scholarly journals EFFECT OF PREOPERATIVE PREPARATION ON PATIENTS OUTCOME AMONG PATIENTS UNDERGOING SURGICAL OPERATIONS AT ALMIK NIMIR HOSPITAL – SUDAN

2020 ◽  
Vol 8 (8) ◽  
pp. 346-355
Author(s):  
Eied Saber Al amine Ali ◽  
Higazi Mohammed Ahmed Abdallah
Keyword(s):  
Assessment Tool ◽  
Elective Surgery ◽  
Computer Software ◽  
University Hospital ◽  
Care Plan ◽  
Postoperative Phase ◽  
Preoperative Preparation ◽  
Quasi Experimental ◽  
Two Phases ◽  
The Impact

Preoperative preparations of the patients physically and psychologically are the cornerstone of the good outcomes. This prospective quasi-experimental hospital-based study was conducted in Sudan, Shendi city at Elmek Nimer university hospital to evaluate the impact of preoperative preparation on patients outcome among patients undergoing general surgery. In the period of June 2016 to May 2019. The study was included a hundred patients undergoing general elective surgery, data were collected by interviewing questionnaire, anxiety scale, pain assessment tool, postoperative parameter, and patients satisfaction tool, data were collected in two phases (pre& postoperative). The data were analyzed by the computer software program (SPPS) version 20. The results showed that more than two third (79.4%) of the patient had poor knowledge about the importance of preoperative preparations, but improve after implemented program and this was reflected on patient behavior and outcome in the postoperative phase. (70%) had reported no anxiety to mild in the postoperative phase. in regard of postoperative pain, majority of patients (70%) experienced moderate to severe level of pain in the first 4 hours, this level of pain reduce to mild to no pain level in (82%) of patients in next 12hours. Most of the patients had full to good satisfaction regarding preparations and outcome. The study support and justifies the effectiveness of the preoperative preparations on patient outcomes. The study recommended surgical nurses have to provide proper explanation and teaching for elective surgical patients to be adherence with the care plan to promote good surgical outcome.

scholarly journals Impact of a participatory program to reduce noise in a Neonatal Unit

2012 ◽  
Vol 20 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Nelma Ellen Zamberlan-Amorim ◽  
Cristina Ide Fujinaga ◽  
Vanderlei José Hass ◽  
Luciana Mara Monti Fonseca ◽  
Cinira Magali Fortuna ◽  
...  
Keyword(s):  
Intervention Program ◽  
Sound Pressure ◽  
Statistical Tests ◽  
Neonatal Unit ◽  
University Hospital ◽  
Sound Pressure Levels ◽  
Before And After ◽  
Quasi Experimental ◽  
Level Of Significance ◽  
The Impact

This study evaluated the impact of a participatory program to reduce noise in a neonatal intermediate care unit of a university hospital. A time-series quasi-experimental design was used, in which sound pressure levels were measured before and after the intervention was implemented using the Quest-400 dosimeter. Non-parametric statistical tests were used to compare noise with the level of significance fixed at 5%. Results showed significant reduction of sound pressure levels in the neonatal unit after the intervention program was implemented (p<0.0001). The average Leq before the intervention was 62.5dBA and was reduced to 58.8dBA after the intervention. A reduction of 7.1dBA in the average Lmax(from 104.8 to 87.7dBA) and of 30.6dBA in the average Lpeak(from 138.1 to 107.5dBA) was observed. The program was proven to be effective in significantly reducing noise levels in the neonatal unit, although levels were still more intense than recommended.

scholarly journals Assessing the Organizational Climate for Translational Research with a New Survey Tool

2020 ◽  
Vol 26 (6) ◽  
pp. 2893-2910 ◽  
Author(s):  
Arno Simons ◽  
Nico Riedel ◽  
Ulf Toelch ◽  
Barbara Hendriks ◽  
Stephanie Müller-Ohlraun ◽  
...  
Keyword(s):  
Organizational Climate ◽  
Translational Research ◽  
Assessment Tool ◽  
Research Integrity ◽  
University Hospital ◽  
Practical Implementation ◽  
Research Practices ◽  
Survey Tool ◽  
Research Climate ◽  
The Impact

