Feasibility of the Smart Excretion Care System tethered to Electronic Medical Records in a tertiary hospital and community care setting: A formative research study (Preprint)

2022 ◽  
Author(s):  
Se Young Jung ◽  
Da Som Me Park ◽  
Hui-Woun Moon
Keyword(s):  
Nursing Care ◽  
Care Setting ◽  
Community Care ◽  
Digital Health ◽  
Tertiary Hospital ◽  
Smart Devices ◽  
Snowball Sampling ◽  
Research Guidelines ◽  
Expected Benefits ◽  
Care System

BACKGROUND No studies have been conducted on smart devices that provide integrated nursing for patients' urinary & bowel elimination needs. OBJECTIVE To evaluate the feasibility of a smart excretion care system tethered to Electronic Medical Record (EMR) in a tertiary hospital and community care setting and discuss the expectations of the reducing burden of nursing care. METHODS Focus group interviews were conducted based on the Consolidated Criteria for Reporting Qualitative Research Guidelines. The interviews were conducted in March, 2021, involving 67 participants who had worked at Seoul National University Bundang Hospital for more than one year and had experience assisting patients with excretion care. Data were collected using both purposive and snowball sampling methods. RESULTS This research found four themes relevant to the Smart Excretion Care System: expectations of reducing burdens of nursing care, applicable indications (by departments and diseases), preferred features/functions, and expected benefits of using the Smart Excretion Care system at the clinical facilities. Nurses from the Comprehensive Nursing Service wards were found to have the highest burden of excretion care. It was a common opinion that the Smart Excretion Care System would be very useful in the Intensive Care Unit, and it should be applied first to patients with stroke or dementia. CONCLUSIONS Excretion care is one of the most bothersome tasks for nurses that increase their workload. The further development of the Smart Excretion Care System, as a digital health intervention, can help improve nurses’work efficiency and reduce their burden as well as expand to caregivers and guardians.

scholarly journals Characteristics and Classification of Technology Sector Companies in Digital Health for Diabetes

2021 ◽  
Vol 13 (9) ◽  
pp. 4839
Author(s):  
Satoru Kikuchi ◽  
Kota Kadama ◽  
Shintaro Sengoku
Keyword(s):  
Customer Value ◽  
Business Models ◽  
Digital Health ◽  
Information And Communications Technology ◽  
Smart Devices ◽  
Innovation Ecosystem ◽  
Alliance Networks ◽  
Technology Sector ◽  
Ibm Watson ◽  
Start Ups

In recent years, technological progress in smart devices and artificial intelligence has also led to advancements in digital health. Digital health tools are especially prevalent in diabetes treatment and improving lifestyle. In digital health’s innovation ecosystem, new alliance networks are formed not only by medical device companies and pharmaceutical companies but also by information and communications technology (ICT) companies and start-ups. Therefore, while focusing on digital health for diabetes, this study explored the characteristics of companies with high network centralities. Our analysis of the changes in degree, betweenness, and eigenvector centralities of the sample companies from 2011 to 2020 found drastic changes in the company rankings of those with high network centrality during this period. Accordingly, the following eight companies were identified and investigated as the top-ranking technology sector companies: IBM Watson Health, Glooko, DarioHealth, Welldoc, OneDrop, Fitbit, Voluntis, and Noom. Lastly, we characterized these cases into three business models: (i) intermediary model, (ii) substitute model, and (iii) direct-to-consumer model, and we analyzed their customer value.

scholarly journals Current Status of Traditional Korean Medicine Services in Public Sector: A Study for Integrating Traditional Korean Medicine into Community Care System

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 493
Author(s):  
Soo-Hyun Sung ◽  
Minjung Park ◽  
Jihye Kim ◽  
Sun-Woo Jeon ◽  
Angela Dong-Min Sung ◽  
...  
Keyword(s):  
Local Governments ◽  
Community Care ◽  
Central Government ◽  
The Elderly ◽  
Current Status ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Service Programs ◽  
Care Systems ◽  
Care System

Korea is currently executing a pilot program for community care of its aging population and aims to implement community care systems on a national scale by 2025. This study examines the traditional Korean medicine (TKM) service to be provided within community care by understanding the current status of TKM services. The Ministry of Health and Welfare (MoHW) sent official letters to 242 local governments (cities, districts, and counties) from October to November 2019 to survey the status of the public TKM services provided in 2018. The items of the survey included basic demographic information as well as information that could reveal how the program was implemented. In 112 local government jurisdictions (response rate 46.3%), a total of 867 TKM service programs were in place. As a result of the survey, it was revealed that they did not have any service manuals or evaluation results. To provide home-care-based TKM service for the elderly as an integrated part of a community care system, it is necessary to develop, distribute, and evaluate a standard service manual including an evaluation index by the central government.

Uptake and impact of synoptic reporting in a community care setting

2018 ◽  
Vol 215 (5) ◽  
pp. 857-861 ◽  
Author(s):  
Jordan Lang Eng ◽  
Christopher Ronald Baliski ◽  
Colleen McGahan ◽  
Eric Cai
Keyword(s):  
Care Setting ◽  
Community Care ◽  
Synoptic Reporting

scholarly journals An Empirical Study on Tele-Consultation In Home-Visit Nursing Care Setting Under Korean Long-Term Care Insurance System

2021 ◽  
Vol 23 (3) ◽  
pp. 249-260
Author(s):  
Jungsuk Lee ◽  
Hee Seung Lee ◽  
Yeongwoo Park ◽  
Rahil Hwang
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Home Visit ◽  
Care Setting ◽  
Long Term Care ◽  
Service Providers ◽  
Pilot Project ◽  
Care Quality ◽  
Term Care

Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.

scholarly journals Reversal of Ketamine Induced Acute Delirium with Continuous Midazolam Infusion in a Post Extubation Child with Refractory Bronchospasm: A Case Report

2020 ◽  
Vol 26 (2) ◽  
pp. 56-59
Author(s):  
Fahisham Taib ◽  
Laila Ab Mukmin
Keyword(s):  
Low Dose ◽  
Care Setting ◽  
Tertiary Hospital ◽  
Emergence Delirium ◽  
The Past ◽  
First Case ◽  
Midazolam Infusion ◽  
Standardized Treatment ◽  
Life Threatening ◽  
The Common

Continuous ketamine infusion has been used successfully to treat severe refractory bronchospasm in children requiring mechanical ventilation in the intensive care setting. One of the common side effects known is emergence delirium. There is no standardized treatment for the ketamine-induced emergence delirium although benzodiazepine, haloperidol and dexmedetomidine have been reported to be effective in the past. A 7-year-old girl admitted to a tertiary hospital for life-threatening asthma requiring immediate intubation and ventilation. Ketamine was used as sedative and bronchodilator in anticipation of her challenging ventilation strategy. She was successfully extubated on day 8 of admission, however, she developed symptoms associated with the delirium. Successful reversal of the symptoms was achieved after 48-hour use of low dose intravenous midazolam. This was the first case reported on the reversal of ketamine-induced emergence phenomenon using low dose intravenous midazolam infusion.

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