Moving Toward Person-Centered Care: Valuing Emotions in Hospital Design and Architecture

The intangible value of emotions is often neglected in healthcare evaluations; however, it forms an important part of the hospital experience that needs to be taken into consideration to move toward person-centered care. This article conceptualizes how space and architecture may influence patient, family, and healthcare provider emotions. Building upon Gaston Bachelard’s Poetics of Space, theories on emotional design and architecture, as well as research in environmental design, we suggest several ways to value emotions in hospital design and architecture. The first theme explores several hospital spaces (the waiting room, the hospital room, the treatment room) using Bachelard’s phenomenology in order to show how to facilitate emotional security by catering to the individual needs of the user. The second discusses the overall hospital room environment, notably the influence of light, color, and sound on the patient’s emotional experience. The third explores architectural theorist Giuliana Bruno’s theory of e(motion) to explore the hospital space as vissuto, a space of lived experiences, that invites us to rethink the design and architecture of hospital spaces to allow for patient participation. The article also gives suggestions of qualitative, person-centered methodologies that can be used to move forward this debate.

Literatur Review : Penerapan Teknik Relaksasi Genggam Jari Untuk Menurunkan Intensitas Nyeri Pada Pasien Pasca Operasi

Postoperative is a time since patient entered the recorvery room until the follow-up evaluation in the treatment room. Pain is the most chief complaint experienced by postoperative patiens. One of the non-pharmacological pain management is grip finger relaxation therapy. The study purpose was to describe the application of grip finger relaxation techniques to reduce pain in postoperative patients. The study was done by researched articles related to the intervention. The result showed that the pain decreased in the experiment and control groups was 2.44 and 3.2 respectively. By using the Paired T-test, the result shows there was a significant decreased of pain among experiment group (p-value0.000). As the conclusion, the grip finger relaxation technique is effective for reducing pain in postoperative patiens. As the suggestion, nurses can be taught to postoperative patients to reduce pain.Keywords: Pain; Postoperative; Grip finger relaxation AbstrakPasca Operasi yaitu massa dimana pasien mulai memasuki ruang pemulihan sampai evaluasi tindak lanjut diruang perawatan. Pasien pasca operasi pasti akan merasakan nyeri. Menejemen nyeri non farmakologis yang dapat mengatasi nyeri yaitu terapi relaksasi genggam jari. Tujuan karya tulis ilmiah ini yaitu untuk mengetahui gambaran mengenai penerapan teknik relaksasi genggam jari terhadap penurunan intensitas nyeri pasca operasi. Metode dilakukan dengan mencari beberapa jurnal penelitian tentang penerapan teknik relaksasi genggam jari terhadap penurunan intensitas nyeri post operasi. Hasil yang didapatkan setelah diberikan pada kelompok eksperimen dan kontrol memiliki rata-rata 2.44 dan 3.2, nilai Pvalue 0.000, 0.003 dengan P = <0.005 menggunakan alat uji Pairet T test. Simpulan karya tulis ilmiah ini yaitu teknik relaksasi genggam jari efektif untuk menurunkan nyeri pada pasien pasca operasi. Saran bagi perawat sekiranya bisa diajarkan kepada pasien pasca operasi untuk mengurangi nyeri.Kata kunci: Nyeri; Pasca operasi; Relaksasi genggam jari

ANALYSIS OF THE NEED FOR HEALTH WORKERS USING WORKLOAD INDICATOR STAFFING NEED (WISN) METHOD IN INPATIENT SERVICES IN REGIONAL GENERAL HOSPITAL OF BUTON UTARA REGENCY IN 2021

Motivation/Background: The ratio of the number of doctors to the population in North Buton is 1:2135. Meanwhile, the ratio of the number of nurses to the population is 1:308. This number is not in accordance with the standards stipulated in the Decree of the Minister of Health No.81/Menkes/SK/I/2004. Method: This research used Workload Indicator Staffing Need (WISN) method in inpatient services at the Regional General Hospital of Buton Utara. Results: The workload of specialist doctors at the Regional General Hospital of Buton Utara in the Obstetrics and Gynecology Treatment room could be handled by two specialist doctors, while each of the Child Care room, Internal Medicine room, and Surgery room was handled by one specialist doctor. The number of nurses needed was 9 people, and the number of midwives needed was 11 people. Conclusions: The Regional General Hospital of Buton Utara is still lacking health workers, and this condition causes a high workload on medical services. This fact results in the quality of health services at the Regional General Hospital of Buton Utara not being optimal. This hospital requires one specialist doctor, 4 nurses, and 4 midwives for the Obstetrics and Gynecology Treatment room.