AbstractPromoting translational research as a means to overcoming chasms in the translation of knowledge through successive fields of research from basic science to public health impacts and back is a central challenge for research managers and policymakers. Organizational leaders need to assess baseline conditions, identify areas needing improvement, and to judge the impact of specific initiatives to sustain or improve translational research practices at their institutions. Currently, there is a lack of such an assessment tool addressing the specific context of translational biomedical research. To close this gap, we have developed a new survey for assessing the organizational climate for translational research. This self-assessment tool measures employees’ perceptions of translational research climate and underlying research practices in organizational environments and builds on the established Survey of Organizational Research Climate, assessing research integrity. Using this tool, we show that scientists at a large university hospital (Charité Berlin) perceive translation as a central and important component of their work. Importantly, local resources and direct support are main contributing factors for the practical implementation of translation into their own research practice. We identify and discuss potential leverage points for an improvement of research climate to foster successful translational research.

scholarly journals The impact of personal interactions on the stress of school administrators: The validation and application of an assessment tool

2017 ◽  
Vol 13 (3) ◽  
pp. 499
Author(s):  
Eloy López Meneses ◽  
Juan J. Leiva Olivencia ◽  
Esteban Vázquez-Cano
Keyword(s):  
Assessment Tool ◽  
School Administrators ◽  
High Stress ◽  
Educational Interventions ◽  
Assessment Tools ◽  
Modified Delphi ◽  
Mixed Analysis ◽  
Personal Interactions ◽  
Two Phases ◽  
The Impact

Purpose: To analyze personal interactions as one of the possible factors that can generate greater stress in school administrators. For this purpose, we present the design, validation and application of a survey that intends to measure the type of managerial functions that are associated with higher rates of personal interaction and their possible measurement as stressors of those performing administrative functions.Design/methodology/approach: To develop, validate and apply an assessment tool to measure the stress of school administrators. To this end, a mixed analysis methodology has been adopted, involving the selection of a group of experts, the calculation of an “expert proficiency coefficient” (Cabero & Barroso, 2013) and the subsequent validation of the survey using the modified Delphi method in two phases, with a sample of 30 school administrators and educational supervisors. The survey has also been subjected to a process to determine the trustworthiness and validity of the construct through exploratory and confirmatory factor analysis.Findings: The result is a 5-dimension, 31-item survey with a total score of 155 points and three measurements: low stress (1-50 points), medium stress (51-100 points) and high stress (101-155 points). The areas that generate the greatest amount of stress can be summarized in two categories: reprimanding teachers for non-performance of their duties and discipline management at the center (expulsions, bullying, fighting and drugs).Research limitations/implications: The survey was designed according to the socio-educational characteristics of the Spanish context. Further research in other educational contexts would require an adaptation of different items on the scale.Practical implications: Measuring the school administrator’s stress makes it possible to identify those functions that are more susceptible to intervention, both formative and administrative. This improves one of the key areas of school organization.Social implications: The improvement of the school institution and its governance starts with identifying those aspects that require educational interventions, but also social ones that imply a reflection on how schools in the 21st century are managed and organized.Originality/value: There are no Spanish studies that propose assessment tools to measure the stress of school administrators; in this sense, this study provides a framework for the Spanish context.

scholarly journals Managed clinical protocol: impact of implementation on sepsis treatment quality indicators

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Camila Brito Borguezam ◽  
Caroline Tolentino Sanches ◽  
Silvia Paulino Ribeiro Albaneser ◽  
Uiara Rodrigues de Oliveira Moraes ◽  
Cintia Magalhães Carvalho Grion ◽  
...  
Keyword(s):  
Emergency Department ◽  
Epidemiological Study ◽  
Quality Indicators ◽  
University Hospital ◽  
Treatment Quality ◽  
Clinical Protocol ◽  
Recommended Treatment ◽  
Hospitalization Period ◽  
Two Phases ◽  
The Impact

