scholarly journals Pediatric Early Warning Score Systems, nurse’s perspective – a focus group study

2019 ◽  
Vol 2 (3) ◽  
pp. 38
Author(s):  
Claus Sixtus Jensen
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Clinical Judgment ◽  
Vital Signs ◽  
Early Warning Score ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Patients At Risk ◽  
Nurses Perceptions

Background: Pediatric early warning score (PEWS) systems are used to monitor pediatric patients’ vital signs and facilitate the treatment of patients at risk of deteriorating. The aim of this study was to gain knowledge about nurses’ experiences with PEWS and to highlight factors facilitating and impeding the use of PEWS tools in clinical practice we aim to obtain knowledge about nurses’ experiences with PEWS. Methods: An exploratory qualitative design was chosen using focus group discussions to gain a deeper understanding of nurses’ experiences with PEWS. A total of five focus group discussions were conducted at three hospitals, and the analyses performed were inspired by Kvale and Brinckman. Results: Seven themes were identified, including i) lack of interdisciplinary awareness, ii) clinical judgment and PEWS—a multi-faceted approach, iii) PEWS supports a professional language, iv) monitoring equipment—a challenge, v) PEWS helps to visualize the need for escalating care, vi) an inflexible and challenging tool, and vii) supportive tools enhance the nurses’ experiences of PEWS positively. Conclusions: Our findings suggest that attention should be given to nurses’ perceptions of how both clinical judgment and PEWS should be seen as essential in providing nurses with information about the patients’ conditions. If not, the risk of failing to recognize patients’ deteriorating conditions will remain. From the nurses’ perspective, medical doctors seemed unaware of their role in using PEWS.

scholarly journals Exploring the characteristics of a local demand for African wild meat: A focus group study of long-term Ghanaian residents in the Netherlands

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246868
Author(s):  
Sandrella M. Morrison-Lanjouw ◽  
Roel A. Coutinho ◽  
Kwasi Boahene ◽  
Robert Pool
Keyword(s):  
Focus Group ◽  
The Netherlands ◽  
West African ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Attitudes And Practices ◽  
Wild Meat ◽  
The City

While there is a growing body of research documenting unregulated African wild meat imports into Europe from the Africa continent, the drivers of this demand are virtually unknown. This study employs focus group discussions and a survey questionnaire to examine the attitudes and practices related to African wild meat consumption in the city of Amsterdam, Netherlands. The Ghanaian community was selected as the object of this study, as it is the largest West African population in the Netherlands and represents an important part of Dutch society. We model our report on a recent US study of the Liberian community of Minneapolis, Minnesota, which allows for the comparison of results between two Western countries. The overall perceived health risk of consuming African wild meat in The Netherlands is low and unlikely to deter consumption. However, local prices for the meat may be prohibitive in some cases. Incentives include health benefits, cultural drivers and a strong preference for the taste of African wild meat over all local meat alternatives. The study calls for further research into the nature of the drivers of demand for African wild meat as well as its public health consequences, in the Netherlands and beyond.

scholarly journals Examining the utility of the Hamilton early warning scores (HEWS) at triage: Retrospective pilot study in a Canadian emergency department

CJEM ◽  
2017 ◽  
Vol 20 (2) ◽  
pp. 266-274 ◽  
Author(s):  
Steven Skitch ◽  
Benjamin Tam ◽  
Michael Xu ◽  
Laura McInnis ◽  
Anthony Vu ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Early Warning ◽  
Vital Signs ◽  
Roc Curves ◽  
Early Warning Score ◽  
Critical Event ◽  
Discriminative Ability ◽  
Early Warning Scores ◽  
Patients At Risk

