scholarly journals Manuscript Pre-Print_Stallwood et al., 2021 CDRS-R adolescents

2021 ◽  
Author(s):  
Emma Stallwood ◽  
Nancy J. Butcher ◽  
Martin Offringa ◽  
Andrea Monsour ◽  
Caroline Terwee
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Symptom Severity ◽  
Rating Scale ◽  
Depression Symptom ◽  
Care Providers ◽  
Children’S Depression

The Children’s Depression Rating Scale-Revised (CDRS-R) is the most commonly used method to measure depression in treatment studies of teens with depression, but itis unknown whether the CDRS-R is appropriate for the purpose of measuring depression inadolescents. This study aimed to identify all existing evidence of the key measurement propertiesof the CDRS-R (for example, how well the scale measures what it is supposed to measure) in teens with depression, and to evaluate these properties using a well-establishedmethod developed by the COSMIN Initiative (https://www.cosmin.nl/). The study concludes thatit is unclear whether the CDRS-R can appropriately measure depression symptom severity in treatment studies of teens with depression based on current available evidence. It is important that the best methods are used to measure outcomes to ensure that results from clinical researchstudies in teens with depression are meaningful and useful to relevant stakeholders, including patients, caregivers, health care providers, researchers, and policymakers.

scholarly journals P023: Code Resus - using a quality improvement approach to improve health care provider response during resuscitations

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S86-S86
Author(s):  
L.B. Chartier ◽  
S. Hansen ◽  
D. Lim ◽  
S. Yi ◽  
B. McGovern ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care Providers ◽  
Rating Scale ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Change Initiatives ◽  
Chi Square ◽  
Before And After

Introduction: In order to achieve the best possible outcomes for patients requiring resuscitation (PRRs) in the emergency department (ED), health care providers (HCPs) must provide an efficient, multi-disciplinary and coordinated response. A quality improvement (QI) project was undertaken to improve HCP response to PRRs at two tertiary care hospital EDs in Toronto. Methods: We conducted a before-and-after mixed-method survey to evaluate the perception of the adequacy of HCP response and clarity of HCP role when responding to PRRs. The results were compared using the Chi-square test. Qualitative responses to the first survey were also used to inform the development of the QI project. Through interviews of key stakeholders and with continuous input from front-line ED HCPs, a multi-disciplinary team modified the ED resuscitation protocol. This included standardized pre-hospital communication form with paramedics, ED-wide overhead announcement of ‘Code Resus’, dedicated HCPs assigned to respond to PRRs, and specific duties assigned to each responder. Change initiatives were reinforced through education and posters in the ED. Six months after implementation, a second survey was conducted to evaluate the sustained effects of the intervention. Results: Baseline measures indicated that 16 of 52 (30.8%) nurses surveyed believed their role was often or always apparent to themselves and others when they attended to a PRR (on a 5-point rating scale). This proportion increased to 35 of 55 (63.6%) nurses in the post-implementation survey (p < 0.001). Regarding adequacy of the number of HCPs responding to PRRs, 17 of 39 (43.6%) physicians and 23 of 53 (43.4%) nurses surveyed thought the appropriate number of HCPs responded to PRRs; the remainder thought that there were too few or too many HCPs. In the post-implementation survey, 34 of 41 (82.9%) physicians (p < 0.001) and 36 of 56 (64.3%) nurses (p = 0.029) surveyed felt that the appropriate number of HCPs attended to PRRs. Conclusion: Using a quality improvement approach, we identified and quantified perceived deficiencies in HCP response to PRRs in the ED. Through feedback-based modifications of the ED resuscitation protocol and by engaging HCP stakeholders, change initiatives were implemented to improve HCP response. As a result, this project achieved significant and sustained improvements in HCPs’ perceived response to PRRs.

scholarly journals Review of the Content and Quality of Mobile Applications About Alzheimer’s Disease and Related Dementias

2018 ◽  
Vol 39 (6) ◽  
pp. 601-608 ◽  
Author(s):  
Seul Ki Choi ◽  
Brooks Yelton ◽  
Victor K. Ezeanya ◽  
Kristie Kannaley ◽  
Daniela B. Friedman
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Health Care Providers ◽  
Mobile Applications ◽  
Rating Scale ◽  
Care Providers ◽  
Technical Functions ◽  
Public Collaboration

This study reviewed the content of mobile applications (apps) providing Alzheimer’s disease or related dementias (ADRD) information and assessed quality of the apps. Characteristics, content, and technical aspects of 36 apps in the U.S. Google Play Store and App Store were coded, and quality of the apps was evaluated using the Mobile Application Rating Scale. Caregiving (62.1%) and disease management (55.6%) content was frequently provided. Few apps had an app community (8.3%) or a reminder function (8.3%). Overall, quality of the apps was acceptable; apps by health care–related developers had higher quality scores than those by non-health care–related developers. This analysis showed that ADRD-related apps provide a range of content and have potential to benefit caregivers, individuals with ADRD, health care providers, and the general public. Collaboration of ADRD experts and technology experts is needed to provide evidence-based information using effective technical functions that make apps to meet users’ needs.

scholarly journals ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE ON NUTRITIONAL AWARENESS AMONG HEALTH CARE PROFESSIONALS