Critical analysis and suggestions to improve the existing system of radiation control in X-ray rooms

This paper demonstrates the shortcomings of the existing method of radiation control in the X-ray rooms and the interpretation of the results of the measurements to assess the compliance of the working conditions of various groups of exposed individuals with radiation safety requirements. A new method of interpretation of the measurement results is proposed, considering the relative time spent by certain categories of exposed persons in the corresponding rooms during the use of the X-ray units, as well as the use of personal protective equipment (lead aprons). The interpretation of the measurement results in the treatment room according to the new approach has demonstrated the compliance of the working conditions to the Norms and Rules of radiation safety, provided that the worker is wearing a protective apron. The proposed approach to the interpretation of the results of the measurements in adjacent rooms leads to both reduced and stricter requirements for the stationary shielding. The paper includes a special focus on the incorrect calculation of stationary shielding for the installation of several X-ray units in one X-ray room within the framework of the current approach.

Analisis Deskriptif Risiko BBLR (Bayi Berat Lahir Rendah) Di RSUP Dr. Tadjuddin Chalid Makassar

LBW is an indicator of public health degree in each country, because through the LBW rate it is reflected in health services for maternal and children. The incidence of LBW in infants does not only have an impact on neonates, but also has an impact on the growth and subsequent development of children because LBW occurs as a consequence of the disruption of growth and development of the fetus in the womb. This study aims to provide an overview of the incidence of LBW in 2018-2020 at the dr. Tadjuddin Chalid Hospital Makassar. Research method was descriptif. The variables in this study were LBW, sex, choice of treatment class,and complications of LBW. Data were taken using a total sampling technique sourced from Registration of Inpatients RSUP dr. Tadjuddin Chalid Makassa. The cleaned data is then analysis by descriptively. The results showed that LBW cases experienced a significant decrease from 2018-2020; Based on sex, boy and girl have the same probability of experiencing LBW, while based on the selected treatment class, most LBW babies are treated in a class Third treatment room. The most common occurrence is neonatal sepsis, so the risk of death can occur in neonates for infants with LBW. BBLR merupakan indikator derajad kesehatan masyarakat di suatu negara, karena melalui angka BBLR tercerminan pelayanan kesehatan bagi ibu dan anak. Kejadian BBLR pada bayi tidak hanya memberikan dampak pada neonatus, namun memberikan dampak bagi pertumbuhan dan perkembangan anak selanjutnya oleh karena BBLR terjadi sebagai konsekuensi dari terganggunya pertumbuhan dan perkembangan calon bayi sejak dalam dalam kandungan. Penelitian ini bertujuan untuk memberikan gambaran kejadian BBLR Tahun 2018-2020 di RSUP dr. Tadjuddin Chalid Makassar. Metode penelitian menggunakan penelitian deskriptif Variabel dalam penelitian ini adalah BBLR, jenis kelamin, pilihan kelas perawatan, dan komplikasi BBLR pada bayi. Data diambil menggunakan teknik total sampling yang bersumber dari Register Pasien Rawat Inap di RSUP dr. Tadjuddin Chalid Makassar. Data yang telah di-cleaning kemudian diolah secara deskriptif. Hasil penelitian menunjukkan bahwa kasus BBLR mengalami penurunan yang signifikan dari Tahun 2018-2020; Berdasarkan jenis kelamin, laki-laki dan perempuan memiliki probabilitas yang sama untuk mengalami BBLR, sedangkan berdasarkan kelas perawatan yang dipilih, sebagian besar bayi BBLR dirawat pada ruang perawatan kelas 3.Berdasarkan komplikasi yang terjadi, sebagian besar bayi BBLR mengalami komplikasi, dan komplikasi yang paling banyak terjadi adalah sepsis neonatus, sehingga risiko kematian dapat terjadi pada masa neonatus bagi bayi dengan BBLR.

Investigation and analysis of blood-borne occupational exposure of medical staff in a hospital in Hubei Province

