scholarly journals Family-Centered Approach to Monitoring Children’s Development in a Paediatric Outpatient Setting: Feasibility Study from Pakistan

2021 ◽  
Author(s):  
Muneera A. Rasheed ◽  
Waliyah Mughis ◽  
Kinza N Elahi ◽  
Babar S. Hasan
Keyword(s):  
Service Providers ◽  
Psychosocial Support ◽  
Tertiary Care ◽  
Wait Time ◽  
Well Being ◽  
Parent Report ◽  
Outpatient Setting ◽  
Theory Of Change ◽  
Care Hospital ◽  
Family Centered

Abstract Background: The purpose of the study was to design and test the feasibility of a recent guideline of family-centered psychosocial support as an approach to developmental monitoring in a pediatric outpatient setting.Methods: The patient experience team at a private tertiary care hospital leveraged an on-going patient and family-centric initiative in the service to implement the intervention. The intervention delivery model was designed using the theory of change model and entailed the following i) the service providers: paediatricians but with support from psychology trainee volunteers to address time constraints; ii) monitoring form: Survey of Well-Being of Young Children (SWYC) being feasible and designed for regular developmental monitoring as parent report; iii) family support intervention: the Care for Child Development module to enhance parent-child interactions given team’s successful experience with inpatient children; iv) timing: utilize wait time to also enhance families’ experience and v) reinforcement: reinforced by the paediatrician in the consultation visit to capitalize on the established rapport and relationship with families. All families with children under 5 years 5 months of age in selected clinics (acute care, complex care, developmental issues) were eligible. The study was evaluated for acceptability and implementation feasibility. Families were interviewed about their experience; trainees provided a written narrative while physicians provided feedback on email. These were thematically analyzed using an inductive approach.Results: A total 182 families were administered the SWYC with 54% children detected for further review on cognitive milestones and 76% on social-emotional milestones. Forty-eight families were interviewed regarding their experience with the intervention. They reported the monitoring process to be useful and important for them as parents indicating acceptability. Paediatricians and trainees found the intervention to be important for parents and children’s health also requesting further understanding about child’s functioning. The trainees further expressed the experience to be significant for their own learning.Conclusion: The authors conclude that the intervention model for a family-centric approach to monitoring was acceptable to the families and the service providers. The intervention when implemented using a robust behaviour change framework can enhance feasibility.

scholarly journals Family-centered Approach to Monitoring Children’s Development in a Paediatric Outpatient Setting: Feasibility Study From Pakistan

2021 ◽  
Author(s):  
Muneera A. Rasheed ◽  
Waliyah Mughis ◽  
Kinza N Elahi ◽  
Babar S. Hasan
Keyword(s):  
Service Providers ◽  
Psychosocial Support ◽  
Tertiary Care ◽  
Wait Time ◽  
Well Being ◽  
Parent Report ◽  
Outpatient Setting ◽  
Theory Of Change ◽  
Care Hospital ◽  
Family Centered

Abstract Background: The purpose of the study was to design and test the feasibility of a recent guideline of family-centered psychosocial support as an approach to developmental monitoring in a pediatric outpatient setting.Methods: The patient experience team at a private tertiary care hospital leveraged an on-going patient and family-centric initiative in the service to implement the intervention. The intervention delivery model was designed using the theory of change model and entailed the following i) the service providers: paediatricians but with support from psychology trainee volunteers to address time constraints; ii) monitoring form: Survey of Well-Being of Young Children (SWYC) being feasible and designed for regular developmental monitoring as parent report; iii) family support intervention: the Care for Child Development module to enhance parent-child interactions given team’s successful experience with inpatient children; iv) timing: utilize wait time to also enhance families’ experience and v) reinforcement: reinforced by the paediatrician in the consultation visit to capitalize on the established rapport and relationship with families. All families with children under 5 years 5 months of age in selected clinics (acute care, complex care, developmental issues) were eligible. The study was evaluated for acceptability and implementation feasibility. Families were interviewed about their experience; trainees provided a written narrative while physicians provided feedback on email. These were thematically analyzed using an inductive approach.Results: A total 182 families were administered the SWYC with 54% children detected for further review on cognitive milestones and 76% on social-emotional milestones. Forty-eight families were interviewed regarding their experience with the intervention. They reported the monitoring process to be useful and important for them as parents indicating acceptability. Paediatricians and trainees found the intervention to be important for parents and children’s health also requesting further understanding about child’s functioning. The trainees further expressed the experience to be significant for their own learning.Conclusion: The authors conclude that the intervention model for a family-centric approach to monitoring was acceptable to the families and the service providers. The intervention when implemented using a robust behaviour change framework can enhance feasibility.