ABSTRACT Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM. Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.

scholarly journals Assessing the organizational climate for translational research with a new survey tool

2019 ◽  
Author(s):  
Arno Simons ◽  
Nico Riedel ◽  
Ulf Toelch ◽  
Barbara Hendriks ◽  
Stephanie Ohlraun ◽  
...  
Keyword(s):  
Organizational Climate ◽  
Translational Research ◽  
Assessment Tool ◽  
University Hospital ◽  
Practical Implementation ◽  
Contributing Factors ◽  
Research Practices ◽  
Survey Tool ◽  
Research Climate ◽  
The Impact

Promoting biomedical translation from bench to bedside and back in organizational settings is a central challenge for research managers and policymakers. For this, organizational leaders need to assess baseline conditions, identify areas needing improvement, and to judge the impact of specific initiatives to sustain or improve translational research practices at their institutions. Currently, there is a lack of such an assessment tool addressing the specific context of translational biomedical research. To close this gap, we have developed and tested a new survey for assessing the organizational climate for translational research. This self-assessment tool measures employees’ perceptions of translational climate and underlying research practices in organizational environments and builds on the established Survey of Organizational Research Climate. Having implemented the new survey in practice, we show that scientists at a large university hospital (Charité Berlin) perceive translation as a central and important component of their work. Importantly, local resources and direct support are main contributing factors for the practical implementation of translation into their own research practice. We identify and discuss potential leverage points for an improvement of research climate to foster successful translational research.

Impact of COVID19 pandemic on the hospitalization burden of cancer patients: Results of a quasi-experimental study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13527-e13527
Author(s):  
Juan Cristobal Sanchez ◽  
Beatriz Nuñez García ◽  
Alberto Ruano ◽  
Mariola Blanco ◽  
Blanca Cantos Sanchez de Ibarguren ◽  
...  
Keyword(s):  
Experimental Study ◽  
Cancer Patients ◽  
Viral Pneumonia ◽  
University Hospital ◽  
Management Of Resources ◽  
Icd 10 ◽  
Quasi Experimental ◽  
Huge Impact ◽  
And Control ◽  
The Impact

e13527 Background: The SARS-CoV-2 (COVID19) pandemic has had a huge impact on health care, leading to the declaration of a “state of alarm” in many countries. This situation has possibly conditioned the care of cancer patients, compromising hospitalization resources due to healthcare restraints. We aim to analyze the impact of the COVID19 pandemic on the hospitalization of cancer patients during the “state of alarm” in an Academic Hospital in Madrid, considered one of the most affected regions in the World during the first wave of the pandemic in Europe. Methods: Quasi-experimental study with similar controls collected in the same period of the previous year from cancer patients admitted to the Medical Oncology (MO) department of the Puerta de Hierro University Hospital in Madrid. Patients were selected from diagnoses coded by the ICD-10 obtained from discharge reports in the Admission Department. Cancer and viral pneumonia codes (excluding influenza) were analyzed. Admission to Internal Medicine (IM) department was also explored to describe hospitalization due to COVID19 pneumonia. We defined two groups: pandemic (03/14/20 - 06/20/20) and control (pre-pandemic) (03/14/19 - 06/20/19). Results: 74 cancer patients were admitted to MO department in 2020, while 162 admissions were recorded for the equivalent period in 2019 (- 54%). No differences were observed related to sex and age. In 2020, emergency and programmed admissions decreased by the same proportion, and no difference in mortality was observed. Admissions for all neoplasms decreased, but with higher magnitude in breast cancer. Viral pneumonia (no influenza) in cancer patients were mostly admitted to IM (96%) rather than MO department. 79 cases were identified in 2020, 22 in 2019 (p < 0.001), with a non-significant increase in mortality in patients with pneumonia: 25,3% in 2020 and 13,6% in 2019. Conclusions: The COVID 19 pandemic seriously impacted cancer hospitalization care, decreasing admissions to the MO department in half compared to the equivalent period. We observed a reduction in admissions through all neoplasias. Admissions due to viral pneumonia in cancer patients increased 3.5 times, mostly admitted to IM changing the dynamics of cancer hospitalization burden and compromising resources. A non-significant increase in mortality from viral pneumonia was observed. The analysis of hospitalizations through administrative data can allow better management of resources and facilitate rapid decision-making in a pandemic situation yet to be resolved.[Table: see text]

scholarly journals Impact of an antimicrobial stewardship program in the antimicrobial-resistant and prevalence of clostridioides difficile infection and amount of antimicrobial consumed in cancer patients

