scholarly journals Positioning document of the Spanish Association of Perfusionists in 2020. Organization and care management model for perfusion in Spain

2020 ◽  
pp. 5-43
Author(s):  
Carlos Garcia Camacho ◽  
Mª Angeles Bruño ◽  
Juan Carlos Santos ◽  
Fernando Hornero ◽  
Jose Miguel Barquero ◽  
...  

Perfusion is a specialized healthcare area within the nursing field that deals with the application of technology for organ perfusion necessary in the treatment of disorders and diseases that require it, mainly in the cardiocirculatory system. The continuous and rapid advances in the diagnosis and treatment of diseases justify the need to carry out an update of the main defining and organizational aspects of perfusion, related to the practice and quality of care in the profession, with the training program of this area of specialization, continuing education, and accreditation processes, among others. This document, prepared by experts in perfusion and cardiovascular surgery, represents the opinion of the Spanish Association of Perfusionists, in collaboration and support of the Spanish Society of Cardiovascular and Endovascular Surgery, and updates the main aspects of perfusion in our country.

1981 ◽  
Vol 62 (9) ◽  
pp. 515-519 ◽  
Author(s):  
Vivian H. Freeman

By carefully training and supervising volunteers, an agency can expand the services offered to the community, improve the quality of care, and increase the personal attention given to clients. The training program described here is designed to better equip volunteers with the skills and knowledge necessary for case aides.


1995 ◽  
Vol 7 (4) ◽  
pp. 399-405 ◽  
Author(s):  
I. MAISTRELLO ◽  
M. D. FEBBRARI ◽  
M. TRAMONTINI ◽  
M. MAISTRELLO ◽  
L. NATALE

2018 ◽  
Vol 13 (2) ◽  
pp. 84
Author(s):  
Jenny Marlindawani Purba ◽  
R H Simamora ◽  
E D Ginting

<p><strong>Background.</strong> Caring for schizophrenia is a challenge and a burden for caregiver. In fact, family caregivers did not know how to care schizophrenia at home. A home management care base coaching is urgently needed. It can be used as a basis for nurses to assist caregivers in caring for persons with schizophrenia. <strong>Aims and Objectives.</strong> The study aimed to determine the feasibility of a home care management model base coaching for family caregivers of persons with schizophrenia.</p><p><strong>Methods.</strong> The study was two groups pre-test post-test quasi-experimental design. Thirty family caregivers were assigned into experimental and control group with each group 15 persons. Data were collected using the Chiang Mai Psychiatric Caregiving Scale, the Zarit Caregiver Burden Scale and the Schizophrenia Caregiver Quality of Life questionnaire. It was six weeks activities with several methods, such as discussion, watching videos, providing information, training, and home visit.</p><p><strong>Results:</strong>The participants who receive interventions reported significantly more improved in caregiving skills (p&lt;0.05), increased quality of life (p &lt; 0.05)and decreased the level of burden care (p&lt;0.05) than those receiving the routine care.</p><p><strong>Conclusions:</strong>The study revealed that home care management model base coaching intervention was effective to improve caregivers’ outcomes in caring for relatives with schizophrenia.</p>


2013 ◽  
Vol 57 (9) ◽  
pp. 1225-1233 ◽  
Author(s):  
L. E. Lopez-Cortes ◽  
M. D. del Toro ◽  
J. Galvez-Acebal ◽  
E. Bereciartua-Bastarrica ◽  
M. C. Farinas ◽  
...  

Neurology ◽  
2019 ◽  
Vol 92 (16) ◽  
pp. e1831-e1842 ◽  
Author(s):  
Karen I. Connor ◽  
Eric M. Cheng ◽  
Frances Barry ◽  
Hilary C. Siebens ◽  
Martin L. Lee ◽  
...  

ObjectiveTo test effects on care quality of Chronic Care Model-based Parkinson disease (PD) management.MethodsThis 2-group stratified randomized trial involved 328 veterans with PD in southwestern United States. Guided care management, led by PD nurses, was compared to usual care. Primary outcomes were adherence to 18 PD care quality indicators. Secondary outcomes were patient-centered outcome measures. Data sources were telephone survey and electronic medical record (EMR). Outcomes were analyzed as intent-to-treat comparing initial and final survey and repeated-measures mixed-effects models.ResultsAverage age was 71 years; 97% of participants were male. Mean proportion of participants receiving recommended PD care indicators was significantly higher for the intervention than for usual care (0.77 vs 0.58) (mean difference 0.19, 95% confidence interval [CI] 0.16, 0.22). Of 8 secondary outcomes, the only significant difference of the changes over time was in the positive Patient Health Questionnaire–2 depression screen for intervention minus usual care (−11.52 [95% CI −20.42, −2.62]).ConclusionA nurse-led chronic care management intervention, Care Coordination for Health Promotion and Activities in Parkinson's Disease (CHAPS), substantially increased adherence to PD quality of care indicators among veterans with PD, as documented in the EMR. Of 8 secondary outcomes assessed, a screening measure for depressive symptomatology was the only measure that was better in the intervention compared to usual care. More telephone calls in CHAPS were the only utilization difference over usual care. While CHAPS appears promising for improving PD care, additional iterative research is needed to refine the CHAPS model in routine clinical care so that it measurably improves patient-centered outcomes (NCT01532986).Classification of evidenceThis study provides Class I evidence that for patients with PD, CHAPS increased adherence to PD quality of care indicators.


2019 ◽  
Vol 65 (1) ◽  
pp. 16-23
Author(s):  
Roberta Senger ◽  
Michelle Dornelles Santarem ◽  
Sílvia Goldmeier

SUMMARY OBJECTIVES To create and implement a computerized clinical registry to verify in the short-, medium- and long-term the mortality and the incidence of significant surgical outcomes in adult patients submitted to cardiovascular surgeries. METHODS This is a prospective, observational registry-based study aimed at documenting the characteristics of patients undergoing cardiovascular surgery. RESULTS Variables were standardized according to international references from the Society of Thoracic Surgeons (STS), American College of Cardiology (ACC), Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS) and the Department of Informatics of SUS (DATASUS). The standardization was performed in English with an interface in Portuguese to make the data collection easier in the institution. Quality of care indicators, surgical procedure characteristics, in addition to significant cardiovascular outcomes will be measured. Data were collected during the hospitalization until hospital discharge or at the seventh day, in thirty days, six months, twelve months and annually until completing five years. CONCLUSION The importance of a database maintenance with international standards that can be reproducible was evidenced, allowing the evaluation of techniques and assistance and the integration of data among health institutions.


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