Objectives By collecting and sorting out the data of 220 blood-borne occupational exposure medical staff' in a hospital in Hubei Province, investigated the present situations and problems of the blood-borne occupational exposure, and the causes were analyzed and the improvement measures for personal safety of the medical staff were also made, which may provide guidance and reference significance for the medical staff. Methods a retrospective survey was conducted to analyze occupational exposure populations by influence factors (gender, age, occupation, occurrence places, occurrence links, and exposure of pathogens types. Results There were 220 medical staff of blood-borne occupational exposure in the hospital in Hubei Province from 2015 to 2017 to be investigated, and the blood-borne occupational exposure populations were mainly concentrated on nurses (65%) and doctors (31.82%) (both of populations accounted for 96.82% in total occupational exposure medical staff), and the age of blood-borne occupational exposure populations were mainly 20~29 years old (61.82%), followed by 30~39 years old (26.82%), 40~49 years old (8.64%), and >50 years old (2.73%). The main occurrence places for blood-borne occupational exposure were wards (46.36%) and treatment room/disposal rooms(26.36%); the main occurrence links of blood-borne occupational exposure were mainly injured during needle extraction (29.09%), stab and cut during treatment (23.64%), disposal of waste (17.27%) and accidental injury during operation (16.82%). The main pathogen types of blood-borne occupational exposure were hepatitis B (HBV) and syphilis, accounting for 36.36% and 10.45%, respectively. Conclusions The population of blood-borne occupational exposure in this hospital mainly concentrated in nurses aged 20-29 years old, followed by doctors, mainly happened at wards and treatment rooms/disposal rooms; the high-risk links were mainly injured during needle extraction and stab and cut during treatment, and the main pathogen types were HBV and syphilis. Those evidences showed that to strengthen the awareness of prevention and operation standard training for the related medical staff (mainly nurses and doctors aged 20-29 years old) and to supervise the relevant departments to do a good job of supervision, it can greatly reduce the incidence and risk of blood-borne occupational exposure in this hospital.

Microbial Contamination and Antimicrobial Resistance Profiles Indicate Potential Risks of Infection at the Veterinary Medical Teaching Hospital - UFRGS, Porto Alegre, Brazil

Background: This study aimed to assess the level of bacterial contamination in the Small Animals Sector of the Veterinary Medical Teaching Hospital (HCV) of the Universidade Federal do Rio Grande do Sul (UFRGS). Firstly, a committee was invited to complete a questionnaire and to list critical sample sites for collection. With the identification of the places to be sampled, collections were made with sterile swabs on different surfaces of environments of the Veterinary Hospital. The identification of important bacteria in the veterinary area, in the different sampled environments, raises the concern for hygiene procedures in the veterinary hospital environment.Materials, Methods & Results: Sixteen samples were collected from these different areas, and microbiological analyses were performed. Standard counts of viable and strictly aerobic mesophilic microorganisms were realized. Collections were made to assess ambient air quality. With the microbiological analysis performed, bacteria of clinical importance were identified. To assess the resistance profile of the bacteria, the susceptibility test to antimicrobials was performed. MALDI-TOF/MS measurement identified 29 bacteria at the genus level and 10 bacteria at the species level and the antimicrobial susceptibility test was realized. Most of the isolates identified (60%) were bacteria of the genus Staphylococcus spp. Regarding antimicrobial susceptibility analysis the 10 bacteria identified at the species level were assessed. Test results showed that the isolates S. aureus, S. epidermidis and S. haemolyticus - collected from treatment room 2 - and S. haemolyticus, which had been isolated from samples from treatment room 2 of the cattery, presented multiresistance. Pantoea ananatis isolates from room 5 also showed a multiresistant profile for erythromycin, cephalothin, vancomycin and ampicillin. Micrococcus luteus isolates from the x-ray room and the kennel showed resistance to ceftazidime. Staphylococcus equorum isolates from room 4 were sensitive to all tested antimicrobials. Discussion: In Brazilian legislation there are no official microbiological parameters for surfaces in a veterinary hospital environment. The microorganisms present in the air are transient and variable, and the number and types of airborne agents is determined by the various sources of contamination in the environment. These microorganisms can be found in suspension, particulate matter and water droplets. Veterinary medical care tables are potentially contaminated by the animals handling, including those that sometimes defecate or urinate during their medical visit. Frequent handwashing is also known to be an important means of personal protection and disease prevention, although it is estimated that only 40% of practitioners do so routinely. Based on these results, we recommend a plan of bacterial control and disinfection that should be implemented to ensure more effective sanitary conditions. Microorganism counts were high in some of the veterinary hospital environments tested, indicating that current disinfection and hygiene practices are not sufficient to control the establishment of these microorganisms at the study sites. In view of this, it is reasonable to conclude that permanent monitoring and assessment of the effectiveness of hygiene protocols is needed in different sectors of the hospital. This may be an essential tool in a preventive approach to stop the spread of selectively resistant microorganisms, as well as cases of hospital infections. In addition, continuous staff training and awareness of the importance of personal and environmental hygiene is vital for minimizing the presence of these microorganisms in hospitals and avoid their transmission to patients. Finally, a more systematic hygiene guideline should be implemented in areas that showed higher counts.