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Masoud Mardani ◽  
Sara Abolghasemi ◽  
Shiva Shabani
Keyword(s):  
Antimicrobial Stewardship ◽  
Antibiotic Consumption ◽  
Multidrug Resistant ◽  
Marrow Transplant ◽  
Blood Cultures ◽  
University Hospital ◽  
Clostridioides Difficile ◽  
Stewardship Program ◽  
Quasi Experimental ◽  
The Impact

Abstract Objective The The impact of a hospital antimicrobial stewardship was determined on antimicrobial-resistant, Clostridioides difficile rates and the amount of antimicrobial consumed in cancer patients.The intervention effects of antimicrobial stewardship (ASP) plans in 2017–2018 and 2018–2019 were respectively evaluated among hematology/oncology and bone marrow transplant patients in Ayatollah Taleghani University Hospital, Tehran, Iran. In this interventional quasi-experimental study, the ASP repository was utilized to capture four survey questions encompassed in these immunocompromised patients: amount of antibiotics (meropenem and vancomycin) consumption gr-year, the number of positive Clostridioides difficile infection and multidrug-resistant positive cases in blood cultures. Results The number of MDR cases in the periods of 2017–2018 and 2018–2019 were 145 and 75, respectively (p = 0.011). A significant reduction in all positive blood cultures from 2017–2018 to 2018–2019 was found (p = 0.001). 574 patients admitted to our hospital in these periods of 2017- 2018 and 2018- 2019were assessed for MPM and VMN use. The amounts of MPM prescriptions in 2018–2019 was significantly decreased from 22464 to 17262 g (p = 0.043). The significant reduction in antibiotic consumption, MDR organisms, and CDI can highly promote patients’ health and decreasing medical costs and long-term defects for patients.

scholarly journals Pilot Study Evaluating a Practice-Based Learning and Improvement Curriculum Focusing on the Development of System-Level Quality Improvement Skills

2011 ◽  
Vol 3 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Anne M Tomolo ◽  
Renée H Lawrence ◽  
Brook Watts ◽  
Sarah Augustine ◽  
David C Aron ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Self Efficacy ◽  
Assessment Tool ◽  
Comfort Level ◽  
System Level ◽  
Improvement Project ◽  
Continuous Quality ◽  
Quasi Experimental ◽  
The Right ◽  
The Impact

Abstract Background We developed a practice-based learning and improvement (PBLI) curriculum to address important gaps in components of content and experiential learning activities through didactics and participation in systems-level quality improvement projects that focus on making changes in health care processes. Methods We evaluated the impact of our curriculum on resident PBLI knowledge, self-efficacy, and application skills. A quasi-experimental design assessed the impact of a curriculum (PBLI quality improvement systems compared with non-PBLI) on internal medicine residents' learning during a 4-week ambulatory block. We measured application skills, self-efficacy, and knowledge by using the Systems Quality Improvement Training and Assessment Tool. Exit evaluations assessed time invested and experiences related to the team projects and suggestions for improving the curriculum. Results The 2 groups showed differences in change scores. Relative to the comparison group, residents in the PBLI curriculum demonstrated a significant increase in the belief about their ability to implement a continuous quality improvement project (P  =  .020), comfort level in developing data collection plans (P  =  .010), and total knowledge scores (P &lt; .001), after adjusting for prior PBLI experience. Participants in the PBLI curriculum also demonstrated significant improvement in providing a more complete aim statement for a proposed project after adjusting for prior PBLI experience (P  =  .001). Exit evaluations were completed by 96% of PBLI curriculum participants who reported high satisfaction with team performance. Conclusion Residents in our curriculum showed gains in areas fundamental for PBLI competency. The observed improvements were related to fundamental quality improvement knowledge, with limited gain in application skills. This suggests that while heading in the right direction, we need to conceptualize and structure PBLI training in a way that integrates it throughout the residency program and fosters the application of this knowledge and these skills.