scholarly journals Family-centered approach to monitoring children’s development in a paediatric outpatient setting: feasibility study from Pakistan

2021 ◽  
Author(s):  
Muneera A. Rasheed ◽  
Waliyah Mughis ◽  
Kinza N Elahi ◽  
Babar S. Hasan
Keyword(s):  
Service Providers ◽  
Psychosocial Support ◽  
Tertiary Care ◽  
Wait Time ◽  
Well Being ◽  
Parent Report ◽  
Outpatient Setting ◽  
Theory Of Change ◽  
Care Hospital ◽  
Family Centered

Abstract Background: The purpose of the study was to design and test the feasibility of a recent guideline of family-centered psychosocial support as an approach to developmental monitoring in a pediatric outpatient setting.Methods: The patient experience team at a private tertiary care hospital leveraged an on-going patient and family-centric initiative in the service to implement the intervention. The intervention delivery model was designed using the theory of change model and entailed the following i) the service providers: paediatricians but with support from psychology trainee volunteers to address time constraints; ii) monitoring form: Survey of Well-Being of Young Children (SWYC) being feasible and designed for regular developmental monitoring as parent report; iii) family support intervention: the Care for Child Development module to enhance parent-child interactions given team’s successful experience with inpatient children; iv) timing: utilize wait time to also enhance families’ experience and v) reinforcement: reinforced by the paediatrician in the consultation visit to capitalize on the established rapport and relationship with families. All families with children under 5 years 5 months of age in selected clinics (acute care, complex care, developmental issues) were eligible. The study was evaluated for acceptability and implementation feasibility. Families were interviewed about their experience; trainees provided a written narrative while physicians provided feedback on email. These were thematically analyzed using an inductive approach.Results: A total 182 families were administered the SWYC with 54% children detected for further review on cognitive milestones and 76% on social-emotional milestones. Forty-eight families were interviewed regarding their experience with the intervention. They reported the monitoring process to be useful and important for them as parents indicating acceptability. Paediatricians and trainees found the intervention to be important for parents and children’s health also requesting further understanding about child’s functioning. The trainees further expressed the experience to be significant for their own learning.Conclusion: The authors conclude that the intervention model for a family-centric approach to monitoring was acceptable to the families and the service providers. The intervention when implemented using a robust behaviour change framework can enhance feasibility.

scholarly journals A Family-Centered Intervention to Monitor Children's Development in a Pediatric Outpatient Setting: Design and Feasibility Testing

2021 ◽  
Vol 1 ◽  
Author(s):  
Muneera A. Rasheed ◽  
Waliyah Mughis ◽  
Kinza Naseem Elahi ◽  
Babar S. Hasan
Keyword(s):  
Service Providers ◽  
Tertiary Care ◽  
Scale Up ◽  
Wait Time ◽  
Well Being ◽  
Parent Report ◽  
Outpatient Setting ◽  
Theory Of Change ◽  
Care Hospital ◽  
Family Centered

The patient experience team at a private tertiary care hospital used the Theory of Change to design a family-centered developmental monitoring intervention, building on an ongoing initiative. The design entailed (i) a monitoring form: Survey of Well-Being of Young Children (SWYC) being an easy parent-report measure; (ii) family support intervention: the Care for Child Development module to enhance parent-child interactions; (iii) timing: utilizing wait time to also enhance families' experience; (iv) the service providers: psychology trainees as volunteers; and (v) reinforcement: by the pediatrician in the regular consultation health visit capitalizing on the established rapport with families. All families with children under 5 years 5 months 31 days of age in selected acute, complex, and developmental care clinics were eligible. Feedback from stakeholders indicated that the monitoring process was useful and imparted important information for parents and pediatricians, while the trainees felt the experience to be significant for their own learning. The authors conclude that the designed intervention model for a family-centric approach was acceptable and feasible. Key recommendations have been presented for further scale-up.

scholarly journals Gender-wise Comparative Assessment of Lifestyle Patterns and Well-being Status among Healthcare Employees at a Tertiary Care Hospital

