Comparative Evaluation of Malnutrition Screening in Oncology Patients in an Acute Care Hospital: A Pilot Study

The purpose of this study was to investigate the efficacy of in-home telerehabilitation as an alternative to conventional rehabilitation services following knee arthroplasty. Five community-living elders who had knee arthroplasty were recruited prior to discharge from an acute care hospital. A pre/post-test design without a control group was used for this pilot study. Telerehabilitation sessions (16) were conducted by two trained physiotherapists from a service center to the patient’s home using H264 videoconference CODECs (Tandberg 550 MXP) connected at 512 Kb\s. Disability (range of motion, balance and lower body strength) and function (locomotor performance in walking and functional autonomy) were measured in face-to-face evaluations prior to and at the end of the treatments by a neutral evaluator. The satisfaction of the health care professional and patient was measured by questionnaire. Results are as follows. One participant was lost during follow-up. Clinical outcomes improved for all subjects and improvements were sustained two months post-discharge from in-home telerehabilitation. The satisfaction of the participants with in-home telerehabilitation services was very high. The satisfaction of the health care professionals with the technology and the communication experience during the therapy sessions was similar or slightly lower. In conclusion, telerehabilitation for post-knee arthroplasty is a realistic alternative for dispensing rehabilitation services for patients discharged from an acute care hospital.Keywords: Telerehabilitation, Physical Therapy, Total Knee Arthroplasty, Videoconferencing

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1057 Objectively and Subjectively Measured Sleep Quality in an Acute-Care Hospital Setting: A Pilot Study

SLEEP ◽

10.1093/sleep/zsy061.1056 ◽

2018 ◽

Vol 41 (suppl_1) ◽

pp. A393-A393

Author(s):

T L Blackwell ◽

S Robinson ◽

N Thompson ◽

L Dean-Gilley ◽

P Yu ◽

...

Keyword(s):

Pilot Study ◽

Sleep Quality ◽

Acute Care ◽

Hospital Setting ◽

Acute Care Hospital ◽

Care Hospital

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Using a Medical Intranet of Things System to Prevent Bed Falls in an Acute Care Hospital: A Pilot Study

Journal of Medical Internet Research ◽

10.2196/jmir.7131 ◽

2017 ◽

Vol 19 (5) ◽

pp. e150 ◽

Cited By ~ 5

Author(s):

Henri U Balaguera ◽

Diana Wise ◽

Chun Yin Ng ◽

Han-Wen Tso ◽

Wan-Lin Chiang ◽

...

Keyword(s):

Pilot Study ◽

Acute Care ◽

Acute Care Hospital ◽

Care Hospital

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MULTISENSORY STIMULATION FOR HOSPITALIZED PATIENTS WITH DEMENTIA: A PILOT STUDY

Innovation in Aging ◽

10.1093/geroni/igz038.1674 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S446-S446

Author(s):

Sheila L Molony ◽

Christine Waszynski

Keyword(s):

Pilot Study ◽

Acute Care ◽

Acute Care Hospital ◽

Functional Independence Measure ◽

Sensory Stimulation ◽

Functional Independence ◽

Hospitalized Patients ◽

Mental Wellbeing ◽

Care Hospital ◽

Hospital Days

Abstract Introduction: Delirium occurs in up to 50% of hospitalized patients and the risk is higher in persons with dementia. Multi-sensory stimulation environments (MSSE), including trademarked “Snoezelen” rooms, have been effective in achieving positive outcomes in persons with dementia, but there have been no studies in the acute-care setting. Purpose: This pilot study tested the effect of a therapeutic Multi-sensory Stimulation Environment known as “the Hub” in an acute-care hospital. Methods: A sample of 56 patients were randomized to receive usual care or the Therapeutic Hub intervention during hospital days 2-4. Hub activities were multi-sensory and tailored based on preferences and abilities. We will describe techniques to address methodological challenges in the study with acutely ill, cognitively vulnerable participants. We will also present qualitative data describing the experience of participants receiving the Hub intervention, and will present preliminary findings regarding between group-differences in function (Functional Independence Measure), mobility, falls, wellbeing (Warwick-Edinburgh Mental Wellbeing Scale)– and person-environment relationship conceptualized as situational at-homeness (S-EOH). Conclusion: The results of this study will inform future trials on the effects of unique therapeutic environments for hospitalized persons at highest risk for delirium.

