work ◽  
Effective Performance ◽  
Sustained Operation

Abstract Background: To reduce the physical burden of caregivers, wearable transfer support robots are highly desirable. Although these robots are reportedly effective for specific tasks in experimental environments, there is little information about their effectiveness at nursing care facilities. The aim of this study was to identify care tasks and operations suitable for the use of these robots among caregivers in nursing facilities where these robots have been in use on a daily basis.Methods: A 1-min observational time-motion analysis was conducted to examine care tasks and operations in two nursing facilities where wearable transfer support robots, namely Muscle Suit or HAL®, Lumbar Type for Care Support, have routinely been used on a daily basis for more than 24 months.Results: Analysis of the care tasks and their time ratio while wearing the equipment revealed that both robots were conspicuously used for direct care in over 70% of transits, especially during transfer assistance and toileting care. Furthermore, these robots were used intensively in the morning along with wake-up calls to care recipients, where pre-assigned wearers used them as part of their “routine work.”Conclusions: We found that these wearable transfer support robots enabled effective performance of care tasks and operations in nursing facilities where these robots have been used on a daily basis for an extended period of time. These results may lead to the effective implementation and sustained operation of other types of care robots in the future.Trial registration: UMIN Clinical Trials Registry no. UMIN000039204. Trial registration date: January 21, 2020. Interventional study. Parallel, non-randomized, single blinded.

scholarly journals Identification of care tasks for the use of wearable transfer support robots – an observational study at nursing facilities using robots on a daily basis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kenji Kato ◽  
Tatsuya Yoshimi ◽  
Shohei Tsuchimoto ◽  
Nobuaki Mizuguchi ◽  
Keita Aimoto ◽  
...  
Keyword(s):  
Extended Period ◽  
Daily Basis ◽  
Trial Registration ◽  
Direct Care ◽  
Nursing Facilities ◽  
Time Motion ◽  
Physical Burden ◽  
Routine Work ◽  
Effective Performance ◽  
Sustained Operation

Abstract Background To reduce the physical burden of caregivers, wearable transfer support robots are highly desirable. Although these robots are reportedly effective for specific tasks in experimental environments, there is little information about their effectiveness at nursing care facilities. The aim of this study was to identify care tasks and operations suitable for the use of these robots among caregivers in nursing facilities where these robots have been in use on a daily basis. Methods A 1-min observational time-motion analysis was conducted to examine care tasks and operations in two nursing facilities where wearable transfer support robots, namely Muscle Suit or HAL® Lumbar Type for Care Support, have been used routinely on a daily basis for more than 24 months. Results Analysis of the care tasks and their time ratio while wearing the equipment revealed that both robots were used conspicuously for direct care in over 70% of transits, especially during transfer assistance and toileting care. Furthermore, these robots were used intensively in the morning along with wake-up calls to care recipients, where pre-assigned wearers used them as part of their “routine work.” Conclusions We found that these wearable transfer support robots enabled effective performance of care tasks and operations in nursing facilities where these robots have been used on a daily basis for an extended period of time. These results may lead to the effective implementation and sustained operation of other types of care robots in the future. Trial registration UMIN Clinical Trials Registry no. UMIN000039204. Trial registration date: January 21, 2020. Interventional study. Parallel, non-randomized, single blinded.

Ready Player Two: A randomised controlled pilot trial investigating the feasibility of using games to improve healthy lifestyle knowledge in youth (9-16 years) at risk for type two diabetes. (Preprint)

2021 ◽  
Author(s):  
Ralph Maddison ◽  
Nilufar Baghaei ◽  
Amanda Jane Calder ◽  
Rinki Murphy ◽  
Varsha Parag ◽  
...  
Keyword(s):  
At Risk ◽  
New Zealand ◽  
Healthy Lifestyle ◽  
Pilot Trial ◽  
Extended Period ◽  
Trial Registration ◽  
Diabetes Knowledge ◽  
Game Play ◽  
Health Research Council ◽  
Randomised Controlled