2021 ◽  
Author(s):  
Vanajakshamma Velam ◽  
Vyshnavi Kancherla ◽  
Latheef Kasala ◽  
Anusha Kancherla ◽  
Mounica Reddy Pillaram
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Well Being ◽  
Care Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
Female Employees ◽  
The Mean ◽  
Lifestyle Patterns ◽  
Comprehensive Study

Abstract Background This study was an attempt to assess and compare the gender-wise lifestyle patterns and well-being status among the employees of a tertiary care teaching hospital. Material and Methods This is a cross-sectional, questionnaire-based study conducted at a tertiary care hospital between May and August 2019. A total of 777 employees belonging to both genders (male and female) and working at different professional levels were assessed. All the enrolled employees were subjected to a comprehensive study tool consisting of various dimensions of their health, which included physical, mental, social, spiritual and intellectual health dimensions. Results Among the participants, 327 (42.1%) were male and 450 (57.9%) were female. There was no significant difference in the mean age of male (37.91 ± 7.52) and female (36.85 ± 8.16) employees (p = 0.07). A significantly higher proportion of diabetes and hypertension were seen in male employees (9.8% and 14.4%, respectively) than in female (5.6% and 6.2% respectively). The overall well-being was better in male employees than in females and was statistically significant (p < 0.0001). We found that male employees had statistically significant better well-being in terms of physical, mental and social health whereas female employees had intellectual health. Conclusion The overall well-being in healthcare staff was good at our tertiary care hospital, and the outstanding/good well-being rate was higher in male employees than in female employees. Female employees experienced risks with regard to their physical health.

scholarly journals How to improve patient experience of compassion through nursing: Development of an on-job mentorship programme in a tertiary care hospital, Pakistan

2020 ◽  
Author(s):  
Alma Arshad ◽  
Naureen Lalani ◽  
Noureen Sultan ◽  
Aly Zubairi ◽  
Ayesha Hussain ◽  
...  
Keyword(s):  
Nursing Education ◽  
Patient Experience ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Theory Of Change ◽  
Pediatric Care ◽  
Care Hospital ◽  
Intervention Package ◽  
Middle Income ◽  
Experience Of Care

Abstract Background Evidence suggests improvement in nursing staff satisfaction, competence, and retention after implementation of evidence-based mentorship programmes. When guided by a framework of compassion, mentoring as a caring action can not only build healthy, transformative relationships and energize the workplace environments but a similar behavior is reciprocated to patients which subsequently can drive patient experience of care. However, examples of on-job mentorship programs for nurses in low- and middle-income countries (LMIC) are limited owing to human and financial constraints. Objective The current study describes the development of a feasible an on-job nursing mentorship program using a compassionate framework aimed at improving nurses’ experience and thus enhancing patient experience from a tertiary care hospital in Pakistan. Methods The intervention package was built by a team composed of service and nursing leadership, director patient experience of care and a compassion specialist using a theory of change model. The package followed a series of steps that were based on the principles of implementation science, a) identification of a framework, b) creating a working group and c) multiple meetings to frame the model followed by implementing the preconditions for roll-out of the programme. Results The intermediate outcome was to have nurses demonstrate skills of compassion with the eventual outcome of improving the patient's experience of compassion. The pre-conditions were identified as: recruitment of staff with appropriate skills for pediatric care, precision of compassionate experience definition, creation of a compassionate culture and development of competent head nurses as supervisor. In order to ensure the pre-conditions, various interventions were planned and some were implemented through the course of designing. These involved, creation of space to talk about compassionate skills with staff, provide trainings and on-job coaching, revising career ladder of supervisors, inclusion of pediatric compassion specific nursing education service orientation program, recognition of efforts and promotion of compassionate values in numerous communication platforms, arrangement of training workshops, creation of checklists and development of dashboards. Conclusion The approach helped to delineate feasible pathways for an on-job compassionate mentorship programme through strengthening routine supervision leading to improved patient experience of care in the pediatric service.

scholarly journals A study on adverse drug reactions in patients on antiretroviral therapy in a tertiary care hospital

2018 ◽  
Vol 7 (10) ◽  
pp. 1882
Author(s):  
Praveena Gungam ◽  
Y. Sunil Kumar Yadav ◽  
Sunil Junapudi
Keyword(s):  
Adverse Drug Reactions ◽  
Antiretroviral Treatment ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Outpatient Setting ◽  
Care Hospital ◽  
Second Line ◽  
Drug Reactions ◽  
Longitudinal Observational Study ◽  
Prospective Longitudinal