ABSTRACTObjectivesEarly warning scores use vital signs to identify patients at risk of critical illness. The current study examines the Hamilton Early Warning Score (HEWS) at emergency department (ED) triage among patients who experienced a critical event during their hospitalization. HEWS was also evaluated as a predictor of sepsis.MethodsThe study population included admissions to two hospitals over a 6-month period. Cases experienced a critical event defined by unplanned intensive care unit admission, cardiopulmonary resuscitation, or death. Controls were randomly selected from the database in a 2-to-1 ratio to match cases on the burden of comorbid illness. Receiver operating characteristic (ROC) curves were used to evaluate HEWS as a predictor of the likelihood of critical deterioration and sepsis.ResultsThe sample included 845 patients, of whom 270 experienced a critical event; 89 patients were excluded because of missing vitals. An ROC analysis indicated that HEWS at ED triage had poor discriminative ability for predicting the likelihood of experiencing a critical event 0.62 (95% CI 0.58-0.66). HEWS had a fair discriminative ability for meeting criteria for sepsis 0.77 (95% CI 0.72-0.82) and good discriminative ability for predicting the occurrence of a critical event among septic patients 0.82 (95% CI 0.75-0.90).ConclusionThis study indicates that HEWS at ED triage has limited utility for identifying patients at risk of experiencing a critical event. However, HEWS may allow earlier identification of septic patients. Prospective studies are needed to further delineate the utility of the HEWS to identify septic patients in the ED.

scholarly journals Continuous monitoring in COVID-19 care; a retrospective study in time of crisis

JAMIA Open ◽  
2021 ◽  
Author(s):  
Roy de Ree ◽  
Jorn Willemsen ◽  
Gilbert te Grotenhuis ◽  
Rick de Ree ◽  
Joé Kolkert ◽  
...  
Keyword(s):  
Adverse Events ◽  
Respiratory Rate ◽  
Nursing Staff ◽  
Early Warning ◽  
Wireless Sensors ◽  
Continuous Monitoring ◽  
Vital Signs ◽  
Early Warning Score ◽  
Monitoring Systems ◽  
Patients At Risk

Abstract Background A new monitoring system was implemented to support nursing staff and physicians on the COVID-19 ward. This system was designed to remotely monitor vital signs, to calculate an automated Early Warning Score (aEWS) and to help identify patients at risk of deterioration. Methods Hospitalized patients who tested positive for SARS-CoV-2 were connected to two wireless sensors measuring vital signs. Patients were divided into two groups based on the occurrence of adverse events during hospitalization. Heart and respiratory rate were monitored continuously and an automated EWS was calculated every 5 minutes. Data were compared between groups. Results Prior to the occurrence of adverse events, significantly higher median heart and respiration rate and significantly lower median SPO2 values were observed. Mean and median automated EWS were significantly higher in patients with an adverse event. Conclusion Continuous monitoring systems might help to detect clinical deterioration in COVID-19 patients at an earlier stage. Lay Summary A new monitoring system was implemented to support nursing staff and physicians on the COVID-19 ward. This system was designed to remotely monitor vital signs, like respiratory rate, heart rate and the oxygen level in the blood. These parameters were used to calculate an automated early warning score which helps to identify patients at risk of deterioration. Hospitalized patients who tested positive for SARS-CoV-2 were connected to two wireless sensors. Heart and respiratory rate were monitored continuously and an automated EWS was calculated every 5 minutes. Data were compared between patients at the COVID-19 ward and patients who were transported to the ICU or died. COVID patients at the ICU or those who died had significantly higher median heart and respiration rate and significantly lower median oxygen levels. These findings showed that continuous monitoring systems might help to detect clinical deterioration in COVID-19 patients at an earlier stage.