UNSTRUCTURED Objective: To determine the comparative use and knowledge effects of two prototype serious games for health on healthy lifestyle knowledge in youth aged 9-16 years at risk for type 2 diabetes (T2D). Methods: A three-arm parallel randomized controlled pilot trial was undertaken to assess use of the game, and the effect of the game on healthy lifestyle and T2D diabetes knowledge. Participants were allocated to ‘Diabetic Jumper’ (n=7), ‘Ari and Friends’ (n=8), or a control game (n=8). All participants completed healthy lifestyle and T2D knowledge questionnaires at baseline, immediately after game play, and four weeks after game play. Game attitudes and preferences were also assessed. The primary outcome was the use of the game, specifically, the number of minutes played over four weeks. Results: There were no statistical differences in healthy lifestyle knowledge or diabetes knowledge over time or across games. Only one participant accessed the game for an extended period, playing the game for a total of 33 min over 4 weeks. Conclusion: Two prototype serious were unsuccessful at sustaining long-term play outside a clinic environment. However, the potential for these games to be used as stimulus to engage young people with healthy lifestyle and diabetes knowledge in a clinic setting should be further explored. Suggested improvements for future studies are discussed. Trial Registration: Australia New Zealand Clinical Trials Registry, ACTRN12619000380190. Registered 11 March 2019, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377123 Funding: The trial was funded by a Health Research Council of New Zealand Feasibility grant.

Policies and practices in the field of laboratory hematology in Croatia – a current overview and call for improvement

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Vanja Radišić Biljak ◽  
Ivana Lapić ◽  
Valentina Vidranski ◽  
Ivona Herceg ◽  
Franciska Tomić ◽  
...  
Keyword(s):  
National Level ◽  
Daily Basis ◽  
Internal Quality ◽  
Routine Practice ◽  
Medical Laboratories ◽  
Routine Work ◽  
Comprehensive Survey ◽  
Total Testing Process ◽  
Laboratory Hematology ◽  
Hematology Analyzers

Abstract Objectives In 2019 The Croatian Working Group for Laboratory Hematology, on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine, wanted to explore the background in field of laboratory hematology routine practice among Croatian laboratories in order to develop future strategies for producing national recommendations, if needed. Methods During April and May 2019, a comprehensive survey covering all main parts of the total testing process within the field of laboratory hematology among Croatian medical laboratories was conducted. The survey comprised 49 inquiries. Data was collected using Survey Monkey (Palo Alto, CA, USA). All collected data was anonymized. Results The response rate was 72%. There is still a substantial number of laboratories that have only three-part differential hematology analyzers (9%). Furthermore, a very high number of laboratories did not perform analyzer verification prior to implementation into routine work (31%). Out of those who have verified their analyzers, a diversity of guidelines and recommendations were used. Nearly 10% of the laboratories do not have a defined policy regarding specimen rejection. The majority of the participants perform internal quality control daily (83%), however, only 51% of respondents evaluate the agreement between different hematology analyzers on daily basis. Although more than 90% of Croatian laboratories have a defined policy regarding specimen rejection, only 61% of respondents continuously monitor quality indicators in routine practice. Conclusions The survey revealed substantial differences in all aspects of laboratory hematology practices among Croatian medical laboratories, indicating the need for universal recommendations at the national level.

scholarly journals Dawn singing behavior of a tropical bird species, the Pied Bush Chat Saxicola caprata

2012 ◽  
Vol 4 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Vinaya Kumar Sethi ◽  
Dinesh Bhatt ◽  
Amit Kumar
Keyword(s):  
Breeding Season ◽  
Social Relationship ◽  
Bird Species ◽  
Extended Period ◽  
Daily Basis ◽  
Sequential Pattern ◽  
Song Type ◽  
Singing Behavior ◽  
Dawn Song ◽  
Song Types

This paper aims to study the structure and pattern of dawn song in a tropical avian species, the Pied Bush Chat (Saxicola caprata) in Haridwar (290 55’ N, 780 08’ E; Uttarakhand, India) in 2009. Males delivered complex dawn chorus on daily basis during only breeding season (February to July). The dawn song bout was made up of a number of distinct sections called song types. Each song type consisted of a series of similar or dissimilar units referred to as elements. Song type length averaged 1.43±0.23 sec and did not differ significantly among males. Theaverage number and types of elements in a song type were observed 8.15±1.64 and 8.01±1.56, respectively.In more than 80% of observations, song types were delivered with immediate variety and males did not follow any definite sequential pattern of song delivery. Males sang continuously for about 30 min at high rates during dawn. Males performed continuous dawn singing throughout the breeding season and seemed to interact vocally through counter-singing for extended period. Observations suggest that dawn song delivery in Pied Bush Chat plays an important role in maintenance and adjustment of social relationship among neighbouring males.