Background: Besides unparalleled advantages, exceptionally dynamic antiretroviral treatment is additionally connected with extensive variety of potential adverse drug reactions (ADRs), which prevents treatment adherence. The present study is intended to screen and monitor the event of ADRs to different antiretroviral treatment (ART) regimens in a tertiary care ART setup.Methods: A prospective, longitudinal observational study was done in the outpatient setting of nodal ART center, Osmania General Hospital. A sum of 525 patients on different ART regimens were examined for ADRs more than year and a half. Adverse event history, prescription history and other significant subtle elements were captured. Causality and seriousness of each announced ADR were surveyed.Results: 37.33% patients of aggregate members gave a sum of 330 ADRs. Patients from zidovudine-based regimens presented with majority of ADRs such as anemia, central nervous system (CNS), and gastrointestinal (GI) side effects. Tenofovir-based regimens were, be that as it may, observed to be somewhat more secure. The blend with Efavirenz was related with significant CNS reactions while that of Nevirapine was related with rash and pigmentation of nails. Atazanavir supported second-line regimens were quite connected with expanded serum lipid levels taken after by other GI and CNS unfavourable impacts. Expanded liver compounds were found in atazanavir-based second-line ART.Conclusions: The study enables to obtain in sequence on the incidence and pattern of ADRs associated with various antiretroviral regimens, thereby reducing its occurrence and protecting the patient population from avoidable harm. Need of intensive monitoring for ADRs in ARTs along these lines is by all accounts an order.

scholarly journals A Comparative Study of Health Anxiety in Neurology and Psychiatry Settings

2020 ◽  
Vol 11 (01) ◽  
pp. 125-129
Author(s):  
Lakshmi Prabha ◽  
Sundarnag Ganjekar ◽  
Vivek Gupta ◽  
Geetha Desai ◽  
Santosh K. Chaturvedi
Keyword(s):  
Tertiary Care ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
Somatoform Disorder ◽  
Illness Behavior ◽  
Care Hospital ◽  
Skilled Workers ◽  
Cross Sectional ◽  
Outpatient Settings

Abstract Objectives Prevalence of health anxiety is highly varied based on different settings and samples studied. This study aimed to assess the prevalence of health anxiety among outpatients attending neurology and psychiatry outpatient setting in tertiary care hospital and understand the clinical correlates. Participants and Methods This was a cross-sectional study conducted in the outpatient settings including participants fulfilling study criteria. The assessments included semi-structured proforma for demographic and clinical details, general hypochondriasis subscale of Illness Behavior Questionnaire, and Short Health Anxiety Inventory. Data were collected in Epi-info and data analysis was done using STATA12. Results The health anxiety was reported to be 25% and 19% among psychiatry and neurology outpatients, respectively. Higher education level positively correlated with health anxiety. Skilled workers tend to have higher health anxiety than semiskilled workers. Patients with diagnosis of somatoform disorder and multiple diagnosis scored higher on health anxiety in both the settings. Conclusion Health anxiety appears to be common in psychiatry and neurology settings and needs further evaluation to understand its impact on consultation and health resource usages.

scholarly journals Effect of a voice recognition system on pediatric outpatient medication errors at a tertiary healthcare facility in Kenya

2018 ◽  
Vol 9 (9) ◽  
pp. 499-508
Author(s):  
Angela N. Migowa ◽  
William M. Macharia ◽  
Pauline Samia ◽  
John Tole ◽  
Alfred K. Keter
Keyword(s):  
Medication Errors ◽  
Service Providers ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Voice Recognition ◽  
Recognition System ◽  
Clinical Service ◽  
Sub Saharan Africa ◽  
Health Priorities ◽  
Care Hospital

Background: Medication-related errors account for one out of every 131 outpatient deaths, and one out of 854 inpatient deaths. The risk is threefold greater in the pediatric population. In sub-Saharan Africa, research on medication-related errors has been obscured by other health priorities and poor recognition of harm attributable to such errors. Our primary objective was to assess the effect of introduction of a voice recognition system (VRS) on the prevalence of medication errors. The secondary objective was to describe characteristics of observed medication errors and determine acceptability of VRS by clinical service providers. Methods: This was a before–after intervention study carried out in a Pediatric Accident and Emergency Department of a private not-for-profit tertiary referral hospital in Kenya. Results: A total of 1196 handwritten prescription records were examined in the pre-VRS phase and 501 in the VRS phase. In the pre-VRS phase, 74.3% of the prescriptions (889 of 1196) had identifiable errors compared with 65.7% in the VRS phase (329 of 501). More than half (58%) of participating clinical service providers expressed preference for VRS prescriptions compared with handwritten prescriptions. Conclusions: VRS reduces medication prescription errors with the greatest effect noted in reduction of incorrect medication dosages. More studies are needed to explore whether more training, user experience and software enhancement would minimize medication errors further. VRS technology is acceptable to physicians and pharmacists at a tertiary care hospital in Kenya.