Pediatric Early Warning Score Systems, Nurses Perspective – A Focus Group Study

2018 ◽  
Vol 41 ◽  
pp. e16-e22 ◽  
Author(s):  
Claus Sixtus Jensen ◽  
Pia Bonde Nielsen ◽  
Hanne Vebert Olesen ◽  
Hans Kirkegaard ◽  
Hanne Aagaard
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Early Warning Score ◽  
Focus Group Study ◽  
Score Systems

scholarly journals Focus Groups as Social Arenas for the Negotiation of Normativity

2018 ◽  
Vol 17 (1) ◽  
pp. 160940691774739 ◽  
Author(s):  
Tine Mechlenborg Kristiansen ◽  
Mette Grønkjær
Keyword(s):  
Chronic Illness ◽  
Focus Group ◽  
Social Norms ◽  
Focus Groups ◽  
Research Field ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Data Set ◽  
Systematic Analysis

Aim: This article aims to demonstrate how focus group discussions act as a social arena for the negotiation of social norms and normativity and to discuss the implications for the analysis of focus group discussions. Participants and methods: We have used sequences of group interactions from a focus group study on everyday life and chronic illness to demonstrate how methodological tools from conversation analysis and discursive psychology can be used to facilitate a systematic analysis of the negotiation and legitimization of social norms and normativity in focus groups. The empirical data consisted of six focus groups with a total of 32 participants. Results: The analysis demonstrated negotiations on normativity concerning four central aspects related to living with chronic illness: negotiating normativity about adjustment to the disease, negotiating normativity about being a dutiful employee, negotiating normativity about responsibility for the illness, and negotiating normativity about carrying on. Conclusion: Although the role of interaction in focus group data analysis and its impact on the content of the data should always be viewed in relation to the specific study and study focus, based on the analyses, we argue that adding different epistemological and analytical lenses to a data set may produce different, additional, and more complex insights into the research field.

scholarly journals P120: Exploring the utility of the Hamilton early warning score at triage: pilot study in a Canadian emergency department

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S118-S118
Author(s):  
S. Skitch ◽  
L. McInnis ◽  
A. Vu ◽  
B. Tam ◽  
M. Xu ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Early Warning ◽  
Tertiary Care ◽  
Vital Signs ◽  
Early Warning Score ◽  
Critical Event ◽  
Likelihood Ratios ◽  
Discriminative Ability ◽  
Patients At Risk

Introduction: Early warning scores (EWS) use vital signs to identify patients at risk of critical events as defined by unplanned intensive care unit (ICU) admission, cardiopulmonary resuscitation (CPR), or death. Systems that combine an EWS with a ICU outreach team can improve hospital survival and cardiac arrest rates. Although initially developed for use in ward patients, evidence suggests that EWS are useful in emergency department (ED) patients and may aid in the earlier identification of sepsis. The Hamilton Early Warning Score (HEWS) was recently developed as part of quality improvement process in our health system. The current study examined HEWS at ED triage among a cohort of patients who experienced a critical event during their hospitalization. HEWS were also evaluated as a predictor of sepsis. Methods: Patient were selected from a database of patients admitted to a medical or surgical ward at two tertiary care hospitals over a six-month period. Cases were patients who experienced a critical event during admission and were admitted via the ED. Controls were randomly selected from the database in a two-to-one ratio using an algorithm to match cases based upon burden of comorbid illness. Receiver operator curves (ROC) and likelihood ratios were used to evaluate HEWS at ED triage as a predictor of likelihood of critical deterioration and sepsis. Results: The sample included 845 patients of whom 267 experienced a critical event. The median time to occurrence of critical event from admission was 124 hours. ROC analysis indicated that HEWS at ED triage had poor discriminative ability for predicting likelihood of experiencing a critical event 0.63 [95%CI: 0.58-0.67]. HEWS had fair discriminative ability for predicting likelihood of meeting criteria for sepsis 0.75 [95%CI: 0.71-0.80], and good discriminative ability for predicting likelihood of experiencing a critical event among patients meeting criteria for sepsis 0.80 [95%CI: 0.74-0.86]. Conclusion: This retrospective study indicates that HEWS at ED triage has limited utility for identifying patients at risk of experiencing a critical event. This may be because deterioration commonly occurred days after admission. However, HEWS may have utility as tool for aiding earlier identification of critically ill septic patients. Prospective studies are needed to further delineate the utility of the HEWS in the ED.

