scholarly journals Medication reconciliation in orthopedic and neurological patients in a public hospital

2020 ◽  
Vol 11 (3) ◽  
pp. 354
Author(s):  
Cássia R. EIDELWEIN ◽  
Andréia C. SANCHES ◽  
Luciane F. CALDEIRA
Keyword(s):  
Clinical Pharmacy ◽  
Medication Reconciliation ◽  
Pharmacy Service ◽  
University Hospital ◽  
Clinical Pharmacy Service ◽  
Chi Square ◽  
Cross Sectional ◽  
Neurological Patients ◽  
Chi Square Test ◽  
Pharmaceutical Interventions

Objective: To evaluate the discrepancies found by the clinical pharmacy service during medication reconciliations in patients hospitalized for orthopedics and neurology in a university hospital. Methods: A cross-sectional, descriptive and retrospective study was carried out from January to June 2018 with the patients followed-up by the clinical pharmacy service (orthopedics and neurology). Data was collected through medical charts and pharmacotherapeutic follow-up forms. The differences between the list of medications that the patient was using at home and the prescription from the hospital was classified as a discrepancy (justified or unjustified). Medical acceptance of the pharmaceutical interventions was assessed. The medications involved in the discrepancies were classified according to the ATC classification in its 1st level. Descriptive statistics was performed using the Excel program and Pearson’s chi-square test. Results: Of the 939 medications used by the patients, 673 (71.7%) presented discrepancies and in 371 (55.1%), unjustified discrepancies were found. Of the 507 patients included in the study, 154 (30.4%) presented at least one medication error. In 96.8% of the cases, the pharmaceutical interventions were performed, and acceptability was 30.6%, avoiding 110 errors. Medication omission was the most common type of discrepancy and the medical group most frequently involved was the cardiovascular system. Conclusions: Medication errors in admission to the orthopedics and neurology sectors are frequent, but they can be identified and solved through medication reconciliation, with professional clinical pharmacists able to perform it, collaborating for the safety of the patients.

scholarly journals Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares
Keyword(s):  
Visual Inspection ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

scholarly journals Patient Attitudes towards Physician Nonverbal Behaviors during Consultancy: Result from a Developing Country

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Fahad Hanif Khan ◽  
Raheela Hanif ◽  
Rumina Tabassum ◽  
Waris Qidwai ◽  
Kashmira Nanji
Keyword(s):  
Nonverbal Communication ◽  
Tertiary Care ◽  
Eye Contact ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Care Hospital ◽  
Nonverbal Behaviors ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital. Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and their responses were noted. The data were analyzed using SPSS and chi-square test was used to identify corelations. Results. Overall, 120 patients were enrolled. About 58.3% were men and 41.7% were women with a mean age of 34.9±10.9 years. 95.8% were Muslims and 57.6% had more than 12 years of education. Among females 74% wanted supportive touch from doctors, used to comfort the patient (45%) or to show respect (27.5%) or as healing (30%). 86.1% of the respondents believe that establishing eye contact with the patient shows that the doctor is attentive towards his/her patient. The eye contact should be brief but regular (54.1%) and prolonged staring (36.7%) makes them uncomfortable. Conclusion. Nonverbal communication helps to strengthen the doctor-patient relation as patients do appreciate positive touch and eye contact from their physicians.

scholarly journals Workloads and burnout of nursing workers

2019 ◽  
Vol 72 (6) ◽  
pp. 1435-1441
Author(s):  
Deciane Pintanela de Carvalho ◽  
Laurelize Pereira Rocha ◽  
Eliana Cardia de Pinho ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Edison Luiz Devos Barlem ◽  
...  
Keyword(s):  
Lower Limb ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Lumbar Pain ◽  
Limb Pain ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Lower Limb Pain ◽  
Chi Square Test

ABSTRACT Objective: to identify workloads in nursing work and its association with nursing worker burnout. Method: a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used. Results: the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness. Conclusion: workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

scholarly journals Route of birth delivery preferred by mothers and their motivations