scholarly journals Study of referral pattern for psychiatric evaluation in psychiatric OPD in a rural tertiary care hospital

KYAMC Journal ◽  
2013 ◽  
Vol 2 (1) ◽  
pp. 128-131
Author(s):  
Muhammad Abdul Kayum Shaikh ◽  
Md Zulfikar Ali ◽  
Md Saiful Islam ◽  
AKM Mokhlesuzzaman
Keyword(s):  
Somatoform Disorders ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Well Being ◽  
Rural Setting ◽  
Psychiatric Evaluation ◽  
Care Hospital ◽  
Major Depressive ◽  
Outpatient Departments ◽  
Level Hospital

Health includes both physical and psychological well being of an individual. There is strong chance that every physical illness has psychological component and in many cases psychological disorders present with somatic symptoms; so psychiatric referral is very important to the proper management of a patient. The aim of this study was to find out the pattern of referral from different outpatient departments in a tertiary level hospital in rural setting of Bangladesh. In this descriptive study total 237 patients were evaluated in 7 months period and most of the diagnoses were anxiety disorders (40%), major depressive disorder (35%) and somatoform disorders (17%). Departments of medicine (cardiology 34%, internal medicine 28% and neurology 26%) referred most of the patients than the surgical or gynecological departments.DOI: http://dx.doi.org/10.3329/kyamcj.v2i1.13517 KYAMC Journal Vol.2(1) 2011 pp.128-131

scholarly journals Serosurveillance of Anti SARS-Cov-2 Antibodies among Essential Workers in Navi Mumbai - A Single Centre Study

2021 ◽  
Vol 11 (7) ◽  
pp. 99-104
Author(s):  
Ujwala Maheshwari ◽  
Jyotsna Sahai ◽  
Vivek Hebbar
Keyword(s):  
Service Providers ◽  
Tertiary Care ◽  
Herd Immunity ◽  
Care Hospital ◽  
Frontline Workers ◽  
Police Personnel ◽  
Antibody Titres ◽  
Precautionary Measures ◽  
A Prospective Study ◽  
Essential Service

Background – COVID – 19 is the latest raging pandemic that the world is facing at the moment. Frontline workers have been highly exposed to this disease and majority of them have suffered from this deadly disease too. Studying the prevalence of antibodies among frontline workers in different areas is crucial for understanding the potential risk of transmission, the prevalence of herd immunity, vaccine deployment and risk stratification in different areas of work. Materials and Methods – A prospective study was conducted in a tertiary care hospital of Navi Mumbai on 200 essential service providers, 100 HCWs and 100 police personnel, of which 2 police personnel dropped out of the study. This study was conducted over a period of 2 days, i.e, 20th and 21st May 2021 and it included answering a questionnaire and drawing blood to detect SARS COV-2 antibodies. Results – Out of the total 198 participants, there were 130 males and 68 females. Most of the participants were in the 30 – 39 years age group and 41% participants had suffered from COVID – 19 in the past one year. 60.10% participants had developed IgG antibodies against COVID – 19. The highest titre of antibodies found was between 1 – 10 amongst both groups followed by antibody levels more than 100 among HCWs. Subsequently, it was found that there was a 72% seropositivity rate amongst frontline workers whereas only a 48% positivity rate in HCWs. Conclusion – Measuring antibody titres allows determination of prevalence of COVID – 19 infection amongst heavily exposed individuals, who have been badly affected by the 2 waves of this pandemic. This serosurvey also helped us confirm that there is a declining trend of antibodies during convalescence phase and that even though the infectivity rate is high amongst essential service providers, not all developed a sustained antibody response. These findings uphold the need for strict precautionary measures and that laxity must not be observed while following the same to contain the pandemic. Key words: Antibodies, COVID -19, SARS-COV-2, Serosurveillance, Health Care Workers, Police Personnel, Frontline Workers.

Sign in / Sign up

Export Citation Format

Share Document