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Complexity of nursing care in acute care hospital patients: results of a pilot study with a newly developed questionnaire

Scandinavian Journal of Caring Sciences ◽

10.1111/scs.12180 ◽

2014 ◽

Vol 29 (3) ◽

pp. 591-602 ◽

Cited By ~ 7

Author(s):

Michael Kleinknecht-Dolf ◽

Francis Grand ◽

Elisabeth Spichiger ◽

Marianne Müller ◽

Jacqueline S. Martin ◽

...

Keyword(s):

Pilot Study ◽

Acute Care ◽

Nursing Care ◽

Acute Care Hospital ◽

Care Hospital ◽

Hospital Patients

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Administering Virtual Reality Therapy to Manage Behavioural and Psychological Symptoms in Patients with Dementia Admitted to an Acute-care Hospital: Results of a Pilot Study (Preprint)

10.2196/preprints.22406 ◽

2020 ◽

Author(s):

Lora Appel ◽

Erika Kisonas ◽

Eva Appel ◽

Jennifer Klein ◽

Deanna Bartlett ◽

...

Keyword(s):

Virtual Reality ◽

Pilot Study ◽

Acute Care ◽

Psychological Symptoms ◽

Acute Care Hospital ◽

Acute Care Hospitals ◽

Care Hospital ◽

Behavioural And Psychological Symptoms ◽

Prospective Longitudinal ◽

The Impact

BACKGROUND As Virtual Reality (VR) technologies become increasingly accessible and affordable, clinicians are eager to try VR-therapy as a novel means to manage Behavioural and Psychological Symptoms of Dementia (BPSD) which are exacerbated during acute-care hospitalization, with the goal of reducing the use for antipsychotics, sedatives, and physical restraints, associated with negative side-effects, increased length of stay, and caregiver burden. To date no evaluations of immersive VR-therapy have been reported for patients with dementia in acute-care hospitals. OBJECTIVE Determine the feasibility (acceptance, comfort, safety) of using immersive VR-therapy for people living with dementia (mild, moderate, and advanced) during acute-care hospitalization, and explore its potential to manage BPSD. METHODS A prospective longitudinal pilot-study was conducted at a community teaching hospital in Toronto. Ten patients over 65 years (mean = 87) diagnosed with dementia, participated in one or more sessions of viewing immersive 360° VR-footage of nature scenes displayed on Samsung Gear-VR head-mounted-display. The mixed-methods study included patient chart review, standardized observations during intervention, and pre- and post-intervention semi-structured interviews about the VR experience. RESULTS All recruited participants completed the study. Seven out of ten participants displayed enjoyment or relaxation during a VR session, which averaged 6 minutes per viewing. One participant experienced dizziness; no interference between VR equipment and hearing aids or medical devices was reported. CONCLUSIONS It is feasible to expose older adults with various degrees of dementia admitted to an acute-care hospital, to immersive VR-therapy. This pilot provides the basis for conducting the first RCT to evaluate the impact of VR-therapy on managing BPSD in acute-care hospitals. CLINICALTRIAL Research Ethics Board ID: 748-1806-Mis-321 Clinical Trials.gov registration: NCT03941119

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A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care

Clinical Nursing Studies ◽

10.5430/cns.v5n4p1 ◽

2017 ◽

Vol 5 (4) ◽

pp. 1 ◽

Cited By ~ 2

Author(s):

Jane Moore ◽

Dawn Prentice ◽

Jenn Salfi

Keyword(s):