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Kottwitz ◽  
Helga Geremias Gouveia ◽  
Annelise de Carvalho Gonçalves
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Route Of Delivery ◽  
Type Of Delivery

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.

scholarly journals Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ahmed I. Albarrak ◽  
Ammar S. Almansour ◽  
Ali A. Alzahrani ◽  
Abdulaziz H. Almalki ◽  
Abdulrahman A. Alshehri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Safety ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Electronic Reporting ◽  
Chi Square Test ◽  
Usability Data

Abstract Background The purpose of patient safety is to prevent harm occurring in the healthcare system. Patient safety is improved by the use of a reporting system in which healthcare workers can document and learn from incidents, and thus prevent potential medical errors. The present study aimed to determine patient safety challenges facing clinicians (physicians and nurses) in emergency medicine and to assess barriers to using e-OVR (electronic occurrence variance reporting). Methods This cross-sectional study involved physicians and nurses in the emergency department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. Using convenience sampling, a self-administered questionnaire was distributed to 294 clinicians working in the ED. The questionnaire consisted of items pertaining to patient safety and e-OVR usability. Data were analyzed using frequencies, means, and percentages, and the chi-square test was used for comparison. Results A total of 197 participants completed the questionnaire (67% response rate) of which 48 were physicians (24%) and 149 nurses (76%). Only 39% of participants thought that there was enough staff to handle work in the ED. Roughly half (48%) of participants spoke up when something negatively affected patient safety, and 61% admitted that they sometimes missed important patient care information during shift changes. Two-thirds (66%) of the participants reported experiencing violence. Regarding e-OVR, 31% of participants found reporting to be time consuming. Most (85%) participants agreed that e-OVR training regarding knowledge and skills was sufficient. Physicians reported lower knowledge levels regarding how to access (46%) and how to use (44%) e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a quarter of the staff did not receive timely feedback after reporting. Regarding overall satisfaction with e-OVR, only 25% of physicians were generally satisfied compared to nearly half (52%) of nurses. Conclusion Although patient safety is well emphasized in clinical practice, especially in the ED, many factors hinder patient safety. More awareness is needed to eliminate violence and to emphasize the needs of additional staff in the ED. Electronic reporting and documentation of incidents should be well supported by continuous staff training, help, and feedback.

scholarly journals Nursing work in the surgical ward and psychosocial risks related to management modes

2020 ◽  
Vol 41 ◽  
Author(s):  
Bruna Pires Madrid ◽  
Kamille Kotekewis ◽  
Cecília Helena Glanzner
Keyword(s):  
University Hospital ◽  
Management Styles ◽  
Chi Square ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Psychosocial Risks ◽  
Surgical Ward ◽  
Chi Square Test ◽  
Management Modes ◽  
Student’S T

ABSTRACT Aim: To evaluate the management modes in the workplace of the nursing staff of the surgical ward of a university hospital. Methods: Cross-sectional, descriptive, quantitative and analytical study performed in the Surgical Ward of a university hospital in southern Brazil. Sample consisted of 160 nursing workers who answered the Management Styles Assessment Scale. Comparisons were made using Student's t-test and One-Way analysis of variance (ANOVA), Pearson's chi-square test, multiple comparisons test and multiple linear regression analyzes. Results: The Collectivist style was classified as “Predominant” by 46.2% (72) of the workers. The Normative and Directive styles were rated as “Moderate Presence” by 53.2% (84) and 50.3% (77), respectively. The Individualist style was rated as “Unremarkable” by 60.6% (94) of the sample. Conclusions: The presence of collectivist management meets the characteristics of nursing work, which is patient care, planned and performed jointly and in line with the multiprofessional team in the pursuit of comprehensive care.

scholarly journals Adesão à higienização das mãos pela equipe de enfermagem em unidade de terapia intensiva