scholarly journals A Time Motion Study Evaluating the Impact of Geographic Cohorting of Hospitalists

2019 ◽  
Vol 15 (6) ◽  
Keyword(s):  
Multilevel Modeling ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Direct Care ◽  
Time Motion ◽  
Motion Study ◽  
Indirect Care ◽  
The Impact ◽  
Computer Interactions

BACKGROUND: Geographic cohorting (GCh) localizes hospitalists to a unit. Our objective was to compare the GCh and non-GCh workday. METHODS: In an academic, Midwestern hospital we observed hospitalists in GCh and non-GCh teams. Time in patient rooms was considered direct care; other locations were considered ‘indirect’ care. Geotracking identified time spent in each location and was obtained for 17 hospitalists. It was supplemented by in-person observation of four GCh and four non-GCh hospitalists for a workday each. Multilevel modeling was used to analyze associations between direct and indirect care time and team and workday characteristics. RESULTS: Geotracking yielded 10,522 direct care episodes. GCh was associated with longer durations of patient visits while increasing patient loads were associated with shorter visits. GCh, increasing patient loads, and increasing numbers of units visited were associated with increased indirect care time. In-person observations yielded 3,032 minutes of data. GCh hospitalists were observed spending 56% of the day in computer interactions vs non-GCh hospitalists (39%; P < .005). The percentage of time spent multitasking was 18% for GCh and 14% for non-GCh hospitalists (P > .05). Interruptions were pervasive, but the highest interruption rate of once every eight minutes in the afternoon was noted in the GCh group. CONCLUSION: GCh may have the potential to increase patient–hospitalist interactions but these gains may be attenuated if patient loads and the structure of cohorting are suboptimal. The hospitalist workday is cognitively intense. The interruptions noted may increase the time taken for time-intensive tasks like electronic medical record interactions.

scholarly journals Atenção do enfermeiro em relação a espiritualidade no cuidar do paciente em unidade de terapia intensiva

2020 ◽  
Vol 10 (30) ◽  
pp. 62-67
Author(s):  
Amanda Leal Tavares ◽  
Acácia Maria Lima Oliveira Devezas ◽  
Maria Angela Reppetto ◽  
Luciana Soares Costa Santos
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Daily Basis ◽  
Sao Paulo ◽  
Direct Care ◽  
Spiritual Needs ◽  
Critical Care Nursing ◽  
São Paulo ◽  
The Subject ◽  
Critical Patients