Mixed Methods ◽

Pilot Study ◽

Registered Nurses ◽

Acute Care ◽

Acute Care Hospital ◽

Collaborative Practice ◽

Care Hospital ◽

Healthcare Organizations ◽

Design Data ◽

Practical Nurses

Objective: Staffing models employing registered nurses (RNs) and registered practical nurses (RPN) have created the opportunity for enhanced collaboration in acute care settings. However, little is understood about how these nurses collaborate and the factors that influence their collaboration. The purpose of this pilot study was to examine the factors that influenced collaboration among RNs and RPNs at one acute care hospital in Canada in order to understand and improve nursing collaborative practice.Methods: Using an explanatory, sequential mixed methods design, data were collected over several months in 2016 from the nurses using a questionnaire and individual telephone interviews. Sixty-five RNs and RPNs working on medical, surgical and emergency units completed the “Nurse-Nurse Collaboration Scale” survey and ten RNs and RPNs participated in the telephone interviews.Results: Quantitative analysis showed lower scores among younger nurses across most domains of the survey: conflict management, communication, shared processes, coordination and professionalism. Qualitative analysis revealed working to full scope of practice was a facilitator of RN-RPN collaboration, and older age and poor interpersonal skills were barriers to successful collaboration.Conclusions: The results provide discussion for identification of strategies to improve collaborative practice among nurses such as establishing joint education programs for RNs and RPNs, and the use of models or frameworks to guide collaborative practice in healthcare organizations.

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Smart Diaper System Using Bluetooth and Smartphone to Detect Urination and Volume of Voiding Automatically: A Prospective Observational Pilot Study in an Acute Care Hospital (Preprint)

10.2196/preprints.29979 ◽

2021 ◽

Author(s):

Sun-Wook Kim ◽

Jae Ho Cho ◽

Jung‐Yeon Choi ◽

Nak-Hyun Kim ◽

Yejee Lim ◽

...

Keyword(s):

Pilot Study ◽

Acute Care ◽

Detection Rate ◽

Urine Volume ◽

Acute Care Hospital ◽

Tertiary Hospital ◽

Care Hospital ◽

System P ◽

Bed Sores ◽

Detection Technologies

BACKGROUND Caregivers of patients who wear conventional diapers are required to check voiding every hour because prolonged wearing of wet diaper causes health problems including diaper dermatitis and urinary tract infection. However, frequent checking is labor-intensive and disturbs patients’ or caregivers’ sleep. Furthermore, assessing urine output of the patients with diapers in an acute care setting is difficult. Recently, a smart diaper system with wetness-detection technologies has been developed to solve these issues. OBJECTIVE We aimed to evaluate the applicability of the smart diaper system for urinary detection, its accuracy for measuring voiding volume, and incontinence-associated dermatitis (IAD) occurrence in an acute care hospital. METHODS This prospective, observational, single-arm pilot study was conducted at a single tertiary hospital. We recruited 35 participants aged ≥50 years who were wearing diapers due to incontinence between August and November 2020. When the smart diaper was wet, the smart diaper system notified the caregiver to change the diaper and measured voiding volume automatically. Caregivers were instructed to record the weight of wet diapers on the frequency-volume charts (FVCs). We determined the voiding detection rate of the smart diaper system and compared the automatically calculated urine volume by the smart diaper system with the recorded volume on FVCs. Agreement between the two measurements was estimated using the Bland-Altman plot. We also checked the occurrence or aggravation of IAD and bed sores. RESULTS A total of 30 participants completed the protocol. Three hundred and ninety episodes of urination were recorded. There were 108 records (27.7%) on the FVCs and the smart diaper system concurrently, 258 (66.2%) on the FVCs alone, 18 (4.6%) on the smart diaper system alone, and six (1.5%) on the FVCs with sensing device lost. The detection rate of the smart diaper system was 32.8% (126/384). In analysis of records concurrently listed in both the FVCs and the smart diaper system, linear regression showed a strong correlation between the two measurements (R2=0.88, P<.001). The Bland-Altman assessment showed good agreement between the two measurements with a mean difference of –4.2 ml and 95% limits of agreement between –96.7 and 88.3 ml. New occurrence or aggravation of IAD and bed sores was not observed. Bed sore was improved in one participant. CONCLUSIONS The smart diaper system showed acceptable accuracy for measuring urine volume, and it could replace the conventional FVCs in acute setting hospitals. Furthermore, the smart diaper system showed its potential advantage to prevent IAD development and bed sore worsening. However, the detection rate of the smart diaper system was below than the researchers’ expectation. Detection rate polarization among participants was observed, and improvements in user interface and convenience are needed for aged individuals who are unfamiliar to the smart diaper system.

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