Nurses' Perceptions of Using a Pocket PC for Shift Reports and Patient Care

2011 ◽  
pp. 799-810
Author(s):  
Karen Chang
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Nursing Care ◽  
Patient Information ◽  
Easy Access ◽  
Access To Information ◽  
Significant Difference ◽  
Pocket Pc ◽  
Before And After ◽  
Nurses Perceptions

Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of inefficiency are shift-to-shift communication among nurses and access to information related to patient care. An integrated IT system, consisting of Pocket PCs and a desktop PC interfaced to a hospital’s mainframe system, was developed. The goal was to use mobile IT to give nurses easier access to patient information. This paper describes the development of this system and reports the results of a pilot study: a comparison of time spent in taking and giving shift reports before and after the study and nurses’ perceptions of the mobile IT system. Results showed significant difference in taking shift reports and no significant difference in giving shift reports. Nurses stated that quick and easy access to updated patient information in the Pocket PC was very helpful, especially during mainframe downtime.

Using Pocket PCs for Nurses' Shift Reports and Patient Care

2011 ◽  
pp. 313-329
Author(s):  
Karen Chang ◽  
Kyle D. Lutes ◽  
Melanie L. Braswell ◽  
Jacqueline K. Nielsen
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Nursing Care ◽  
Patient Information ◽  
Easy Access ◽  
Access To Information ◽  
Significant Difference ◽  
Pocket Pc ◽  
Before And After ◽  
Nurses Perceptions

Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of inefficiency are shiftto- shift communication among nurses, and access to information related to patient care. An integrated IT system, consisting of Pocket PCs and a desktop PC interfaced to a hospital’s mainframe system, was developed. The goal was to use mobile IT to give nurses easier access to patient information. This chapter describes the development of this system and reports the results of a pilot study: a comparison of time spent in taking and giving shift reports before and after the study and nurses’ perceptions of the mobile IT system. Results showed a significant difference in taking shift reports and no significant difference in giving shift reports. Nurses stated that quick and easy access to updated patient information in the Pocket PC was very helpful, especially during mainframe downtime.

Measuring Change in Nurses’ Perceptions About Family Nursing Competency Following a 6-Day Educational Intervention

2018 ◽  
Vol 24 (4) ◽  
pp. 508-537 ◽  
Author(s):  
Susanne Broekema ◽  
Marie Louise A. Luttik ◽  
Gabriëlle E. Steggerda ◽  
Wolter Paans ◽  
Petrie F. Roodbol
Keyword(s):  
Educational Intervention ◽  
Nursing Care ◽  
Family Intervention ◽  
Assessment Model ◽  
Paired Samples ◽  
Family Nursing ◽  
Positive Attitudes ◽  
Before And After ◽  
Nurses Perceptions ◽  
Depth Interviews

This study describes nurses’ perspectives about their experience of being involved in a 6-day educational intervention which focused on the development of competency in family nursing practice with a particular emphasis on family nursing conversations. The foundational knowledge of the educational intervention was based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM). A research design incorporating quantitative and qualitative measurement was used. Before and after the family nursing educational intervention, nurse participants ( n = 18) completed the Families’ Importance in Nursing Care–Nurses’ Attitudes (FINC-NA) instrument. The outcomes were analyzed using paired-samples t tests. FINC-NA scores increased by 6.94 points ( SD = 5.66, p < .001). To complement the quantitative findings, in-depth interviews were conducted with all of the participants. Participants reported increased awareness of the importance of families in nursing care. In addition to an increase in positive attitudes about families, participants perceived that their knowledge and skills regarding family nursing conversations were more comprehensive. A 6-day educational intervention with a focus on reflection appears useful in helping nurses to “think family” and encouraging perceptions of increased competence in family nursing conversations.

scholarly journals Virtual reality to improve patient information and reduce anxiety towards atrial fibrillation ablation in times of remote patient care (and after)

