Feasibility of the Smart Excretion Care System tethered to Electronic Medical Records in a tertiary hospital and community care setting: A formative research study (Preprint)

BACKGROUND No studies have been conducted on smart devices that provide integrated nursing for patients' urinary & bowel elimination needs. OBJECTIVE To evaluate the feasibility of a smart excretion care system tethered to Electronic Medical Record (EMR) in a tertiary hospital and community care setting and discuss the expectations of the reducing burden of nursing care. METHODS Focus group interviews were conducted based on the Consolidated Criteria for Reporting Qualitative Research Guidelines. The interviews were conducted in March, 2021, involving 67 participants who had worked at Seoul National University Bundang Hospital for more than one year and had experience assisting patients with excretion care. Data were collected using both purposive and snowball sampling methods. RESULTS This research found four themes relevant to the Smart Excretion Care System: expectations of reducing burdens of nursing care, applicable indications (by departments and diseases), preferred features/functions, and expected benefits of using the Smart Excretion Care system at the clinical facilities. Nurses from the Comprehensive Nursing Service wards were found to have the highest burden of excretion care. It was a common opinion that the Smart Excretion Care System would be very useful in the Intensive Care Unit, and it should be applied first to patients with stroke or dementia. CONCLUSIONS Excretion care is one of the most bothersome tasks for nurses that increase their workload. The further development of the Smart Excretion Care System, as a digital health intervention, can help improve nurses’work efficiency and reduce their burden as well as expand to caregivers and guardians.

Utilization of Household Waste as Economic Added Value in Community Care for the Environment Sumber Subdistrict Cirebon Regency

The purpose of this activity is to convey the success of the Kopeling youth program (Community Care for the Environment) along with all the people who have supported them, especially those in the RT.05/RW.05 Kelurahan Sumber to convert household waste into compost and catfish farming feed to have a selling value. The research method uses a qualitative approach with the Participatory Research Appraisal research design through the Participatory Rural Appraisal method. This research was conducted on Kopeling youth and communities in the neighborhood RT.05/RW.05 Kelurahan Sumber. The findings obtained from this activity are that Kopeling and related communities have active participation and real motivation to minimize the problem of piles of garbage, especially household waste, to be something of economic value.

Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data

Introduction: Mental health policies have encouraged removals of psychiatric beds in many countries. It is under debate whether to continue those trends. We conducted a systematic review of expert arguments for trends of psychiatric bed numbers.Methods: We searched seven electronic databases and screened 15,479 papers to identify expert opinions, arguments and recommendations for trends of psychiatric bed numbers, published until December 2020. Data were synthesized using thematic analysis and classified into arguments to maintain or increase numbers and to reduce numbers.Results: One hundred six publications from 25 countries were included. The most common themes arguing for reductions of psychiatric bed numbers were inadequate use of inpatient care, better integration of care and better use of community care. Arguments to maintain or increase bed numbers included high demand of psychiatric beds, high occupancy rates, increasing admission rates, criminalization of mentally ill, lack of community care and inadequately short length of stay. Cost effectiveness and quality of care were used as arguments for increase or decrease.Conclusions: The expert arguments presented here may guide and focus future debate on the required psychiatric bed numbers. The recommendations may help policymakers to define targets for psychiatric bed numbers. Arguments need careful local evaluation, especially when supporting opposite directions of trends in different contexts.