2018 ◽  
Vol 17 (2) ◽  
pp. 430-476
Author(s):  
Raíssa Ottes Vasconcelos ◽  
Débora Cristina Ignácio Alves ◽  
Luciana Magnani Fernandes ◽  
João Lucas Campos de Oliveira
Keyword(s):  
Hand Hygiene ◽  
Descriptive Analysis ◽  
University Hospital ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Terapia Intensiva ◽  
The Moment ◽  
Health Organization

Objetivo: Identificar la adhesión a la Higienización de las manos de los profesionales de enfermería de una Unidad de Cuidados Intensivos para adultos de un hospital universitario público.Metodología: Estudio descriptivo, transversal, observacional, con abordaje cuantitativo, realizado con 68 profesionales en un hospital universitario del estado de Paraná, Brasil. La recolección de datos ocurrió de mayo a octubre de 2016, por 100 horas de observación directa. Se elaboró un formulario para caracterizar a los participantes y utilizado el Instrumento Adaptado del Manual para Observadores - Estrategia Multimodal de la Organización Mundial de Salud para la Mejora de la Higienización de las manos. Los datos fueron sometidos al análisis descriptivo, en medidas de proporción, y al test Chi-cuadrado de Pearson, en el Software SPSS versión 18.0, para verificar la asociación entre la adhesión y la no adhesión a la HM en cada uno de los cinco momentos recomendados y entre los profesionales (enfermero o técnico de enfermería), considerando nivel de significancia del 5%.Resultados: Eran enfermeros 12 (17,6%) profesionales y 56 (82,4%) técnicos de enfermería. La tasa de adhesión general a la Higienización de las manos por el equipo de enfermería fue de 311 (47,8%). No hubo adhesión al momento "antes de la realización de procedimientos asépticos". Los momentos "después" presentaron mayores índices de adhesión.Conclusión: La tasa de adhesión a la HM fue muy baja, y la práctica de higiene antes del contacto con el paciente crítico necesita ser mejorada con mayor urgencia. Objective: To identify adherence to Hand Hygiene (HH) of the nursing professionals of an Intensive Care Unit for adults of a public university hospital.Methodology: Descriptive, cross-sectional, observational study with a quantitative approach, carried out with 68 professionals in a university hospital in the state of Paraná, Brazil. Data collection occurred from May to October of 2016 for 100 hours of direct observation. A form was developed for characterization of the participants and the Adapted Instrument of the Handbook for Observers - Multimodal Strategy of the World Health Organization for the Improvement of Hand Hygiene was developed. Data were submitted to descriptive analysis, in proportion measurements and Pearson's Chi-Square test, in SPSS Software version 18.0, to verify the association between adhesion and non-adhesion to HH in each of the five recommended moments and among professionals (nurse or technician of nursing), considering a level of significance of 5%.Results: 12 (17.6%) were professional nurses and 56 (82.4%) were nursing technicians. The nursing staff received a general adhesion rate of 311 (47.8%). There was no adhesion to the moment "before performing aseptic procedures". The "after" moments presented higher accession rates.Conclusion: The rate of adhesion to HH was very low, and hygiene practice before contact with the critical patient needs to be improved with greater urgency. Objetivo: Identificar a adesão à Higienização das Mãos dos profissionais de enfermagem de uma Unidade de Terapia Intensiva para adultos de um hospital universitário público.Metodologia: Estudo descritivo, transversal, observacional, com abordagem quantitativa, realizado com 68 profissionais em um hospital universitário do estado do Paraná, Brasil. A coleta de dados ocorreu de maio a outubro de 2016, por 100 horas de observação direta. Foi elaborado um formulário para caracterização dos participantes e utilizado o Instrumento Adaptado do Manual para Observadores - Estratégia Multimodal da Organização Mundial de Saúde para Melhoria da Higienização das Mãos. Os dados foram submetidos à análise descritiva, em medidas de proporção, e ao teste Qui-Quadrado de Pearson, no Software SPSS versão 18.0, para verificar a associação entre a adesão e a não adesão à HM em cada um dos cinco momentos recomendados e entre os profissionais (enfermeiro ou técnico de enfermagem), considerando nível de significância de 5%.Resultados: Eram enfermeiros 12 (17,6%) profissionais e 56 (82,4%) técnicos de enfermagem. A taxa de adesão geral à Higienização das Mãos pela equipe de enfermagem foi de 311 (47,8%). Não houve adesão ao momento “antes da realização de procedimentos assépticos”. Os momentos "após" apresentaram maiores índices de adesão.Conclusão: A taxa de adesão à HM foi muito baixa, e, a prática de higiene antes do contato com o paciente crítico precisa ser melhorada com maior urgência.