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
A P Rajalakshmy ◽  
R A Lokeshmaran ◽  
Dr K Renuka
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Rating Scale ◽  
Sampling Technique ◽  
Care Providers ◽  
Statistical Correlations ◽  
Adequate Knowledge ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: The importance of including Nutrition in the training of health care professionals remains low priority. However, many health care providers are not adequately trained to address lifestyle recommendations that include Nutrition and Physical activity behaviours. This study sought to assess the Knowledge, Attitude and Practice (KAP) on Nutritional Awareness among health care professionals. A descriptive study focuses on the group of Health Care Professionals which includes Physicians, Dentists and Nursing faculty. Interested 90 Participants who fulfilled the inclusion criteria have been chosen through purposive sampling technique. The KAP of Health Care Professional related to Nutritional aspects were collected using   structural Questionnaire for assessing Knowledge, Rating Scale for assessing Attitude and checklist for assessing Practice used respectively. Results: Knowledge, Attitude and Practice of the Health Care Professionals likely Physicians, Dentists and Nurses were evaluated on Nutritional awareness.  Out of 90 overall 15.5% of participants has inadequate, 43.3% has moderate and 41.1 % has adequate knowledge. All 100% of participants has positive attitude. In case of Practices 1% has fair, 42.2 % has good and 47.7% has excellent practices. There is a statistical Correlations found between KAP in all participants. This study concludes that even though many sources are available to gain Awareness on Nutrition. Since, the knowledge among health care professionals needs to be improved.

scholarly journals Quality of Physical Activity Apps: Systematic Search in App Stores and Content Analysis (Preprint)

2020 ◽  
Author(s):  
Sarah Paganini ◽  
Yannik Terhorst ◽  
Lasse Bosse Sander ◽  
Selma Catic ◽  
Sümeyye Balci ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Providers ◽  
Rating Scale ◽  
Care Providers ◽  
Security Measures ◽  
Privacy And Security ◽  
App Store ◽  
Quality Ratings

BACKGROUND Physical inactivity is a major contributor to the development and maintenance of chronic diseases. Mobile health apps (MHA) to foster physical activity have the potential to assist in behavior change. However, the quality of MHA available in the app stores is hard to assess for endusers and health care providers. OBJECTIVE The present study aimed at systematically reviewing and analyzing the content and quality of physical activity apps. Moreover, the privacy and security measures were assessed. METHODS A web crawler was used to systematically search for apps promoting physical activity in the Google Play and Apple App Store. Two independent raters used the German Mobile Application Rating Scale (MARS) to assess app quality. Furthermore, app characteristics, content and functions, privacy and security measures were assessed. Correlation between user star ratings and the MARS was calculated. Exploratory regression analysis was conducted to determine relevant predictors for overall quality. RESULTS 312 of 2,231 identified apps met inclusion criteria. Results indicate that overall quality was moderate (M = 3.60, SD = 0.59, range = 1-4.75). The scores of the subscales were: information (M = 3.24, SD = 0.56, range = 1.17-4.4), engagement (M = 3.19, SD = 0.82, range = 1.2- 5), aesthetics (M = 3.65, SD = 0.79, range = 1- 5), and functionality (M = 4.35, SD = 0.58, range = 1.88- 5). For none of the included apps an efficacy study could be identified. Data and privacy features were mainly not applied. Average user ratings showed significant small correlations with the MARS rating (r =.22; 95% CI: 0.08-0.35; P < .001). The number of content and function was predictive for overall quality, whereas app store and price were not. CONCLUSIONS There is an extensive quality range within apps for physical activity with moderate overall quality ratings. Given the present privacy, security, and evidence concerns inherent to most rated apps, their medical use is questionable. There is a need for open-source databases of expert quality ratings to foster informed health care decisions in users and health care providers. CLINICALTRIAL

scholarly journals Staff Perceptions of Symptoms, Approaches to Assessment, and Challenges to Assessment Among Children With Cancer

2018 ◽  
Vol 35 (5) ◽  
pp. 332-341 ◽  
Author(s):  
Lauri A. Linder ◽  
Sarah E. Wawrzynski
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pediatric Oncology ◽  
Rating Scale ◽  
Qualitative Content Analysis ◽  
Symptom Assessment ◽  
The United States ◽  
Verbal Description ◽  
Care Providers ◽  
Assessment Development

Nurses are often the first to recognize and respond to children’s symptoms. This descriptive, exploratory study characterized how pediatric oncology health care providers characterize and assess children’s cancer-related symptoms. The study also explored challenges associated with symptom assessment and information perceived as helpful in planning interventions. The setting was a Children’s Oncology Group–affiliated hospital in the Intermountain West of the United States. Twenty-two pediatric oncology health care providers (95% female; 68% nurses) participated in one of four focus group sessions. Sessions were facilitated by two individuals and included six open-ended questions addressing participants’ perspectives of cancer-related symptoms, approaches to symptom assessment, challenges and frustrations encountered when assessing symptoms, and information needed to plan interventions. Participants identified 75 physical and psychosocial responses that included both subjectively experienced symptoms and other consequences of the cancer experience. Qualitative content analysis procedures organized other responses into categories and subcategories. Participants most frequently reported using observational approaches including physical assessment findings and observation of the child’s behavior to identify symptoms. Strategies that sought the child’s input such as the use of a rating scale or seeking the child’s verbal description were less frequently named. Participants related discerning and interpreting the child’s behaviors as a challenge to symptom assessment. They also reported attention to symptom characteristics as important to planning interventions. Future directions include building capacity to support child-centric symptom assessment. Development of reliable and valid resources for use in clinical settings may support a more child-centric approach to symptom assessment.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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