National centralization of biliary atresia care to an assigned multidisciplinary team provides high-quality outcomes

2011 ◽  
Vol 47 (1) ◽  
pp. 99-107 ◽  
Author(s):  
Hanna Lampela ◽  
Annukka Ritvanen ◽  
Silja Kosola ◽  
Antti Koivusalo ◽  
Risto Rintala ◽  
...  
Author(s):  
И.И. Спичак ◽  
М.В. Бондаренко ◽  
С.В. Глубоковских ◽  
С.Г. Коваленко ◽  
Н.В. Тарасова

Пандемия новой коронавирусной инфекции продиктовала необходимость разработки и организации для сложившейся эпидемической обстановки мер по качественному оказанию специализированной детской онкологической помощи своевременно и в полном объеме, при этом важно обеспечить предупреждение заноса и распространения COVID-19 в специализированных подразделениях. Опыт работы региональной детской онкологической службы в Челябинской области показал, что даже в условиях пандемии можно ни на день не прекращать работу специализированного стационара, максимально сохранить центральный венозный доступ у контактных пациентов и свести к минимуму их потери по срокам программного лечения. Результат мог быть обеспечен только слаженной работой мультидисциплинарной команды, включившей администрацию, эпидемиологическую, выездную паллиативную, детскую онкологическую и участковую педиатрическую службы. The pandemic of a new coronavirus infection dictated the need to develop and organize, for the current epidemic situation, measures for the high-quality provision of specialized pediatric oncological care in a timely manner and in full, while it is important to prevent the introduction and spread of COVID-19 in specialized units. The experience of the regional pediatric oncological service in the Chelyabinsk region has shown that even in a pandemic, it is possible not to stop the work of a specialized hospital for a day, to preserve the central venous access in contact patients as much as possible and to minimize their losses in terms of program treatment. The result could only be ensured by the well-coordinated work of a multidisciplinary team that included administration, epidemiological, visiting palliative, children's oncological and district pediatric services.


Author(s):  
Sue Green

This chapter addresses the essential nursing responsibility to ensure that adequate nutritional care is offered to all patients, whether in hospital or community-based settings. To provide appropriate nutritional care to patients or clients, nurses must have a good knowledge and understanding of the principles of human nutrition, and be able to deliver nutritional support that is informed by current clinical guidelines and up-to-date evidence, as well as to evaluate that care. Healthcare organizations have a duty to ensure that patients and clients receive high-quality nutritional care. The Council of Europe (2003) has published guidelines on food and nutritional care in hospitals, and a recent Europe-wide campaign has been launched to improve nutritional care in all types of care facility (Ljungqvist et al., 2010). A European strategy to address obesity has also been launched (Commission of the European Communities, 2007). In England, the Care Quality Commission (CQC, 2010), which regulates care settings, has set national standards concerning nutrition. The provision of high-quality nutritional care involves a range of services and requires a multidisciplinary team approach. As a nurse, your role within the multidisciplinary team is fundamental in ensuring the delivery of appropriate nutritional care. In the UK, this is clearly identified by the incorporation of ‘Nutrition and Fluid Management’ within the Essential Skills Clusters for pre-registration nursing education (Nursing and Midwifery Council, 2010). Human nutrition is the study of nutrients and their effect on health, and the processes by which individuals obtain nutrients and use them for growth, metabolism, and repair. The term ‘human nutrition’ therefore incorporates many aspects of behaviour and physiology. The way in which the body obtains, ingests, digests, absorbs, and metabolizes nutrients is described in core anatomy and physiology textbooks (for example, Marieb and Hoehn, 2010), and it is important that a good knowledge and understanding of these processes is gained before considering the nursing management of nutritional care. This chapter considers the principles of human nutrition that underpin the nursing management of nutritional care and focuses on the key nursing interventions that you should be able to provide with confidence. The amount and type of nutrients that a person obtains influences his or her ‘nutritional status’.


Author(s):  
Sarah Dobrozsi ◽  
Amy Trowbridge ◽  
Jennifer W. Mack ◽  
Abby R. Rosenberg

Hearing that a child has been diagnosed with cancer is invariably difficult for both patients and their caregivers. Effective communication among patients, caregivers, and medical teams is necessary not only to deliver information and facilitate cancer care delivery but also to support patient and family coping and well-being. In this review, we focus on early communication in pediatric oncology care to (1) highlight the importance of communication between clinicians and patients and within the medical team and (2) describe resources and opportunities for clinicians to improve communication skills. For example, communication between patients and the medical team has several core functions, including the development of shared knowledge and decision-making and the formation of a therapeutic relationship. High-quality communication, regardless of the news being shared, supports and facilitates patient and parent adjustment to diagnosis, hope, and trust. Communication within the medical team supports the delivery of high-quality, personalized care. Despite these critical roles of communication in pediatric cancer care and evidence suggesting communication skills can be learned, formal training is limited. Resources include educational efforts, practical tools, and specific strategies to enhance systematic multidisciplinary team communication. Taken together, continued recognition of the importance of communication in pediatric cancer care has the potential to improve patient, family, and clinician experiences.


2020 ◽  
Vol 14 (11) ◽  
pp. 568-571
Author(s):  
David Stonehouse

Support staff work closely with their patients and members of the multidisciplinary team to deliver high-quality care. Often this care will have been planned by a nurse using ‘the nursing process’. It is therefore important for the support worker to understand how the patient has been assessed and that the care they are providing has been planned. Within this article, the author will be discussing the nursing process, explaining the different stages and how these are used to deliver quality care. Relevant sections of the Code of Conduct for Healthcare Support Workers and Adult Social Care Workers in England ( Skills for Care and Skills for Health, 2013 ) will be highlighted. Support workers have a clear and important role in making sure the nursing process is successful and patients receive the best quality care.


Author(s):  
Iain L Kitchener

As the government pushes though the HE and Research Bill (Department for Education, 2016), universities have an unprecedented opportunity to add well-funded accelerated degrees to their portfolios. To ensure high quality outcomes and student experiences we need to establish a well-researched pedagogy for accelerating learning alongside an accelerated delivery.


2009 ◽  
Vol 141 (5) ◽  
pp. 551-554 ◽  
Author(s):  
◽  
Bradley F. Marple ◽  
Scott P. Stringer ◽  
Pete S. Batra ◽  
Neil Bhattacharyya ◽  
...  

Rhinologic literature has historically relied on lower levels of evidence to make prescriptive recommendations for use of new technology and procedures. However, as the medical profession has moved to embrace the principles of evidence-based medicine, expectations for minimum standards of evidence have risen. The resulting high-quality efficacy outcomes data have become the linchpin of informed decision making by physicians, payers, and health care systems. While many challenges remain in this transition to higher evidence expectations, none are insurmountable. It has become the responsibility of the organized medical profession to play a role in influencing and supporting production of high-quality outcomes research.


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