Verificou-se a atenção dos enfermeiros sobre a espiritualidade na assistência ao paciente em UTI, de um hospital geral, de São Paulo, aprovação do CEP institucional (CAAE: 10991712.5.0000.0070). Participaram 42 enfermeiros, maioria mulheres com idade média de 35,64 anos, com especialização, 50%, católicas. Do total de participantes, 71,43% eram praticantes, com 47,62% frequentando a igreja ou templo religioso. Sobre a espiritualidade na UTI, 57,14% consideram “muito importante”. Quanto a abordagem no cuidado ao paciente, 47,62% acham “muito importante”. Sobre a assistência espiritual na UTI, 83,33% dos participantes, observaram evolução clínica nestes pacientes. Conclusão: os enfermeiros consideram importante abordar o assunto, sobretudo, no cuidado direto ao paciente crítico e “respeito ao próximo” foi considerado uma das principais condutas relacionadas a religiosidade/espiritualidade no cuidado. Enfatiza-se que o cuidado de enfermagem, seja revisto e que possa no dia a dia estar relacionado com as necessidades religiosas/espirituais dos enfermos, considerando a integralidade do cuidar.Descritores: Espiritualidade, Assistência de Enfermagem, Enfermagem de Cuidados Críticos. Nurse's attention regarding spirituality in caring for the patient in the intensive care unitAbstract: Nurses' attention was paid to spirituality in patient care in the ICU of a general hospital in São Paulo, institutional CEP approval (CAAE: 10991712.5.0000.007 0). 42 nurses participated, mostly women with an average age of 35.64 years, with specialization, 50%, Catholic. Of the total participants, 71.43% were practitioners, with 47.62% attending the church or religious temple. Regarding spirituality in the ICU, 57.14% consider it “very important”. Regarding the approach to patient care, 47.62% think it is "very important". Regarding spiritual assistance in the ICU, 83.33% of the participants observed clinical evolution in these patients. Conclusion: nurses consider it important to approach the subject, above all, in direct care for critical patients and “respect for others” was considered one of the main behaviors related to religiosity/spirituality in care. It is emphasized that nursing care is reviewed and that it can be related to the religious/spiritual needs of the patients on a daily basis, considering the integrality of care.Descriptors: Spirituality, Nursing Care, Critical Care Nursing. Atención de la enfermera con respecto a la espiritualidad en el cuidado de pacientes en unidades de atención intensivaResumen: Se verificó la atención de las enfermeras a la espiritualidad en la atención al paciente en la UCI, de un hospital general en São Paulo, aprobación del CEP institucional (CAAE: 10991712.5.0000.0070). Participaron 42 enfermeras, en su mayoría mujeres con una edad promedio de 35.64 años, con especialización, 50%, católicos. Del total de participantes, 71.43% eran practicantes, con 47.62% asistiendo a la iglesia o templo religioso. Cuanto la espiritualidad en la UCI, el 57,14% lo considera "muy importante". Con respecto al enfoque de la atención al paciente, el 47,62% piensa que es "muy importante". Cuanto a la asistencia espiritual en la UCI, el 83,33% de los participantes observaron evolución clínica en estos pacientes. Conclusión: las enfermeras consideran importante abordar el tema, sobre todo, en la atención directa a pacientes críticos y el "respeto por los demás" se consideró una de las principales conductas relacionados con la religiosidad/espiritualidad en la atención. Se enfatiza que la atención de enfermería ser revisado y que puede relacionarse con las necesidades religiosas/espirituales de los pacientes diariamente, considerando la integralidad de la atención.Descriptores: Espiritualidad, Atención de Enfermería, Enfermería de Cuidados Críticos.

scholarly journals Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time–motion study

2014 ◽  
Vol 38 (2) ◽  
pp. 230 ◽  
Author(s):  
Siyu Qian ◽  
Ping Yu ◽  
David M. Hailey ◽  
Zhenyu Zhang ◽  
Pamela J. Davy ◽  
...  
Keyword(s):  
Oral Communication ◽  
Aged Care ◽  
Direct Care ◽  
Residential Aged Care ◽  
Care Needs ◽  
Time Motion ◽  
Care Facilities ◽  
High Care ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Objective To examine the time, frequency and duration of each direct care activity conducted by personal carers in Australian residential aged care homes. Methods A time–motion study was conducted to observe 46 personal carers at two high-care houses in two facilities (14 days at Site 1 and 16 days at Site 2). Twenty-three direct care activities were classified into eight categories for analysis. Results Overall, a personal carer spent approximately 45% of their time on direct care, corresponding to 3.5 h in an 8-h daytime shift. The two sites had similar ratios of personal carers to residents, and each resident received 30 min of direct care. No significant differences between the two sites were found in the time spent on oral communication, personal hygiene and continence activities. Personal carers at Site 1 spent significantly less time on toileting and mobility activities than those at Site 2, but more time on lunch activity. Although oral communication took the longest time (2 h), it occurred concurrently with other activities (e.g. dressing) for 1.5 h. Conclusions The findings provide information that may assist decision makers in managing the operation of high-care residential aged care facilities, such as planning for task allocation and staffing. What is known about the topic? Overall, 30%–45% of the care staff’s time is spent on direct care in residential aged care facilities. What does this paper add? This paper adds knowledge about how much time is required to conduct each direct care activity and the frequency and duration of conducting these activities to meet residents’ day-to-day care needs in two high-care houses in two aged care facilities. What are the implications for practitioners? On average, a resident with high-care needs requires 30 min direct care. There may exist a basic minimum desirable ratio of personal carers to residents in high-care facilities. Residents’ toileting needs are high after meals. Communication with residents represents an essential role in providing care.

618 Real-time Motion Analysis Using CCD camera : Physical Burden in Lifting up

2012 ◽  
Vol 2012 (0) ◽  
pp. _618-1_-_618-10_
Author(s):  
Toshifumi MURAGISHI ◽  
Yutaka KURITA ◽  
Yasunori OURA
Keyword(s):  
Real Time ◽  
Motion Analysis ◽  
Ccd Camera ◽  
Time Motion ◽  
Physical Burden
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