scholarly journals An Assessment of Nurses’ Knowledge Attitude and Practice (KAP) of Pharmacovigilance at a University Hospital

2018 ◽  
Vol 3 (6) ◽  
Keyword(s):  
Sample Size ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Attitude And Practice ◽  
Chi Square Test ◽  
Knowledge Attitude And Practice ◽  
Nurses Knowledge

Objective: To assess nurses’ knowledge, attitude, and practice (KAP) of pharmacovigilance. Design and Methods: A cross-sectional study that utilized questionnaires to evaluate nurses’ KAP of pharmacovigilance. A sample size of 234 nurses was selected using a 95% confidence level with the raosoft online sample size calculator. Stratified random sampling method was used to select nurses from different departments. Data were analysed with the SPSS 20 using descriptive and inferential measures. The chi-square test was used to test the association between two attributes at a P< 0.05 significance level. Results: 209 responses were received from 260 distributed questionnaires, giving an 80% response rate. Results for knowledge showed that 13.5% of the nurses had heard of the term pharmacovigilance prior to the study, while 58.4% correctly stated the functions of pharmacovigilance. Attitude towards pharmacovigilance revealed that 93.7% of the nurses felt it was a professional obligation to report adverse drug reactions (ADR). 98.1% of nurses felt that ADR reporting was necessary. Pharmacovigilance practice revealed that 68.8% of nurses indicated that they had noted an ADR while in practice, while 55.3% had reported an ADR. There was a significant association between nurses who noted ADRs in clinical practice and nurses who reported ADRs, χ2 (1) = 86.642, p < 0.05. Conclusion: Registered nurses at UHWI showed a good attitude towards pharmacovigilance, although their knowledge and practice was limited.

scholarly journals Exclusive breastfeeding practices reported by mothers and the introduction of additional liquids

2015 ◽  
Vol 23 (2) ◽  
pp. 283-290 ◽  
Author(s):  
Alessandra Marcuz de Souza Campos ◽  
Camila de Oliveira Chaoul ◽  
Elenice Valentim Carmona ◽  
Rosângela Higa ◽  
Ianê Nogueira do Vale
Keyword(s):  
Exclusive Breastfeeding ◽  
Descriptive Analysis ◽  
University Hospital ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Early Introduction ◽  
Beliefs And Values ◽  
Chi Square Test

Aim: To assess the concept of exclusive breastfeeding held by nursing women by comparing the period they consider that they perform it and the infants' age at the introduction of additional liquids. METHOD: Cross-sectional descriptive study conducted with 309 women who delivered babies at a university hospital in the interior of São Paulo, Brazil. The data were subjected to descriptive analysis; the variables of interest were crossed using the non-parametric Kruskal-Wallis test, the chi-square test and Fisher's exact test. RESULTS: Approximately 30% of the women reported having introduced additional liquids before the infants reached aged six months old, while asserting that they were performing exclusive breastfeeding. The following variables were associated with early introduction of liquids: lack of employment (p = 0.0386), younger maternal age (p = 0.0159) and first pregnancy (p = 0.003). CONCLUSION: The concept of exclusive breastfeeding might not be fully clear to women, as they seem to believe that it means not to feed the children other types of milk but that giving other liquids is allowed. These results show that promotion of breastfeeding should take beliefs and values into consideration to achieve effective dialogue and understanding with mothers.

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