scholarly journals Consumers’ Perspectives on Eggs from Insect-Fed Hens: A UK Focus Group Study

Foods ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 420
Author(s):  
Sabrina Spartano ◽  
Simona Grasso
Keyword(s):  
Focus Group ◽  
Animal Welfare ◽  
Consumer Acceptance ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Welfare Benefits ◽  
Factors Influencing ◽  
Attitudes And Perceptions ◽  
The Uk

In recent years, there has been growing interest in insects as an alternative to soybean meal as laying hen feed due to nutrition, sustainability, and animal welfare benefits. Although some studies have investigated consumer acceptance and intentions towards insect-fed foodstuffs, no studies are available on eggs from insect-fed hens. This qualitative study aimed to explore consumers’ attitudes and perceptions towards eggs from insect-fed hens and factors influencing intentions to consume and purchase the product. Three focus group discussions were employed with a total of 19 individuals from the UK. Results showed that the environmental, animal welfare, and food waste benefits of feeding hens with insects positively influenced attitudes. Results also indicated price and disgust towards insects as feed were the main barriers, while enhanced welfare standards (e.g., free-range labelling) and information on benefits were main drivers. Therefore, the study suggests that educating and informing consumers about the benefits of feeding hens with insects may increase intentions to consume and purchase eggs from insect-fed hens. Given this emerging area of research, this study contributes to the limited literature on insect-fed foodstuffs and paves the way for further research on the topic.

scholarly journals Nurses' Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration—A Focus Group Study

Nursing Open ◽  
2021 ◽  
Author(s):  
Caroline S. Langkjaer ◽  
Dorthe G. Bove ◽  
Pernille B. Nielsen ◽  
Kasper K. Iversen ◽  
Morten H. Bestle ◽  
...  
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Early Warning Score ◽  
Focus Group Study ◽  
Patient Deterioration ◽  
Score Systems

scholarly journals The role of food parcel use on dietary intake: perception of Dutch food bank recipients - a focus group study

2020 ◽  
Vol 23 (9) ◽  
pp. 1647-1656 ◽  
Author(s):  
Judith E Neter ◽  
S Coosje Dijkstra ◽  
Mary Nicolaou ◽  
Marjolein Visser ◽  
Ingeborg A Brouwer
Keyword(s):  
Focus Group ◽  
Dietary Intake ◽  
Food Banks ◽  
Food Bank ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Framework Approach ◽  
Quality Variation

AbstractObjective:To gain insight in Dutch food bank recipients’ perception on the content of the food parcels, their dietary intake and how the parcels contribute to their overall dietary intake.Design:Eleven semi-structured focus group discussions were conducted. Focus group topics were based on Andersons food insecurity definition: the lack of availability of nutritionally adequate foods and the assured ability to acquire foods in socially acceptable ways. Data were coded and analysed with Atlas.ti 7.0 software, using the framework approach.Setting:Seven food banks throughout the Netherlands.Participants:A total of 44 Dutch food bank recipients.Results:Food bank recipients were not always satisfied with the amount, quality, variation and type of foods in the food parcel. For the participants who could afford to, supplementing the food parcel was reported as main reason for buying foods, and price was the most important aspect in selecting these foods. Participants were not satisfied with their dietary intake; they mainly reported not having enough to eat. The content of the food parcel importantly influenced participants’ overall dietary intake. Finally, participants reported struggling with their feelings of dissatisfaction, while also being grateful for the foods they receive.Conclusions:This study suggests that, despite their best efforts, food banks are not meeting food bank recipients’ needs. Our results provide valuable directions for improving the content of the food parcels by increasing the quantity, quality and variation in the foods supplied. Whether this also improves the dietary intake of recipients needs to be determined.

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