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
ANL Hermans ◽  
P Van Duijnhoven ◽  
DVM Verhaert ◽  
S Philippens ◽  
M Lahaije ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Virtual Reality ◽  
Patient Care ◽  
Patient Information ◽  
Intervention Group ◽  
Control Group ◽  
Af Ablation ◽  
Significant Difference ◽  
Remote Patient ◽  
Preoperative Patient

Abstract Funding Acknowledgements Type of funding sources: None. Background. Nowadays frequently deployed invasive catheter ablation therapy in patients with symptomatic atrial fibrillation (AF) is unfortunately associated with distress such as preoperative anxiety. Improving preoperative patient information may lower anxiety towards AF ablation procedures. Purpose. To evaluate whether a lifelike 360˚ virtual reality (VR) patient information video decreases anxiety levels and improves patient preparation towards AF ablation as compared to standard preoperative patient information. Methods. Consecutive patients planned for AF ablation were recruited from the outpatient AF clinic and were randomized into two groups: the control group and the intervention group (VR group). The control group received standard preoperative information through oral counselling and information leaflets, the VR group received the standard information as well as a short dedicated 360˚ VR video (via in-hospital VR headset and disposable cardboard VR glasses for home use). Online questionnaires (aimed at information provision, anxiety and procedural experience) were administered both pre- and post-ablation. Results. A total of 103 patients (39.8% female, age 64 [58-71] years) were included in the analysis. The VR group (n = 58) reported to be clearly better informed about catheterization laboratory environment (78% vs. 73%) and the course of the procedure (82% vs. 78%), indicated fewer concerns about the procedure (47% vs. 55%) and were eager to learn even more (82% vs. 74%) as compared to controls (n = 45). However, there was no significant difference in the anxiety scores between the VR group and controls (10 [8-12] vs. 10 [8-14], p = 0.548). Home use of the video was satisfactory and resulted in discussion with relatives. Patient overall satisfaction was higher in VR group as compared to controls (84% vs. 81%). Conclusions. This study shows that a dedicated 360˚ VR video reduces concerns but does not reduce anxiety scores. Though, it easily improves procedural knowledge, patient information and patient satisfaction. Especially in times of remote patient care, this new way of informing patients may be of added value.

scholarly journals Intervenção para o controle do peso corporal de adolescentes, utilizando videogames ativos: um estudo piloto

2018 ◽  
Vol 16 (2) ◽  
pp. 51-55
Author(s):  
Catiana Leila Possamai Romanzini ◽  
Beatriz Lara Leile Pavanello ◽  
Kessi Cassiane Iarosz ◽  
Vinícius Zandonadi Pires
Keyword(s):  
Body Weight ◽  
Pilot Study ◽  
Waist Circumference ◽  
Video Games ◽  
Anthropometric Measures ◽  
Significance Level ◽  
Active Video Games ◽  
Significant Difference ◽  
Active Video ◽  
Before And After