scholarly journals Women with Cervical Cancer: Impact of an Educational Program their Knowledge

2021 ◽  
Vol 5 (2) ◽  
pp. 01-08
Author(s):  
Hanan Elzeblawy ◽  
Ragaa Ali ◽  
Soad Abd El Salam ◽  
Hagar Kamal
Keyword(s):  
Cervical Cancer ◽  
Educational Program ◽  
The Body ◽  
University Hospital ◽  
Quasi Experimental ◽  
Oncology Unit ◽  
Women's Knowledge ◽  
The Impact ◽  
Purposive Sample ◽  
Women’S Knowledge

Background: Cervical cancer occurs when the cells of the cervix grow abnormally and invade other tissues and organs of the body. Aim: study the impact of an educational program on knowledge of women with cervical cancer Methods; Design: A quasi-experimental design. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: А purposive sample of 70 women. Tools: A structured interviewing questionnaire sheet, а scoring system for women’s knowledge аbout cervical cancer, and supportive educational booklet. Results: The results of the study revealed improving in women's knowledge regarding cervical cancer post-program compared to pre-one. Conclusion: The teaching program was very effective in women's knowledge improvement. Recommendations: Women's counseling activities for women regarding cervical cancer need to be popularized and facilities and decision-making aids are made available to those who need them.

scholarly journals Using a Multidisciplinary Training Program to Reduce Peritonitis in Peritoneal Dialysis Patients

2013 ◽  
Vol 33 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Liliana Gadola ◽  
Carla Poggi ◽  
María Poggio ◽  
Lucía Sáez ◽  
Alejandra Ferrari ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Phase I ◽  
Phase Ii ◽  
University Hospital ◽  
P Value ◽  
Chi Square ◽  
Two Phases ◽  
Hospital Ethics ◽  
Clinical Records ◽  
The Impact

♦ObjectivesThe present study evaluated the tool used to assess patients’ skills and the impact on peritonitis rates of a new multidisciplinary peritoneal dialysis (PD) education program (PDEP).♦MethodsAfter the University Hospital Ethics Committee approved the study, the educational and clinical records of PD patients were retrospectively analyzed in two phases. In phase I, an Objective Structured Assessment (OSA) was used during August 2008 to evaluate the practical skills of 25 patients with adequate Kt/V and no mental disabilities who had been on PD for more than 1 month. Test results were correlated with the prior year's peritonitis rate. In phase II, the new PDEP, consisting of individual lessons, a retraining schedule, and group meetings, was introduced starting 1 September 2008. Age, sex, years of education, time on PD, number of training sessions, and peritonitis episodes were recorded. Statistical analyses used t-tests, chi-square tests, and Poisson distributions; a p value of less than 0.05 was considered significant.♦ResultsIn phase I, 25 patients [16 men, 9 women; mean age: 54 ± 15 years (range: 22 – 84 years); mean time on PD: 35 ± 30 months (range: 1 – 107 months)] were studied. The OSA results correlated with peritonitis rates: patients who passed the test had experienced significantly lower peritonitis rates during the prior year ( p < 0.05). In phase II, after the new PDEP was introduced, overall peritonitis rates significantly declined (to 0.28 episodes/patient–year from 0.55 episodes/patient–year, p < 0.05); the Staphylococcus peritonitis rate also declined (to 0.09 episodes/patient–year from 0.24 episodes/patient–year, p < 0.05).♦ConclusionsThe OSA is a reliable tool for assessing patients’ skills, and it correlates with peritonitis rates. The multidisciplinary PDEP significantly improved outcomes by further lowering peritonitis rates.

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