Estratégias de intervenção que utilizam exergames que visam o estímulo à prática de atividade física, bem como à redução do tempo em comportamento sedentário, parecem ser caminhos promissores para lidar com o aumento das taxas de obesidade. Este foi o intuito do Projeto de Extensão “Exergaming para a saúde: intervenção para o controle do peso corporal em adolescentes utilizando videogames ativos”, contemplado com fomento do MEC/PROEXT no ano de 2013. O objetivo do estudo foi verificar o efeito de uma intervenção de oito semanas com videogames ativos sobre variáveis relacionadas ao peso corporal de adolescentes. Foi realizado um estudo piloto de intervenção de oito semanas com duração de 60 minutos por sessão, com uso dos exergames. Participaram do estudo oito escolares, com média de idade de 11,5±0,5 anos. Medidas antropométricas antes e após a intervenção foram realizadas. Utilizou-se a estatística descritiva e o teste t pareado, no SPSS 20.0 com nível de significância de p0,05. Observou-se que houve diferença estatisticamente significativa somente na circunferência de cintura (cm) com redução de 2,8 cm (p = 0,028). As demais variáveis analisadas não foram diferentes. O estudo piloto de uma intervenção de oito semanas com videogames ativos demonstrou possibilidade de redução de medidas antropométricas, tais como a circunferência de cintura dos adolescentes. Sugere-se que novos estudos com exergames tenham enfoque neste desfecho em um período mais longo de intervenção e/ou com maior número de sessões durante a semana.ABSTRACT. Intervention for the control of body weight in adolescents using active video games: a pilot study. Intervention strategies that use exergames that aim to stimulate the practice of physical activity, as well as the reduction of the time in sedentary behavior, through promising ways to deal with the increase of obesity rates. This is the way of Extension Project “Exergaming for health: intervention for the control of body weight in adolescents using active video games”, with fomentation of MEC/PROEXT in 2013. The aim of this study was to verify the effect of an eight-week intervention with active video games on variables related to adolescent body weight. An eight-week intervention study with a duration of 60 minutes per session, with use of exergames was performed. Eight schoolchildren participated, with mean age of 11.5±0.5 years. Anthropometric measures before and after the intervention were performed. Descriptive statistics and the non-parametric equivalent of paired t-test were used in SPSS 20.0 with significance level of p0.05. It was observed that there was a significant difference only in waist circumference (cm) with a reduction of 2.8 cm (p = 0.028). The other variables analyzed were not different. The pilot study of an eight-week intervention with active videogames demonstrated the possibility of reducing anthropometric measures, such as the waist circumference of adolescents. We suggested that new studies with exergames focus on this outcome over a longer period of intervention and/or with a larger number of sessions during the week. 

Implementation of interdisciplinary neurosurgery morning huddle: cost-effectiveness and increased patient satisfaction

2018 ◽  
Vol 128 (1) ◽  
pp. 258-261 ◽  
Author(s):  
Alvin Y. Chan ◽  
Sumeet Vadera
Keyword(s):  
Patient Satisfaction ◽  
Patient Care ◽  
Direct Cost ◽  
Patient Flow ◽  
Hospital Costs ◽  
Significant Difference ◽  
Before And After ◽  
Flow Through ◽  
Step Down ◽  
Strongly Agree

OBJECTIVEMorning discharge huddles consist of multiple members of the inpatient care team and are used to improve communication and patient care and to facilitate patient flow through the hospital. However, the effect of huddles on hospital costs and patient satisfaction has not been clearly elucidated. The authors investigated how a neurosurgeryled interdisciplinary daily morning huddle affected various costs of patient care and patient satisfaction.METHODSHuddles were conducted at 8:30 am Monday through Friday, and lasted approximately 30 minutes. The authors retrospectively looked at the average monthly costs per patient for a variety of variables (e.g., average ICU days, average step-down days, average direct cost, average laboratory costs, average pharmacy costs, hospital ratings, and hospital recommendations) and compared the results from before and after implementation of the huddle.RESULTSThere was a significant decrease in the number of ICU days, average laboratory costs, and average pharmacy costs per patient after the huddle was implemented; decreased laboratory and pharmacy costs produced $1,408,047.66 in savings. There was no significant difference found for the average direct cost. The percentage of patients who rated the hospital as a 9 or 10 significantly increased. The percentage who answered “strongly agree” when asked whether they would recommend the hospital also significantly increased.CONCLUSIONSA short morning huddle consisting of key members of the inpatient team may result in substantial hospital savings derived from reduced ICU days and laboratory and pharmacy costs as well as increased patient satisfaction.

scholarly journals Implementation of the Format for the Nursing Problem Oriented Record (Por) Performance in Investment Health Center in Ternate City 2018

2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan
Keyword(s):  
Health Center ◽  
Nursing Care ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Nursing Documentation ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.

scholarly journals Acupuncture and Lifestyle Myopia in Primary School Children—Results from a Transcontinental Pilot Study Performed in Comparison to Moxibustion

Medicines ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. 95 ◽  
Author(s):  
Xiaojuan Shang ◽  
Luquan Chen ◽  
Gerhard Litscher ◽  
Yanxia Sun ◽  
Chuxiong Pan ◽  
...  
Keyword(s):  
Pilot Study ◽  
Group Analysis ◽  
Young Patients ◽  
Computer Work ◽  
Primary School Children ◽  
Public Health Issue ◽  
Complementary Methods ◽  
Acupuncture And Moxibustion ◽  
Significant Difference ◽  
Before And After

Background: Lifestyle risks for myopia are well known and the disease has become a major global public health issue worldwide. There is a relation between reading, writing, and computer work and the development of myopia. Methods: Within this prospective pilot study in 44 patients aged between 6 and 12 years with myopia we compared possible treatment effects of acupuncture or moxibustion. The diopters of the right and left eye were evaluated before and after the two treatment methods. Results: Myopia was improved in 14 eyes of 13 patients (15.9%) within both complementary methods. Using acupuncture an improvement was observed in seven eyes from six patients out of 22 patients and a similar result (improvement in seven eyes from seven patients out of 22 patients) was noticed in the moxibustion group. The extent of improvement was better in the acupuncture group (p = 0.008 s., comparison before and after treatment); however, group analysis between acupuncture and moxibustion revealed no significant difference. Conclusions: Possible therapeutic aspects with the help of evidence-based complementary methods like acupuncture or moxibustion have not yet been investigated adequately in myopic patients. Our study showed that both acupuncture and moxibustion can improve myopia of young patients. Acupuncture seems to be more effective than moxibustion in treating myopia, however group analysis did not prove this trend. Therefore, further Big data studies are necessary to confirm or refute the preliminary results.

scholarly journals Nursing care of the family before and after a death in the ICU—An exploratory pilot study

2013 ◽  
Vol 26 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Melissa J. Bloomer ◽  
Julia Morphet ◽  
Margaret O’Connor ◽  
Susan Lee ◽  
Debra Griffiths
Keyword(s):  
Pilot Study ◽  
Nursing Care ◽  
The Family ◽  
Before And After

scholarly journals A pilot study of positive mood induction in euthymic bipolar subjects compared with healthy controls

2006 ◽  
Vol 36 (9) ◽  
pp. 1213-1218 ◽  
Author(s):  
ANNE FARMER ◽  
DOMINIC LAM ◽  
BARBARA SAHAKIAN ◽  
JONATHON ROISER ◽  
AILBHE BURKE ◽  
...  
Keyword(s):  
Pilot Study ◽  
Positive Affect ◽  
Mood Induction ◽  
Mood State ◽  
Healthy Controls ◽  
Visual Analogue Scales ◽  
Significant Difference ◽  
Before And After ◽  
Happy Mood ◽  
Analogue Scales

Background. Demonstrating differences between euthymic bipolar subjects and healthy controls in response to positive (happy) mood induction may help elucidate how mania evolves. This pilot study evaluates the Go task in a reward paradigm as a method for inducing a happy mood state and compares the response of euthymic bipolar subjects and healthy controls.Method. The Sense of Hyperpositive Self Scale, the Tellegen positive and negative adjectives, the Global-Local task and a visual analogue scale for measuring positive affect were administered to 15 euthymic bipolar subjects and 19 age-and-sex-matched healthy control subjects before and after they had performed the Go task in a reward paradigm.Results. Significant differences were found between subjects and controls on several measures at each time-point but there were no differences across the groups across time except for the visual analogue scales, where subjects had a more sustained duration in self-reported happiness compared with controls.Conclusions. This pilot study has shown that a positive affect can be induced in bipolar subjects and controls which can be demonstrated by changes in scores on several tasks. However, only the visual analogue scales showed a significant difference between cases and controls over time. Such tests may prove valuable in furthering understanding about the evolution of manic mood states.

scholarly journals Effect of Designing and Implementing Nursing Guidelines on Nurses' Performance in Caring Women with Ectopic Pregnancy

2019 ◽  
Vol 1 (3) ◽  
pp. 13
Author(s):  
Hanan A. F. Mohamed ◽  
Mahmoud R. Fayed ◽  
Somaya O. Abd El Meneam ◽  
Ola M. El-Sayed
Keyword(s):  
Ectopic Pregnancy ◽  
Nursing Care ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nursing Guidelines ◽  
Nurses Knowledge

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality. Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy. Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines. Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4%  of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001). Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.

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